ArticlePreventive medicine2020
Rates and correlates of risky firearm behaviors among adolescents and young adults treated in an urban emergency department.
Article in Preventive medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
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Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it.
- United States Emergency Department Screening for Drug Use Among Assault-Injured Individuals: A Systematic Review.The western journal of emergency medicine · 2022Pooled it
- Efficacy of Technology-Augmented Behavioral Counseling for Risky Firearm Behaviors: A Randomized Clinical Trial.JAMA pediatrics · 2026Article
- Network analysis of risk factors for firearm assault.Journal of behavioral medicine · 2026Article
- Protective Factors Against Violence and Substance Use in Adolescents: A Latent Class Analysis.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2026Article
- Community violence intervention: measuring risk & protective factors for gun use among program participants.Health & justice · 2026Review
- Examining longitudinal associations between polysubstance use and firearm-related risk behaviors from adolescence into emerging adulthood: a group-based multi-trajectory modeling approach.Injury epidemiology · 2025Article
- Evaluating a Digital Intervention to Reduce Aggression and Pro-Firearm Violence Attitudes Among Young Black Males: Pretest-Posttest Feasibility Study.JMIR pediatrics and parenting · 2025Article
- The role of prevention and policy in protecting teens from motor vehicle crash and firearm injuries and deaths.Pediatric research · 2025Article
- Trends and Disparities in Firearm Injuries Among Emerging Adults: A 15-Year Analysis of Emergency Department Admissions in the U.S.AJPM focus · 2025Article
- In-person and media gun violence exposure in the United States: prevalence and disparities in a nationally representative, cross-sectional sample of adults.Lancet regional health. Americas · 2025Article
- Racialized economic segregation and youth firearm carriage: community violence as a mediator.Journal of behavioral medicine · 2025Article
- A Qualitative Scoping Review of Community Firearm Violence in Low-Income Settings.Journal of community health · 2025Article
- Firearm possession among emergency department youth and young adults: A latent class analysis.Preventive medicine · 2025Article
- Evaluating an App-Based Intervention for Preventing Firearm Violence and Substance Use in Young Black Boys and Men: Usability Evaluation Study.JMIR formative research · 2024Article
- Association between community violence exposure and teen parental firearm ownership: data from a nationally representative study.Injury epidemiology · 2024Article
- Long gun violence in California versus Texas: How legislation can reduce firearm violence.Surgery open science · 2024Article
- Exposure to Neighborhood Violence and Gun Carrying Among Adolescents in the United States: Findings From A Population-Based Study.Journal of interpersonal violence · 2024Article
- Impact of firearm injury in children and adolescents on health care costs and use within a family.Preventive medicine · 2023Article
- Identity, experience, and threat: Assessing key correlates of firearm ownership and related behaviors in a representative sample of five US States.Preventive medicine reports · 2023Article
- Understanding factors associated with firearm possession: Examining differences between male and female adolescents and emerging adults seeking emergency department care.Preventive medicine · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
Firearm violence is a leading cause of death for urban adolescents and young adults (A/YAs). Little is known about patterns of risky firearm behaviors (RFBs) that may increase firearm-related fatality and non-fatal injury risk. To inform prevention efforts, we examined the rates and correlates of RFBs, including firearm carriage in risky situations (e.g., while drunk/high), discharge in risky situations (e.g., fleeing police), and firearm aggression (e.g., firearm threats/use against a partner/non-partner), among a sample of A/YAs (age-16-29) seeking medical or injury related care (7/2017-6/2018) at a Level-1 urban Emergency Department (ED). In total, 1312 A/YAs completed the survey (mean-age 23.2; 29.6%-male; 50.5%-Black; 56.3%-public assistance), with 102 (7.8%) engaging in RFBs. Among those engaging in RFBs, 42% reported firearm ownership, 68.6% firearm carriage in high-risk situations, 39.2% firearm discharge in risky situations, and 41.2% reported partner/non-partner firearm aggression. Regression identified RFBs correlates, including older age (AOR = 1.09), male sex (AOR = 1.63), Black race/ethnicity (AOR = 2.01), substance misuse (AOR = 2.75), attitudes favoring firearm use/retaliation (AOR = 1.38), peer firearm ownership/carriage (AOR = 3.26), higher levels of community violence exposure (AOR = 1.05), and active parole/probation (AOR 2.38). Higher coping skills were protective for RFBs (AOR = 0.83). Overall, we found that A/YAs seeking urban ED treatment reported elevated RFB rates, emphasizing the need for novel prevention initiatives, especially those incorporating tailored content addressing substance use, retaliatory violence, and peer delinquency/norms, while enhancing self-efficacy for avoiding RFBs and providing access to external resources within a resiliency-based framework. Such prevention approaches may be a critical step towards addressing the public health problem of firearm violence. Primary Funding Sources: NIH/NIDA K23DA039341; NIH/NCATS UL1TR000433.
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