Resonds 1 Has your community been directly affected by gun violence/mass shootings? Discuss the affects you have noted. My community has not dealt with any mass shootings, but gun violence and shootings are common in the metro area. We don’t have frequent shootings, but they have increased in recent years. Suicide by gun is also most common method for suicide in my community. Discuss what you believe to be the greatest risk factor(s) in your community that could be associated with a potential for violence. Risk factors in my community are drug use and gun availability due to it being a big hunting community. Also being a farming community, the stress of farming and middle age men is a risk factor for suicide. What are your thoughts about the Predictive Firearm Violence Risk Scale? The Predictive Firearm Violence Risk Scale is a scale that developed to determine future firearm violence in an area or from an individual (Bakes, 2017). The scale goes over different criteria and determines points for each criterion based on severity. Serious fighting with in the past 6 months, friend weapon carrying, community environment, and firearm threats are all areas assessed in the 10-point SaFETy score. Each 1 point was associated with an increase in the risk for future firearm violence (Bakes, 2017). Will you use this scale in your practice? Why or why not? I think this is a good starting point scale to use during an assessment of a patient after determining accessibility of firearms for the individual. This determines risky behavior that may lead to firearm violence (Goldstick, et al., 2017). What type of changes has your community made to help improve safety? My community has incorporated gun safety classes as well as education for safe gun storage. There is also more education on mental health and suicide that has helped people assess accessibility to different methods of suicide. With guns being number one method in our community, gun education has been a huge topic for safety.   What are your thoughts about the Columbine shooter’s mother’s TED Talk? I can not image grieving the loss of a son to suicide after not knowing he was dealing with a mental illness as well as dealing with a community mass shooting and guilt he caused before his suicide. I think it is amazing that she took this experience and is educating people regardless of the attacks and guilt she has felt from the actions of her son. Getting information out to the public on mental illness and the ways that it can contribute to violence and risky behavior is vital to ending mass shooting and suicides. It is true that many times loved ones do not know that someone close to them is dealing with mental illness and contemplating suicide. Being aware of the warning signs and actions displayed by the individual can help prevent suicide and other violence towards others (Parekh, 2018). Response 2 Gun Violence and Mass Shooting The United States of America represents one of th.

1. Resonds 1
Has your community been directly affected by gun
violence/mass shootings? Discuss the affects you have noted.
My community has not dealt with any mass shootings, but gun
violence and shootings are common in the metro area. We don’t
have frequent shootings, but they have increased in recent
years. Suicide by gun is also most common method for suicide
in my community.
Discuss what you believe to be the greatest risk factor(s) in
your community that could be associated with a potential for
violence.
Risk factors in my community are drug use and gun availability
due to it being a big hunting community. Also being a farming
community, the stress of farming and middle age men is a risk
factor for suicide.
What are your thoughts about the Predictive Firearm Violence
Risk Scale?
The Predictive Firearm Violence Risk Scale is a scale that
developed to determine future firearm violence in an area or
from an individual (Bakes, 2017). The scale goes over different
criteria and determines points for each criterion based on
severity. Serious fighting with in the past 6 months, friend
weapon carrying, community environment, and firearm threats
are all areas assessed in the 10-point SaFETy score. Each 1
point was associated with an increase in the risk for future
firearm violence (Bakes, 2017).

2. Will you use this scale in your practice? Why or why not?
I think this is a good starting point scale to use during an
assessment of a patient after determining accessibility of
firearms for the individual. This determines risky behavior that
may lead to firearm violence (Goldstick, et al., 2017).
What type of changes has your community made to help
improve safety?
My community has incorporated gun safety classes as well as
education for safe gun storage. There is also more education on
mental health and suicide that has helped people assess
accessibility to different methods of suicide. With guns being
number one method in our community, gun education has been a
huge topic for safety.
What are your thoughts about the Columbine shooter’s mother’s
TED Talk?
I can not image grieving the loss of a son to suicide after not
knowing he was dealing with a mental illness as well as dealing
with a community mass shooting and guilt he caused before his
suicide. I think it is amazing that she took this experience and is
educating people regardless of the attacks and guilt she has felt
from the actions of her son. Getting information out to the
public on mental illness and the ways that it can contribute to
violence and risky behavior is vital to ending mass shooting and
suicides. It is true that many times loved ones do not know that
someone close to them is dealing with mental illness and
contemplating suicide. Being aware of the warning signs and
actions displayed by the individual can help prevent suicide and
other violence towards others (Parekh, 2018).

