By The U.S. Surgeon General

Since 2020, firearm‑related injury has been the leading cause of death for U.S. children and adolescents (ages 1–19), surpassing motor vehicle crashes, cancer, and drug overdose and poisoning (Figure 1). In 2022, 48,204 total people died from f irearm‑related injuries, including suicides, homicides, and unintentional deaths. This is over 8,000 more lives lost than in 2019 and over 16,000 more lives lost than in 2010 .

Washington, DC: Office of the U.S.Surgeon General, 2024. 40p.

By Rosanna Smart

Background

Despite growing evidence about how state-level firearm regulations affect overall rates of injury and death, little is known about whether potential harms or benefits of firearm laws are evenly distributed across demographic subgroups. In this systematic review, we synthesized available evidence on the extent to which firearm policies produce differential effects by race and ethnicity on injury, recreational or defensive gun use, and gun ownership or purchasing behaviors.

Main body

We searched 13 databases for English-language studies published between 1995 and February 28, 2023 that estimated a relationship between firearm policy in the USA and one of eight outcomes, included a comparison group, evaluated time series data, and provided estimated policy effects differentiated by race or ethnicity. We used pre-specified criteria to evaluate the quality of inference and causal effect identification. By policy and outcome, we compared policy effects across studies and across racial/ethnic groups using two different ways to express effect sizes: incidence rate ratios (IRRs) and rate differences. Of 182 studies that used quasi-experimental methods to evaluate firearm policy effects, only 15 estimated policy effects differentiated by race or ethnicity. These 15 eligible studies provided 57 separate policy effect comparisons across race/ethnicity, 51 of which evaluated interpersonal violence. In IRR terms, there was little consistent evidence that policies produced significantly different effects for different racial/ethnic groups. However, because of different baseline homicide rates, similar relative effects for some policies (e.g., universal background checks) translated into significantly greater absolute differences in homicide rates among Black compared to white victims.

Conclusions

The current literature does not support strong conclusions about whether state firearm policies differentially benefit or harm particular racial/ethnic groups. This largely reflects limited attention to these questions in the literature and challenges with detecting such effects given existing data availability and statistical power. Findings also emphasize the need for additional rigorous research that adopts a more explicit focus on testing for racial differences in firearm policy effects and that assesses the quality of race/ethnicity information in firearm injury and crime datasets.

Inj Epidemiol. 2023; 10: 67.

By V A Pear , J P Schleimer , A J Aubel , S Buggs , C E Knoepke , R Pallin , A B Shev , E Tomsich , G J Wintemute , N Kravitz-Wirtz

Extreme risk protection orders (ERPOs) provide a civil mechanism to temporarily remove firearm access from individuals at high risk of harming themselves or others. Evidence and theory suggest that ERPOs can prevent firearm-related harm, but the policy's impact on racial/ethnic equity is largely unknown. To examine potential inequities by race/ethnicity in public perceptions and use of California's ERPO law, we drew on two complementary data sources: 1) a 2020 state-representative survey of California adults, and 2) ERPO court documents for the first 3 years of policy implementation (2016-2018). Majorities (54-89%) of all racial/ethnic groups reported that ERPOs are at least sometimes appropriate, and 64-94% were willing to ask a judge for an ERPO for a family member. However, Black and Hispanic/Latinx survey participants less often perceived ERPOs as appropriate and were less willing to serve as petitioners, with Black participants citing lack of knowledge about ERPOs and not trusting the system to be fair as their top reasons for unwillingness. Similarly, review of ERPO court documents revealed that no family or household members served as petitioners for Black and Hispanic/Latinx ERPO respondents. Additionally, Black respondents were the least likely to have documented access to a firearm and legal representation in court. Racial/ethnic equity in ERPO use may be improved by reducing barriers to petitioning, incorporating non-law enforcement intervention professionals like behavioral health specialists into the ERPO process, providing legal assistance to respondents and petitioners, and investing in the social safety net.

Prev Med. 2022 Dec;165(Pt A):107181. doi: 10.1016/j.ypmed.2022.107181. Epub 2022 Aug 6. PMID: 35940474.

