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Submit An Incident
1
Basic Information
2
School Info
3
Event Info
4
Suspect Info
5
Suspect #1 Info
6
Suspect #2 Info
7
Suspect #3 Info
8
Suspect #4 Info
9
Documentation
10
Assessment
Basic Information
Title this case:
(Required)
Information Sources
News
School
Law Enforcement
Other
Explain
Who is submitting this information?
Law Enforcement
School Administration
Mental Health Professional
Safe and Sound Schools' Staff
Other
Explain
School Information
Location of school (city)
Location of school (state)
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
What best describes the area where the school is located?
Rural
Suburban
Urban
Tribal
Type of School
Public
Private
Faith-based
Charter
Military
Grade/education level
Elementary School
Middle School (Jr. High)
High School
College/University
How many students are currently enrolled in the school?
500 or less
501 to 1000
1001 to 2000
2001 or more
Select the type of program
Two-year program (Community college)
Technical/trade/vocational school
Undergraduate
Masters
Doctoral
How many students are currently enrolled in the college/university as a whole?
1000 or less
1001 to 5000
5001 to 10,000
10,001 to 20,000
20,001 to 30,000
30,001 to 40,000
Above 40,001
Does the school have a counselor/counselors?
Yes
No
Unknown
Did the counselor have knowledge of or engage in previous interventions/ discipline with the suspect(s)?
Yes
No
Unknown
Describe the security system at the school
Behavior threat assessment team
Blue Light college security systems
Controlled access to buildings during school hours
Controlled access to grounds during school hours
Locked entrance or exit doors
Locker checks
School police department
School staff monitoring hallways
Security cameras used to monitor the school
School resource officer(s) or security officers at/in school
Students required to go through metal detectors
Teachers and staff required to wear badges/ID
Threat reporting tool
Visitors must be escorted into building
Visitors required to sign in
Visitors required to wear badges/ID
Other
Explain
Approximately what percentage of classrooms have locks that can be operated from the inside?
100%
75%
50%
25%
None
Describe any response protocols or trainings that occur at the school
All hazards drills
Active shooter trainings
Evacuation drills
CIT trainings
Lockdown drills
Stop the Bleed, Mental Health First Aid, CPR
Other
How often do all hazards drills occur?
How often do active shooter trainings occur?
How often do evacuation drills occur?
How often do CIT trainings occur?
How often do lockdown drills occur?
Explain
How do administration personnel, staff, and teachers communicate during an emergency?
Was the community alerted about this incident?
Yes
No
Unknown
How was the community alerted?
Was the Crisis Management Team activated for this incident?
Yes
No
Unknown
School does not have a Crisis Management Team
Describe the makeup of the Crisis Management Team
Event Information
Was this event:
Averted: The attacker was unable to injure or kill any victims.
Carried Out: The attacker injured or killed at least one victim.
Explain this event:
Approximate date plot was discovered:
Month
Day
Year
What type of weapon(s) was the suspect plotting to use?
Firearm
Sharp edged
Explosive
Incendiary
Blunt Instrument
Other
Can you be more specific regarding the type of weapon(s)?
How was this incident averted?
Date attack was carried out:
Month
Day
Year
What type of weapon(s) was used in this attack?
Firearm
Sharp edged
Explosive
Incendiary
Blunt Instrument
Other
Can you be more specific regarding the type of weapon(s) used?
Suspect Information
How many suspects were involved with the plot?
0
1
2
3
4+
Suspect #1 Information
Suspect's age at the time of the plot discovery or attack
Suspect's sex
Male
Female
Other
Race/Ethnicity
Caucasian, Non-Hispanic
Black/African American
Native American/Alaska Native
Asian/Asian American
Latino/a
Middle Eastern
Unknown
Other
Explain
What was the suspect’s affiliation with the targeted school?
