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Associations between nonfatal firearm injuries and risk of subsequent suicide among Veteran VA users: A retrospective cohort study

Associations between nonfatal firearm injuries and risk of subsequent suicide among Veteran VA... INTRODUCTIONFirearm injuries are a frequent occurrence in the United States. Each year, for the 10‐year period between 2011 and 2020, an average of 37,250 people died and an estimated 108,309 more incurred serious but nonfatal firearm injuries.1 Of the estimated number of nonfatal firearm injuries during this time, approximately 42% were treated and released from emergency department (ED) settings, while another 56% were transferred or hospitalized.1 The majority of fatal firearm injuries are due to intentional self‐harm (suicide), while large proportions of nonfatal firearm injuries are categorized as assaults or unintentional.1,2 Regardless of intent, nonfatal firearm injuries are often severe—requiring emergency services and hospitalizations—and lead to poor behavioral or mental health outcomes.3,4 Preexisting behavioral or mental health conditions, such as a substance use disorder (SUD), may also put these individuals at higher risk for nonfatal firearm injuries.5 As such, patients with a history of nonfatal firearm injury may be at high risk of poor health outcomes and, relatedly, subsequent injury.Suicide is a leading cause of death in the United States and is inextricably linked with both access to lethal means, such as firearms, and prior physical and psychological trauma.1,6,7 This constellation of risk is especially prevalent in U.S. military http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Academic Emergency Medicine Wiley

Associations between nonfatal firearm injuries and risk of subsequent suicide among Veteran VA users: A retrospective cohort study

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Publisher
Wiley
Copyright
Copyright © 2023 Society for Academic Emergency Medicine
ISSN
1069-6563
eISSN
1553-2712
DOI
10.1111/acem.14711
Publisher site
See Article on Publisher Site

Abstract

INTRODUCTIONFirearm injuries are a frequent occurrence in the United States. Each year, for the 10‐year period between 2011 and 2020, an average of 37,250 people died and an estimated 108,309 more incurred serious but nonfatal firearm injuries.1 Of the estimated number of nonfatal firearm injuries during this time, approximately 42% were treated and released from emergency department (ED) settings, while another 56% were transferred or hospitalized.1 The majority of fatal firearm injuries are due to intentional self‐harm (suicide), while large proportions of nonfatal firearm injuries are categorized as assaults or unintentional.1,2 Regardless of intent, nonfatal firearm injuries are often severe—requiring emergency services and hospitalizations—and lead to poor behavioral or mental health outcomes.3,4 Preexisting behavioral or mental health conditions, such as a substance use disorder (SUD), may also put these individuals at higher risk for nonfatal firearm injuries.5 As such, patients with a history of nonfatal firearm injury may be at high risk of poor health outcomes and, relatedly, subsequent injury.Suicide is a leading cause of death in the United States and is inextricably linked with both access to lethal means, such as firearms, and prior physical and psychological trauma.1,6,7 This constellation of risk is especially prevalent in U.S. military

Journal

Academic Emergency Medicine – Wiley

Published: Apr 1, 2023

Keywords: firearm injury; prevention; suicide; Veteran health

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