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Self‐Reported Anxiety and Perception of Safety Following School Lockdown Drills among Adolescent Youth

Bibliographic Data

ID21354072
AuthorsAlexandra Riggs (0000-0002-6591-2786, Department of Emergency Medicine, Children's Medical Center Plano 7601 Preston Rd Plano TX 75024), Kelly R Bergmann (0000-0002-0975-4218, Department of Emergency Medicine, Children's Minnesota 2525 Chicago Ave. S Minneapolis MN 55404), Alicia L Zagel (Pharmacy Services, M Health Fairview 711 Kasota Ave. SE Minneapolis MN 55414), Alicia Zagel (0000-0002-9168-1862, Fairview Health Services, corresponding author)
Year2023
Volume93
Issue12
Pages1129-1136
Publication date2023-12-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of School Health (JOURNAL)
Journal identifiersISSN: 0022-4391 • E-ISSN: 1746-1561
PublisherWiley (PUBLISHER • GB)
DOI10.1111/josh.13362
PMID37489107
OpenAlexW4385230209
LanguageEN
Citations received2
References cited17

BACKGROUND: Lockdown drills are mandated within many educational settings in the US; they may contribute to adverse mental health and there is little to suggest their effectiveness. We describe factors associated with post-drill anxiety and perceived effectiveness of drills. METHODS: We surveyed youth-caregiver dyads presenting to the pediatric emergency department. Nonparametric tests compared factors across groups of child anxiety and caregiver perceived effectiveness of drills. Kappa statistics (κ) measured child-caregiver agreement on post-drill anxiety and depression symptoms. RESULTS: 108 child-caregiver dyads were included. Post-lockdown drill anxiety was reported by 27% of children; those reporting anxiety were more likely to have histories of bullying or skipping school for safety (p = 0.0004). Of caregivers, 47% believed drills effectively prevent firearm injury. There was a significant disparity between child and caregiver report of post-drill mental health symptomatology (κ anxiety = 0.19; κ depression = 0.30). Implications for School Health, Policy, Practice, and Equity: Understanding factors contributing to anxiety surrounding lockdown drills and perception of drill effectiveness may aid policy decisions and resource allocation. CONCLUSIONS: Lockdown drills may increase mental health symptoms in children, while caregivers may not recognize this occurrence. Studies to identify risk factors of acute and chronic post-lockdown drill anxiety will help determine how to better serve youth.

Anxiety · Depression (economics) · Medical emergency · Mental health · Occupational safety and health · Perception · Poison control · Psychiatry · Safety behaviors · Suicide prevention · Bullying, Victimization, and Aggression · Clinical Psychology · Gun Ownership and Violence Research · Medicine · Psychology · Suicide and Self-Harm Studies

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  • The Effects Of Violence On Health

    Frederick P Rivara, Frederick Rivara et al.•Health Affairs•2019

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    Open Access•Beth Saggers, Marilyn Campbell et al.•Journal of School Health•2021

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  • An item response analysis of the pediatric PROMIS anxiety and depressive symptoms scales

    Open Access•Debra E Irwin, Brian D Stucky et al.•Quality of Life Research•2010

  • Adolescent Perceived Attachment to Parents in Relation to Competence, Depression, and Anxiety

    Open Access•Dennis R Papini, Lori A Roggman•The Journal of Early Adolescence•1992

  • A Columbine Study

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Unique citing works2
Citations per year2
Citation span2026 - 2026 (1)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 2

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