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The National Cost of Gun Violence: The Price Tag for Taxpayers

By The National Institute for Criminal Justice Reform

In 2021, gun violence killed 20,984 people in the United States, more than any single year in the preceding two decades.1 Daily shootings in communities across the country are the most common form of gun violence. On average, 14,062 people are murdered every year by someone using a gun.2 Gun violence is disproportionately concentrated in urban centers, usually in underserved communities of color. Of the more than 13,000 firearm related homicide victims in the US in 2020, 55.8% were Black men.3 Although Black men and boys between the ages 15 and 34 make up just 2% of the nation’s population, they accounted for 37% of gun homicide victims in 2019,4 making homicide the leading cause of death for Black males in this age range.5 According to the American Journal of Medicine, US residents are 25 times more likely to be killed from gun violence than the citizens of any other developed country.6 In addition to its human toll, gun violence imposes a substantial economic cost on society. Direct costs include law enforcement and the criminal justice system, hospital and rehabilitation, incarceration, and victim support. Indirect costs include lost tax revenue, lost business opportunities, reduced property values, and neighborhood population decline and destabilization. When someone is shot, there is an immediate, multifaceted response from an array of government agencies. The fire department dispatches emergency medical technicians (EMTs), government-contracted ambulances respond, and several police department units as well as staff from a city’s office of violence prevention or contracted outreach workers descend on the scene. Investigators from the district attorney’s office also often arrive, and if the victim is declared dead on the scene, the coroner is called. And this is only the immediate aftermath of the shooting. Costs accumulate for many months, even years following a shooting. For surviving victims this includes hospitalization and, in the case of serious injury, rehabilitation–both of which are often paid for by tax dollars. This also includes victim compensation and a protracted investigation by the police department and prosecutors. When there are multiple victims and/ or multiple suspects, the cost of a single shooting incident will increase accordingly.

NICJR has calculated the costs of shootings in numerous cities across the country, deliberately using conservative estimates and only counting documentable direct costs.7 Using these studies as a starting point, this report aggregates the city-specific data and combines it with other data sources to model the direct unit costs and the direct average costs of gun violence nationwide.8 Unit costs reflect all of the potential costs of a single incident of gun violence, while average costs take into account the fact that certain costs are not incurred for every incident. For example, this report estimates the costs that gun violence imposes on the courts, district attorney, and public defender when a suspect is charged and goes to trial. However, because many incidents of gun violence do not result in prosecution or a trial, these estimates, or unit costs, are deflated to calculate the average cost per shooting

NICJR calculates that the unit cost of a single gun-related homicide is just over $1.2 million, while the average cost, or the cost per homicide, is approximately $625,000. This means that, on average, the total direct cost of gun-related homicides in the United States is more than $8.7 billion each year. For non-fatal injury shootings, NICJR calculates the unit cost at almost $700,000, with an average per-shooting cost of about $337,000, for an annual total of $11.7 billion.9 Combined, the total cost of gun homicides and non-fatal shootings is over $20 billion per year. If indirect expenses were included, the total cost of shootings would be much higher.

National Institute for Criminal Justice Reform, 19p.

Notes From the Field: Firearm Homicide Rates, by Race and Ethnicity — United States, 2019–2022

By Scott R. Kegler, Thomas R. Simon, Steven A. Sumner,

The rate of firearm homicide in the United States rose sharply from 2019 through 2020, reaching a level not seen in more than 2 decades, with ongoing and widening racial and ethnic disparities (1). During 2020–2021, the rate increased again (2). This report provides provisional firearm homicide data for 2022, stratified by race and ethnicity, presented both annually and by month (or quarter) to document subannual changes.

MMWR Morb Mortal Wkly Rep 2023;72:1149–1150.

The Era of Progress on Gun Mortality: State Gun Regulations and Gun Deaths from 1991 to 2016

By Patrick Sharkey and Megan Kang

Background:

The recent rise of gun violence may lead to the perception that the problem of gun mortality in the United States is intractable. This article provides evidence to counter this perception by bringing attention to the period spanning from 1991 to 2016 when most US states implemented more restrictive gun laws. Over this period, the United States experienced a decline in household gun ownership, and gun-related deaths fell sharply.

Methods:

The main analysis examines the conditional association between the change in gun regulations at the state level and the change in gun mortality from 1991 to 2016. We include a range of robustness checks and two instrumental variable analyses to allow for stronger causal inferences.

