(The Conversation, Nia Heard-Garris) I find myself in this place again. I am numb. I feel empty. I almost have no words. The saddest part about this? I wrote these exact words little more than a year ago.

And now, here I am again, feeling the same feelings I felt after the deaths of Alton Sterling, Philando Castile and the Dallas and Baton Rouge police officers in the summer of 2016.

I had felt similar sadness and grief in 2012, around the time of the birth of my son. Trayvon Martin had been killed. I was pregnant with a black male in a world that was not ready for him.

Yet again, my heart is heavy, and I am feeling a little like a broken record. I grieve for our country and the resistance to its betterment. I grieve for Heather Heyer, the woman killed by an alleged white supremacist when he drove into a crowd of protesters in Charlottesville, Virginia.

She died because of the violence that erupted after white supremacist/ nationalists protested the planned removal of a statue of Robert E. Lee, the Confederate general who led the South’s efforts to hold onto slavery. For many, the removal of the statues of “heroes” of the Confederacy signifies recognition of the sins of slavery. Yet removing these symbols of white oppression and injustice seems to stir people to violence and bring out even more hate.

The constant barrage of horrifying images and commentary on traditional and social media footage of these tragedies seems to only make it worse.

Oddly enough, events like this drove me to academia. I reluctantly pursued a career in research. But, because these events are not going away, I, like a magnet, was drawn to research of widely publicized racially charged events on everyone, but especially on people of color. While I am heartbroken at the events themselves, I am glad to be doing research that might lead to better understanding, if not some healing, of the wounds that separate us.

Many black people are experiencing these events as acts of vicarious racism. Vicarious racism traditionally refers to experiencing racial discrimination indirectly through close contacts, such as family members and peers. I strongly believe, however, that this definition is not inclusive enough. Vicarious racism can be experienced by those who are not directly involved with the event, but who identify with the victims of racism generally on the basis of race. Age and gender could also be factors. Essentially, vicarious racism is the secondhand exposure to the racial discrimination and/or prejudice directed at another individual.

As a pediatrician, I am extremely concerned about vicarious racism’s impact on our children and youth. My concern is that black Americans, especially youths, are impacted by vicarious racism more than we expect and that its impact on children is understudied. Also, I want to know how to best help all of our children. What can we do to help them deal with their feelings? And what can we do to help them and ourselves deal with racism?

Media onslaught

The Charlottesville riot resurfaced much of the nation’s racial tensions. And, once again, children may be affected by the troubling and scary images. Research has shown even if children or youth are not close to the event geographically, they can still be influenced by the event. However, the closer they are to the event, the greater the mental health impact.

A 2001 study showed that after the September 11 attacks, higher levels of acute stress disorder, post-traumatic stress disorder, ASD symptoms and PTSD symptoms were present in undergraduate students. Researcher Edward Blanchard of the University of Albany, State University of New York, studied three geographic different populations. One was in Albany, New York; the second in Augusta, Georgia; the third in Fargo, North Dakota.

One predictor for PTSD and ASD in this study was “connectedness” to the victims in the World Trade Center, meaning having a friend or knowing someone directly involved in the event. ASD in the three populations was almost 10 percent in the undergraduates from Fargo, nearly 20 percent in those from Augusta and approached 30 percent in the Albany group. Children in this study had more psychological symptoms closer to the event, but even children 1,000 miles away from the World Trade Center were still impacted.

This study’s findings are important, because it shows children can be impacted by traumatic events if they identify with the victim regardless of geography. Think of how youth of color everywhere may identify with these events, based on the ages and races of the victims.

Not only do the events themselves affect youth, but the onslaught of media afterwards is traumatizing. Like media coverage surrounding these racially charged events, after 9/11, media coverage was extensive and constant. The Blanchard study found hours of TV watched was a predictor of ASD, PTSD or the accompanying symptoms.

In another study, 166 children and 84 mothers who had no direct exposure to the September 11 attacks were assessed for PTSD. Almost 5.5 percent of the children and 1 percent of their mothers were symptomatic. Children identified with the victims of the attack, and the amount of TV younger children viewed as well as parental depression predicted increased risk of PTSD symptoms. Pre-event familial support was associated with lower risk of PTSD symptoms.

Children feel the pain, but parents can help

While the 9/11 attacks are different from more recent events, there are similarities, including feelings of pain and fear, especially experienced by minorities. All of these events have evoked trauma, and children are not an exception. Children are traumatized and retraumatized by these events through the media, but can also be exposed to these events through the words and actions of their parents.

After the murder of Trayvon Martin, a 2013 study done including 104 African-American parents with children ages 6-18 showed that parents felt the need to protect their own children. Parents used the events to discuss racism and attempt to process it with their children, as well as advise them as to how to behave if in a similar situation.

The guidance or socialization parents impart to their children accompanies the oral accounts of these events and becomes a part of the generational heirloom passed down. These tragedies are woven into the historical and multigenerational trauma of African-Americans.

The nation is grieving, and our children are impacted by the horrific events. We need to protect our children from the effects of media exposure to these events. We can do that by:

• caring for ourselves and making sure we seek the mental health care we need if we are severely impacted by these events
• talking to our children in an age-appropriate way, gauging their knowledge and dispelling rumors or heightened fears
• discussing concerning behavior with our child’s pediatrician or primary care provider
• monitoring and limiting the exposure of these events through TV, radio, internet and social media.

We need to protect our children from being the indirect victims of these events, which would compound the damage and the suffering. Ensuring we have healthy, resilient children to whom we may pass the torch is surely our priority.

This article is an updated version of an article that appeared in The Conversation on July 20, 2016.

Nia Heard-Garris, Instructor, Division of Academic General Pediatrics, Mary Ann & J. Milburn Smith Child Health Research Program; Ann & Robert H. Lurie Children’s Hospital of Chicago; Department of Pediatrics, Northwestern University Feinberg School of Medicine, Northwestern University

This article was originally published on The Conversation. Read the original article.