Lone gunmen with high powered weapons unleashing their killing spree, and though investigations into these shootings are just getting started, there are questions about whether any of them could've been prevented.
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Were there warning signs missed?
"It's possible to prevent mass shootings because these events are planned in advance and most importantly, those who carry out mass shooting typically tell others about it beforehand," said threat assessment psychologist Marisa Randazzo.
A Homeland Security study into mass shootings found 75 percent of attackers showed signs that they were about to attack by making angry or racist statements referring to past attackers and using suicidal language.
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But some of the behavior patterns can also be less severe.
An FBI study found 4 out of 5 active shooters display "concerning behaviors" as subtle as a change in work performance.
"It's okay for people to report behavior at low levels. Law enforcement wants to hear about. HR wants to hear about it, your director of security wants to hear about it, because they have training and can look into what else is going on," Randazzo said.
And though research shows most mass shooters are frequently surrounded by people who saw warning signs, 59 percent didn't report the odd behavior to law enforcement.
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"Even if they're not quite sure what they're seeing, the more we can do to support the person considering violence we can figure out other ways to help them solve those underlying problems," Randazzo said.
In schools especially, the warning signs are often missed. A PSA from Sandy Hook Promise, a non-profit created by families of those killed at Sandy Hook in 2012, shows an average day at high school. If you look closer, you notice one student showing some tell-tale warning signs: someone who's often bullied or isolated, has an interest in firearms and might even post about it on social media.