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School children at San Diego mosque need support to process trauma of shooting

JUANA SUMMERS, HOST:

Three people were killed in a shooting at the Islamic Center of San Diego yesterday, and that location is also home to the pre-K to third grade classes of the mosque’s Islamic school. Even though the students were safe inside their classrooms when the shooting happened, researchers and healthcare providers say that kids are particularly vulnerable to the emotional toll of such violence. Here to tell us more is NPR’s mental health correspondent Rhitu Chatterjee. Hi there.

RHITU CHATTERJEE, BYLINE: Hi, Juana.

SUMMERS: Rhitu, I mean, I have to imagine that just everyone in this community, no matter how old they are, must be really just traumatized by what happened yesterday.

CHATTERJEE: Oh, absolutely. It was a tragic and traumatic event. And, you know, people who lost a loved one yesterday are obviously most affected. And the same goes for people who witnessed the shooting, including the children inside the classrooms. Now, both these groups are most at risk of what mental healthcare experts call post-traumatic stress. And, you know, in the months following the shooting, they can experience symptoms of acute stress – so things like having flashbacks, nightmares, wanting to avoid talking about what happened, avoiding going to the mosque or even in the area because it’s a reminder of their trauma.

SUMMERS: Yeah. Now, kids – do they have the same risk of post-traumatic stress as adults do or, I wonder, of the same kinds of symptoms?

CHATTERJEE: They absolutely do have the same risks, especially the children who witnessed the shootings and children who’ve lost a loved one to gun violence. Now, symptoms in kids can include nightmares and flashbacks, and really young kids – they can have trouble sleeping. They might cry a lot, be inconsolable. And PTSD in teens can then lead to other risky behaviors like substance abuse, as well as sometimes suicidal thinking.

I spoke with psychologist Julie Kaplow. She’s an expert on grief and trauma in children at the Meadows Mental Health Policy Institute in Texas. And she told me kids exposed to gun violence can experience fear and anxiety afterwards, which can show up in their behavior, including…

JULIE KAPLOW: Excessive clinginess, not wanting to separate from their caregiver or another caring adult, they may often show irritability or behavioral regression.

CHATTERJEE: So for example, you know, a child who was potty-trained is now having accidents. A child who was fine sleeping alone is scared to do that now.

SUMMERS: Right. So can parents and teachers help kids recover when they go through an experience like this?

CHATTERJEE: Absolutely. You know, they play a huge role in helping buffer kids from the aftereffects of this kind of trauma. Experts I spoke with said that parents and caregivers should try to establish a sense of – reestablish a sense of safety for kids, and that should start with giving them a sense of psychological safety. That means that kids should feel safe to come forward and talk to parents and teachers or other caregivers for support when they are struggling and answer their questions. You know, adults often think like – that not talking to kids will actually…

SUMMERS: Yeah.

CHATTERJEE: …Protect them, but it’s actually the opposite because not talking makes the, you know, subject taboo, and kids might feel ashamed of their emotional struggles. And so it’s important for parents to talk to kids about what happened, answer their questions, you know, explain to them that it’s normal to feel anxious, help them cope…

SUMMERS: Yeah.

CHATTERJEE: …With their anxiety and return to their routines. Those can go a long way in helping kids recover.

SUMMERS: NPR’s Rhitu Chatterjee, thanks so much.

CHATTERJEE: Thank you. Transcript provided by NPR, Copyright NPR.

NPR transcripts are created on a rush deadline by an NPR contractor. This text may not be in its final form and may be updated or revised in the future. Accuracy and availability may vary. The authoritative record of NPR’s programming is the audio record.

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Rhitu Chatterjee is a health correspondent with NPR, with a focus on mental health. In addition to writing about the latest developments in psychology and psychiatry, she reports on the prevalence of different mental illnesses and new developments in treatments.

Chatterjee explores the underlying causes of mental health disorders – the complex web of biological, socio-economic, and cultural factors that influence how mental health problems manifest themselves in different groups – and how our society deals with the mentally ill. She has a particular interest in mental health problems faced by the most vulnerable, especially pregnant women and children, as well as racial minorities and undocumented immigrants.

Chatterjee has reported on how chronic stress from racism has a devastating impact on pregnancy outcomes in black women. She has reported on the factors that put adolescents and youth on a path to school shootings, and what some schools are doing keep them off that path. She has covered the rising rates of methamphetamine and opioid use by pregnant women, and how some cities are helping these women stay off the drugs, have healthy pregnancies, and raise their babies on their own. She has also written about the widespread levels of loneliness and lack of social connection in America and its consequences of people's physical health.

Before starting at NPR's health desk in 2018, Chatterjee was an editor for NPR's The Salt, where she edited stories about food, culture, nutrition, and agriculture. In that role, she also produced a short online food video series called "Hot Pot: A Dish, A Memory," which featured dishes from a particular country as made by a person who grew up with the dish. The series was produced in collaboration with NPR's Goats & Soda blog.

Prior to that, Chatterjee reported on current affairs from New Delhi for PRI's The World, and covered science and health news for Science Magazine. Before that, she was based in Boston as a science correspondent with PRI's The World.

Throughout her career, Chatterjee has reported on everything from basic scientific discoveries to issues at the intersection of science, society, and culture. She has covered the legacy of the Bhopal gas tragedy in 1984, the world's largest industrial disaster. She has reported on a mysterious epidemic of chronic kidney disease in Sri Lanka and India. While in New Delhi, she also covered women's issues. Her reporting went beyond the breaking news headlines about sexual violence to document the underlying social pressures faced by Indian girls and women.

She has won two reporting grants from the Pulitzer Center on Crisis Reporting and was awarded a certificate of merit by the Gabriel Awards in 2014.

Chatterjee has mentored student fellows by the Pulitzer Center on Crisis Reporting, as well as young journalists for the Society of Environmental Journalists' mentorship program. She has also taught science writing at the Santa Fe Science Writing Workshop.

She did her undergraduate work in Darjeeling, India. She has two master's degrees—a Master of Science in biotechnology from Visva-Bharati in India, and a Master of Arts in journalism from the University of Missouri.

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