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Firearm availability and suicide, homicide, and unintentional firearm deaths among women

Journal of Urban Health volume 79, pages 26–38 (2002)Cite this article

Abstract

Context

In the United States, more than 45,000 women died from gun violence over the last decade.

Objective

To determine whether measures of firearm availability are related to rates of suicide, homicide, and unintentional firearm deaths among women in the United States.

Design

Pooled cross-sectional time series data on suicide, homicide, and unintentional firearm deaths (1988–1997) were used to estimate the association between the rate of violent death among women and four proxies of firearm availability. Two proxies came from survey reports of household firearm ownership rates; two were derived from mortality statistics.

Setting

United States, 1988–1997.

Results

The increased rate of suicide and homicide in states with high gun levels was accounted for primarily by significantly elevated firearm suicide and firearm homicide rates. Unintentional firearm death rates were also increased in states with more guns. At the regional level, qualitatively similar results were obtained.

Conclusion

Between 1988 and 1997, the suicide, homicide, and unintentional firearm death rates among women were disproportionately higher in states where guns were more prevalent. The elevated rates of violent death in states with more guns was not entirely explained by a state’s poverty or urbanization and was driven primarily by lethal firearm violence, not by lethal nonfirearm violence.

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References

  1. National Center for Health Statistics, Hyattsville, MD: US Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention; 1998 Available at: http://wonder.cdc.gov/mortsql.shtml. Accessed June 2, 2001.

  2. Bailey JE, Kellermann AL, Somes GW, Banton JG, Rivara FP, Rushforth NP. Risk factors for violent death of women in the home. Arch Intern Med. 1997;157(7):777–782.

    CAS  Article  Google Scholar 

  3. Kellermann AL, Rivara FP, Rushforth NB, et al. Gun ownership as a risk factor for homicide in the home [see comments]. N Engl J Med. 1993;329(15):1084–1091.

    CAS  Article  Google Scholar 

  4. Kellermann AL, Rivara FP, Somes G, et al. Suicide in the home in relation to gun ownership [see comments]. N Engl J Med. 1992;327(7):467–472.

    CAS  Article  Google Scholar 

  5. Cummings P, Koepsell TD, Grossman DC, Savarino J, Thompson RS. The association between the purchase of a handgun and homicide or suicide [see comments]. Am J Public Health. 1997;87(6):974–978.

    CAS  Article  Google Scholar 

  6. 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(6):581–588.

    CAS  Article  Google Scholar 

  7. 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 [see comments]. JAMA. 1991;266(21):2989–2995.

    CAS  Article  Google Scholar 

  8. Brent DA, Perper J, Moritz G, Baugher M, Allman C. Suicide in adolescents with no apparent psychopathology. J Am Acad Child Adolesc Psychiatry. 1993;32(3):494–500.

    CAS  Article  Google Scholar 

  9. Brent DA, Perper JA, Moritz G, Baugher M, Schweers J, Roth C. Firearms and adolescent suicide. A community case-control study. Am J Dis Child. 1993;147(10):1066–1071.

    CAS  Article  Google Scholar 

  10. Bukstein OG, Brent DA, Perper JA, et al. Risk factors for completed suicide among adolescents with a lifetime history of substance abuse: a case-control study. Acta Psychiatr Scand. 1993;88(6):403–408.

    CAS  Article  Google Scholar 

  11. Loftin C, McDowall D, Wiersema B, Cottey TJ. Effects of restrictive licensing of handguns on homicide and suicide in the District of Columbia [see comments]. N Engl J Med. 1991;325(23):1615–1620.

    CAS  Article  Google Scholar 

  12. Sloan JH, Kellermann AL, Reay DT, et al. Handgun regulations, crime, assaults, and homicide. A tale of two cities. N Engl J Med. 1988;319(19):1256–1262.

    CAS  Article  Google Scholar 

  13. Wintemute GJ, Parham CA, Beaumont JJ, Wright M, Drake C. Mortality among recent purchasers of handguns [see comments]. N Engl J Med. 1999;341(21):1583–1589.

    CAS  Article  Google Scholar 

  14. Cook P. The effect of gun availability on robbery and robber murder: a cross sectional study of 50 cities. Policy Stud Rev Annu. 1979;3:743–781.

    Google Scholar 

  15. Boor M, Bair JH. Suicide rates, handgun control laws, and sociodemographic variables. Psychol Rep. 1990;66(3 pt 1):923–930.

    CAS  Article  Google Scholar 

  16. Markush RE, Bartolucci AA. Firearms and suicide in the United States. Am J Public Health, 1984;74(2):123–127.

    CAS  Article  Google Scholar 

  17. Marzuk PM, Leon AC, Tardiff K, Morgan EB, Stajic M, Mann JJ. The effect of access to lethal methods of injury on suicide rates. Arch Gen Psychiatry. 1992;49(6):451–458.

    CAS  Article  Google Scholar 

  18. Cummings P, Grossman DC, Rivara FP, Koepsell TD. State gun safe storage laws and child mortality due to firearms. JAMA. 1997;278(13):1084–1086.

    CAS  Article  Google Scholar 

  19. Miller M, Azrael D, Hemenway D. Firearm Availability and Unintentional Firearm Deaths. Accid Anal Prev. 2001;33(4):477–484.

    CAS  Article  Google Scholar 

  20. Kellermann AL, Mercy JA. Men, women, and murder: gender-specific differences in rates of fatal violence and victimization. J Trauma. 1992;33(1):1–5.

