to violence, gun suicides are often committed by people whose history doesn’t suggest a serious
problem. In studies, a quarter to a third of those who killed themselves were not in contact with
a psychiatrist at the time of death, and the majority were not on psychiatric medicines. “The first
time the family may know of the distress is when they kill themselves,” said Dr. David Gunnell, a
suicide epidemiologist at the University of Bristol in England. There may be no red flags and
little forethought. To carry out a campus killing rampage, perpetrators collect weapons, identify
victims and select locations. In contrast, suicides are often