By Hillel Y. Levin & Timothy D. Lytton

In 2005, Congress passed the Protection of Lawful Commerce in Arms Act (PLCAA), granting the firearms industry sweeping immunity from civil lawsuits. However, PLCAA immunity is not absolute. This Article demonstrates that both state and federal courts have fundamentally misread PLCAA when adjudicating cases involving the scope of gun industry immunity. Properly understood, PLCAA permits lawsuits against the gun industry so long as they are based on statutory causes of action rather than common law. While broadly preempting state common law claims, PLCAA affords state legislatures autonomy in deciding how to regulate the gun industry within their borders.

Additionally, this Article addresses unresolved questions concerning constitutional limits on gun industry regulation. PLCAA explicitly strikes a balance between three constitutional principles. It safeguards the individual right to keep and bear arms by protecting the gun industry from civil litigation that would unduly curtail civilian access to firearms. It insists that the separation of powers requires that gun industry regulation should derive from legislation not common law adjudication. It affords state governments autonomy in deciding how to regulate the gun industry, recognizing that there are regional differences in attitudes about how to best reduce firearms-related violence. We counsel against interpretations of the Second Amendment’s application to gun industry regulation that would expand the right to keep and bear arms at the expense of other important constitutional principles such as the separation of powers and federalism

75 Florida Law Review 833 (2023),

By Pew Research Center

In an era marked by deep divisions between Republicans and Democrats, few issues are as politically polarizing as gun policy. While a few specific policy proposals continue to garner bipartisan support, the partisan divisions on other proposals – and even on whether gun violence is a serious national problem – have grown wider over the last few years.

Today, just over half of Americans (53%) say gun laws should be stricter than they currently are, a view held by 81% of Democrats and Democratic-leaning independents but just 20% of Republicans and Republican leaners. Similarly, while nearly three-quarters of Democrats (73%) say making it harder to legally obtain guns would lead to fewer mass shootings, only 20% of Republicans say this, with most (65%) saying this would have no effect.

The new national survey by Pew Research Center, conducted from April 5-11, 2021 among 5,109 adults, finds that 73% of Democrats consider gun violence to be a very big problem for the country today, compared with just 18% of Republicans who say the same. The current partisan gap on this question is 11-percentage-points wider than in 2018 and 19 points wider than in 2016.

Washington, DC: Pew Research Center, 2021. 29p.

By The Educational Fund to Stop Gun Violence'

The Educational Fund to Stop Gun Violence (ESGV) has issued a report with five policy recommendations that states must implement immediately in order to protect democracy in the face of a growing armed insurrectionist movement. The insurrection at the Capitol last January 6th was the loudest expression of a continuing effort by armed insurrectionists to upend government The report offers new insight and analysis and serves as both an examination and a warning that, if left unaddressed, armed insurrectionism will continut to pose a threat to the country. It also examines the significant overlap between insurrectionist activity and White Supremacism and the deadly combination of guns and hate.

Washington, DC: Educational Fund to Stop Gun Violence, 2022. 31P.

By The Coalition to Stop Gun Violence

Gun violence is an American public health crisis decades in the making. The latest Centers for Disease Control and Prevention (CDC) data show that 39,707 people, 86% of whom were male, lost their lives to gun violence in 2019. Gun death data are the most reliable type of gun violence data currently available -- but gun deaths are only the tip of the iceberg of gun violence. With this report, it is our mission to share the most accurate and up-to-date data related to gun deaths while we advocate for more and better data related to gun violence in all its forms. Ultimately, we strive to apply these data to create and implement life-saving policies and programs that will end the gun violence epidemic

Washington, DC: Educational Fund to Stop Gun Violence. 2021. 37p.

Joseph Blocher, Reva B. Siegel

Government regulates guns, it is widely assumed, because of the death and injuries guns can inflict. This standard account is radically incomplete—and in ways that dramatically skew constitutional analysis of gun rights. As we show in an account of the armed protesters who invaded the Michigan legislature in 2020, guns can be used not only to injure but also to intimidate. The government must regulate guns to prevent physical injuries and weapons threats in order to protect public safety and the public sphere on which a constitutional democracy depends.

