RFK Jr. Desires to Hyperlink Antidepressants Like SSRIs to Mass Shootings. Consultants Aren’t Shopping for It

It appears Robert F. Kennedy Jr. has set his sights on a brand new wild goose to chase. The U.S. Secretary of Well being and Human Providers has made clear his intention to probe whether or not antidepressant medication like selective serotonin reuptake inhibitors, or SSRIs, could be blamed for inflicting mass shootings.

Final week, Kennedy announced by way of a put up on X that he would activity the Facilities for Illness Management and Prevention to review “the long-taboo query of whether or not SSRIs and different psychoactive medication contribute to mass violence.” However whereas extra analysis into this subject is likely to be worthwhile, the info to this point doesn’t assist a causative hyperlink, many consultants say.

“SSRIs are usually protected and efficient drugs, and there’s no overwhelming proof that these medication alone would trigger sufferers who’re taking them to commit acts of violence,” Gregory Brown, Chair of the American Psychiatric Affiliation’s Council on Communications, advised Gizmodo.

SSRIs and mass violence

This isn’t the primary time that RFK Jr. has introduced up SSRIs as a potential issue inflicting mass violence.

In late August, following a faculty taking pictures in Minnesota that left two college students useless and dozens injured, Kennedy went on Fox Information and stated that he would launch research wanting into the position that SSRIs and different medication used to deal with psychological sickness may play in inflicting such incidents. In early September, throughout a convention saying his “Make America Wholesome Once more” report on kids, he made an identical promise, although he claimed the Nationwide Institutes of Well being could be in control of this deliberate analysis.

The concept that psychiatric drugs can set off mass shooters definitely isn’t new. Practically a decade in the past, for example, hypothesis arose that anti-anxiety medication fueled Las Vegas shooter Stephen Paddock’s killing spree in 2017.

Opposite to Kennedy’s insinuation that scientists are afraid to review the subject, nevertheless, a number of research have tried to search for a potential affiliation between using these medication and mass violence.

In a 2019 examine, for example, researchers combed by experiences of faculty shootings recorded by the FBI between 2000 and 2017 (49 in whole). They found that the majority faculty shooters had no documented historical past of taking psychotropic drugs. And even in instances once they did, the researchers didn’t discover a “direct or causal affiliation” with these drugs.

In one other 2019 report, which examined information from 167 mass shootings collected by The Violence Venture, researchers found that about 20% of shooters had used psychotropic drugs, corresponding to the speed of use among the many common public (round 17%, per a 2017 study).

And this September, a crew of researchers led by Ragy Girgis, a professor of medical psychiatry at Columbia College’s Vagelos School of Physicians and Surgeons, studied information from over 800 mass shootings within the U.S. They found that simply 4% of shooters had any lifetime historical past of utilizing antidepressants, properly under the everyday fee of use in most people (12%), and that 6.6% had used any psychotropic drug in any respect.

The California State Affiliation of Psychiatrists (CSAP) additionally issued an express rebuttal of RFK Jr.’s try to hyperlink SSRIs to mass shootings, following his feedback in September.

“That is merely not true. What worries us most is that such statements can scare folks away from getting the care they want and deserve,” the CSAP stated.

The position of suicidal intent

Mass shootings are a posh phenomenon, and for a lot of who perform these acts, there are prone to be a number of explanations why.

One among these explanations could be extreme psychological sickness, reminiscent of psychosis, although in all probability to not the extent that many would assume. A 2022 examine by the identical Columbia crew found that solely about 5% of mass shootings is likely to be linked to extreme psychological sickness, reminiscent of psychosis.

What does appear to be a considerable psychological well being consider mass shootings is suicidality. Roughly half of mass shooters will both kill themselves or attempt to provoke a deadly confrontation with legislation enforcement (“suicide by cop”), and maybe round two-thirds express suicidal ideation earlier than or throughout the taking pictures.

That issue might assist clarify why some analysis has found a possible relationship between antidepressant use and violence normally, in accordance with Girgis.

“They discover a shut relationship as a result of people who find themselves suicidal or violent even have a lot worse despair. And other people with worse despair usually tend to be handled with antidepressant drugs. In order that’s why we see this relationship,” Girgis advised Gizmodo. “However it’s not causative.”

Whereas SSRIs do carry a warning label claiming they could increase the chance of suicidal ideation and behaviors in folks underneath 25, it’s a controversial one. Many researchers, together with Girgis, now argue in any other case (or at the least that the warning has done extra hurt than good), and a few research have really found SSRIs can scale back suicide threat in youthful folks. Notably, Girgis’ examine this September discovered no distinction within the fee of mass shooters dying by suicide whether or not they have been taking an antidepressant or not.

In the course of the Fox Information interview in August, RFK Jr. additionally appeared to say SSRIs carry a black field warning that they will improve the chance of homicidal intent. Whether or not he misspoke or intentionally peddled a falsehood, that’s simply flatly not true.

The seek for a scapegoat

Not less than a number of the cause why folks may latch onto SSRIs as an element behind mass shootings is sensationalism, Girgis argues.

“I believe these types of occasions, when there are experiences of a mass shooter taking a psychiatric remedy or having a psychiatric situation, are inclined to make the occasion extra of a headline and extra consideration grabbing. That’s one cause there’s this consideration bias to it,” he stated.

Nonetheless others may need to blame psychological well being or the medication used to deal with it for these incidents as a result of it’ll deflect consideration from extra related elements, such because the broad proliferation of firearms within the U.S. or the benefit with which somebody can obtain them.

All that stated, the consultants I spoke to nonetheless welcome extra analysis into this subject, offered that it’s completed properly.

“Whereas I can’t predict outcomes of any future analysis research, ongoing analysis efforts—particularly unbiased peer-reviewed analysis—can usually present helpful details about the security and efficacy of psychotropic drugs,” Brown stated.

The difficulty is, we’re speaking about RFK Jr. right here. Since taking on HHS, Kennedy has repeatedly steamrolled over the scientific course of to get his agenda throughout. He’s unilaterally dismissed exterior consultants on vaccine security, put in allies sympathetic to the anti-vaccination motion, and allegedly fired former CDC chief Susan Monarez when she refused to rubberstamp coverage adjustments beneficial by the latter group.

Extra lately, he and President Donald Trump have tried to officially blame autism on using acetaminophen throughout being pregnant—a proof that many consultants and well being authorities don’t assist. The FDA is trying to initiate a labeling change to acetaminophen merchandise that will warn pregnant ladies in regards to the supposed autism threat, at the same time as Kennedy has admitted that they don’t but have proof of a causative hyperlink.

The above could possibly be probably the most illustrative instance of what might occur if RFK Jr. will get his SSRI examine off the bottom. The general proof so far doesn’t level to those medication being a serious wrongdoer in mass shootings. However that alone may not cease Kennedy and the Trump White Home from claiming in any other case.