Emergency medical services (EMS) clinicians’ views on EMS-delivered interventions to promote secure firearm storage practices

Introduction Lethal means safety counseling (LMSC) to promote secure firearm storage may reduce the risk of firearm-involved deaths, including suicide. We examined if emergency medical services (EMS) clinicians, including emergency medical technicians and paramedics, may be suitable LMSC messengers. Method We conducted a web-based survey of 229 US EMS clinicians. Results While few EMS clinicians […]

Examining predictors of suicide by firearm in young, middle, and late adulthood

Introduction Suicide remains a leading cause of death in the U.S., and firearms are one of the most lethal methods of suicide. This study examines personal and contextual factors that predict suicide with a firearm compared to other methods across stages of adulthood. Methods Data on adult suicide decedents from 2009 to 2019 were obtained […]

Perceptions of the utility of secure firearm storage methods as a suicide prevention tool among firearm owners who currently store their firearms loaded and unlocked

Background Although secure firearm storage can prevent firearm injury and death, secure storage is relatively rare. This tendency may be driven in part by a perceived lack of utility for secure storage in preventing suicide and other gun violence-related outcomes. Method We recruited a large (n = 3510) representative sample of residents from five US states and […]

Older adults and planning for firearm safety: A qualitative study of healthcare providers

Purpose/Background Firearm injury, particularly self-directed, is a major source of preventable morbidity and mortality among older adults. Older adults are at elevated risk of serious illness, cognitive impairment, and depression—all known risk factors for suicide and/or unintentional injury. Healthcare providers are often the first to identify these conditions and, although they commonly deliver safety guidance […]

Age and suicide impulsivity: Evidence from handgun purchase delay laws

We provide the first quasi-experimental estimates of variation in suicide impulsivity by age by examining the impact of firearm purchase delay laws by age. Prior studies of firearm purchase delay laws use traditional two-way-fixed-effects estimation, but we demonstrate that bias due to heterogenous treatment effects may have inflated previous estimates relative to our stacked-regression approach. […]

Alienation flows through the barrel of a gun: Despair, mass shootings, and suicide in an American settler colony

In what is now referred to by many as the United States, gun violence rages on. When one considers the country’s sheer number of annual gun deaths, the data is as overwhelming as it is distressing. Indeed, perhaps the only  thing outpacing the trauma and loss of life wrought by gun violence is the anguish […]

Association between the New York SAFE Act and firearm suicide and homicide: An analysis of synthetic controls, New York State, 1999-2019

Objectives. To assess the association between the New York Secure Ammunition and Firearms Enforcement Act (NY SAFE Act) and firearm suicide and homicide rates. Methods. We employed a synthetic controls approach to investigate the impact of the NY SAFE Act on firearm suicide and firearm homicide rates. We collected state-level data on firearm mortality from the Centers for […]

Firearm possession rates in home countries and firearm suicide rates among US- and foreign-born suicide decedents in the United States: Analysis of combined data from the National Violent Death Reporting System and the Small Arms Survey

Background: Suicide by firearms is a serious public health issue in the United States. However, little research has been conducted on the relationship between cultural backgrounds and suicide by firearms, specifically in those born and raised in the United States compared to those who have immigrated to the United States. Objective: To better understand the […]

Selection and use of firearm and medication locking devices in a lethal means counseling intervention

Background: While some suicide prevention initiatives distribute locking devices for firearms and medication, little evidence exists to guide the selection of devices. Aims: This study aimed to describe safety standards for locking devices and compare parental acceptance rates for different types of devices. Method: As part of the larger SAFETY Study, behavioral health clinicians provided free locking devices to parents […]

Mental health comorbidities, household firearm ownership, and firearm access among children

OBJECTIVES: To examine how youth and their caregivers’ mental health risk factors for suicide are associated with youth firearm access inside and outside the home. METHODS: This study examines a cross-section of the Adolescent Brain and Cognitive Development Social Development study data collected from 2016 to 2021. The sample included 2277 children aged 10 to […]

Vehicle firearm storage: Prevalence and correlates in a sample of male firearm owners

Abstract Previous research has linked unsafe firearm storage practices and other ownership-related characteristics to key factors that facilitate the transition from suicidal thoughts to suicidal behaviors (i.e., acquired capability for suicide). This research has not investigated the extent to which firearm owners store firearms in their vehicles, a factor that increases ready access to the […]

Association between acute alcohol use and firearm-involved suicide in the United States