For centuries the Anglo-American common law has regulated weapons not only to keep members of the polity free from physical harm, but also to enable government to protect their liberties against weapons threats and to preserve public peace and order. We show that this regulatory tradition grounds the understanding of the Second Amendment set forth in District of Columbia v. Heller, where Justice Antonin Scalia specifically invokes it as a basis for reasoning about government’s authority to regulate the right Heller recognized.

Today, a growing number of judges and Justices are ready to expand gun rights beyond Heller’s paradigmatic scene: a law-abiding citizen in his home defending his family from a criminal invader. But expanding gun rights beyond the home and into the public sphere presents questions concerning valued liberties and activities of other law-abiding citizens. Americans are increasingly wielding guns in public spaces, roused by persons they politically oppose or public decisions with which they disagree. This changing paradigm of gun use has been enabled by changes in the law and practice of public carry. As courts consider whether and how to extend constitutional protection to these changed practices of public carry, it is crucial that they adhere to the portions of Justice Scalia’s Heller decision that recognize government’s

“longstanding” interest in regulating weapons in public places.

We show how government’s interest in protecting public safety has evolved with changing forms of constitutional community and of weapons threats. And we show how this more robust understanding of public safety bears on a variety of weapons regulations both inside and outside of courts—in constitutional litigation, in enacting legislation, and in ensuring the evenhanded enforcement of gun laws. Recognizing that government regulates guns to prevent social as well as physical harms is a critical first step in building a constitutional democracy where citizens have equal claims to security and to the exercise of liberties, whether or not they are armed and however they may differ by race, sex, or viewpoint.

116 Northwestern University Law Review 139-201 (2021)

By Hannah S Laqueur, Christopher McCort, Colette Smirniotis; Sonia Robinson , Garen J Wintemute 3

Firearm-related interpersonal violence is a leading cause of death and injury in cities across the United States, and understanding the movement of firearms from on-the-books sales to criminal end-user is critical to the formulation of gun violence prevention policy. In this study, we assemble a unique dataset that combines records for over 380,000 crime guns recovered by law enforcement in California (2010–2021), and more than 126,000 guns reported stolen, linked to in-state legal handgun transactions (1996–2021), to describe local and statewide crime gun trends and investigate several potentially important sources of guns to criminals, including privately manufactured firearms (PMFs), theft, and “dirty” dealers. We document a dramatic increase over the decade in firearms recovered. shortly after purchase (7% were recovered within a year in 2010, up to 33% in 2021). This corresponds with a substantial rise in handgun purchasing over the decade, suggesting some fraction of newly and legally acquired firearms are likely diverted from the legal market for criminal use. We document the rapid growth of PMFs over the past 2-3 years and find theft plays some, though possibly diminishing, role as a crime gun source. Finally, we find evidence that some retailers contribute disproportionately to the supply of crime guns, though there appear to be fewer problematic dealers now than there were a decade ago. Overall, our study points to temporal shifts in the dynamics of criminal firearms commerce as well as significant city variation in the channels by which criminals acquire crime guns.

J Urban Health (2023). https://doi.org/10.1007/s11524-023-00741-y

By The Southern Poverty Law Center (SPLC_

Since 2020, guns have been the leading cause of death in the United States for children and teens. While the proliferation of gun access and gun violence often dominate national, state and local headlines, little has been done to understand the views young people have on these pervasive issues.

To address this gap, Everytown for Gun Safety Support Fund, the Polarization & Extremism Research & Innovation Lab (PERIL) and SPLC came together to study young people’s access to guns, experiences with gun violence, feelings of safety and mental wellbeing, as well as their views on male supremacy, racial resentment and the Second Amendment.

Our U.S. Youth Attitudes on Guns Report provides groundbreaking insights into young people's perceptions, fears and proximity to guns and gun violence. This nationally representative survey of 4,156 Americans aged 14 to 30 and qualitative focus groups lay bare the ubiquity of guns and gun violence in the lives of young Americans.

Montgomery, AL: SPLC, 2023.

