Incidence, Distribution, and Lethality of Firearm Injuries in California From 2005 to 2015 | Zendy

Sarabeth A. Spitzer | Zendy; Veronica A. Pear | Zendy; Christopher D. McCort | Zendy; Garen J. Wintemute | Zendy

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Incidence, Distribution, and Lethality of Firearm Injuries in California From 2005 to 2015

Author(s) -

Sarabeth A. Spitzer,

Veronica A. Pear,

Christopher D. McCort,

Garen J. Wintemute

Publication year - 2020

Publication title -

jama network open

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.278

H-Index - 39

ISSN - 2574-3805

DOI - 10.1001/jamanetworkopen.2020.14736

Subject(s) - medicine , incidence (geometry) , emergency department , injury prevention , poison control , case fatality rate , occupational safety and health , emergency medicine , demography , ethnic group , suicide prevention , medical emergency , environmental health , population , psychiatry , physics , pathology , sociology , anthropology , optics

Key Points Question What were the trends and distributions of nonfatal firearm injuries and how lethal were firearm injuries in California from 2005 to 2015? Findings This serial cross-sectional study including 81 085 firearm-related emergency department visits and hospitalizations found that nonfatal firearm injuries decreased by 38.1% between 2005 and 2015, driven by a 46.4% decrease in assaultive injuries; self-inflicted injuries decreased by 13.4% and unintentional injuries decreased by 12.7%. However, the overall case fatality ratio increased a relative 20.7%, while the clinical case fatality ratio remained stable. Meaning These findings suggest that although the number of firearm injuries has decreased in California, the lethality of these injuries has not; studies from other states could help clarify national trends.

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