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The epidemiology of firearm suicide in the United States

  • Special Feature: Firearms and Violence
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Abstract

Context

Little attention has been given to the role of firearms in suicide. In 1998, firearms were the leading method of committing suicide for both men and women, responsible for three times the number of suicides compared to the next leading method. Understanding the epidemiology of firearm suicide will increase awareness of firearm suicide as a major public health problem.

Results

Rates of firearm suicide have changed little over the past two decades and have consistently exceeded rates of firearm homicide. the firearm suicide rate among men is approximately six times that of women. While firearm suicide rates are highest among the elderly, the majority (66%) of firearm suicides are among persons under 55 years of age. Firearm suicide rates among women of all ages have dropped modestly, while rates among elderly men have risen considerably. Whites have roughly twice the rate of firearm suicide as do blacks and other race/ethnicity groups. Individual-level empirical studies have consistently indicated that keeping firearms in the home is associated with an increased risk of suicide.

Conclusions

For suicide prevention to be effective, the availability and use of firearms in suicides must be addressed.

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References

  1. US Public Health Service. The Surgeon General’s Call to Action to Prevent Suicide. Washington, DC: United States Department of Health and Human Services; 1999.

    Google Scholar 

  2. Office of Analysis and Epidemiology, National Center for Health Statistics, Centers for Disease Control and Prevention. CDC WONDER. Available at: http://wonder.cdc.gov/. Accessed April 10, 2001.

  3. Miller M, Hemenway D. The relationship between firearms and suicide: a review of the literature. Aggression Violent Beh. 1999;4:59–75.

    Article  Google Scholar 

  4. Brent DA, Perper JA, Goldstein CE, et al. Risk factors for adolescent suicide: a comparison of adolescent suicide victims with suicidal inpatients. Arch Gen Psychiatry. 1988; 45:581–588.

    Article  CAS  Google Scholar 

  5. Brent DA, Perper JA, Allman CJ, Moritz GM, Wartella ME, Zelenak JP. The presence and accessibility of firearms in the homes of adolescent suicides: a case-control study. JAMA. 1991;266:2989–2995.

    Article  CAS  Google Scholar 

  6. Brent DA, Perper JA, Moritz G, Baugher M, Schweers J, Roth C. Firearms and adolescent suicide: a community based case-control study. Am J Dis Child. 1993;147:1066–1071.

    Article  CAS  Google Scholar 

  7. Brent DA, Perper JA, Moritz G, Baugher M, Schweers J, Roth C. Suicide in affectively ill adolescents: a case-control study. J Affect Disord. 1994;31:193–202.

    Article  CAS  Google Scholar 

  8. Kellermann AL, Rivara FP, Somes G, et al. Suicide in the home in relation to gun ownership. N Engl J Med. 1992;327:467–472.

    Article  CAS  Google Scholar 

  9. Cummings P, Koepsell TD, Grossman DC, Savarino J, Thompson RS. The association between the purchase of a handgun and homicide or suicide. Am J Public Health. 1997; 87:974–978.

    Article  CAS  Google Scholar 

  10. Wintemute GJ, Parham CA, Beaumont JJ, Wright M, Drake C. Mortality among recent purchasers of handguns. N Engl J Med. 1999;341:1583–1589.

    Article  CAS  Google Scholar 

  11. Grassel KM, Wintemute GJ, Wright MA. Association between handgun purchase and mortality from violence and other injury. Paper presented at: Annual Meeting of the American Public Health Association; November 12–16, 2000; Boston, MA.

  12. Regional Justice Information Service. Survey of State Procedures Related to Firearm Sales, Midyear 2000. Washington, DC: Bureau of Justice Statistics; May 2001. NCJ 186766.

    Google Scholar 

Download references

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Correspondence to Michael P. Romero MPH.

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Romero, M.P., Wintemute, G.J. The epidemiology of firearm suicide in the United States. J Urban Health 79, 39–48 (2002). https://doi.org/10.1093/jurban/79.1.39

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  • DOI: https://doi.org/10.1093/jurban/79.1.39

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