Results:

We find strong, consistent evidence supporting the hypothesis that restrictive state gun policies reduce overall gun deaths, homicides committed with a gun, and suicides committed with a gun. Each additional restrictive gun regulation a given state passed from 1991 to 2016 was associated with −0.21 (95% confidence interval = −0.33, −0.08) gun deaths per 100,000 residents. Further, we find that specific policies, such as background checks and waiting periods for gun purchases, were associated with lower overall gun death rates, gun homicide rates, and gun suicide rates.

Conclusion:

State regulations passed from 1991 to 2016 were associated with substantial reductions in gun mortality. We estimate that restrictive state gun policies passed in 40 states from 1991 to 2016 averted 4297 gun deaths in 2016 alone, or roughly 11% of the total gun deaths that year.

More Americans were killed by gunfire in 2021 than in any previous year on record.1 This single statistic encompasses several social problems and challenges, including violent crime, the rise of suicides, mass shootings, intimate partner violence, and police shootings. But all of these problems are connected to each other by a common feature: guns.

Epidemiology 34(6):p 786-792, November 2023.

State-Level Estimates of Household Firearm Ownership

By Terry L. Schell, Samuel Peterson, Brian G. Vegetabile, Adam Scherling, Rosanna Smart, Andrew R. Morral

To understand how rates of firearm ownership may be affected by public policy and how they may affect crime rates or other key outcomes in the United States, researchers need measures of firearm ownership at the state level. As part of the Gun Policy in America initiative, RAND researchers developed annual, state-level estimates of household firearm ownership by combining data from surveys and administrative sources. First, they used a small-area estimation technique to create state-level ownership estimates for each of 51 nationally representative surveys assessing household firearm ownership rates. They then used structural equation modeling to combine these survey-based estimates with administrative data on firearm suicides, hunting licenses, subscriptions to Guns & Ammo magazine, and background checks into the final measure of household firearm ownership. The resulting measure represents the proportion of adults living in a household with a firearm for each state in each year between 1980 and 2016. Other researchers can use these annual, state-level measures to test theories about the relationship between firearm ownership and crime, injury, and public policy.

Santa Monica, CA: RAND, 2020. 78p.

Background Checks for Firearm Transfers, 2019–2020

By Connor Brooks

This report is the 18th in a series produced by the Bureau of Justice Statistics. It details the number of applications for background checks for firearm transfers and permits received by the Federal Bureau of Investigation (FBI) and state and local checking agencies. It also describes the types of permits or checks used by each state, the number of denials issued by these agencies, and the reasons for denial.

Highlights

  • The FBI and state and local checking agencies received about 16.7 million applications for firearm transfers and permits in 2019 and 25.0 million applications in 2020.

  • About 243,000 (1.5%) applications for firearm transfers and permits were denied in 2019, and 398,000 (1.6%) were denied in 2020.

  • The FBI received about 12.8 million applications in 2020 and denied 185,000 (1.5%), while state and local checking agencies received more than 12.2 million applications and denied about 212,000 (1.7%).

  • In 2020, state checking agencies denied 2.7% of purchase permits, 1.8% of instant checks, 1.2% of exempt carry permits, and 0.2% of other approvals.

Washington, DC: U.S. Bureau of Justice Statistics, 2023. 33p.

Still Not There: Global Violent Deaths Scenarios, 2019–30

ByGergely Hideg and Anna Alvazzi del Frate

The year 2018 was characterized by a decrease in lethal violence in several of the world’s hotspots, primarily due to a significant de-escalation of the armed conflicts in Iraq, Myanmar, South Sudan, and Syria. The homicide rate also decreased marginally due to population growth outpacing the nominal increase in killings between 2017 and 2018. These two trends jointly resulted in a modest positive change in the rate of violent deaths globally in 2018 which, at 7.8 violent deaths per 100,000 population, is at its lowest since 2012.

Still Not There: Global Violent Deaths Scenarios, 2019–30, a Briefing Paper by the Survey’s Security Assessment in North Africa (SANA) project provides an updated trend analysis of global violent deaths and develops global-level scenarios for the years leading to 2030. Based on 2018 figures from the Small Arms Survey’s Global Violent Deaths (GVD) database, the paper also includes a specific analysis of developments in Northern Africa and the five nations of the G5 Sahel region. It finds that under a business-as-usual scenario, Northern Africa’s violent death rate would remain relatively stable by 2030. By contrast, under the same scenario, the fatality rate in the G5 Sahel region would increase significantly. The paper also looks at how, for the first time, the GVD database now permits the analysis of disaggregated data for female victims of firearm killings for the period 2004–18, further increasing its gender relevance.

Geneva: Small Arms Survey, 2021. 16p.

Small Arms Survey Annual Report 2022

By Small Arms Survey

The Small Arms Survey's annual report provides an overview of the Survey's work from the previous year. It highlights the main activities undertaken by our projects and units, the publications that were released, the Survey's outreach work, as well as important institutional and financial developments.

