A Public Health Approach to Tackling the Role of Culture in Shaping the Gun Violence Epidemic in the United States

The Recent Rise of Suicide Mortality in the United States

Suicide is a major public health concern in the United States. Between 2000 and 2018, US suicide rates increased by 35%, contributing to the stagnation and subsequent decrease in US life expectancy. During 2019, suicide declined modestly, mostly owing to slight reductions in suicides among Whites. Suicide rates, however, continued to increase or remained stable among all other racial/ethnic groups, and little is known about recent suicide trends among other vulnerable groups. This article (a) summarizes US suicide mortality trends over the twentieth and early twenty-first centuries, (b) reviews potential group-level causes of increased suicide risk among subpopulations characterized by markers of vulnerability to suicide, and (c) advocates for combining recent advances in population-based suicide prevention with a socially conscious perspective that captures the social, economic, and political contexts in which suicide risk unfolds over the life course of vulnerable individuals.

City-Wide Firearm Violence Spikes in Minneapolis following the Murder of George Floyd: A Comparative Time-Series Analysis of Three Cities

This study investigates the aftermath of a high-profile violent police incident as it relates to city-wide firearm violence. Utilizing two Midwest cities (Kansas City, Missouri and Omaha, Nebraska) as comparison cities, we assess whether violent firearm incidents increased in Minneapolis after the murder of George Floyd. Multiple interrupted time-series analyses showed statistically significant increases in weekly firearm incidents in Minneapolis (AME = 10.63, p < 0.05) and Omaha (AME = 1.47, p < 0.5) following the murder of George Floyd. No significant results were found in Kansas City. Similar relationships were found when examining monthly firearm incidents. The firearm spike in Minneapolis thus represents an approximate 10-fold increase in weekly firearm incidents relative to that observed in Omaha. We conclude, therefore, that the murder of George Floyd was associated with a substantially greater increase in firearm violence in Minneapolis than in the two comparison cities. Police training to reduce police violence and public health approaches to reduce urban firearm violence will alleviate the social and economic impacts of violence on federal and state governments.

Role of Firearm Ownership on 2001-2016 Trends in U.S. Firearm Suicide Rates

INTRODUCTION

In the U.S., state-level household firearm ownership is strongly associated with firearm suicide mortality rates. Whether the recent increases in firearm suicide are explained by state-level household firearm ownership rates and trends remains unknown.

METHODS

Mortality data from the U.S. National Vital Statistics System and an estimate of state-level household firearm ownership rate were used to conduct hierarchical age-period-cohort (random-effects) modeling of firearm suicide mortality between 2001 and 2016. Models were adjusted for individual-level race and sex and for state-level poverty rate, unemployment rate, median household income in U.S. dollars, population density, and elevation.

RESULTS

Between 2001 and 2016, the crude national firearm suicide mortality rate increased from 6.8 to 8.0 per 100,000, and household firearm ownership rate remained relatively stable, at around 40%. Both variables were markedly heterogeneous and correlated at the state level. Age-period-cohort models revealed period effects (affecting people across ages) and cohort effects (affecting specific birth cohorts) underlying the recent increases in firearm suicide. Individuals born after 2000 had higher firearm suicide rates than most cohorts born before. A 2001-2006 decreasing period effect was followed, after 2009, by an increasing period effect that peaked in 2015. State-level household firearm ownership rates and trends did not explain cohort effects and only minimally explained period effects.

CONCLUSIONS

State-level firearm ownership rates largely explain the state-level differences in firearm suicide but only marginally explain recent increases in firearm suicide. Although firearms in the home increase firearm suicide risk, the recent national rise in firearm suicide might be the result of broader, more distal causes of suicide risk.