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Roy subsequently wrote a book about the tragedy, No Right to Remain Silent: The Tragedy at Virginia Tech. She appeared on CBS News with Katie Couric on April 12, 2009, to mark the second anniversary of the shootings. Roy stated that Cho had twice sought attention from a mental health specialist on campus that she had recommended to him, but that Cho "was never really examined."

In April 2007, after the Virginia Tech shootings, it was revealed that two years earlier, Roy had noted violent tendencies in shooter Seung-Hui Cho's behavior and writings. She warned campus authorities about him at that time, but as Cho had not made any specific threats, the authorities could not take any action or force Cho to get psychiatric help.

Her poetry, fiction, and commentaries have appeared in numerous publications, including North American Review, American Poetry Review, Rattle, Prairie Schooner, The New York Times, Chronicle of Higher Education, The Guardian, Inside Higher Education, and USA Today, as well as featuring in such anthologies as Mixed: An Anthology of Short Fiction on the Multiracial Experience (ed. Chandra Prasad, 2006), Go Girl: Black Woman's Book of Travel and Adventure (ed. Elaine Lee, 1997) and Daughters of Africa: An International Anthology of Words and Writings by Women of African Descent (ed. Margaret Busby, 1992).

Roy has also published two novels, the semi-autobiographical Lady Moses (HarperCollins, 1998) and Hotel Alleluia (HarperCollins, 2000).

In 1988, she published her first collection of poetry, Wailing the Dead to Sleep. American poet Nikki Giovanni wrote the introduction. In 1995, Roy's second poetry collection, The Hummingbirds, was selected by poet Lucille Clifton as the winner of the Eighth Mountain Poetry Prize.

Lucinda Roy (born December 19, 1955) is an American-based British novelist, educator and poet.