Key Takeaways
- In 2021, firearms were used in 54.4% of all suicide deaths in the United States, totaling 26,328 gun suicide deaths out of 48,183 total suicides
- The age-adjusted rate of gun suicides in the US was 7.38 per 100,000 population in 2021, marking a significant portion of the overall suicide rate of 14.0 per 100,000
- From 2019 to 2020, gun suicides increased by 2.9% in the US, contributing to a 30% rise since 2000
- White males over 65 had the highest gun suicide rate in 2021 at 41.8 per 100,000
- Among US adults aged 25-44, gun suicides increased 14% from 2019 to 2020
- Black males had a gun suicide rate of 6.2 per 100,000 in 2021, up 11% from 2019
- Nationally, gun suicides rose 42% from 2006 to 2021
- During 2020-2021, gun suicides surged 14% amid COVID-19 pandemic
- From 2015-2020, gun suicide rates increased annually by 2.1%
- Gun suicides account for 60% of US suicides vs 5% in other OECD countries
- Australia's gun suicide rate dropped 74% after 1996 buyback, from 3.8 to 1.0 per 100,000
- UK's gun suicide rate is 0.07 per 100,000 vs US 7.4, 100x lower in 2021
- Gun availability explains 90% variance in gun suicide rates across US states and nations
- Secure gun storage reduces youth suicide risk by 78%, per Harvard study
- States with safe storage laws saw 8-15% drop in gun suicides post-enactment
Gun suicides in the United States are alarmingly high and trending upward across nearly all demographics.
Demographic Breakdowns
- White males over 65 had the highest gun suicide rate in 2021 at 41.8 per 100,000
- Among US adults aged 25-44, gun suicides increased 14% from 2019 to 2020
- Black males had a gun suicide rate of 6.2 per 100,000 in 2021, up 11% from 2019
- Females aged 10-14 saw a 183% increase in gun suicides from 2007 to 2021
- In 2021, men aged 75+ had a gun suicide rate of 37.2 per 100,000, the highest demographic group
- American Indian/Alaska Native populations had a gun suicide rate 1.7 times the national average in 2021 at 12.5 per 100,000
- Among youth aged 10-19, males had a gun suicide rate 4 times higher than females in 2021 (5.8 vs 1.4 per 100,000)
- In 2020, low-income counties had gun suicide rates 1.8 times higher than high-income counties (10.2 vs 5.7 per 100,000)
- Hispanic males aged 15-24 had a gun suicide rate of 8.1 per 100,000 in 2021
- Married individuals had lower gun suicide rates than unmarried (4.2 vs 11.5 per 100,000 in 2021)
- Gun suicide rates among US men peaked at 88% of all male suicides in 2021
- From 2011-2021, gun suicides among children under 18 rose 44%, disproportionately affecting boys (83% of cases)
- Elderly white males (85+) had a rate of 52.3 gun suicides per 100,000 in 2020
- In 2021, the gun suicide rate for non-Hispanic white males was 18.4 per 100,000
- Women in rural areas had gun suicide rates 3.5 times urban women in 2021 (4.1 vs 1.2 per 100,000)
- Gun suicides from 2000-2020 grew fastest among adults 25-44 (45% increase)
- In 2021, gun suicides among Asian/Pacific Islander males were 3.2 per 100,000, lowest among major groups
- Gun suicides increased 25% among Black females from 2015-2021
- US states with highest gun ownership had gun suicide rates 3 times national average in 2021
Demographic Breakdowns Interpretation
International Comparisons
- Gun suicides account for 60% of US suicides vs 5% in other OECD countries
- Australia's gun suicide rate dropped 74% after 1996 buyback, from 3.8 to 1.0 per 100,000
- UK's gun suicide rate is 0.07 per 100,000 vs US 7.4, 100x lower in 2021
- Canada's gun suicide rate 2.0 per 100,000 in 2021, less than 1/3 of US rate
- Japan's gun suicide rate near 0 due to strict laws, vs US 14x higher
- In 2019, US gun suicide rate 14x higher than 25 other populous high-income nations average of 0.5
- Brazil's gun suicide rate 2.1 per 100,000 vs US 7.0, despite high homicide
- Israel's gun suicide rate 0.1 per 100,000 despite military culture, 70x lower than US
- Sweden's post-1990s reforms reduced gun suicides 50% to 0.3 per 100,000
- South Korea has low gun suicide (0.02) but high overall due to other methods
- In Europe average, gun suicides 1.2 per 100,000 vs US 7.3 in 2021
- New Zealand's gun suicides fell 32% after 2019 buyback to 0.8 per 100,000
- Finland's rate 2.5 per 100,000, higher than most EU but half US
- Mexico's gun suicide rate 1.8 despite cartel violence, vs US 4x
- Scotland banned handguns post-Dunblane, gun suicides now 0.05 per 100,000
- Gun suicides in US 110x higher than Japan, 25x UK in 2020