Geneva, Small Arms Survey, 2023. 15p.

Trends and Disparities in Firearm Deaths Among Children

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.

Knife crime offender characteristics and interventions – A systematic review

By K.D. Browne , K. Green , S. Jareno-Ripoll , E. Paddock

Knives and sharp objects are tools used in a wide range of violent offences. However, knife offending may have different risk factors than general violence, thus requiring tailored interventions. This systematic review aims to synthesise evidence on the characteristics of knife offenders and interventions aimed at the reduction of knife crime. After screening 1352 titles and abstracts, 344 articles were fully considered of which 21 papers met the inclusion criteria and were quality assessed. These consisted of 15 offender characteristic studies and six intervention studies. Findings suggested that knife crime may be associated with illicit drug use, exposure to any violence as a witness, victim or perpetrator and mental health problems. Males were more at risk of engaging in knife crime in the community and females in domestic settings. Different risk factors were found between gang involved and non-involved knife offenders. Primary prevention strategies, such as stop and search, knife amnesties, media campaigns and curfews did not show a significant impact in reducing knife crime. By contrast, increasing offenders' access to tailored support regarding housing, education, and employment showed an impact in reducing weapon carrying. Further research is required in the area to support the reliability of outcomes.

Aggression and Violent Behavior. Volume 67, November–December 2022, 101774

Characterization of Mass Shootings by State, 2014-2022

By Leslie M. Barnard, Erin Wright-Kelly, Ashley Brooks-Russell; Marian E. Betz

The US has more than 10 times the number of mass shooting events as other developed countries.1 Mass shootings in the US have increased in frequency, with more than half occurring since the year 2000.2 These events have a direct toll on individuals injured or killed, as well as a psychological impact on families, friends, and society.3 Little research has examined the types and distribution of mass shooting events across the US.4 A geographic analysis by type may inform if specific events have disproportionately occurred in particular states or regions of the US. This may generate hypotheses about the contextual (policy, environmental, or sociocultural) factors that may be associated with the distribution of types of mass shooting events and may suggest recommendations for tailored prevention. The purpose of this study was to examine state rates of mass shooting event types and total injuries and deaths in the US.

JAMA Open 2023.

Urban building demolitions, firearm violence and drug crime

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

Effects of building demolitions on firearm violence in Detroit, Michigan

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.

Association between race, shooting hot spots, and the surge in gun violence during the COVID-19 pandemic in Philadelphia, New York and Los Angeles

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.

Firearm purchasing and firearm violence during the coronavirus pandemic in the United States: a cross-sectional study

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

Oakland Unite 2019–2020 Strategy Evaluation: Shooting and Homicide Response November 18, 2020

By Anthony Louis D’Agostino, Mindy Hu, Naihobe Gonzalez, Natalie Larkin, and Michela Garber

Oakland Unite aims to interrupt and prevent violence by administering grants through a diverse set of strategies, which includes shooting and homicide response. Each year, this strategy provides $1.4 million in grants to community-based organizations that in turn offer services to hundreds of individuals. Grantees support two groups affected by gun violence: (1) those who have been the victim of gun violence or serious assault, and (2), those who have lost a loved one to gun violence. Grantees aim to address the immediate needs of shooting victims and their families; provide longer-term supports as the victims recover from injury or loss; and prevent retaliatory violence. Oakland Unite convenes and coordinates the network of providers and serves as the liaison between the network and law enforcement. The Oakland Unite 2019–2020 strategy evaluation report provides an in-depth analysis of the implementation of the four shooting and homicide response programs (summarized below), and the outcomes of participants over the 2016–2019 period. The evaluation’s findings suggest that shooting and homicide response offers needed supports to victims of violence and contributes to reducing re-injury and retaliation following a violent incident. As a single shooting injury can cost the city more than $1 million, the investment in these services has the potential to save the city considerable spending in the long run.

Oakland, CA: Mathematica, 2020. 109p.