Objective  To evaluate the association between the amount of alcohol consumed and the probability of using a firearm as the method of suicide. Design, Setting, and Participants  This cross-sectional study used mortality data from the US National Violent Death Reporting System on suicide decedents aged 18 years or older with a positive blood alcohol concentration (BAC; ie, […]

Association between acute alcohol use and firearm-involved suicide in the United States

OBJECTIVE To evaluate the association between the amount of alcohol consumed and the probability of using a firearm as the method of suicide. DESIGN, SETTING, AND PARTICIPANTS This cross-sectional study used mortality data from the US National Violent Death Reporting System on suicide decedents aged 18 years or older with a positive blood alcohol concentration  […]

USA suicides compared to other western countries in the 21st century: Is there a relationship with gun ownership?

Objectives Causes of suicide are complex indicating a nation’s psycho-socio-economic well-being hence this population-based study explores whether USA suicides worsened compared to nineteen Other Western Countries (OWC) being possibly related to gun ownership in the 21st Century. Methods Total suicide data are drawn from the latest WHO Age-Standardised-Death-Rates per million (pm) controlled for age, sex, and population, […]

“I’m not going to tell him what I tell you”: A community-based participatory research approach to understand firearm owner perspectives on suicide prevention

Suicide is the 10th most frequent cause of death in the US  with  47,511  deaths in 2019, of which  23,941  were firearm suicides. Certain subgroups within the general population are at increased risk for firearm suicide, including law enforcement, active-duty military, veterans, persons with post-traumatic stress disorder, sexual minorities, and young people who have adverse childhood experiences such as […]

Who discovers the firearm suicide decedent: An epidemiologic characterization of survivor‑victims

Background Suicide is the tenth leading cause of death in the United States, with over half of cases involving firearms. Despite research indicating negative effects of exposure to suicide, there is little research on who typically finds the body of the suicide decedent. Understanding who finds the body of the suicide decedent may be important […]

Suicide in Switzerland: Why gun ownership can be deadly

There is a great deal of empirical evidence that owning a firearm increases the risk of dying from suicide. Most suicides are impulsive. Nearly 50% of survivors of suicide attempts report that they took less than 10 minutes between the decision to die and their suicide attempt. The great majority of these suicide survivors never […]

Missed opportunities for suicide prevention in teens with ADHD

Background: Epidemiological evidence links Attention Deficit Hyperactivity Disorder (ADHD) to increased risk of suicide. The research aimed to describe awareness among primary care pediatricians (PCPs) of ADHD as a  risk factor for suicide and PCPs’ practices of suicide risk assessment (SRA) and firearms safety assessment (FSA) in teens with ADHD. Method: An online survey was […]

Engaging stakeholders to develop a suicide prevention learning module for Louisiana firearm training courses

Background: Firearm suicide is a significant public health problem in the United States of America among the general and veteran populations. Broad-based preventive strategies, including lethal means safety, have been emphasized as a key approach to suicide prevention. Prior research has identified ways to improve the reach and uptake of lethal means safety messages. However, few […]

Unraveling the complex web of associations between easy access to firearms and premature mortalities

Objective We investigated whether high school students reporting easy access to guns were more likely to die prematurely from either suicide, homicide, or an accidental death. Method Based upon the National Longitudinal Study of Adolescent to Adult Health, we contrasted those reporting easy access to guns, n = 5,185, 25%, with the remaining 75% (n = 15,589) on various sociodemographic […]

The role of reason for firearm ownership in beliefs about firearms and suicide, openness to means safety, and current firearm storage

Objective Firearm means safety strategies, such as safe storage, are effective in reducing suicide rates but are not widely implemented in the United States. This study examined the association between reason for firearm ownership, beliefs about firearm ownership and storage and suicide risk, willingness to engage in means safety, and current firearm storage practices. Method […]

Lethal means assessment and counseling in the emergency department: Differences by provider type and personal home firearms

Objective This study examined emergency department (ED) and behavioral health (BH) provider attitudes and behaviors related to lethal means screening and counseling of patients with suicide risk, specifically examining differences by provider type and whether providers had firearms in their own home. Methods Emergency department providers (physicians and mid-level practitioners) and behavioral health (BH) providers […]

Depression, suicide risk, and declining to answer firearm-related survey items among military personnel and veterans

Objectives To describe the characteristics of military personnel and veterans who decline to answer survey items asking about firearm availability at home, and to determine how these characteristics compare to those of military personnel and veterans who answered these items. Methods Self-report surveys were administered to 2025 military personnel and veterans visiting a primary care […]