Evidence map›Paper›PMID 41127329›Full record

ReviewLancet regional health. Americas2025

Firearm-related violence in the Caribbean is a complex systemic issue: how do we move towards a solution?

Natasha P Sobers, Joeleita Agard, Katrina Norville, Anne-Séverine Fabre, Nicolas Florquin, Callixtus Joseph, Madeleine Joseph, Maria Garcia-Joseph, Reginald King, P Jason Toppin and 2 more

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Lancet regional health. Americas, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

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.

Natasha P SobersGeorge Alleyne Chronic Disease Research Centre, Caribbean Institute for Health Research, The University of the West Indies, Cave Hill Campus, Barbados.
Joeleita AgardGeorge Alleyne Chronic Disease Research Centre, Caribbean Institute for Health Research, The University of the West Indies, Cave Hill Campus, Barbados.
Katrina NorvilleGeorge Alleyne Chronic Disease Research Centre, Caribbean Institute for Health Research, The University of the West Indies, Cave Hill Campus, Barbados.
Anne-Séverine FabreSmall Arms Survey, Graduate Institute of International and Development Studies, Geneva, Switzerland.
Nicolas FlorquinSmall Arms Survey, Graduate Institute of International and Development Studies, Geneva, Switzerland.
Callixtus JosephCaribbean Community Implementation Agency for Crime and Security, Trinidad and Tobago.
Madeleine JosephDepartment of Emergency Medicine, Princess Margaret Hospital, Nassau, Bahamas.
Maria Garcia-JosephThe Caribbean Public Health Agency, Trinidad and Tobago.
Reginald KingFaculty of Medical Sciences, The University of the West Indies, Cave Hill Campus, Barbados.
P Jason ToppinDepartment of Anaesthesia, University Hospital of the West Indies, Kingston, Jamaica.
Hugh WongDepartment of Emergency Medicine, Kingston Public Hospital, Kingston, Jamaica.
Simon G AndersonGeorge Alleyne Chronic Disease Research Centre, Caribbean Institute for Health Research, The University of the West Indies, Cave Hill Campus, Barbados.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the Caribbean, gun violence has reached crisis levels and regional heads of government have called for a public health approach to inform prevention and control. We describe the work of a multisectoral group convened to develop a "Pathway to Policy" to inform the regional approach. We utilized a systems mapping technique to inform our understanding of firearm-related crimes and injuries based on the expertise of stakeholders. The analysis is informed by publicly available data from thirteen countries of the Caribbean Community. Feedback loops showed that firearm-related crimes increased the chances of household poverty, national economic costs, deaths and disability and promoted a culture of violence, all of which reinforced gun violence. Interventions to reduce illicit access and use of firearms, social development programs, and investment in educational systems may balance rates of gun violence. We call for greater attention to the equilibrium between crime response strategies and prevention approaches.

Indexed as

Culture of violenceExcessive incarcerationsFirearm-related injuriesPublic health approachSystems thinking

Identifiers

PMID41127329
PMCPMC12539316

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

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.