Trends in firearm-related violent crime in Canada, 2009 to 2020

By Mary Allen

In 2020, consistent with historical trends, violent Criminal Code offences accounted for about one in every five crimes that came to the attention of police. Firearm-related violent crime typically represents less than 3% of police-reported violent crime in Canada; nevertheless, it has a significant emotional and physical impact on victims, families and communities. Additionally, rates of firearm-related violence have seen a general increase over the past several years. Concern about gun crime is long standing and a variety of approaches have been used to address it, including changes in legislation (see Text box 1). In April 2020, 22 people were killed in a mass shooting in Nova Scotia, the deadliest mass shooting in Canada in recent years. In particular, the Nova Scotia shooting led to a ban on assault-style firearms and renewed discussions around gun control and access to illegal weapons. This Juristat article uses data from the Uniform Crime Reporting (UCR) Survey and the Homicide Survey to provide a detailed examination of recent trends in firearm-related crime in Canada and the characteristics of these crimes over time and by region. In this article, firearm-related violent crime refers to victims of violent crimes where the most serious weapon present in the incident was a firearm and where police deemed the presence of the firearm relevant to the incident. Of note, for an incident to be considered firearm-related, a firearm need only be present during the commission of the offence, not necessarily used. This measure does not include non-violent Criminal Code offences where a firearm was present, including administrative offences such as unsafe storage, or firearm-specific violent offences such as discharging a firearm with intent where there was no victim identified. The article is divided into several sections beginning with an “Overview of firearm-related violent crime in 2020” examining geographic differences.1 This is followed by a section examining factors driving the change in firearm-related crime over 12 years, comparing two time periods (2009 to 2014 and 2015 to 2020) “Trends in firearm-related violent crime”. The article then examines the “Characteristics of firearm-related violent crime”, especially the types of violations involved and types of firearms present. This is followed by sections on “Characteristics of victims of firearm-related crime” as well as “Characteristics of individuals accused in violent incidents where a firearm was present”. Additional information is provided on non-violent weapons offences and firearm-related violent crimes involving organized crime or street gangs. The article uses data from the UCR trend file which contains information from 2009 to 2020. The article compares pooled information for the two six-year periods (2009 to 2014 and 2015 to 2020) to examine factors related to the increased rates of firearm-related violent crime observed in recent years.2 Combining the data into two six-year periods allows for a detailed examination of changes related to this overall increase. The periods were defined with reference to 2015 (before and after 2015) as 2015 was the year with the most notable increase in firearm-related crime over the 12 year period and this increase occurred in most jurisdictions. Moreover, 2015 was a notable year for crime in general as it marked the first increase in all police-reported crime since 2003. This article provides an analysis of police-reported firearm-related violent crime using currently available data. However, there are still many data gaps related to firearms used in crime. Statistics Canada has been working with police services to help improve information available on these types of crime.

Ottawa: Statistics Canada, 2022. 51p.

Predicting and Preventing Gun Violence: An Experimental Evaluation of READI Chicago

By Monica P. Bhatt, Sara B. Heller, Max Kapustin, Marianne Bertrand & Christopher Blattman

Gun violence is the most pressing public safety problem in American cities. We report results from a randomized controlled trial (N = 2, 456) of a community-researcher partnership called the Rapid Employment and Development Initiative (READI) Chicago. The program offered an 18-month job alongside cognitive behavioral therapy and other social support. Both algorithmic and human referral methods identified men with strikingly high scope for gun violence reduction: for every 100 people in the control group, there were 11 shooting and homicide victimizations during the 20-month outcome period. Fifty-five percent of the treatment group started programming, comparable to take-up rates in programs for people facing far lower mortality risk. After 20 months, there is no statistically significant change in an index combining three measures of serious violence, the study’s primary outcome. Yet there are signs that this program model has promise. One of the three measures, shooting and homicide arrests, declines 65 percent (p = 0.13 after multiple testing adjustment). Because shootings are so costly, READI generates estimated social savings between $182,000 and $916,000 per participant (p = 0.03), implying a benefit-cost ratio between 4:1 and 20:1. Moreover, participants referred by outreach workers—a pre-specified subgroup—show enormous declines in both arrests and victimizations for shootings and homicides (79 and 43 percent, respectively) that remain statistically significant even after multiple testing adjustments. These declines are concentrated among outreach referrals with higher predicted risk, suggesting that human and algorithmic targeting may work better together.

Pre-publication, 2023, 135p.

U.S. Gun Violence in 2021: 'An Accounting of a Public Health Crisis'

By Davis, Ari; Kim, Rose; Crifasi, Cassandra K.

From the document: "Gun violence is an ongoing public health crisis in the United States that impacts the health and wellbeing of all of us. [...] Fortunately, there are evidence-based, equitable solutions to prevent gun violence. These solutions are supported by most people, including gun owners. In spite of this wide support, many policymakers have been unwilling to follow the evidence and enact policies that will save lives. Each year it is our mission to 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 of 'A Year in Review: 2020 Gun Deaths in the U.S.' [hyperlink] It uses 2021 firearm fatality data released by the CDC [Centers for Disease Control and Prevention] in January 2023. We recognize that each data point discussed in this report is a person who died by gun violence. This loss has an immeasurable impact on families, friends, and communities; data can only partly illuminate the true burden of gun violence. In addition to analyzing the data, we must listen to and uplift the voices of those directly impacted by gun violence, their loved ones, and their communities. Yet even on its own, the 2021 CDC data paints an alarming picture of the epidemic of gun violence. [...] By leveraging the data outlined in this report, we can improve gun violence prevention strategies and create a more peaceful future, free from gun violence."