Current Student
Former Student
Former Employee
School Official
Other Affiliation
No Prior Affiliation
Describe Former Student
Homeschooled (after having attended the school in the past)
Drop Out
Removal from the School Due to Disciplinary Action
Removal from the School Due to Failing Grades
Successful Graduation/Promotion to the Next Level
Describe School Official
Teacher
Other school faculty member
Administrator
Describe Other Affiliation
Current/former significant other attends/attended school
Parent
Significant other employed by school
What grade/ educational program was he/she in at the time of the plot discovery or attack?
Please describe the suspect’s academic history
Historically poor academic performance (low grades, repeating a grade, etc.)
Historically average academic performance
Historically above average academic performance
Unknown
Within 6 months prior to the attack, did the suspect exhibit any of the following academic issues?
Single bad grade on paper/ test
Sudden decline in academic performance
In danger of losing tenure/job due to poor academic performance
In danger of failing out of a degree program
No known academic issues
Unknown
Please describe the suspect’s disciplinary history
History of disciplinary problems at school, with other students/teachers
Unusually disruptive/ rude in class to students/teachers
Hypersensitivity to receiving a poor grade/ criticism
No known disciplinary issues
Unknown
Did the suspect exhibit any of the below warning signs before the attack or planned attack?
Pathway Warning Behavior: Any behavior that is part of research, planning, preparation, or implementation of an attack.
Fixation Warning Behavior: Any behavior that indicates an increasingly pathological preoccupation with a cause, other acts of violence, violent persons/subjects, their grievances, or their effects.
Identification Warning Behavior: Any behavior that indicates a “warrior mentality”, is closely associated with weapons or other military or law-enforcement paraphernalia, identifies with previous attackers or assassins, or identifies oneself as an agent to advance a particular cause or belief system.
Novel Aggression Warning Behavior: An act of violence that appears unrelated to any targeted-violence pathway warning behavior committed for the first time. Such behaviors may be engaged to test the ability of the subject to actually do the violent act.
Energy Burst Warning Behavior: An increase in the frequency or variety of any noted activities related to the target, even if the activities themselves are relatively innocuous, usually in the days or weeks before the attack.
Leakage Warning Behavior: The communication to a third party of an intent to do harm to a target through an attack.
Last Resort Warning Behavior: Evidence of a “violent-action imperative” or “time imperative”. Increasing desperation or distress through words/actions. The subject feels trapped, with no other alternative than violence.
Directly Communicated Threat Warning Behavior: The communication of a direct threat to a third party beforehand. A threat is a written or oral communication that implicitly or explicitly states a wish or intent to damage, injure, or kill the target or individuals symbolically or actually associated with the target.
Add any additional description of the warning signs the suspect(s) exhibited
Suspect characteristics
Easily enraged
Extreme narcissism
Impaired cognitive functioning
Impaired social/emotional functioning
Lacking empathy, guilt, remorse
Does not take responsibility for consequences
Disregard for authority/rules
Depressed mood
Hypersensitivity (to criticism, failure, etc.)
Social withdrawal/isolation from peers
None of the above
Unknown
Other
Explain
Was the suspect ever formally treated (hospitalized, prescribed medication) for a mental illness/developmental disorder?
Yes
No
Unknown
Select the illness/disorder
Depression
Schizophrenia
Anxiety
PTSD
Delusions
Suicidal thoughts/actions
ADHD
Autism
Other
Explain
Did the suspect suffer from addiction or substance abuse (formally diagnosed or not)?
Yes
No
Unknown
What substance?
Was the suspect involved in bullying? (Either as bully or victim)
Yes, was a bully
Yes, was bullied
No
Unknown
Select the type of bullying
Physical
Verbal
Cyber
Unknown
Did the bullying reach the point of formal school documentation?
Yes
No
Unknown
Was the suspect bullied to the point of formal school documentation?
Yes
No
Unknown
Did the suspect experience a life-changing event/ traumatic experience, other than bullying, at any point in their life?
