Open talk, open door: Helping kids, teens after a school shooting

Traumatic news, plus the stress of a pandemic and upcoming holidays, make this a critical time for young people and their parents and school staff

1:40 PM

Author | Kara Gavin

Women hugging girl flower abstract
Stock Image

Raising or educating kids in a pandemic with cases surging and the winter holidays approaching was already hard enough for Michigan parents and school staff.

And then the school shooting in Oxford, Michigan happened on Nov. 30, 2021 – the first one in the state in decades, and the first one to claim multiple young lives in the U.S. since the start of the pandemic.

MORE FROM MICHIGAN: Sign up for our weekly newsletter

Now, parents and educators find themselves having to help children and teens process the news and navigate the trauma.

That may take days or weeks, but resources from local and national organizations can help, says Joanna Quigley, M.D., a child psychiatrist at Michigan Medicine, the University of Michigan's academic medical center.

"The biggest things that adults and our communities can do right now are to provide consistency and structure, to keep open lines of communication, and to find time each day to check in with one another," she said. "Make it clear you're available to answer questions about what happened, but make sure the child isn't overexposed to the media coverage of the event, or to social media posts about it."

Stepping away from news and posts on screens large and small is important for avoiding an effect called retraumatizing, which brings up the negative emotions that the initial shock of the event prompted.

She highly recommends giving older children and teens a resource from the National Child Trauma Network called "When Terrible Things Happen", which can help young people recognize the effects of major traumatic events and work to reduce them or avoid making them worse.

For parents, she recommends the disaster, violence and trauma resources from the American Academy of Child and Adolescent Psychiatry, the Resources for Families site from the federal agency known as SAMHSA, as well as the resources developed for coping during COVID-19 by the U-M Department of Psychiatry.

Make it clear you're available to answer questions about what happened, but make sure the child isn't overexposed to the media coverage of the event, or to social media posts about it.
Joanna Quigley, M.D.

Routines, communication

The stress of a sudden major trauma on top of the underlying stress of living through a pandemic – especially at this time in Michigan – makes it especially important for families to spend time together, focus on healthy eating, sleeping and activity habits, and keep regular schedules.

School is an important part of that, giving kids a safe and familiar environment and keeping their minds and bodies active. With teachers, school counselors and school nurses already stretched thin by the stress of educating during a pandemic, this may be especially hard, but she recommends the tips contained in this resource from the NCTN.

Even though it may be tempting, kids, teens and adults shouldn't try to avoid thinking about or talking about what has happened or how they're feeling.

In fact, says Quigley, "Grownups should name the emotions they're feeling about this situation, especially with teens. Sometimes older children and teens aren't ready to name the emotions they're feeling or discuss them proactively, but if they hear that others are feeling them, they may."

This may take some time, she added. "Even if say they don't have questions or don't want to talk right now, let them know you have an 'open door policy' if they do want to talk, which could be a week or two from now, or may be prompted by more information coming out about the incident. It's important for them to know that the adults in their lives are available to them on an ongoing basis."

If you suspect or see a problem

For both children and adults, it's important to recognize when stress, feelings and emotions have started to interfere with normal relationships, ability to enjoy favorite activities, and regular daily tasks.

Today's children and teens are more equipped than previous generations to talk openly about their mental health. But some may still bottle it up for fear of being labeled or stigmatized.

Like Podcasts? Add the Michigan Medicine News Break on iTunes or anywhere you listen to podcasts.

Teen and young adult years are peak times for the start of many mental health conditions, from depression to schizophrenia, Quigley notes.

Adults and peers who notice someone's behavior or personality has changed should speak up and try to guide them to help.

Anyone in Michigan, including students, who is concerned about a school safety issue should contact the OK2SAY Tip Line at 1-855-565-2729, text to 652729, or email to [email protected].

Parents with concerns about their own children should start by expressing their concern to their child's pediatrician, family physician or nurse practitioner, Quigley emphasized.

She and colleagues help these primary care providers care for the mental health needs of their young patients through the MC3 program.

For families that own guns, it's always important to follow safe practices to keep lethal means from being readily available to anyone during stressful times. The U-M Injury Prevention Center's resource for families is a good one to refer to, Quigley says. She emphasizes that gun violence is a public health issue, not strictly a mental health issue. 

