U.S. Deaths from Firearms Reach Unprecedented Levels

Author: Emory Health Sciences
Published: 2022/11/30 - Updated: 2025/02/17
Publication Details: Peer-Reviewed, Informative
Topic: Americas - Publications List

Page Content: Synopsis - Introduction - Main - Insights, Updates

Synopsis: This peer-reviewed study analyzes firearm fatalities in the United States from 1990 to 2021, revealing a total of 1,110,421 deaths during this period. The research highlights a significant increase in firearm-related deaths, with a 20% surge between 2019 and 2021, culminating in the highest number of fatalities ever recorded in 2021. The study also uncovers pronounced disparities among different demographic groups; for instance, Black non-Hispanic men experienced homicide rates of 141.8 per 100,000 persons, markedly higher than their White and Hispanic counterparts. Additionally, suicide rates were notably prevalent among White non-Hispanic men aged 80-84, at 45.2 per 100,000 persons. These findings underscore the urgent need for targeted interventions to address the escalating firearm-related mortality and its disproportionate impact on specific communities - Disabled World (DW).

Defining American Gun Violence

American Gun Violence: Gun violence in the United States results in tens of thousands of deaths and injuries annually. Each day, more than 100 firearm deaths occur in the United States. In 2021, there were 48 953 fatalities from firearms, the highest number of firearm deaths recorded since the Centers for Disease Control and Prevention (CDC) began tracking injury fatalities in 1981 - Brady Campaign to Prevent Gun Violence. About 1.4 million people died from firearms in the U.S. between 1968 and 2011. This number includes all deaths resulting from a firearm, including suicides, homicides, and accidents. Compared to 22 other high-income nations, the U.S. gun-related homicide rate is 25 times higher. Although it has half the population of the other 22 nations combined, among those 22 nations studied, the U.S. had 82 percent of gun deaths, 90 percent of all women killed with guns, 91 percent of children under 14, and 92 percent of young people between ages 15 and 24 killed with guns, with guns being the leading cause of death for children.

Introduction

"Trends and Disparities in Firearm Fatalities in the United States, 1990-2021" - JAMA Network Open.

Firearm-related violence and suicides have been on the rise since the start of the COVID-19 pandemic. Still, a new study published in JAMA Network Open is the first analysis to show the sheer magnitude of firearm fatalities in the U.S. over the past 32 years and the growing disparities by race/ethnicity, age, and geographic location.

Focus

Using multiple data sets from the Centers for Disease Control and Prevention, a team of researchers from Emory University and Boston Children's Hospital extracted the national number of firearm deaths and firearm fatality rates per 100,000 persons per year from 1990 to 2021 and examined the trends over time. There were 1,110,421 firearm fatalities in the U.S. during this period. While fatalities began a steady increase in 2005, the upward trajectory has accelerated in recent years with a 20% increase from 2019-2021.

To better understand the contributing factors leading to the staggering number of firearm fatalities since 1990, researchers dissected the numbers further by analyzing trends among specific populations in the U.S. The findings paint a bleak picture of a public health crisis that appears to be hitting certain demographics especially hard.

"In 2021, we reached the highest number of gun fatalities that have ever occurred in the U.S.," says Chris A. Rees, MD, MPH, assistant professor of pediatrics and emergency medicine at Emory University School of Medicine and attending physician at Children's Healthcare of Atlanta. "That alone is cause for concern, but when we look deeper into the data, the differences in firearm fatalities by demographic group and by intent (homicide vs. suicide) become more evident."

Maximum rates of fatalities by homicide amongst Black non-Hispanic men (141.8 fatalities/100,000 persons) significantly outpaced rates of fatalities among White non-Hispanic men (6.3 fatalities/100,000) and Hispanic men of the same age (22.8 fatalities/100,000 persons). The data does show there are also differences in fatalities by intent. Suicides were most common among White non-Hispanic men 80-84 years (45.2 fatalities/100,000 persons).

"Firearm fatalities accelerated dramatically during the COVID pandemic. Multiple potential factors have likely contributed to this, including severe economic distress, an erupting mental health crisis, and a significant uptick in the sale of firearms," says Eric Fleegler, MD, MPH, associate professor of pediatrics and emergency medicine at Harvard Medical School and emergency medicine physician at Boston Children's Hospital.

Using New Methods for Visualizing a Public Health Crisis

To supplement the analysis, the team of researchers created heat maps to illustrate the evolving firearm violence epidemic visually. This is the first-time multidimensional heat maps have been created to elucidate variations in firearm fatality rates across demographic groups over time. When reviewing the heat maps, one component of the data that becomes clearer is that the rise in firearm fatalities is not being driven just by males.

White non-Hispanic females had increased firearm fatality rates during the period, mainly associated with increases in suicide, but still significantly lower rates than males. Among Black non-Hispanic females, the rate of fatalities by firearm-related homicide has more than tripled since 2010.

Further data stratification shows differing patterns based on geography.

"We used county-level data to measure the geographic distribution of firearm fatalities across the U.S.," says Rees. "Increases in firearm fatalities started in the West before spreading to the South, while homicide rates were mainly concentrated in the South during this period."

What Solutions are Needed?

The most obvious takeaway from the findings is that the increases in firearm fatalities are not consistent for all age groups and ethnicities. As the authors note in the recent publication, marked disparities by demographic groups, which are growing wider by the year, suggest that public health interventions need to be tailored to specific demographic groups and should consider differences by intent.

For example, suicide prevention efforts in the U.S. may be most helpful for older men. County-level rates can be used to pinpoint opportunities for community-based interventions, such as education for safe firearm storage, child access prevention laws, and violence intervention programs.

As firearm fatalities rapidly move up the list of the leading causes of death in the U.S., multiple interventions at various levels are needed to curb these increases effectively.

Insights, Analysis, and Developments

Editorial Note:

The escalating firearm-related fatalities in the United States, as detailed in this comprehensive analysis, demand immediate and targeted public health interventions. The pronounced disparities among different demographic groups, particularly the elevated homicide rates among Black non-Hispanic men and the increased suicide rates among elderly White non-Hispanic men, highlight systemic issues that require multifaceted solutions. Addressing this crisis necessitates a collaborative approach involving policymakers, community leaders, and healthcare professionals to implement evidence-based strategies aimed at reducing firearm access among high-risk populations, enhancing mental health support, and fostering community-based violence prevention programs. Only through such concerted efforts can we hope to mitigate the profound impact of firearm violence on our society

- Disabled World (DW).

Attribution/Source(s): This peer reviewed publication was selected for publishing by the editors of Disabled World (DW) due to its relevance to the disability community. Originally authored by Emory Health Sciences and published on 2022/11/30, this content may have been edited for style, clarity, or brevity. For further details or clarifications, Emory Health Sciences can be contacted at emory.edu NOTE: Disabled World does not provide any warranties or endorsements related to this article.