New Gun Control Laws Take Aim at Addicts

By Sy Mukherjee 02/18/13

Americans love their guns. As legislation to curb gun violence hits partisan gridlock, all sides agree to target the so-called mentally ill, including 40% of all addicts.


The NRA's Wayne LaPierre photo via

It is far easier for Americans to buy a gun than to get treatment for mental health or addiction, let alone for both. Our nation's lack of these services is getting an unusual amount of attention right now in the fierce debate about gun control following December's mass shooting at a Newtown, Conn., elementary school. Yet some of the measures being proposed—and passed—are less about treating a vulnerable population and more about a heavy-handed attempt at regulating them. This poses a serious threat for almost half of all people who were or are addicts, as that's the percentage who have depression, anxiety or some other "mental illness."

The debate over how to reduce gun violence is portrayed by the media as polarized, pitting those who support gun rights against those who support gun control. In fact a majority of Americans, and even many gun owners, support a more balanced approach and agree that modest measures to restrict access, such as universal background checks and bans on high-functioning magazines like 15- or 30-round devices, are in order. And all sides agree that such measures should include better screening of mentally ill people who have a history of violence.

President Obama has proposed stricter regulations on not only the people who buy guns but on the guns themselves, such as a ban on assault weapons. But at his State of the Union speech last week, the high point was his emotional appeal to Congress simply to allow a vote on gun control legislation, period. That voting on, rather than passing, a new gun law appears to be the best that reform advocates can hope to achieve makes plain who is winning this debate: the hardcore minority of gun rights adherents, led by the NRA’s Wayne LaPierre, who argue that the main cause of the rising trend in gun violence and mass murders is untreated mental illness. Their advocacy for stricter regulation of these people is already being written into new legislation in even the most liberal states.

Recovering from mental health and substance abuse disorders is difficult enough as it is, with proper and affordable treatment often stymied by a combination of poor access, diagnoses that address substance abuse while ignoring co-occurring mental illness, and the general stigma associated with both diseases. This is why these reporting provisions of state gun control proposals have mental health and addiction advocates digging in for a fight.

But it’s David versus Goliath. The mentally ill, not being a rich and powerful lobby like the NRA but rather a vulnerable and stigmatized minority, are an easy target. And yet an enormous one: annually about 25% of Americans over the age of 18 suffer from a diagnosable mental illness, a total of almost 60 million people.

There is little evidence that focusing attention on mental illness as a cause of gun violence will have any but marginal effects, according to both public health and firearms experts. For one thing, a person with a diagnosis of mental illness is five times more likely to be the victim of violence than to be the perpetrator, experts say. Only 4% of people who commit violence are mentally ill; those who are violent tend to suffer from bipolar disorder, schizophrenia or some other serious problem. According to a large study by the National Institute of Mental Health’s Epidemiological Catchment Area (ECA), 16% of people with a serious diagnosis commit violence, compared to 7% of people with no mental illness.

The mentally ill, not being a rich and powerful lobby like the NRA but rather a vulnerable and stigmatized minority, are an easy target.

Addiction and mental health issues tend to go hand in hand—far more often than is generally recognized. According to the just-released 2011 survey by the Substance Abuse and Mental Health Services Administration (SAMHSA), 42% of the 19 million American adults with a substance abuse disorder had a co-occurring mental illness in 2011. By contrast, 17% of Americans without a substance abuse disorder had a mental illness. And the stark difference also holds on the other side of the equation: Adults with a mental illness are three times more likely to abuse drugs or alcohol than adults without a mental illness.

These disturbing public health trends become literally life and death issues when you consider the very strong link between substance abuse and violence. According to the Psychiatric Times, up to “75% of those who begin addiction treatment report having engaged in violent behavior (e.g., physical assault, mugging, attacking others with a weapon and suicide).” The ECA study found that substance abusers with no mental illness diagnosis were almost seven times more likely than nonaddicts to be involved in a violent act. As for people with co-occurring disorders, most studies have found that a diagnosis of mental illness had no measurable effect on the rate of violence by substance users.

Throw a gun into the mix, and you get a status quo in which close to 20,000 Americans commit suicide and another 11,000 are murdered with a firearm every year. Among people with addiction, mental illness or both, the split between suicide and murder is 55% and 45% respectively. And recovering addicts are particularly susceptible to depression and thoughts of suicide, with alcohol and substance abusers four times more likely to have given serious thought to taking their own life in the past year than nonabusers.

Kurt Cobain could be the posthumous poster boy for the most serious gun danger facing people with co-occurring disorders. In the twilight of his 27-year life, the Nirvana front man, who had a diagnosis of bipolar disorder, was in a continual fight with heroin and alcohol addiction. The allure of that quick fix dogged him right up until the day in Seattle when he put a shotgun—one he had bought out of state—in his mouth and ended his life. The rock star's tragedy spoke to the silent struggles suffered by millions of recovering addicts every day.

But as so often on Capitol Hill, reality must yield to politics in partisan battles over policy, dinging the likelihood of an actual solution to actual problems. From the get-go, the NRA’s LaPierre has pursued a take-no-prisoners strategy, vowing retribution on any legislator who votes for increased controls, even background checks. His own proposal? To establish a “national registry” of people with a mental illness while adamantly opposing a national registry of gun owners—or even a universal background check for all gun purchasers. 

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Sy Mukherjee is a reporter and blogger on health issues for You can find him on Linkedin and Twitter.