By Eleanor Beavor

This report examines how motorbikes are drivers of both stability and instability in the Sahel region of West Africa. Specifically, it examines how variants of motorbike crime contribute to destabilization at a local economic level and in the broader Sahelian conflict. In that regard, the practices of both motorbike theft and motorbike trafficking are examined. The involvement of the Sahel’s armed groups in trafficking is closely explored, and it is argued that motorbike trafficking is critical to the operations and mobility of Jama’at Nasr al-Islam wal Muslimin (JNIM) and Islamic State Sahel (IS Sahel). It is difficult to overstate the importance of motorbikes to the daily life of residents of the Sahel region.1 Motorbikes are an essential means of transport in both urban and rural settings in these three countries, and the lynchpin of many local economies. This is because they represent the cheapest, and often most reliable, means of transport for citizens who cannot or do not want to rely on public transport, or who cannot afford a car. They have very often replaced donkey carts, camels or bicycles as forms of transport, and have become a staple in business and family life in the Sahel.

Geneva, SWIT: Global Initiative Against Transnational Organized Crime , 2023. 37p.

By Bailey K. Roberts, Colleen P. Nofi, Emma Cornell, Sandeep Kapoor, MD, MS-HPPL,b,c,d,e Laura Harrison, MPH,c,d Chethan Sathya

BACKGROUND AND OBJECTIVES: In 2020, firearm injuries became the leading cause of death among US abstract children and adolescents. This study aimed to evaluate new 2021 data on US pediatric firearm deaths and disparities to understand trends compared with previous years. METHODS: Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research was queried for firearm mortalities in children/adolescents from 2018 to 2021. Absolute mortality, death rates, and characteristics were reported. Death rates were defined per 100 000 persons in that population per year. Death rates across states were illustrated via geographic heat maps, and correlations with state poverty levels were calculated. RESULTS: In 2021, firearms continued to be the leading cause of death among US children. From 2018 to 2021, there was a 41.6% increase in the firearm death rate. In 2021, among children who died by firearms, 84.8% were male, 49.9% were Black, 82.6% were aged 15 to 19 years, and 64.3% died by homicide. Black children accounted for 67.3% of firearm homicides, with a death rate increase of 1.8 from 2020 to 2021. White children accounted for 78.4% of firearm suicides. From 2020 to 2021, the suicide rate increased among Black and white children, yet decreased among American Indian or Alaskan Native children. Geographically, there were worsening clusters of firearm death rates in Southern states and increasing rates in Midwestern states from 2018 to 2021. Across the United States, higher poverty levels correlated with higher firearm death rates (R 5 0.76, P < .001).

Pediatrics, August 21, 2023.

By Sarah Watson

Mass sho are otingsone example of a focusing event that has particular significance for firearms legislation. Mass shootings shock, disturb and provoke enormous and controversial debate, often causing significant public and media resonance, becoming the subject of intense discussion politically. At times providing an impetus for legislative amendments, often in distinct ways that routine gun violence does not. If certain events highlight the need for reform, policy change becomes more likely. Cases with the lowest number of victims are likely to generate the least amount of attention and are most likely to be missed in data collection, rendering them the least noteworthy, least important in terms of lethality and social and political consequence. Various problems come to the attention of people in and around government, necessitating an understanding of why such problems occupy officials’ attention and appear to be more ‘deserved>

Criminology & Criminal JusticeOnlineFirst, July 19, 2022

By Michael D. Makowsky and Patrick L. Warren

We assess firearms as a means of Black self-defense in the Jim Crow South. We infer firearm access by race and place by measuring the fraction of suicides committed with a firearm. Corroborating anecdotal accounts and historical claims, state bans on pistols and increases in White law enforcement personnel served as mechanisms to disarm the Black community, while having no comparable effect on White firearms. The interaction of these mechanisms with changing national market prices for firearms provides us with a credible identification strategy for Black firearm access. Rates of Black lynching decreased with greater Black firearm access.

