|Author(s)||du Bois, Reinmar|
|Title||Wie gefährlich sind Jugendliche, die Massenmord in ihren Schulen androhen?|
|Published in||Nervenheilkunde, Vol. 29, No. 7-8|
|Abstract|| Objective: Criminological evidence about mass murder in schools remains insufficient for understanding fully, why individual youths become perpetrators. Additional insights need to be gained, in order to define and narrow down suitable risk populations.
Material and methods: The criminological and forensic psychiatric literature is explored and juxtaposed to personal clinical experience. Clinical findings are operationalized by roughly following the OPD-CA axis for psychic structure. Criminological and psychiatric scores can be established and combined in a single risk score.
Results and conclusions: There is converging evidence that all perpetrators of school mass murders are decidedly mentally disturbed. Before their offence they are in a process of cognitive narrowing, in which they lose their liberty to fantasize aggressive acts and seek relief by plotting a real crime. This state of mind ought to be reflected structurally in terms of emotional rapport, readiness to communicate, and reality control.
Clinical relevance: Generally raised vigilance, referrals of copycat perpetrators as well as conspicuous clinical cases require practicable methods of risk assessment.