I completely disagree wtih the author. Gun control laws are the reason that this horrific event happened. Colorado has some of the most strickt gun control laws in the nation. If just one person in that movie audience had had a hand gun on them the mandman who got his weapon ILLEGALLY could have been shot dead on the spot. SAVING many lives. We don't need to keep more sane, rational, honest citizens from being able to protect themselves, their families and their possessions from violent criminals with legal guns. We don't need to keep lawabiding citizens from owning high powered rifles that can be used for self protection as intended by our nations founders. We need to pay attention and get involved. Often many people know beforehand about the instability of the gunman but do nothing. We need to erradicate the culture of political correctness and out of place tollerence and get to know our neighbors. We as a society need to instill empathy and caring for our fellows instead of pitting one against anther for the advancement of a particular group at the expense of another group.
Kimberly Cay MSN, RN-BC

It is true that there will always be those with a mental imbalance. We are a long way from understanding the complex factors that make up a dangerous personality let alone mental illness. However to imply that such people will always be a threat, is to opine that society will never be educated enough to look and reach out to such people and that they will (as individuals) remain helpless to protect themselves or stop such acts of violence.

In the distant past people were somewhat limited both in the ability to cause harm to others and to the numbers of people around them. Today with increased populations and the ability to procure means of destruction - both legally and illegally those with mental illness have more tools to wreck havoc. This is a fact of population increases and improvements in communication. Unfortunately the down side of this is that it also enables those with felonious intent.

Unfortunately, those that intend harm are not deferred by laws or restrictions on guns. This is well demonstrated by the suicide bombers (around the world), or those that flew airplanes into the World Trade Center. In fact a listing of the deadliest terrorist strikes around the world shows that in only 3 out of 10 did the perpetrators need guns to accomplish their deadly intent.

Thus your statement that the USA has the highest mass murder rate is ONLY true if you limit such acts to only guns - and ignores the many acts of terrorism around the world. In reality the USA is not even close to the most deadly if all acts are considered. Neither is the USA higher in overall violent crime - in fact England - with extremely strict gun control laws has almost FOUR TIMES the violent crime rate of the US (2009 statistics).

Unfortunately gun control laws have proven that they are an abject failure - increasing not decreasing the risk to the population. Even ignoring the fact that Colorado is a gun control state, statistics prove that once a certain percentage of the population has the ability to protect themselves the violent crime rate drop drastically. (Murder and non-negligent manslaughter, forcible rape, robbery, and aggravated assault - FBI statistics 2011)

Furthermore despite the myth that gun restricted countries are safer the statistics prove otherwise! The USA is 13th from the top on the list of homicide rates per 100.000 people. Well below many countries with extremely strict gun control access.

It is also well known that people who feel in distress or danger do not reach out to others around them. Limiting a legal citizen's RIGHT to protect themselves - thus making themselves feel less secure will not increase their willingness to help or even recognize the distress of those around them. Instead it isolates them and makes them more vulnerable - individually and as a group.

Until and unless people take personal responsibility to both protect themselves AND to reach out to those with mental problems - to be caring members of society, such tragedies will continue to occur.

Narrowing your vision to blame gun laws is not just myopic but dangerous. It promotes the isolation of the individual when we should be educating and encouraging the public in ways that allow them to feel safe enough to help people in mental distress BEFORE they commit such acts - not blaming legal citizens and gun laws.

Gun control was brought into Australia in the 1990s following the port arthur massacre. Since then, the number of mass murders (4 or more killings at once) reduced dramatically.
http://bit.ly/OzGJl1

I agree 100%, although there are mathematical techniques that show promise in predicting very rare events, gun control will work as it did I think in canada when handguns were banned in the 1960's suicide & homicide went down
Stuart.W.Twemlow MD

Thanks to Al Frances for his important opinion piece.

In my view, psychiatrists and other health care professionals cannot be credible advocates
for their patients' health and safety without also being proponents of reasonable firearm
restrictions. And, no--€"that does not mean confiscating guns, banning hunting, or repealing
the Second Amendment. It does mean taking sensible steps toward reducing the lethality
and availability of certain kinds of guns and ammunition. Furthermore, gun control goes
beyond the issue of homicide; it also touches on gun-related suicide, which is an enormous
issue for psychiatrists, ER doctors, and other health-care professionals. Of course,
increasing access to proactive mental health treatment-- including, in some cases, court-mandated
outpatient treatment--is also an important way of addressing the repeated instances of
mass violence in this country.