Prepublication paper, 2022. 35p

By James D. Wright, Peter H. Rossi, Kathleen Daly with the assistance of Eleanor Weber-Burdin

FRON THE JACKET: “The United States is one of the most heavily armed private populations in world history; one-half the households in the country possess at least one firearm, and the total number of firearms in private hands is well over 100 million. The rates of criminal violence in the United States are among the highest in the world. What, if anything, is the relationship between these facts? UNDER THE GUN provides -for the first time a comprehensive review and analysis of both the published and the unpublished literature on weapons, crime, and violence in the U.S.

Each chapter explores the issues and trends which have been widely debated over the years. Some of the topics covered include: the number of guns in private hands, recent upward trends in firearms sales, demographic characteristics of gun owners, uses of guns in self-defense, patterns of violent crimes committed in the U.S., characteristics of weapons used in crimes, public opinion on gun control issues, and the effectiveness of gun control laws.”

"Wright/Rossi/Daly bring balanced judgment, the best data available, and careful analysis to each issue. They outline an agenda for research which is sensi ble and critical to the matters at hand. The book is more than 'state of the art.' It separates data from inference, logic from value-based argument, and identifies the sorts of issues which cannot be settled by empirical inquiry..” — James Short.

NY. Aldine Publishing Company. 1983. 350p.

By Jonathan Jay • Luke W. Miratrix • Charles C. Branas • Marc A. Zimmerman • David Hemenway

Although multiple interventions to remediate physical blight have been found to reduce urban firearm violence, there is limited evidence for demolishing vacant buildings as a violence reduction strategy. Starting in 2014, Detroit, MI launched a large-scale program that demolished over 10,000 buildings in its first 3 years. We analyzed the pre-post effects of this program on fatal and nonfatal firearm assaults and illegal drug violations at the U.S. Census block group level, using propensity score matching and negative binomial regression. Receiving over 5 demolitions was associated with a 11% reduction in firearm assaults, relative to comparable control locations, 95% CI [7%, 15%], p = 0.01. The program was associated with larger reductions in firearm assaults for the locations receiving moderate numbers of demolitions (between 6 and 12) than for locations receiving high numbers of demolitions (13 and over). No effects were observed for illegal drug violations and no evidence of spatial crime displacement was detected. These findings suggest that vacant building demolitions may affect gun violence.

J Behav Med (2019) 42:626–634

By Rose Kagawa , Benjamin Calnin , Colette Smirniotis , Magdalena Cerdá , Garen Wintemute , Kara E Rudolph

Former industrial cities facing economic challenges and depopulation often experience high levels of firearm and other forms of violence. Within these cities, violent crime often clusters in neighborhoods affected by high levels of vacant and abandoned housing. This study estimates the effects of building demolition in Detroit, Michigan on the subsequent risk of violent crime using property-level data and longitudinal targeted maximum likelihood estimation. The primary outcome is violent Crime Index crimes (homicide, rape, robbery and aggravated assault). We estimate effects for this category of crimes as a whole and for the subset involving firearms. Drug and other lower-level crimes are included as secondary outcomes. We compare the risk of experiencing each crime type following building demolition in Census blocks and block groups to an estimate of the risk had there been no demolition in the 1-3 quarters prior in 2017. There were >2600 total demolitions in about 1700 blocks in 2017 in Detroit. Nearly all demolished buildings were sourced from tax foreclosures. Estimates suggest the risk for all crime types tested would have been statistically indistinguishable from the observed crime risk had demolitions in the prior 1-3 quarters of 2017 not occurred. Our results run counter to most previous research on this topic, which tends to show a protective effect of demolition on violent crime. Understanding why our results differ may provide important insights into the types of demolition programs with the greatest potential to reduce violent crime.

Prev Med. 2022 Dec;165(Pt A):107257.

By John MacDonald , George Mohler , P Jeffrey Brantingham

Gun violence rates increased in U.S. cities in 2020 and into 2021. Gun violence rates in U.S. cities is typically concentrated in racially segregated neighborhoods with higher poverty levels. However, poverty levels and demographics alone do not explain the high concentration of violence or its relative change over time. In this paper, we examine the extent to which the increase in shooting victimization in Philadelphia, New York, and Los Angeles during the 2020-2021 pandemic was concentrated in gun violence hot spots, and how the increase impacted race and ethnic disparities in shooting victimization rates. We find that 36% (Philadelphia), 47% (New York), and 55% (Los Angeles) of the increase in shootings observed during the period 2020-2021 occurred in the top decile of census block groups, by aggregate number of shootings, and that the race/ethnicity of victims in these gun violence hot spots were disproportionately Black and Hispanic. We discuss the implications of these findings as they relate to racial disparities in victimization and place-based efforts to reduce gun violence.

