Firearm Storage and Firearm Suicide

作者：Matthew Miller, Joeseph Wertz, Sonja A. Swanson, Joseph A. Simonetti, Yifan Zhang, Deborah Azrael · 发表于：JAMA Network Open · 年份：2025 · DOI：10.1001/jamanetworkopen.2025.19266 · 被引用次数：15 · 研究领域：Gun Ownership and Violence Research、Suicide and Self-Harm Studies、Traumatic Ocular and Foreign Body Injuries

Importance: Suicide-prevention interventions often recommend removing firearms from the homes of individuals at elevated risk of suicide or, short of removal, locking and unloading all household firearms. The recommendation to remove firearms is based on strong and consistent evidence. For adults, however, the recommendation to lock firearms is based on few studies with inconsistent findings. Objective: To assess the association between firearm storage practices and suicide method by sex and age. Design, Setting, and Participants: This case-control study investigated decedents aged 15 years or older who lived in a home with firearms in the last year of their life and who died by suicide. Data were from the 1993 National Mortality Followback Survey. Analyses were conducted from June 1, 2024, to March 30, 2025. Exposures: The presence of 1 or more unlocked firearm in the decedent's residence and/or 1 or more loaded firearm. Main Outcomes and Measures: The main outcome was firearm storage practices by suicide method. Logistic models, including both exposures, compared the relative odds of exposure among decedents who died by firearm suicide vs nonfirearm suicide, adjusted for sex, age, and region of residence at the time of death. Results: Among the 725 individuals who died by suicide (mean [SD] age, 47.1 [19.7] years; 554 males [85.0%]), 606 (83.6%) decedents died by firearm suicide and 119 (16.4%) died by nonfirearm suicide. Adult suicide decedents who used firearms were neith...