Yes
No
Unknown
Suspect personally experienced:
Breakup/Separation/Divorce
Abuse
Substance abuse
Financial Issues/Job Loss
Move
Other
Explain
Suspect (as a child, teen, or young adult) witnessed the following at home
Breakup/Separation/Divorce of parents
Financial Issues/Job Loss
Incarceration/ illegal behavior
Domestic violence
Sickness/Illness of family member/friend
Death of family member/friend
None of the above
Other
Describe the event
Was the suspect known to the criminal justice system? (As an offender or victim)
Yes
No
Unknown
If suspect known, explain
Reported Abuse
Arrest
Assault
Restraining or protection order
Other
Did the suspect engage frequently with violent media/entertainment or written materials (either by consuming or producing the materials)?
Yes
No
Unknown
Select which violent media/entertainment or written materials below and explain
Movies (Explain)
Videogames (Explain)
Social Media/ Websites/Youtube (Explain)
Clubs/Gangs (Explain)
Books/Magazines (Explain)
Stories/Journals (Explain)
Other (Explain)
What reason(s) did the suspect give for the planned attack or attack?
Hates people
Grudge/seeking revenge
Bullying
Envy
Resentment
Rivalry
Paranoid delusions/command hallucinations
Did not provide a reason
Other
Explain
Describe the reasons the suspect gave for the planned attack (or attack) in more detail
Did the suspect tell/threaten anyone directly and overtly about his/her school violence plans prior to the discovery of the attack or the attack itself (other than co-conspirators)?
Yes
No
Unknown
Select those that the suspect told/threatened directly and overtly about his/her school violence plans
Family
Friend
School Employee
Other Peer
Social Media
Other
Explain
Did the suspect make vague but disconcerting references to aspects of ideas for violence, plans, or preparations prior to the discovery of the attack or the attack itself (other than to co-conspirators)?
Yes
No
Suspect #2 Information
Suspect's age at the time of the plot discovery or attack
Suspect's sex
Male
Female
Other
Race/Ethnicity
Caucasian, Non-Hispanic
Black/African American
Native American/Alaska Native
Asian/Asian American
Latino/a
Middle Eastern
Unknown
Other
Explain
What was the suspect’s affiliation with the targeted school?
Current Student
Former Student
Former Employee
School Official
Other Affiliation
Describe Former Student
Homeschooled (after having attended the school in the past)
Drop Out
Removal from the School Due to Disciplinary Action
Removal from the School Due to Failing Grades
Successful Graduation/Promotion to the Next Level
Describe School Official
Teacher
Other school faculty member
Administrator
Describe Other Affiliation
Current/former significant other attends/attended school
Significant other employed by school
No Prior Affiliation
What grade/ educational program was he/she in at the time of the plot discovery or attack?
Please describe the suspect’s academic history
Historically poor academic performance (low grades, repeating a grade, etc.)
Historically average academic performance
Historically above average academic performance
Unknown
Within 6 months prior to the attack, did the suspect exhibit any of the following academic issues?
Single bad grade on paper/ test
Sudden decline in academic performance
In danger of losing tenure/job due to poor academic performance
In danger of failing out of a degree program
No known academic issues
Unknown
Please describe the suspect’s disciplinary history
History of disciplinary problems at school, with other students/teachers
Unusually disruptive/ rude in class to students/teachers
Hypersensitivity to receiving a poor grade/ criticism
No known disciplinary issues
Unknown
Did the suspect exhibit any of the below warning signs before the attack or planned attack?
Pathway Warning Behavior: Any behavior that is part of research, planning, preparation, or implementation of an attack.
Fixation Warning Behavior: Any behavior that indicates an increasingly pathological preoccupation with a cause, other acts of violence, violent persons/subjects, their grievances, or their effects.
Identification Warning Behavior: Any behavior that indicates a “warrior mentality”, is closely associated with weapons or other military or law-enforcement paraphernalia, identifies with previous attackers or assassins, or identifies oneself as an agent to advance a particular cause or belief system.
Novel Aggression Warning Behavior: An act of violence that appears unrelated to any targeted-violence pathway warning behavior committed for the first time. Such behaviors may be engaged to test the ability of the subject to actually do the violent act.
Energy Burst Warning Behavior: An increase in the frequency or variety of any noted activities related to the target, even if the activities themselves are relatively innocuous, usually in the days or weeks before the attack.