    CAS  Article  Google Scholar 

  21. Browning CH. Epidemiology of suicide: firearms. Compr Psychiatry. 1974;15(6):549–553.

    CAS  Article  Google Scholar 

  22. Hellensten J. Motivation and Opportunity: an Ecological Investigation of US Urban Suicides 1970–1990 [dissertation]. University of California Irvine; 1995.

  23. Baker S, O’Neill B, Ginsburg M, Li G. The Injury Fact Book. 2nd ed. New York: Oxford University Press; 1992.

    Google Scholar 

  24. Keck NJ, Istre GR, Coury DL, Jordan F, Eaton AP. Characteristics of fatal gunshot wounds in the home in Oklahoma: 1982–1983. Am J Dis Child. 1988;142(6):623–626.

    CAS  PubMed  Google Scholar 

  25. Fingerhut LA, Ingram DD, Feldman JJ. Firearmand nonfirearmhomicide among persons 15 through 19 years of age. Differences by level of urbanization, United States, 1979 through 1989. JAMA. 1992;267(22):3048–3053.

    CAS  Article  Google Scholar 

  26. Fingerhut LA, Ingram DD, Feldman JJ. Homicide rates among US teenagers and young adults; differences by mechanism, level of urbanization, race, and sex, 1987 through 1995 [see comments]. JAMA. 1998;280(5):423–427.

    CAS  Article  Google Scholar 

  27. Young TJ. Poverty, suicide, and homicide among Native Americans. Psychol Rep. 1990; 67(3 pt 2):1153–1154.

    CAS  Article  Google Scholar 

  28. Powell KE, Jacklin BC, Nelson DE, Bland S. State estimates of household exposure to firearms, loaded firearms, and handguns, 1991 through 1995. Am J Public Health. 1998;88(6):969–972.

    CAS  Article  Google Scholar 

  29. Davis J, Smith T. General Social Surveys, 1972–1998 [machine-readable data file]. NORC ed. Chicago, IL: National Opinion Research Center [producer]; Storrs, CT: The Roper Center for Public Opinion Research, University of Connecticut [distributor]; 1998.

    Google Scholar 

  30. Lester D. The availability of firearms and the use of firearms for suicide: a study of 20 countries. Acta Psychiatr Scand. 1990;81(2):146–147.

    CAS  Article  Google Scholar 

  31. Lester D. Relationship between firearm availability and primary and secondary murder. Psychol Rep. 1990;67:490.

    CAS  Article  Google Scholar 

  32. Lester D. Gun ownership and suicide in the United States. Psychol Med. 1989;19(2): 519–521.

    CAS  Article  Google Scholar 

  33. Killias M. International correlations between gun ownership and rates of homicide and suicide [see comments]. CMAJ. 1993;148(10):1721–1725.

    CAS  PubMed  PubMed Central  Google Scholar 

  34. Adelson L. The gun and the sanctity of human life; or the bullet as pathogen. Pharos. 1980;43(3):15–25.

    CAS  PubMed  Google Scholar 

  35. Baker SP. Without guns, do people kill people? [editorial]. Am J Public Health. 1985; 75(6):587–588.

    CAS  Article  Google Scholar 

  36. Browning CH. Handguns and homicide. A public health problem. JAMA. 1976; 236(19):2198–2200.

    CAS  Article  Google Scholar 

  37. Clark R, Jones P. Suicide and the increased availability of handguns, in the United States. Soc Sci Med. 1989;28:805–809.

    Article  Google Scholar 

  38. Sloan JH, Rivara FP, Reay DT, Ferris JA, Kellermann AL. Firearm regulations and rates of suicide. A comparison of two metropolitan areas [see comments]. N Engl J Med. 1990;322(6):369–373.

    CAS  Article  Google Scholar 

  39. Schwartz S. The fallacy of the ecological fallacy: the potential misuse of a concept and the consequences [see comments]. Am J Public Health. 1994;84(5):819–824.

    CAS  Article  Google Scholar 

  40. Piantadosi S, Byar DP, Green SB. The ecological fallacy. Am J Epidemiol. 1988;127(5): 893–904.

    CAS  Article  Google Scholar 

  41. Kalimo E, Bice TW. Causal analysis and ecological fallacy in cross-national epidemiological research. Scand J Soc Med. 1973;1(1):17–24.

    CAS  Article  Google Scholar 

  42. Dutton DG. Patriarchy and wife assault: the ecological fallacy. Violence Vict. 1994;9(2): 167–182.

    CAS  PubMed  Google Scholar 

  43. Ohsfeldt R, Morrisey M. Firearms, firearms injury and gun control: a critical survey of the literature. Adv Health Econ Health Serv Res. 1992;13:65–82.

    CAS  PubMed  Google Scholar 

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

    Article  Google Scholar 

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Author information

Affiliations

  1. Department of Health Policy and Management, 677 Huntington Avenue, 02115, Boston, MA

    Matthew Miller MD, MPH, ScD

Authors
  1. Matthew Miller MD, MPH, ScD
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  2. Deborah Azrael
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  3. David Hemenway
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Corresponding author

Correspondence to Matthew Miller MD, MPH, ScD.

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Miller, M., Azrael, D. & Hemenway, D. Firearm availability and suicide, homicide, and unintentional firearm deaths among women. J Urban Health 79, 26–38 (2002). https://doi.org/10.1093/jurban/79.1.26

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  • DOI: https://doi.org/10.1093/jurban/79.1.26

Keywords

  • Accidents
  • Firearms
  • Guns
  • Homicide
  • Suicide
  • Unintentional Death
  • Violence
  • Women