3. Response 2
Gun Violence and Mass Shooting
The United States of America represents one of the world's
developed countries that the rate of gun violence has
substantially elevated. Within the gun violence, mainly
homicides, contribute to disparities in life expectancy between
white and minority group African American (Ludwig, 2017).
This discussion aims to elaborate on gun violence, mass
shooting, and to answer the following questions:
1. Has your community been directly affected by gun
violence/mass shootings? Discuss the effects you have noted.
2. Discuss what you believe to be the most significant risk
factor(s) in your community that could be associated with
violence.
3. What are your thoughts about the Columbine shooter's
mother's TED Talk?
Gun violence/Mass shootings lead to many consequences
including physical, social, psychological, and mental on the
victims and the witnesses lastly economic where the victims
would face the loss of wage, medical bill, and the need to adapt
to a new lifestyle. In the US, this act of violence is currently
categorized as a public health crisis that has a critical impact on
the taxpayers, and the average cost per American is $700 a year.
Overall, Gun violence/mass shooting cost America $ 229 billion
a year which, 8.9 billion costs directly to the aftermath and half
of this amount go for prison cost and indirectly 221 billion

4. which over half of them would be used to the impacts on the
quality of life of the victims. (Follman et al., 2015) A study was
done between 2008-2017, published in 2019 by The Center of
American Progress (2020) on gun violence in America related to
a state-by-state analysis. Massachusetts ranked the first state
with the lowest gun suicide rate in the United States of
America.
Furthermore, "The Spirit of America" was placed after Hawaii,
the second state with less gun death rate. This result could
explain that Massachusetts's laws create several obstacles that
make the licensing and buying process far more difficult for
people with ill intent. Nonetheless, this public health crisis is
still a concerning issue in the state. The following impacts
could be noted: deadly consequences on children and teens, it
creates new anxieties for the younger generation of students in
school mass shooting, affected more individual in the city that
rural areas, disproportionately affected black, Hispanic and
teens, when witnessed violence children are harmed in multiple
ways (physical, mental, psychological and psychiatric
(Everytown, 2020). Based on the statistic data related to
Massachusetts gun Violence, its Model has been praised by
different state and with the extreme risk protective order
(ERPO) bill which stands as a court-issued civil order that
prevents gun tragedies by reducing access to guns for the
individual at elevated risk of endangering themselves and others
(MCPV, 2018).
Several factors could contribute to gun violence or mass
shooting, multiple studies have shown those factors dependents
and or independents including jealousy, mercy killing, fight
(argument, conflict, brawl, between two persons and intervener
assisting victim), stressors (disaster, loss of housing, financial
struggle, job issues, civil legal problems, criminal legal

5. problems, traumatic anniversary, physical health, interpersonal
related to family, violence perpetrator, violence victim, social
network), Suicide ( thoughts, intent, attempt), substances abuse
( drugs, alcohol) and substance involvement, depressed mood,
mental illness (Schwab-Reese & Peek-Asa, 2017 ). As some
contributing factors, such as Antecedent of gun Violence and
developmental issues followed by the antecedent of gun
violence related to gender and culture, is more resistant to
change with the gun accessibility (APA, 2013).
After analyzing the gun violence in Massachusetts, besides its
role model in this emerging public health crisis in the United
States of America. Two majors factors that could elaborate as
follow:
1- Individuals at elevated risk to endanger themselves and
others (mental illness, behavioral challenges, victims, stress
unbalanced)
2- The accessibility to guns. Although the proximity with other
states (Vermont, Maine, New Hampshire) that allow easy access
to guns could interfere with Massachusetts's safety and security
policies.
Dylan's mother, who stood for the shooter's mother after healing
and to keep healing herself from his son shooting in Columbine
High School in Colorado, where he killed 13 people and
wounded more than 20 and lastly killed himself, she decided to
help others and become an advocate for gun violence. Based on
her presentation, she has described gun violence and mass
shooting as severe problems that everyone should pay attention
to. This event associated with physical, mental, psychological
consequences affect the victims, directly and indirectly, the
witness and related family to the individual. She learned that

6. mental illness and some form of depression associated with easy
access to guns and some social, environmental disposition could
contribute to the mass shooting. Until the crime, she thought
that she knew her son enough, but realized two years ago his
son was dealing with a severe depression that made him feel
that killing people would grant him to commit Suicide. She has
paid the impact of this event towards multiple diseases such as
breast cancer, depression, anxiety, insomnia, isolation, and the
worst was she fells that she would feel better if she could end
her life. With a motivation to know and understand better, she
decided to find help for her trauma, redefined herself, and
decided to help others by educating them on mental health,
access to guns as well presented her apology to every that her
son might hurt directly and indirectly.
Scholarly references atleast 2, 8-10 lines each.