Leakage Warning Behavior: The communication to a third party of an intent to do harm to a target through an attack.
Last Resort Warning Behavior: Evidence of a “violent-action imperative” or “time imperative”. Increasing desperation or distress through words/actions. The subject feels trapped, with no other alternative than violence.
Directly Communicated Threat Warning Behavior: The communication of a direct threat to a third party beforehand. A threat is a written or oral communication that implicitly or explicitly states a wish or intent to damage, injure, or kill the target or individuals symbolically or actually associated with the target.
Add any additional description of the warning signs that the suspect(s) exhibited
Suspect characteristics
Easily enraged
Extreme narcissism
Impaired social/emotional functioning
Lacking empathy, guilt, remorse
Does not take responsibility for consequences
Disregard for authority/rules
Depressed mood
Hypersensitivity (to criticism, failure, etc.)
Social withdrawal/isolation from peers
None of the above
Unknown
Other
Explain
Was the suspect ever formally treated (hospitalized, prescribed medication) for a mental illness/developmental disorder?
Yes
No
Unknown
Select the illness/disorder
Depression
Schizophrenia
Anxiety
PTSD
Delusions
Suicidal thoughts/actions
ADHD
Autism
Other
Explain
Did the suspect suffer from addiction or substance abuse (formally diagnosed or not)?
Yes
No
Unknown
What substance?
Was the suspect involved in bullying? (Either as bully or victim)
Yes, was a bully
Yes, was bullied
No
Unknown
Select the type of bullying
Physical
Verbal
Cyber
Unknown
Did the bullying reach the point of formal school documentation?
Yes
No
Unknown
Was the suspect bullied to the point of formal school documentation?
Yes
No
Unknown
Did the suspect experience a life-changing event/ traumatic experience, other than bullying, at any point in their life?
Yes
No
Unknown
Suspect personally experienced:
Breakup/Separation/Divorce
Abuse
Substance abuse
Financial Issues/Job Loss
Move
Other
Explain
Suspect (as a child, teen, or young adult) witnessed the following at home
Breakup/Separation/Divorce of parents
Financial Issues/Job Loss
Incarceration/ illegal behavior
Domestic violence
Sickness/Illness of family member/friend
Death of family member/friend
None of the above
Other
Provide a name for the event
Describe the event
Was the suspect known to the criminal justice system? (As an offender or victim)
Yes
No
Unknown
If suspect known, explain
Reported Abuse
Arrest
Assault
Restraining or protection order
Other
Did the suspect engage frequently with violent media/entertainment or written materials (either by consuming or producing the materials)?
Yes
No
Unknown
Select which violent media/entertainment or written materials below and explain
Movies (Explain)
Videogames (Explain)
Social Media/ Websites/Youtube (Explain)
Clubs/Gangs (Explain)
Books/Magazines (Explain)
Stories/Journals (Explain)
Other (Explain)
What reason(s) did the suspect give for the planned attack or attack?
Hates people
Grudge/seeking revenge
Bullying
Envy
Resentment
Rivalry
Paranoid delusions/command hallucinations
Did not provide a reason
Other
Explain
Describe the reasons the suspect gave for the planned attack (or attack) in more detail
Did the suspect tell/threaten anyone directly and overtly about his/her school violence plans prior to the discovery of the attack or the attack itself (other than co-conspirators)?
Yes
No
Unknown
Select those that the suspect told/threatened directly and overtly about his/her school violence plans
Family
Friend
School Employee
Other Peer
Social Media
Other
Explain
Did the suspect make vague but disconcerting references to aspects of ideas for violence, plans, or preparations prior to the discovery of the attack or the attack itself (other than to co-conspirators)?
Yes
No
Suspect #3 Information
Suspect's age at the time of the plot discovery or attack
Suspect's sex
Male
Female
Race/Ethnicity
Caucasian, Non-Hispanic
Black/African American
Native American/Alaska Native
Asian/Asian American
Latino/a
Middle Eastern
Unknown
Other
Explain
What was the suspect’s affiliation with the targeted school?
