• Establish multidisciplinary threat assessment and management teams that include representatives from security, human resources, legal and law enforcement.
• Implement ongoing quality improvement around the issues of violence risk assessment and threat assessment and management.
• Train staff in lethal means reduction. This is a rational strategy for lethal violence reduction and very helpful in combating suicide.
• Prepare staff for vicarious trauma and compassion fatigue. Provide resources for self-care rituals and support for staff needs.
General Recommendations
• Identify root causes of mass violence and develop strategies to alleviate them instead of focusing only on quick fixes downstream from the sources of the problem.
• Mental health providers and advocacy groups must acknowledge the role mental illness plays in mass violence and support efforts to prevent the subset of mass violence perpetrated by people with mental illness.