http://www.duluthsuperior.com/mld/dulut ... 520807.htmPosted on Fri, Apr. 29, 2005
Relative: Being banned from school was Weise's last straw
RED LAKE SHOOTINGS: Psychiatrists say Jeff Weise should have seen a therapist weekly when his Prozac dosage was doubled.
BY DAVID HANNERS
ST. PAUL PIONEER PRESS
Jeff Weise's anger over being banned from high school -- coupled with mood changes brought on by a recent doubling of his antidepressant dosage --
pushed him to carry out last month's deadly shooting spree at the school, family members believe.
In addition, the family and mental health experts question whether Weise, 16, received adequate psychological care after a suicide attempt last
summer.
One of Weise's counselors allegedly had told the family that the youth, who was diagnosed with depression, dressed all in black and often found refuge in sadistic entertainment, was "just going through a phase," said a family member, Lee Cook.
"I don't know how you could say that. It was pretty obvious he wasn't going through a phase," said Cook, a cousin of Daryl "Dash" Lussier, Weise's grandfather. Lussier and his female companion were the first victims in the March 21 shootings, in which Weise killed nine people and wounded seven before taking his own life.
In the five weeks since the tragedy, authorities have revealed nothing about what they believe may have fueled the violence. But after discussing Weise with other family members and speaking extensively about possible reasons for the shootings, Cook said Weise was an intelligent but troubled youth. The teenager watched as those who cared for him -- parents, family, friends, school, mental health providers -- slipped away, one by one, Cook said.
"He left messages with everybody -- his relatives, his friends, his school, his counselors," Cook said. "He was telling people over and over that he was hurting and needed some relief, but nobody seemed to provide any to him."
SCHOOL BAN WAS KEY
Family members believe Weise's breaking point came when he was banned from Red Lake Senior High School because he "didn't get along with one of his teachers," said Cook, who is director of the American Indian Cultural Center at Bemidji State University, south of the Red Lake reservation.
"I think that was the last straw in the string of things that isolated him and imposed on him, and he couldn't take it on," he said.
Under a program set up by the school, Weise was being tutored at home by a teacher who dropped by each day for a short time. School officials say
confidentiality laws prohibit them from revealing what prompted the move.
Cook said he didn't know whether the teacher that Weise had problems with was Neva Rogers, an English teacher who was the lone educator to die in the school shooting. A student in the classroom in which Rogers and other students were shot said it appeared Weise was pursuing Rogers.
The ban came five weeks before the shootings, and school had been "the only place where he had any social interaction," Cook said. "After that, the only relationships he had were on his computer."
Weise's extensive writings on Internet chat rooms, zombie fan-fiction Web sites and homemade computer animation have provided few, if any, clues into what may have driven him to plan and carry out what became the second-worst school shooting in U.S. history.
Federal authorities are investigating how much other students may have known about the scheme or participated in its planning. One of Weise's cousins, Louis Jourdain, also 16, has been charged with conspiracy for allegedly helping plan the attacks.
Jourdain is the son of Floyd "Buck" Jourdain, who is chairman of the Red Lake Band of Chippewa. The elder Jourdain has proclaimed his son's innocence, calling him "nave" and "real green." U.S. Attorney Thomas Heffelfinger has declined to say whether investigators have determined a
motive for the shootings, and he has refused to say whether Weise left any writings explaining his actions.
One area federal authorities will not be investigating, though, is the adequacy of the mental health care that Weise received, Heffelfinger said.
Family members and psychiatrists have said Weise's life was one risk factor piled atop another, and that he should have had intensive therapy.
Online, he had written about being physically and verbally abused as a child, and family members have said they knew of some of it. As a youth, he
had been moved from the reservation to the Twin Cities and back again. In the short span of 19 months, he lost his father to suicide and saw his
mother placed in a long-term care facility after suffering brain damage in a car crash.
PROZAC DOUBLED
Weiss attempted suicide last summer, and after being diagnosed with depression, he was prescribed Prozac, an antidepressant. Cook said Weise's daily dosage was doubled to 60 milligrams a day -- considered a heavy dose for an adolescent -- two weeks before the shootings.
Two psychiatrists who specialize in working with adolescents said in interviews that weekly therapy should have accompanied the increased dosage. That is because it is believed changing the dosage can lead to thoughts of suicide in some patients.
The psychiatrists said that while Prozac has helped many adolescents overcome depression, young patients must be closely monitored. Dr. George Realmuto, a child and adolescent psychiatrist and a professor at the University of Minnesota, said Prozac's "black box warning," required by the U.S. Food and Drug Administration, stresses the need for such monitoring.
"The language says that when you change the dosage, you should see that person weekly for the first month, and for the second month you should see them every couple of weeks because your suicidality is increased," Realmuto said.
PROZAC WARNINGS
In March 2004, the FDA issued a public health advisory warning about the use of antidepressants in children. It said studies seemed to suggest "an
increased risk of suicidal thoughts and actions" in children taking the medication.
The advisory said patients had to be closely monitored for "worsening depression and suicidal thinking." It advised that patients should be
observed for signs of anxiety, agitation, panic attacks, insomnia, irritability, hostility, impulsivity and restlessness, among other things.
"Every time you have a patient in your office that has those complaints, you have to evaluate that risk and make safety plans," Realmuto said. "Was that done in Jeff Weise's case? They should've said, 'You're depressed, and we're
going to lock up the guns.' " Weise used three weapons in his attacks -- a .22-caliber pistol, a .40-caliber Glock handgun and a 12-gauge shotgun. Authorities have said the Glock and shotgun were owned by Weise's grandfather, who was a tribal policeman. They have declined to say where Weise obtained the other firearm.
Dr. Floyd Anderson, a consulting psychiatrist and associate clinical professor of psychiatry at the University of Minnesota, also said close
monitoring of the patient is required.
"The follow-up with an adolescent should be fairly close, at least making contact weekly for awhile or every other week for awhile," he said.
COUNSELING VISITS
There is no indication Weise was monitored that closely. In an interview last month with the Washington Post, the youth's grandmother, Shelda
Lussier, said Weise was last seen by a mental health worker on Feb. 21, a month before the shootings.
Lussier said that visit was at a clinic in Red Lake. In his online writings, Weise also spoke of having visited a clinic in nearby Thief River Falls.
Officials at both facilities declined comment, saying that patient confidentiality prevented them from even confirming the teen had been seen
there.
Cook said Weise's visits with a therapist were "sporadic."
Family members claim Weise possessed above-average intelligence but expressed frustration that school wasn't challenging enough.
"Everybody said he was a superb writer," Cook said. "He didn't think the school was giving him enough, as far as a cultural environment for learning, and he was mad about that."
Cook said Weise's family believes that many elements of the youth's support systems broke down, and that people around him were oblivious to warnings signs.