Current Student
Former Student
Former Employee
School Official
Other Affiliation
Describe Former Student
Homeschooled (after having attended the school in the past)
Drop Out
Removal from the School Due to Disciplinary Action
Removal from the School Due to Failing Grades
Successful Graduation/Promotion to the Next Level
Describe School Official
Teacher
Other school faculty member
Administrator
Describe Other Affiliation
Current/former significant other attends/attended school
Significant other employed by school
No Prior Affiliation
What grade/ educational program was he/she in at the time of the plot discovery or attack?
Please describe the suspect’s academic history
Historically poor academic performance (low grades, repeating a grade, etc.)
Historically average academic performance
Historically above average academic performance
Unknown
Within 6 months prior to the attack, did the suspect exhibit any of the following academic issues?
Single bad grade on paper/ test
Sudden decline in academic performance
In danger of losing tenure/job due to poor academic performance
In danger of failing out of a degree program
No known academic issues
Unknown
Please describe the suspect’s disciplinary history
History of disciplinary problems at school, with other students/teachers
Unusually disruptive/ rude in class to students/teachers
Hypersensitivity to receiving a poor grade/ criticism
No known disciplinary issues
Unknown
Did the suspect exhibit any of the below warning signs before the attack or planned attack?
Pathway Warning Behavior: Any behavior that is part of research, planning, preparation, or implementation of an attack.
Fixation Warning Behavior: Any behavior that indicates an increasingly pathological preoccupation with a cause, other acts of violence, violent persons/subjects, their grievances, or their effects.
Identification Warning Behavior: Any behavior that indicates a “warrior mentality”, is closely associated with weapons or other military or law-enforcement paraphernalia, identifies with previous attackers or assassins, or identifies oneself as an agent to advance a particular cause or belief system.
Novel Aggression Warning Behavior: An act of violence that appears unrelated to any targeted-violence pathway warning behavior committed for the first time. Such behaviors may be engaged to test the ability of the subject to actually do the violent act.
Energy Burst Warning Behavior: An increase in the frequency or variety of any noted activities related to the target, even if the activities themselves are relatively innocuous, usually in the days or weeks before the attack.
Leakage Warning Behavior: The communication to a third party of an intent to do harm to a target through an attack.
Last Resort Warning Behavior: Evidence of a “violent-action imperative” or “time imperative”. Increasing desperation or distress through words/actions. The subject feels trapped, with no other alternative than violence.
Directly Communicated Threat Warning Behavior: The communication of a direct threat to a third party beforehand. A threat is a written or oral communication that implicitly or explicitly states a wish or intent to damage, injure, or kill the target or individuals symbolically or actually associated with the target.
Add any additional description of the warning signs that the suspect(s) exhibited
Suspect characteristics
Easily enraged
Extreme narcissism
Impaired social/emotional functioning
Lacking empathy, guilt, remorse
Does not take responsibility for consequences
Disregard for authority/rules
Depressed mood
Hypersensitivity (to criticism, failure, etc.)
Social withdrawal/isolation from peers
None of the above
Unknown
Other
Explain
Was the suspect ever formally treated (hospitalized, prescribed medication) for a mental illness/developmental disorder?
Yes
No
Unknown
Select the illness/disorder
Depression
Schizophrenia
Anxiety
PTSD
Delusions
Suicidal thoughts/actions
ADHD
Autism
Other
Explain
Did the suspect suffer from addiction or substance abuse (formally diagnosed or not)?
Yes
No
Unknown
What substance?
Was the suspect involved in bullying? (Either as bully or victim)
Yes, was a bully
Yes, was bullied
No
Unknown
Select the type of bullying
Physical
Verbal
Cyber
Unknown
Did the bullying reach the point of formal school documentation?
Yes
No
Unknown
Was the suspect bullied to the point of formal school documentation?
Yes
No
Unknown
Did the suspect experience a life-changing event/ traumatic experience, other than bullying, at any point in their life?
