The Mental Health System Can’t Stop Mass Shooters

SACRAMENTO — A few years ago, the police brought a 21-year-old man into the crisis unit where I work as an emergency psychiatrist. His parents had called the police after seeing postings on his Facebook page that praised the Columbine shooters, referred to imminent death and destruction at his community college and promised his own "Day of Retribution." His brother reported to the police that he had recently purchased a gun.

When I interviewed the patient, he denied all of this. He had no history of mental illness and said he didn't want or need any treatment. My job was to evaluate whether he met the criteria to be involuntarily admitted to a psychiatric hospital.