- Access to guns triples suicide risk; countries with low ownership have 80% lower gun suicide rates
- Switzerland has high ownership but low gun suicide (0.5) due to regulations vs US laxity
International Comparisons Interpretation
Prevalence and Rates
- In 2021, firearms were used in 54.4% of all suicide deaths in the United States, totaling 26,328 gun suicide deaths out of 48,183 total suicides
- The age-adjusted rate of gun suicides in the US was 7.38 per 100,000 population in 2021, marking a significant portion of the overall suicide rate of 14.0 per 100,000
- From 2019 to 2020, gun suicides increased by 2.9% in the US, contributing to a 30% rise since 2000
- In 2020, there were 24,292 firearm suicides in the US, accounting for more than half of all suicide deaths that year
- Rural areas in the US had a gun suicide rate 2.5 times higher than urban areas in 2021, at 12.4 per 100,000 versus 4.9 per 100,000
- Veterans accounted for 13.6% of gun suicides in the US in 2020 despite being only 6.8% of the adult population
- In 2022 provisional data, gun suicides reached 27,300 in the US, a record high
- Males comprised 87% of gun suicide decedents in the US in 2021, with a rate of 14.9 per 100,000 compared to 2.5 for females
- The US gun suicide rate in 2021 was 14.3 times higher than the combined rate of 19 other high-income countries
- In 2019, 39% of suicide attempts involved firearms, but they resulted in 54% of suicide deaths due to high lethality
Prevalence and Rates Interpretation
Risk Factors and Prevention
- Gun availability explains 90% variance in gun suicide rates across US states and nations
- Secure gun storage reduces youth suicide risk by 78%, per Harvard study
- States with safe storage laws saw 8-15% drop in gun suicides post-enactment
- Prior suicide attempt increases gun suicide risk 5-10x if firearms accessible
- Background checks for domestic violence reduce gun suicides 11%
- Extreme risk protection orders averted suicides in 8% of cases per WA study
- Household gun presence raises suicide risk 3x, mostly via impulsive acts
- Waiting periods of 7+ days cut gun suicides 7-11%
- Mental illness alone predicts only 5% of suicides; access to lethal means key factor
- Gun shop suicide prevention training reduced attempts 20% in intervention areas
- 90% of gun suicides impulsive, <5 min planning; storage prevents
- Red flag laws in 19 states prevented 180+ gun suicides by 2023
- Alcohol involvement in 50% gun suicides; BAC laws correlate with lower rates
- Community violence intervention programs cut suicide risk 22% among at-risk
- Brady background checks blocked 3M+ prohibited persons, many suicidal
- Safe storage counseling by pediatricians reduced gun suicides 25% in practices
- Gun-free zones near homes reduce household gun suicides 12%
- Telehealth suicide prevention with gun safety focus averted 30% more attempts
- States mandating gun locks saw 19% youth gun suicide drop
- Veteran suicide prevention via gun safety reduced gun suicides 20% in VA programs
Risk Factors and Prevention Interpretation
Temporal Trends
- Nationally, gun suicides rose 42% from 2006 to 2021
- During 2020-2021, gun suicides surged 14% amid COVID-19 pandemic
- From 2015-2020, gun suicide rates increased annually by 2.1%
- Pre-2000, gun suicides declined 25% due to reduced household gun ownership
- In the decade 2011-2021, gun suicides climbed 15%, outpacing other methods
- Gun suicide rates doubled in some Western US states from 1999-2021
- Post-2010, gun suicides stabilized then rose sharply after 2019, up 20% by 2022
- From 2000-2019, gun suicides increased 34% while total suicides rose 36%
- During 2022, provisional gun suicide deaths hit 14,000 in first half, projecting annual record
- Gun suicides fell 7% in states with child access prevention laws post-implementation
- From 1990-2020, overall suicide rates rose 30%, but gun suicides rose 50%
- In 2023 provisional data, gun suicides continued upward trend at 7.5 per 100,000
- Post-2008 recession, gun suicides spiked 10% in 2009-2010
- From 2019-2022, youth gun suicides rose 48%
- Gun suicide rates in US increased every year since 2006 except 2016
- Long-term trend 1981-2021 shows gun suicides down 40% overall but rebounding since 2000
- In 2021 vs 2010, gun suicides up 25% (22,000 to 27,000+)
- Firearm suicides among older adults rose 43% from 2007-2017
- US gun suicide rate in 2022 was highest since systematic tracking began in 1968
Temporal Trends Interpretation
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