ArticleMMWR supplements2023
Witnessing Community Violence, Gun Carrying, and Associations with Substance Use and Suicide Risk Among High School Students - Youth Risk Behavior Survey, United States, 2021.
Article in MMWR supplements, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed, 46 citations in OpenAlex.
- Assessing the association between safety perceptions and communication about sex and drugs among Black adolescents exposed to adversity.Journal of traumatic stress · 2024Trial
- Profiles of Risk: The Role of Ethnic Identity Exploration and Neighborhood Violence on Acute Mental Health Symptomatology Among Ethnic Racial Minoritized Youth.Journal of racial and ethnic health disparities · 2026Article
- Evaluation of the United States' Permitless Concealed Carry Laws and Child Health in the ECHO Cohort.Health and human rights · 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
- Changes in firearm intentions and behaviors after the 2024 United States presidential election.Injury epidemiology · 2026Article
- Structural stressors, neurocognition in reward-related decision making and substance use risk in Puerto Rican early adolescents at two sites: study design.Frontiers in public health · 2026Observational
- Intersecting harms: A structural perspective on firearm suicide among black and Latino youth in the United States.Global mental health (Cambridge, England) · 2026Review
- Effects of the Communities that Care (CTC) Prevention System on Youth Violence Outcomes in Two Violence-Impacted Denver Communities.American journal of criminal justice : AJCJ · 2026Article
- Triggered: Qualitatively exploring structural and social drivers of firearm violence exposure among LGBTQ+ young adults of color in Detroit.Social science & medicine (1982) · 2025Article
- Racial/ethnic disparities in the dose-response relationship between syndemic risk factors and increased gun carrying odds among male high school students in the United States.Preventive medicine reports · 2025Article
- Protective and risk factors of suicide in Native American youth: cross-sectional findings from a mixed-methods study.Lancet regional health. Americas · 2025Article
- The Role of Family-Level Factors in Firearm Storage Practices.Journal of community health · 2025Review
- 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
- Epidemiology of fatal and nonfatal community firearm violence in New York City, 2019-2023.Injury epidemiology · 2025Article
- A scoping review of empirical research on firearms and firearm violence among sexual and gender minority populations in the United States.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025Article
- Impact of COVID-19 school learning model on mental health, suicidal thoughts and behaviors, substance use, and violence related behaviors and experiences among U.S. high school students.PLOS mental health · 2025Article
- Anger and associated risk and protective factors among rural American adolescents: Implications for violence prevention.Preventive medicine reports · 2024Article
- Perceptions of neighborhood disorder and gun carrying during adolescence: The indirect effect of exposure to violence.Preventive medicine · 2024Article
- Spatial accessibility to gun violence exposure on walkable routes to and from school.SSM - population health · 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
Corrections and comments
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Authors and funding
11 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Community violence, including homicides involving firearms, is a significant public health concern. From 2019 to 2020, firearm-related homicides increased by 39% for youths and young adults aged 10-24 years, and rates of suicide by firearm increased by approximately 15% among the same age group. Findings from the nationally representative 2021 Youth Risk Behavior Survey were used to analyze disparities and correlates of witnessing community violence and gun carrying among a nationally representative sample of high school students. Chi-square tests and logistic regression accounting for the complex sampling of the survey were used to assess demographic differences by student sex, race and ethnicity, age, and sexual identity in ever witnessing community violence, gun carrying in the past 12 months, and their associations with substance use and suicide risk. Measures of substance use included current binge drinking and marijuana use and lifetime prescription opioid misuse and illicit drug use. Suicide risk included seriously considered attempting suicide and attempted suicide in the past 12 months. Overall, approximately 20% of students witnessed community violence and 3.5% of students carried a gun. American Indian or Alaska Native, Black, and Hispanic students were more likely to witness community violence and to report carrying a gun than their White peers. Males were more likely to witness community violence and carry a gun than females. Lesbian, gay, or bisexual students were more likely to witness community violence than their heterosexual peers. Also, witnessing community violence consistently was associated with increased odds of gun carrying, substance use, and suicide risk for both males and females and when comparing Black, White, and Hispanic students. These findings highlight the importance of comprehensive violence prevention strategies that incorporate health equity to mitigate the effects of violence exposure on substance use and suicide risk among youths.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.