Does the Declining Lethality of Gunshot Injuries Mask a Rising Epidemic of Gun Violence in the United States?
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Recent mass shootings in the U.S. have reignited the important public health debate concerning measures to decrease the epidemic of gun violence. Editorialists and gun lobbyists have criticized the recent focus on gun violence, arguing that gun-related homicide rates have been stable in the last decade. While true, data from the U.S. Centers for Disease Control and Prevention also demonstrate that although gun-related homicide rates were stable between 2002 and 2011, rates of violent gunshot injuries increased. These seemingly paradoxical trends may reflect the declining lethality of gunshot injuries brought about by surgical advances in the care of the patient with penetrating trauma. Focusing on gun-related homicide rates as a summary statistic of gun violence, rather than total violent gunshot injuries, can therefore misrepresent the rising epidemic of gun violence in the U.S.
Dr. Jena had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. Support was provided by the Office of the Director, National Institutes of Health (1DP5OD017897-01, Dr. Jena).
Conflict of Interest
The authors declare that they do not have a conflict of interest.
- 2.UNODC Homicide Statistics. 2013. (Accessed November 6, 2013, at www.unodc.org).
- 4.Years of potential life lost from unintentional injuries among persons aged 0–19 years - United States, 2000–2009. MMWR Morb Mortal Wkly Rep 2012;61:830–3.Google Scholar
- 5.Eastridge BJ, Jenkins D, Flaherty S, Schiller H, Holcomb JB. Trauma system development in a theater of war: Experiences from Operation Iraqi Freedom and Operation Enduring Freedom. J Traumatol. 2006;61:1366–72. discussion 72–3.Google Scholar
- 8.DuBose JJ, Barmparas G, Inaba K, et al. Isolated severe traumatic brain injuries sustained during combat operations: demographics, mortality outcomes, and lessons to be learned from contrasts to civilian counterparts. J Traumatol. 2011;70:11–6. discussion 6–8.Google Scholar
- 9.Holcomb JB, Jenkins D, Rhee P, et al. Damage control resuscitation: directly addressing the early coagulopathy of trauma. J Traumatol. 2007;62:307–10.Google Scholar
- 10.Perkins JG, Schreiber MA, Wade CE, Holcomb JB. Early versus late recombinant factor VIIa in combat trauma patients requiring massive transfusion. J Traumatol. 2007;62:1095–9. discussion 9–101.Google Scholar
- 11.Tracy EJ. Combining Military and Civilian Trauma Systems: The Best of Both Worlds. Adv Emerg Nurs J. 2005;27:170–5.Google Scholar
- 12.Hoff WS, Schwab CW. Trauma system development in North America. Clinical orthopaedics and related research 2004;422:17–22.Google Scholar
- 15.Pennsylvania Health Care Cost Containment Council. Firearm-related injuries in Pennsylvania; 2005.Google Scholar
- 16.Cook PJ, Ludwig J. Gun Violence: The Real Costs. New York: Oxford University Press; 2000.Google Scholar
- 17.Hemenway D, Miller M. Firearm availability and homicide rates across 26 high-income countries. J Traumatol. 2000;49:985–8.Google Scholar