If someone has urgent concerns that someone might hurt themselves, the National Suicide Prevention Lifeline is available at 1-800-273-8255 or through web chat on its site. Each county in Michigan also has a crisis line; they're listed here.


More Articles About: Children's Health Adolescent Psychiatric Treatment anxiety Depression Pediatric Psychiatric Treatment Mental Illness Covid-19 Mental Health
Health Lab word mark overlaying blue cells
Health Lab

Explore a variety of health care news & stories by visiting the Health Lab home page for more articles.

Media Contact Public Relations

Department of Communication at Michigan Medicine

[email protected]

734-764-2220

Stay Informed

Want top health & research news weekly? Sign up for Health Lab’s newsletters today!

Subscribe
Featured News & Stories child looking at family outside of kitchen area
Health Lab
Encouraging spirituality in teens without forcing participation
Among parents who plan to attend religious services this holiday season, nearly half would insist their teen join even if they didn’t want to, a poll suggests.
syringes three in a row with one with a shot going into it on a light teal background
Health Lab
TNF inhibitors prevent complications in kids with Crohn’s disease, recommended as first-line therapies
Early treatment of pediatric Crohn’s disease with anti-tumor necrosis factor medications can substantially reduce the risk of perianal fistulas in Crohn’s disease. Michigan Medicine researchers confirmed this finding using prospective data. 
friends adults thanksgiving dinner table
Health Lab
How to safely celebrate the holidays and avoid getting sick
This holiday season, follow these five expert-approved steps to celebrate safely and avoid getting sick.
four tiles with top left washing hands with blue background, top right yellow background and two cutting boards with one having meat and one having cucumbers and knives, then bottom left is red background and pot of soup steaming and then bottom right open white fridge with food in it on black background
Health Lab
How to prevent your kids from getting food poisoning
About 48 million people fall victim to food poisoning each year. Prevent getting food poisoning with these six tips.
Minding Memory with a microphone and a shadow of a microphone on a blue background
Minding Memory
The Link Between Hearing Loss and Cognitive Decline
Hearing loss is one of the most common conditions of aging, affecting nearly two-thirds of older adults over the age of 70, but it’s not just a matter of diminished hearing. Hearing loss can contribute to poor psychosocial outcomes for patients including loneliness, depression, and social isolation. New research also shows that hearing loss is linked to a higher risk of cognitive decline and dementia. In fact, the 2024 Lancet Commission on Dementia Prevention, Intervention, and Care identified hearing loss as one of 14 modifiable risk factors for dementia. According to the commission, treating hearing loss could prevent up to 7% of dementia cases globally, making it one of the most impactful areas for potential prevention. This raises the question of whether use of hearing aids in people with hearing loss can reduce or mitigate this increased dementia risk. To help us understand these connections and the latest research in this area, we are joined today by Dr. Alison Huang, an epidemiologist and Senior Research Associate from the Johns Hopkins Cochlear Center for Hearing and Public Health. Her research studies the impact of sensory loss on cognitive and mental health in older adults. Dr. Huang was an author of the Aging and Cognitive Health Evaluation in Elders (ACHIEVE) study, a large, multicenter randomized controlled trial that tested whether treating hearing loss in older adults could help slow cognitive decline published in the Lancet. Alison Huang, PhD, MPH Link to article: Lin FR, Pike JR, Albert MS, Arnold M, Burgard S, Chisolm T, Couper D, Deal JA, Goman AM, Glynn NW, Gmelin T, Gravens-Mueller L, Hayden KM, Huang AR, Knopman D, Mitchell CM, Mosley T, Pankow JS, Reed NS, Sanchez V, Schrack JA, Windham BG, Coresh J; ACHIEVE Collaborative Research Group. Hearing intervention versus health education control to reduce cognitive decline in older adults with hearing loss in the USA (ACHIEVE): a multicentre, randomised controlled trial. Lancet. 2023 Sep 2;402(10404):786-797. doi: 10.1016/S0140-6736(23)01406-X. Epub 2023 Jul 18. PMID: 37478886; PMCID: PMC10529382.
kid in corner sad with shadow of two parents holding hands on hips looking mad and room and everything is yellow and a shadow of close up of parent yelling at a child in corner
Health Lab
Naughty or nice? Many parents rely on threats to manage misbehavior
When young children’s behavior becomes challenging, many parents resort to threats – from taking away toys to threatening that Santa will skip their house, a national poll suggests.