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Good question, and it doesn't have a perfect answer.Lets say you are a health care professional and someone says to you in a session that they want to kill a bunch of people. Should that person continue to have access to firearms?
Lets say the person in session tells you they wants to kill themself. Guns?
My first question would be, "why?" And "what do you mean by that?" Because if someone feels comfortable enough to articulate that they want to kill a bunch of people, maybe they will also articulate any level of reasoning behind that claim, then a better assessment of the situation can be attainted. For example, I've heard children say, "I'm going to kill you!" When speaking to another student because they are expressing that they are angry. It's not an admission of intent to murder, it's an inappropriate expression of anger that a synonym can and should be replaced with.
I've personally been through the situation of mental health professionals asking me. "Do you have any thoughts of hurting yourself or others." Anyone who isn't a complete moron will answer those questions with a "no" regardless of what their actual thoughts may be because they know that an answer with any degree of "yes" relevant to those questions would result in being considered a threat to oneself or others.
I think the can of worms of shredding civil rights because of what people ''might do" is a lot bigger grenade of crap than people think.
For example, just looking at the recidivism rate of a lot of criminals, if we are purely going off of what they "might do" - we'd have most of them killed or locked up indefinitely.
If civil rights mean anything they have to mean something when a bigger group of people don't want you to have them, because if a mass of people can arbitrarily deprive people of their rights, that's not what the constitution intended.
