By Rose Kim, Elizabeth Wagner, Paul Nestadt, Nandita Somayaji, Josh Horwitz, and Cassandra Crifasi

46,728 people died from gun violence in the U.S. in 2023. Each day, an average of 128 people died from gun violence—one death every 11 minutes. Disturbingly, gun suicides reached an all-time high in both the total number of deaths and the overallrate. Overall, firearms remained the leading cause of death for young people 1 to 17 for the past four years, accounting for more deaths thancar crashes, overdoses, or cancers. In 2023, there were 2,566 gun deaths among young people including 118 from ages 1–4, 116 from ages 5–9, 530 from ages 10–14, and 1,802 from ages 15–17. While firearms are the leading cause of death overall for young people ages 1 to 17, they are among the leading causes, but not always the top cause, for some individual youth age groups. Gun suicides have accounted for the majority of all gun deaths each year since 1995. Gun suicides have increased in the last three years, while gun homicides have declined. In this year’s report, we examined the rise of gun suicides, their disproportionate impact on vulnerable populations, and policy recommendations to address the gun suicide epidemic. For more information on public health interventions, please see the companion piece to this report, From Crisis to Action: Public Health Recommendations for Firearm Suicide Prevention. While the burden of gun violence in the U.S. remains high, there are evidence-based, equitable solutions to save lives. These solutions are supported by most people, including gun owners. Despite this broad support, many policymakers have been unwilling to heed the evidence and enact policies that will save lives. Each year, it is our missionto provide policymakers and the public accurate and up-to-date data on gun fatalities and illustrate the enormous toll gun violence has on our country.This report is an update to GunViolence in the United States 2022: Examining the Burden Among Children and Teens. It uses firearm mortality data listed on death certificates that are provided to the Centers for Disease Control and Prevention (CDC) and made available through the CDC WONDER Underlying Cause of Death database.The finalized data for 2023 was made available in January 2025. The lag in data availability makes it challenging to understand the burden of gun violence in real time; however, understanding the magnitude of this issue, even with the time lag, is essential to inform public health interventions to reduce violence.   

Baltimore: Johns Hopkins Center for Gun Violence Solutions, Johns Hopkins Center for Suicide Prevention. Johns Hopkins Bloomberg School of Public Health.2025. 24p.