Prev Med 2022 Dec;165(Pt A):107241.

By Julia P. Schleimer, Christopher D. McCort, Aaron B. Shev, Veronica A. Pear, Elizabeth Tomsich, Alaina De Biasi, Shani Buggs, Hannah S. Laqueur & Garen J. Wintemute

Background: Firearm violence is a significant public health problem in the United States. A surge in firearm purchasing following the onset of the coronavirus pandemic may have contributed to an increase in firearm violence. We sought to estimate the state-level association between firearm purchasing and interpersonal firearm violence during the pandemic. Methods: Cross-sectional study of the 48 contiguous states and the District of Columbia from January 2018 through July 2020. Data were obtained from the National Instant Criminal Background Check System (a proxy for firearm purchasing) and the Gun Violence Archive. Using negative binomial regression models, we estimated the association between cumulative excess firearm purchases in March through July 2020 (measured as the difference between observed rates and those expected from autoregressive integrated moving average models) and injuries (including nonfatal and fatal) from intentional, interpersonal firearm violence (non-domestic and domestic violence). Results: We estimated that there were 4.3 million excess firearm purchases nationally from March through July 2020 and a total of 4075 more firearm injuries than expected from April through July. We found no relationship between state-level excess purchasing and non-domestic firearm violence, e.g., each excess purchase per 100 population was associated with a rate ratio (RR) of firearm injury from non-domestic violence of 0.76 (95% CI: 0.50– 1.02) in April; 0.99 (95% CI: 0.72–1.25) in May; 1.10 (95% CI: 0.93–1.32) in June; and 0.98 (95% CI: 0.85–1.12) in July. Excess firearm purchasing within states was associated with an increase in firearm injuries from domestic violence in April (RR: 2.60; 95% CI: 1.32–5.93) and May (RR: 1.79; 95% CI: 1.19–2.91), though estimates were sensitive to model specification. Conclusions: Nationwide, firearm purchasing and firearm violence increased substantially during the first months of the coronavirus pandemic. At the state level, the magnitude of the increase in purchasing was not associated with the magnitude of the increase in firearm violence. Increases in purchasing may have contributed to additional firearm injuries from domestic violence in April and May. Results suggest much of the rise in firearm violence during our study period was attributable to other factors, indicating a need for additional research.

Injury Epidemiology (2021) 8:43

By Emily A. Wang, C Riley, G Wood, A Greene, N Horton, M Williams, P Violano, RM Brase, et al.

Introduction The USA has the highest rate of community gun violence of any developed democracy. There is an urgent need to develop feasible, scalable and community-led interventions that mitigate incident gun violence and its associated health impacts. Our community-academic research team received National Institutes of Health funding to design a community-led intervention that mitigates the health impacts of living in communities with high rates of gun violence. Methods and analysis We adapted ‘Building Resilience to Disasters’, a conceptual framework for natural disaster preparedness, to guide actions of multiple sectors and the broader community to respond to the man-made disaster of gun violence. Using this framework, we will identify existing community assets to be building blocks of future community-led interventions. To identify existing community assets, we will conduct social network and spatial analyses of the gun violence episodes in our community and use these analyses to identify people and neighbourhood blocks that have been successful in avoiding gun violence. We will conduct qualitative interviews among a sample of individuals in the network that have avoided violence (n=45) and those living or working on blocks that have not been a location of victimisation (n=45) to identify existing assets. Lastly, we will use community-based system dynamics modelling processes to create a computer simulation of the community-level contributors and mitigators of the effects of gun violence that incorporates local population-based based data for calibration. We will engage a multistakeholder group and use themes from the qualitative interviews and the computer si

BMJ Open 2020;10:e040277