swimmer, i think it highly unlikely that one person could disarm 20-30 people in a room. i wouldn't give up my gun - not that the shooter would ever know i was carrying one.
carrying a loaded pistol or revolver in a backpack or purse is an unsound and unsafe practice. you're responsible for whatever happens to that weapon. a loaded weapon should be on your person under your control (properly holstered). there are many many good options out there for deep concealment - be it a belly band, an ankle holster, or a tuckable IWB.
as far as a mental illness database - no such animal exists on a national level, i think. this is mostly a state thing.
problem is, you run into privacy challenges. secondly, not all mental illnesses should disqualify one from being able to have a firearm. it really depends on the individual. example: vietnam vet who is active LEO being treated for PTSD, but is still capable of CCW'ing.
i don't know how such a database would work, but don't think it would be a bad thing to have.
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