Johns Hopkins Bloomberg School Of Public Health; Johns Hopkins Center For Gun Violence Solutions. 2023. 45p

Alcohol Misuse and Gun Violence: An Evidence-Based Approach for State Policy

By The  Consortium for Risk-Based Firearm Policy and the Center for Gun Violence Solutions at the Johns Hopkins Bloomberg School of Public Health

  Alcohol use and gun violence are leading causes of preventable injury and death in the United States. Alcohol kills 140,000 people annually;2 guns kill more than 48,000.3 Both of them are public health crises demanding strong policies. These issues are most deadly when they intersect with one another. An estimated 1 in 3 gun homicide perpetrators drank heavily before murdering their victims, 30% of gun homicide victims drank heavily before being killed, and a quarter of gun suicide victims were heavily drinking before they died by suicide.4,5 Despite alcohol clearly being a strong risk factor for gun violence, few attempts have been made to address this intersection. Heavy drinking was involved in: Nearly one third of all gun homicides A quarter of all gun suicides In 2013, the Consortium issued its first policy recommendation related to risky alcohol use and firearm access.i Five years later, the Consortium convened leading experts to reassess this recommendation about firearm prohibitions associated with DUIs as an effective policy measure to prevent firearm-related deaths while ensuring racial equity in enforcement. During the COVID-19 pandemic, excessive drinking increased by 21% and alcohol-related deaths increased approximately 25%.6 At the same time, gun sales increased by 40%, gun homicides by 35%, and gun suicides had the largest one-year increase ever recorded.7,8 These alarming trends urge us to think about alcohol misuse as a risk factor for gun violence. To better understand this connection, the Consortium, in partnership with the Center for Gun Violence Solutions, developed this report to highlight the available research to inform policy. As detailed in this report, alcohol misuse is associated with a risk of dangerous firearm behaviors, interpersonal firearm violence, and gun suicide. Although data about how this dangerous intersection affects different communities is limited, people of color are disproportionately affected by both gun violence and alcohol misuse. This report summarizes the connection between alcohol and firearm use, reviews existing state laws, and makes a core set of recommendations for addressing the problem at the state level: 11 Limiting access to firearms by persons with a record of alcohol misuse 2) 2 Limiting access to guns when and where alcohol is consumed

Baltimore: The Authors, 2023. 32p.

U.S. Gun Violence in 2021: An Accounting of a Public Health Crisis

By  Ari Davis, Rose Kim, Cassandra Crifasi

  Gun violence is an ongoing public health crisis in the United States that impacts the health and wellbeing of all of us. In 2020, during the first year of the COVID-19 pandemic, the U.S. experienced an unprecedented spike in gun homicides. Many believed that this spike would be short-lived; levels of gun violence would subside as institutions effectively responded to the pandemic and people returned to their daily routines. This, unfortunately, was not the case. In 2021, for the second straight year, gun deaths reached the highest number ever recorded. Nearly 49,000 people died from gun violence in the U.S. in 2021. Each day, an average of 134 people died from gun violence—one death every 11 minutes. Gun homicides continued to rise in 2021, increasing 7.6% over the previous year. Gun suicides reached record levels, increasing 8.3%, the largest one-year increase recorded in over four decades. Guns, once again, were the leading cause of death among children and teens in 2021 accounting for more deaths than COVID-19, car crashes, or cancers. Coincident with the rise in gun-related deaths were record gun sales. Millions of first-time purchasers, including Black and Hispanic/Latino people, and women of all races and ethnicities, bought guns during the pandemic at unprecedented levels. Many of these purchasers were motivated by gun industry marketing claims that guns make you safer. Yet, this is far from the truth; gun ownership greatly increases the risk of dying by suicide and homicide. While it is too early to tell whether this surge in gun purchases contributed directly to the rise in gun violence the country is experiencing, we know that over the long run this influx of guns will only exacerbate the public health crisis of gun violence and worsen health disparities. Fortunately, there are evidence-based, equitable solutions to prevent gun violence. These solutions are supported by most people, including gun owners. In spite of this wide support, many policymakers have been unwilling to follow the evidence and enact policies that will save lives.   

Baltimore: Johns Hopkins Bloomberg School of Public Health 2023. 45p.