I was sloppy with the word 'guaranteed'. I think health care professionals are in tough position wrt reporting patients that are potential risks to the public. I don't think reporting child abuse and reporting "potentially dangerous" patients are completely equivalent since child abuse involves a prior bad act along with probable future behavior. The prior bad act justifies the beginning of an investigation (due process). If you diagnosed a patient that likely 'would' abuse a child in the future but hadn't yet (let's say that they don't have any children themselves), is that actionable? It's a tough question - the protection of the rights of an individual (the diagnosed person) should be as great as the protection of the public. Do you trust the govt (as represented by local police, child protective services, etc) to be as protective of confidentiality as you are? I don't have the answers but do view it from a different viewpoint that has to be considered. (Imagine, a doctor and a lawyer having differing opinions.)
Back to the gun issue - mental illness is a valid concern, but it shouldn't be used as blanket cover to avoid addressing the epidemic of gun casualties occurring where mental illness isn't a significant factor.
I have some thoughts on when people are dissuaded from seeking treatment, but that's even further afield than we've drifted already.
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