A simple mention in Trump’s Twitter feed can have serious safety and mental health consequences for officials, beyond their political considerations.

The threats “started out fairly general in nature,” said Al Schmidt, a Republican elections commissioner in Philadelphia. “But then regrettably, after the president tweeted my name, there were more of them, and they were far more specific in nature. So, referencing my children, and what they’re going to do to them.”

Like Raffensperger, the president tweeted about Schmidt, also calling him a RINO and saying he “refuses to look at a mountain of corruption & dishonesty.” Schmidt said he now has a security detail from the city to protect him and his family.

“It’s not just me, it’s also my staff, the other commissioners,” Schmidt said. The threats are not new, either. Many election officials have been dealing with them for months.