ArticleInjury prevention : journal of the International Society for Child and Adolescent Injury Prevention2020
Firearm access and adolescent suicide risk: toward a clearer understanding of effect size.
Article in Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
32 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Actionable Steps for Preventing Firearm Suicides among Adolescents and Young Adults.North Carolina medical journal · 2023Pooled it
- Lock and Protect, Reducing Access to Adolescent Means of Suicide: A Pilot Feasibility Study.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026Article
- Firearm Storage in Households With Children.JAMA network open · 2026Article
- Cognitive and Socioenvironmental Factors Associated with Suicide Ideation in Adolescents.Journal of youth and adolescence · 2026Article
- A Qualitative Examination of Storage Practices of Women Firearm Owners in New Jersey and Ohio to Inform Suicide Prevention.AJPM focus · 2026Article
- Seeing the similarities: Applying a coherent lens to harmful products as drivers of suicide.PLOS global public health · 2026Article
- Exploring the neurobiological markers of suicidal behaviors in pediatric population: a narrative review.Frontiers in pediatrics · 2026Review
- Intersecting harms: A structural perspective on firearm suicide among black and Latino youth in the United States.Global mental health (Cambridge, England) · 2026Review
- Suicide in subjects under the age of 30: a retrospective analysis.International journal of legal medicine · 2025Article
- A National Evaluation of the Impact of Child Access Prevention Laws on Rates of Youth Suicide and Other Youth Firearm Deaths.Journal of the American Academy of Child and Adolescent Psychiatry · 2025Article
- The effect of child access prevention laws on adolescent suicide: a negative control approach.Injury epidemiology · 2025Article
- Policy and Health Justice: A Conceptual Model Relating the Legislative Climate to the Suicide Disparity Among Transgender and Gender Diverse Youth.Transgender health · 2025Article
- Prevalence of exposure to someone else's firearm violence, threats, and risky behavior among a national sample of young people in the United States.Frontiers in public health · 2025Article
- How firearm legislation impacts firearm mortality internationally: A scoping review.Health policy OPEN · 2024Article
- Adolescent firearm suicides in the United States: exploring racial and ethnic differences, 2004-2020.Youth & society · 2024Article
- Article
- Trends in Adolescent Suicide by Method in the US, 1999-2020.JAMA network open · 2024Article
- Firearm screening in pediatric patients.Frontiers in pediatrics · 2024Article
- Article
- Suicide-related behavior and firearm access among perpetrators of domestic violence subject to domestic violence protection orders.Preventive medicine reports · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundStrong and consistent associations between access to firearms and suicide have been found in ecologic and individual-level observational studies. For adolescents, a seminal case-control study estimated that living in a home with (vs without) a firearm was associated with a fourfold increase in the risk of death by suicide.
methodsWe use data from a nationally representative study of 10 123 US adolescents aged 13-18 years to (1) measure how much adolescents who live in a home with a firearm differ from those who do not in ways related to their risk of suicide, and (2) incorporate these differences into an updated effect estimate of the risk of adolescent suicide attributable to living in a home with firearms.
resultsAlmost one-third (30.7%) of adolescents reported living in a home with firearms. Relative to those who did not, adolescents reporting living in a home with a firearm were slightly more likely to be male, older and reside in the South and rural areas, but few differences were identified for mental health characteristics. The effect size found by Brent and colleagues appeared robust to sources of possible residual confounding: updated relative risks remained above 4.0 across most sensitivity analyses and at least 3.1 in even the most conservative estimates.
conclusionsAlthough unmeasured confounding and other biases may nonetheless remain, our updated estimates reinforce the suggestion that adolescents' risk of suicide was increased threefold to fourfold if they had lived in homes with a firearm compared with if they had not.
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