The right to self-defense is not at issue here--nobody needs a semi-automatic weapon with a
high-capacity clip to defend against a house break-in or any other reasonably likely case
in which a gun is required for self-defense. And nobody needs thousands of rounds of ammo,
available with a mouse click on the internet, in order to safeguard house or home. As for
the notion that the recent Aurora shooter could have been brought down by yet another
theater-goer with a gun: this is so implausible as to border on the absurd. Imagine a dark
room, filled with chaotic noise, where someone untrained in police or military tactics
is firing away, through a sea of bobbing, diving, lunging theater-goers, trying to hit
the gunman, while avoiding killing innocent patrons! I would like to see documentation of one
credible instance, within the last decade, in which such a "heroic second-shooter"demonstrably saved innocent lives. Of course, having an armed security guard on the premises of certain public venues,
well-trained in firearms use, is another matter, and one worth debating.

As I argued in my piece for Psychiatric News :

http://psychnews.psychiatryonline.org/newsarticle.aspx?articleid=108419&...

"...According to research from the UCLA and the Harvard schools of public health,
homicide rates in the United States are nearly seven times higher than rates in other
high-income countries, driven by firearm homicide rates nearly 20 times higher.
In the population aged 15 to 24, firearm homicide rates are almost 43 times higher here
than in other high-income countries.

Moreover, contrary to some much-publicized but fallacious claims, both homicide and firearm homicide
rates in the United States are generally higher in areas with increased gun prevalence. Furthermore, permissive policies regarding carrying guns have not reduced crime rates, according to Dr. Garen Wintermute in the April 3, 2008, New England Journal of Medicine.

Suicide rates, according to the UCLA-Harvard study, were actually 30 percent lower in the
United States than in comparison countries--but the U.S. firearm suicide rate was almost six
times higher. Unintentional firearm deaths were also about five times higher in this country
than in comparison countries.

The UCLA-Harvard researchers, Erin Richardson and David Hemenway, have shown that
when we examine nonlethal crime and violence rates, the United States is comparable
to the other countries studied. The authors hypothesize that we are an "average" country
in terms of violence per se, but that our firearm-related crime rate may be driving up our
non-firearm-related homicide rate. For example, a drive-by shooting by one gang may
provoke retaliatory gang killings, using other means. Importantly, firearms make killing
extraordinarily efficient--€"especially when semiautomatic weapons with high-capacity clips
or magazines are involved, as in the Tucson and Aurora shootings. An attacker wielding
a knife simply cannot take down 20 people in 30 seconds.

Suicide rates in the United States are slightly lower than average compared with similar
countries, but the profusion of guns here increases the lethality of many suicide attempts .
The UCLA-Harvard researchers opine that U.S. suicide rates would likely be even lower,
relative to other countries, if firearms were not so readily available.

Some insist that limiting the availability of firearms will merely result in suicide by
other means. But appropriate firearms restrictions may buy valuable time, particularly when
the suicidal individual impulsively seeks to buy a gun. Thus, Andrew Slaby, M.D., writing
in the August 2001 Psychiatric Services, recounted the story of a suicidal man in New York
state who tried to buy a gun in a sporting-goods store, only to be told that it takes six
months to obtain a gun license. Temporarily put off, the man found his way into psychiatric
treatment and subsequently improved. Finally, numerous case-control studies in the United
States have shown that a firearm in the home increases the likelihood of both suicide by
firearms and overall suicide, for everyone in the household.

Placing sensible restrictions on firearms is not a "liberal" or a "conservative" position.
Such restrictions have been advocated by groups as diverse as the American Psychiatric Association
and the International Association of Chiefs of Police. Psychiatrists are sometimes called "ambassadors of reality." It is now time for us to become ambassadors of responsibility. We must become advocates
for reasonable limitations on firearms and ammunition sales.

