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Research Letter| Volume 59, ISSUE 5, P770-772, November 2020

Unspecified Firearm Type for Firearm Suicides in the National Vital Statistics System: A County-Level Analysis

  • Alice M. Ellyson
    Correspondence
    Address correspondence to: Alice M. Ellyson, MS, PhD, M/S CW8-5, PO Box 5371, Seattle WA 98145-5005.
    Affiliations
    Center for Child Health, Behavior, and Development, Seattle Children's Research Institute, Seattle, Washington

    Firearm Injury and Policy Research Program, Harborview Injury Prevention and Research Center, University of Washington, Seattle, Washington
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  • Emma L. Gause
    Affiliations
    Firearm Injury and Policy Research Program, Harborview Injury Prevention and Research Center, University of Washington, Seattle, Washington

    Department of Epidemiology, University of Washington, Seattle, Washington

    Department of Geography, University of Washington, Seattle, Washington
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  • Ali Rowhani-Rahbar
    Affiliations
    Firearm Injury and Policy Research Program, Harborview Injury Prevention and Research Center, University of Washington, Seattle, Washington

    Department of Epidemiology, University of Washington, Seattle, Washington

    Department of Pediatrics, University of Washington, Seattle, Washington
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  • Frederick Rivara
    Affiliations
    Center for Child Health, Behavior, and Development, Seattle Children's Research Institute, Seattle, Washington

    Firearm Injury and Policy Research Program, Harborview Injury Prevention and Research Center, University of Washington, Seattle, Washington

    Department of Epidemiology, University of Washington, Seattle, Washington

    Department of Pediatrics, University of Washington, Seattle, Washington
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Published:September 30, 2020DOI:https://doi.org/10.1016/j.amepre.2020.05.016
      Intentional self-harm with a firearm comprised 24,438 of 48,312 (50.6%) U.S. suicide deaths in 2018.

      CDC. Multiple Cause of Death 1999-2018 on CDC WONDER Online Database, released in 2020. Data are from the Multiple Cause of Death Files, 1999–2019, as compiled from data provided by the 57 vital statistics jurisdictions through the Vital Statistics Cooperative. https://wonder.cdc.gov/mcd-icd10.html. Published 2020. Accessed March 28, 2020.

      ,
      • Xu J
      • Murphy SL
      • Kockanek KD
      • Arias E.
      Mortality in the United States, 2018.
      However, information about the type of firearm used in firearm death is limited, inhibiting the evaluation of policies to combat this growing public health problem. Firearm laws are often narrow, applying to certain firearms. For example, as of 2020, 7 of the 12 states with a permit-to-purchase law only require a permit for handguns. Research evaluating the impact of firearm policy on firearm death using the National Vital Statistics System (NVSS) has typically evaluated all firearm deaths regardless of firearm type.
      • Kaufman EJ
      • Morrison CN
      • Branas CC
      • Wiebe DJ
      State firearm laws and interstate firearm deaths from homicide and suicide in the United States: a cross-sectional analysis of data by county.
      • Rosengart M
      • Cummings P
      • Nathens A
      • Heagerty P
      • Maier R
      • Rivara F
      An evaluation of state firearm regulations and homicide and suicide death rates.
      • Rudolph KE
      • Stuart EA
      • Vernick JS
      • Webster DW
      Association between Connecticut's permit-to-purchase handgun law and homicides.
      The saliency of firearm policy may only be present for a subset of those deaths. The estimated impact of these policies would be notably more precise and less biased if firearm type were more frequently classified and available to researchers. This study explores geographic and temporal variation in the proportion of firearm suicides classified as unspecified in NVSS data.
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      REFERENCES

      1. CDC. Multiple Cause of Death 1999-2018 on CDC WONDER Online Database, released in 2020. Data are from the Multiple Cause of Death Files, 1999–2019, as compiled from data provided by the 57 vital statistics jurisdictions through the Vital Statistics Cooperative. https://wonder.cdc.gov/mcd-icd10.html. Published 2020. Accessed March 28, 2020.

        • Xu J
        • Murphy SL
        • Kockanek KD
        • Arias E.
        Mortality in the United States, 2018.
        NCHS Data Brief. 2020; (Accessed XXX): 1-8
        • Kaufman EJ
        • Morrison CN
        • Branas CC
        • Wiebe DJ
        State firearm laws and interstate firearm deaths from homicide and suicide in the United States: a cross-sectional analysis of data by county.
        JAMA Intern Med. 2018; 178: 692-700
        • Rosengart M
        • Cummings P
        • Nathens A
        • Heagerty P
        • Maier R
        • Rivara F
        An evaluation of state firearm regulations and homicide and suicide death rates.
        Inj Prev. 2005; 11: 77-83
        • Rudolph KE
        • Stuart EA
        • Vernick JS
        • Webster DW
        Association between Connecticut's permit-to-purchase handgun law and homicides.
        Am J Public Health. 2015; 105: e49-e54
        • Hanlon TJ
        • Barber C
        • Azrael D
        • Miller M
        Type of firearm used in suicides: findings from 13 states in the National Violent Death Reporting System, 2005–2015.
        J Adolesc Health. 2019; 65: 366-370
        • Nestadt PS
        • MacKrell K
        • McCourt AD
        • Fowler DR
        • Crifasi CK
        Prevalence of long gun use in Maryland firearm suicides.
        Inj Epidemiol. 2020; 7: 4