Yes
No
Unknown
Suspect personally experienced:
Breakup/Separation/Divorce
Abuse
Substance abuse
Financial Issues/Job Loss
Move
Other
Explain
Suspect (as a child, teen, or young adult) witnessed the following at home
Breakup/Separation/Divorce of parents
Financial Issues/Job Loss
Incarceration/ illegal behavior
Domestic violence
Sickness/Illness of family member/friend
Death of family member/friend
None of the above
Other
Provide a name for the event
Describe the event
Was the suspect known to the criminal justice system? (As an offender or victim)
Yes
No
Unknown
If suspect known, explain
Reported Abuse
Arrest
Assault
Restraining or protection order
Other
Did the suspect engage frequently with violent media/entertainment or written materials (either by consuming or producing the materials)?
Yes
No
Unknown
Select which violent media/entertainment or written materials below and explain
Movies (Explain)
Videogames (Explain)
Social Media/ Websites/Youtube (Explain)
Clubs/Gangs (Explain)
Books/Magazines (Explain)
Stories/Journals (Explain)
Other (Explain)
What reason(s) did the suspect give for the planned attack or attack?
Hates people
Grudge/seeking revenge
Bullying
Envy
Resentment
Rivalry
Paranoid delusions/command hallucinations
Did not provide a reason
Other
Explain
Describe the reasons the suspect gave for the planned attack (or attack) in more detail
Did the suspect tell/threaten anyone directly and overtly about his/her school violence plans prior to the discovery of the attack or the attack itself (other than co-conspirators)?
Yes
No
Unknown
Select those that the suspect told/threatened directly and overtly about his/her school violence plans
Family
Friend
School Employee
Other Peer
Social Media
Other
Explain
Did the suspect make vague but disconcerting references to aspects of ideas for violence, plans, or preparations prior to the discovery of the attack or the attack itself (other than to co-conspirators)?
Yes
No
Suspect #4 Information
Suspect's age at the time of the plot discovery or attack
Suspect's sex
Male
Female
Race/Ethnicity
Caucasian, Non-Hispanic
Black/African American
Native American/Alaska Native
Asian/Asian American
Latino/a
Middle Eastern
Unknown
Other
Explain
What was the suspect’s affiliation with the targeted school?
Current Student
Former Student
Former Employee
School Official
Other Affiliation
Describe Former Student
Homeschooled (after having attended the school in the past)
Drop Out
Removal from the School Due to Disciplinary Action
Removal from the School Due to Failing Grades
Successful Graduation/Promotion to the Next Level
Describe School Official
Teacher
Other school faculty member
Administrator
Describe Other Affiliation
Current/former significant other attends/attended school
Significant other employed by school
No Prior Affiliation
What grade/ educational program was he/she in at the time of the plot discovery or attack?
Please describe the suspect’s academic history
Historically poor academic performance (low grades, repeating a grade, etc.)
Historically average academic performance
Historically above average academic performance
Unknown
Within 6 months prior to the attack, did the suspect exhibit any of the following academic issues?
Single bad grade on paper/ test
Sudden decline in academic performance
In danger of losing tenure/job due to poor academic performance
In danger of failing out of a degree program
No known academic issues
Unknown
Please describe the suspect’s disciplinary history
History of disciplinary problems at school, with other students/teachers
Unusually disruptive/ rude in class to students/teachers
Hypersensitivity to receiving a poor grade/ criticism
No known disciplinary issues
Unknown
Did the suspect exhibit any of the below warning signs before the attack or planned attack?
Pathway Warning Behavior: Any behavior that is part of research, planning, preparation, or implementation of an attack.
Fixation Warning Behavior: Any behavior that indicates an increasingly pathological preoccupation with a cause, other acts of violence, violent persons/subjects, their grievances, or their effects.
Identification Warning Behavior: Any behavior that indicates a “warrior mentality”, is closely associated with weapons or other military or law-enforcement paraphernalia, identifies with previous attackers or assassins, or identifies oneself as an agent to advance a particular cause or belief system.
Novel Aggression Warning Behavior: An act of violence that appears unrelated to any targeted-violence pathway warning behavior committed for the first time. Such behaviors may be engaged to test the ability of the subject to actually do the violent act.