Ronald Pies MD

(The author wishes to thank Becca Knox, M.P.H., M.S.W.; David Hemenway, Ph.D.; and
Garen Wintermute M.D., M.P.H., for their helpful comments and references on my article in
Psychiatric News)

Unfortunately, brilliant psychiatrists continue to put on display their ignorance of the Second Amendment and its history. The Second Amendment is not about hunting or even defending your home from armed intruders although that is certainly a fringe benefit. The founders of this great nation came here to escape tyranny and religious persecution. So, not surprisingly, the First Amendment to the Constitution is about religious freedom and the Second Amendment, about the defense against tyranny. The situation in Colorado was tragic and heartbreaking. However, when individuals "go off", they kill people in the dozens. When governments "go off", they kill people in the millions. Between 50 and 100 million people were killed in the 20th century after being disarmed by their own governments in the name of "gun control", the most famous being Germany. Germany was the most educated and technically advanced country in the world at the time and yet murdered 20 million of its own people after disarming them the less than 70 years ago.

Even today people are being murdered all over the globe, people who have no ability to fight back. As far-fetched as it may seem to some, it can happen here as we are neither more moral nor civilized than the Germans in the 1940s. People in government are people and not automatically more trustworthy than your neighbor. Liberals like to throw around the term "gun lobby". Well, I am the gun lobby, my family, my friends, your neighbors, people at your grocery store, your school, in your church and we have no intention surrendering absolute unchecked power to a federal government who is currently and previously proving that such trust is both foolish and naïve. The best way to stop tragedies like the one in Colorado is an armed citizenry since the only way to stop a bad man with a gun is a good man with the gun. All mass shootings in this country have occurred in "gun free zones."

I will send as much money as I can afford to political candidates and politicians who support the Second Amendment so that I can decide what kind of gun I own and how much ammo I can buy. Rick Robertson, MD

I would urge every psychiatrist and health care professional to read the excellent piece on gun control
by Fareed Zakaria, at:

http://www.time.com/time/magazine/article/0,9171,2121660-2,00.html

Some excerpts from this piece follow:

"Gun violence in America is off the chart compared with every other country on the planet.
The gun-homicide rate per capita in the U.S. is 30 times that of Britain and Australia,
10 times that of India and four times that of Switzerland. When confronted with such a
large deviation, a scholar would ask, Does America have some potential cause for this
that is also off the chart? I doubt that anyone seriously thinks we have 30 times as
many crazy people as Britain or Australia. But we do have many, many more guns.

There are 88.8 firearms per 100 people in the U.S. In second place is Yemen,
with 54.8, then Switzerland with 45.7 and Finland with 45.3. No other country has
a rate above 40. The U.S. handgun-ownership rate is 70% higher than that of the
country with the next highest rate..."

"The other argument against any serious gun control is that it's unconstitutional,
an attempt to undo American history. In fact, something close to the opposite is
true.

Adam Winkler, a professor of constitutional law at UCLA, documents the actual history
in Gunfight: The Battle over the Right to Bear Arms in America. Guns were regulated in
the U.S. from the earliest years of the Republic. Laws that banned the carrying of
concealed weapons were passed in Kentucky and Louisiana in 1813. Other states soon
followed: Indiana in 1820, Tennessee and Virginia in 1838, Alabama in 1839 and Ohio
in 1859. Similar laws were passed in Texas, Florida and Oklahoma. As the governor of
Texas (Texas!) explained in 1893, the "mission of the concealed deadly weapon is murder.
To check it is the duty of every self-respecting, law-abiding man."

Things started to change in the 1970s as various right-wing groups coalesced to
challenge gun control, overturning laws in state legislatures, Congress and the courts.
But Chief Justice Warren Burger, a conservative appointed by Richard Nixon, described
the new interpretation of the Second Amendment in an interview after his tenure as
"one of the greatest pieces of fraud--I repeat the word fraud--on the American public
by special-interest groups that I have ever seen in my lifetime."

So when people throw up their hands and say we can't do anything about guns,
tell them they're being un-American--and unintelligent."

[excerpted from The Case for Gun Control, By Fareed Zakaria]

Ronald Pies MD

Addendum:
I have just become aware of the following development re: Fareed Zakaria's column:

"Media reporters had noted similarities between passages in Zakaria's column about gun control that appeared in Time's Aug. 20 issue, and paragraphs from an article by Harvard University history professor Jill Lepore published in April in The New Yorker magazine."

This appears to be a serious lapse on Zakaria's part, as he acknowledged; however, to my knowledge, there is nothing factually incorrect in the content and claims of Zakaria's essay.

Ron Pies MD