Evidence map›Paper›PMID 39358039›Full record

Trial reportInjury prevention : journal of the International Society for Child and Adolescent Injury Prevention2026

Population-level effects on crime of recovering firearms from armed prohibited persons: intention-to-treat analysis of a pragmatic cluster-randomised trial in California cities.

Garen J Wintemute, Daniel Tancredi, Veronica A Pear, Yueju Li, Christopher D McCort, Glenn Pierce, Anthony A Braga, Mona A Wright, Hannah Laqueur, Nicole Kravitz-Wirtz and 2 more

Registry-linked trialAbstract readRandomized Controlled TrialPragmatic Clinical Trial
In one paragraph

Trial report in Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02318732 (Prospective Evaluation of California's Armed and Prohibited Persons System), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT02318732 naactive not recruitingnot on this map

Prospective Evaluation of California's Armed and Prohibited Persons System

TypeinterventionalSponsorUniversity of California, DavisRan2015 to 2026Enrolled20,000ConditionsViolenceArmsAPPS intervention
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Garen J WintemuteViolence Prevention Research Program, University of California Davis School of Medicine, Sacramento, California, USA gjwintemute@ucdavis.edu.ORCID 0000-0001-6748-8512
Daniel TancrediDepartment of Pediatrics, University of California Davis School of Medicine, Sacramento, California, USA.
Veronica A PearViolence Prevention Research Program, University of California Davis School of Medicine, Sacramento, California, USA.ORCID 0000-0002-2462-3785
Yueju LiDepartment of Public Health Sciences, University of California Davis School of Medicine, Davis, California, USA.
Christopher D McCortViolence Prevention Research Program, University of California Davis School of Medicine, Sacramento, California, USA.
Glenn PierceSchool of Criminology and Criminal Justice, Northeastern University-Boston Campus, Boston, Massachusetts, USA.
Anthony A BragaDepartment of Criminology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Mona A WrightViolence Prevention Research Program, University of California Davis School of Medicine, Sacramento, California, USA.
Hannah LaqueurViolence Prevention Research Program, University of California Davis School of Medicine, Sacramento, California, USA.ORCID 0000-0001-5331-8627
Nicole Kravitz-WirtzViolence Prevention Research Program, University of California Davis School of Medicine, Sacramento, California, USA.ORCID 0000-0002-7827-0196
David StuddertSchool of Medicine, Stanford University, Stanford, California, USA.ORCID 0000-0003-0585-5537
Laurel BeckettDepartment of Public Health Sciences, University of California Davis School of Medicine, Davis, California, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundToo little is known about the effectiveness of efforts to prevent firearm violence. We evaluated California's Armed and Prohibited Persons System (APPS), which identifies legal purchasers of firearms who have become prohibited persons and seeks to recover all firearms and ammunition to which they have access. DESIGN AND

methodsThis cluster-randomised pragmatic trial was made possible by APPS's expansion from a small pilot to a continuing statewide programme. We included 363 California cities, allocated to early (n=187) or later (n=176) intervention in blocks stratified by region within the state, and within region by population and violent crime rate. The study period began 1 February 2015; region-specific end dates ranged from 1 May 2015 to 1 February 2016. Analysis was on an intention-to-treat, difference-in-difference basis using generalised linear mixed models and generalised estimating equations with robust SEs. The population-level primary outcome measures were monthly city-level counts of firearm-related homicides, robberies and aggravated assaults. The primary model was adjusted for stratification variables; city-level population, population density, socioeconomic status and firearm purchasing; year; and month.

findingsAllocation groups were well balanced on baseline characteristics and implementation measures. In adjusted models, allocation to early intervention was not associated with statistically significant differences in any primary outcome measure; these findings were robust to multiple sensitivity analyses. There was some heterogeneity across regions.

conclusionsThe APPS intervention directly affects a very small percentage of the population, limiting its potential for population-level effects. Individual-level analyses may provide a better estimate of the intervention's effectiveness. TRIAL REGISTRATION NUMBER: NCT02318732.

Indexed as

CrimeFirearmsWounds, GunshotCaliforniaCitiesFemaleHumansIntention to Treat AnalysisMaleEnforcementFirearmPolicyRandomized TrialViolence

Identifiers

PMID39358039
PMCPMC13217061

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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.