Energy Burst Warning Behavior: An increase in the frequency or variety of any noted activities related to the target, even if the activities themselves are relatively innocuous, usually in the days or weeks before the attack.
Leakage Warning Behavior: The communication to a third party of an intent to do harm to a target through an attack.
Last Resort Warning Behavior: Evidence of a “violent-action imperative” or “time imperative”. Increasing desperation or distress through words/actions. The subject feels trapped, with no other alternative than violence.
Directly Communicated Threat Warning Behavior: The communication of a direct threat to a third party beforehand. A threat is a written or oral communication that implicitly or explicitly states a wish or intent to damage, injure, or kill the target or individuals symbolically or actually associated with the target.
Add any additional description of the warning signs that the suspect(s) exhibited
Suspect characteristics
Easily enraged
Extreme narcissism
Impaired social/emotional functioning
Lacking empathy, guilt, remorse
Does not take responsibility for consequences
Disregard for authority/rules
Depressed mood
Hypersensitivity (to criticism, failure, etc.)
Social withdrawal/isolation from peers
None of the above
Unknown
Other
Explain
Was the suspect ever formally treated (hospitalized, prescribed medication) for a mental illness/developmental disorder?
Yes
No
Unknown
Select the illness/disorder
Depression
Schizophrenia
Anxiety
PTSD
Delusions
Suicidal thoughts/actions
ADHD
Autism
Other
Explain
Did the suspect suffer from addiction or substance abuse (formally diagnosed or not)?
Yes
No
Unknown
What substance?
Was the suspect involved in bullying? (Either as bully or victim)
Yes, was a bully
Yes, was bullied
No
Unknown
Select the type of bullying
Physical
Verbal
Cyber
Unknown
Did the bullying reach the point of formal school documentation?
Yes
No
Unknown
Was the suspect bullied to the point of formal school documentation?
Yes
No
Unknown
Did the suspect experience a life-changing event/ traumatic experience, other than bullying, at any point in their life?
Yes
No
Unknown
Suspect personally experienced:
Breakup/Separation/Divorce
Abuse
Substance abuse
Financial Issues/Job Loss
Move
Other
Explain
Suspect (as a child, teen, or young adult) witnessed the following at home
Breakup/Separation/Divorce of parents
Financial Issues/Job Loss
Incarceration/ illegal behavior
Domestic violence
Sickness/Illness of family member/friend
Death of family member/friend
None of the above
Other
Provide a name for the event
Describe the event
Was the suspect known to the criminal justice system? (As an offender or victim)
Yes
No
Unknown
If suspect known, explain
Reported Abuse
Arrest
Assault
Restraining or protection order
Other
Did the suspect engage frequently with violent media/entertainment or written materials (either by consuming or producing the materials)?
Yes
No
Unknown
Select which violent media/entertainment or written materials below and explain
Movies (Explain)
Videogames (Explain)
Social Media/ Websites/Youtube (Explain)
Clubs/Gangs (Explain)
Books/Magazines (Explain)
Stories/Journals (Explain)
Other (Explain)
What reason(s) did the suspect give for the planned attack or attack?
Hates people
Grudge/seeking revenge
Bullying
Envy
Resentment
Rivalry
Paranoid delusions/command hallucinations
Did not provide a reason
Other
Explain
Describe the reasons the suspect gave for the planned attack (or attack) in more detail
Did the suspect tell/threaten anyone directly and overtly about his/her school violence plans prior to the discovery of the attack or the attack itself (other than co-conspirators)?
Yes
No
Unknown
Select those that the suspect told/threatened directly and overtly about his/her school violence plans
Family
Friend
School Employee
Other Peer
Social Media
Other
Explain
Did the suspect make vague but disconcerting references to aspects of ideas for violence, plans, or preparations prior to the discovery of the attack or the attack itself (other than to co-conspirators)?
Yes
No
Documentation
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Assessment
Describe the lessons learned from this attack or planned attack
What recommendations would you make so that an attack or planned attack can be avoided in the future?
E-mail
Optional, for follow up purposes only
Phone Number
Optional, for follow up purposes only
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