Most people exposed to community violence, with or without PTSD, do not act violently. The stereotype of the violence survivor being out of control and hell-bent on revenge or “payback” is a myth that rarely occurs in real life. Severe day-to-day stressors that are demoralizing, but not life-threatening, appear to play a greater role — both in causing community violence in general and in leading individuals to act violently — than PTSD or even traumatic violence itself. Research suggests that violence is somewhat more likely in those communities whose people live in highly stressful circumstances such as the following:

  • high unemployment rates
  • high rates of illegal drug use
  • high rates of school drop-outs
  • chaotic, disorganized, or physically and emotionally abusive families or classrooms
  • periods of extremely hot weather

Perhaps the greatest danger of violence associated with PTSD occurs when community violence spills over onto the family and home, especially in intimate relationships. No studies yet have determined whether there is a link between community violence and domestic violence, but this is a possibility that scientists and clinicians take very seriously, because of a growing awareness that domestic violence is more common and more devastating than previously realized.

Survivors of community violence struggle with many vital personal issues:

  • how to build trust again (issues of power, empowerment and victimization)
  • seeking meaning in life apart from revenge or hopelessness
  • regaining trust versus being trapped in feelings of guilt, shame, powerlessness, and doubt
  • finding realistic ways to protect themselves, their loved ones, and their homes and community from danger.
  • healing traumatic losses and putting memories of violence to rest without trying to avoid or erase them
  • commitment or recommitment to life (choosing life versus giving up or seeking escape through suicide)

Rapid, timely, and sensitive care for the community as well as for affected individuals and families is the key to preventing PTSD in the wake of violence (and of reducing violence itself).

Mental health professionals with expertise in community violence can contribute in several ways:

  • Helping community leaders to join together to develop violence prevention and victim assistance programs.
  • Helping religious, educational, and health care leaders and organizations to set up relief centers and shelters.
  • Providing direct psychological services near the site of violence. These might include debriefing survivors, supervising a 24-hour crisis hotline, and identifying survivors or bereaved family members who are at high risk for developing PTSD (and helping them to get connected with appropriate continuing treatment, to either prevent or recover from PTSD).
  • Providing education, debriefing, and referrals for affected children at their schools, often working with teachers.
  • Providing organizational consultation to government, business, and healthcare programs affected by the violence.