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   1 ides in the United States in 2014 involved a firearm.                                                
     2 the type of instrument used: edged weapon or firearm.                                                
     3 easy access to and the ability to shoot that firearm.                                                
     4 a shooting victim or a suspect discharging a firearm.                                                
     5 ), loading a firearm, and postdischarge of a firearm.                                                
     6 on of individuals suspected of discharging a firearm.                                                
     7 the type of instrument used: edged weapon or firearm.                                                
     8 ion of a purchase and final acquisition of a firearm.                                                
     9 than those in noninfantry positions to use a firearm.                                                
    10 ppropriateness of provider discussions about firearms.                                               
    11 known cause of death, 62% were attributed to firearms.                                               
    12  and also initiated a program for buyback of firearms.                                               
    13 licitly require offenders to surrender their firearms.                                               
    14 iate for providers to talk to patients about firearms.                                               
    15 the health and public health consequences of firearms.                                               
    16 ing diagnosis of self-inflicted injuries via firearms.                                               
    17 e; half of these suicides involve the use of firearms.                                               
    18  and/or alcohol or substance abuse to obtain firearms.                                               
    19  at the same time as the greater exposure to firearms.                                               
    20 99 to 2013, 462,043 Americans were killed by firearms.                                               
  
  
    23 ients on preventing deaths and injuries from firearms, 58% reported never asking whether patients hav
    24 tified, most incidents were committed with a firearm (88.2%) and perpetrated by males (91.4%), those 
  
  
  
  
    29 ent curtails legislation broadly restricting firearm access in the United States, the emphasis is shi
  
    31 e of death among US adolescents, and in-home firearm access is an independent risk factor for suicide
  
  
    34  a firearm and responded to a question about firearm access; 1089 (40.9%) of those adolescents report
  
    36 ly studies that used interviews to determine firearm accessibility were considered, the pooled OR for
    37 ia, and Puerto Rico and the Federal National Firearms Act were surveyed, with particular attention pa
    38  Laws requiring at-risk persons to surrender firearms already in their possession were associated wit
    39 R particles originating from three different firearm-ammunition combinations (0.38 in., 0.40 in., and
    40 luding 135 patients who had been shot with a firearm and 274 community controls, during 2008-2011.   
    41 tween a subject who has handled and loaded a firearm and a subject who has had no contact with GSR sh
  
    43 rvey sample reported living in a home with a firearm and responded to a question about firearm access
  
    45 V-related restraining orders from possessing firearms and also require them to relinquish firearms in
    46 ans from asking or counseling patients about firearms and disclosing patient information about firear
    47 d States frequently have access to unsecured firearms and frequently consume media containing guns.  
  
    49 s and reported practice behaviors related to firearms and their opinions about contributors and publi
    50 imating the time since the last discharge of firearms and/or spent cartridges may be a useful piece o
  
  
    53 ed their last firearm; if they purchased the firearm; and whether, as part of that acquisition, they 
  
  
  
    57 ms (with rare exceptions), may counsel about firearms as they do about other health matters, and may 
  
  
    60  firearm suicide rates indicate that greater firearm availability is associated with higher firearm s
  
    62  of at-risk individuals to already purchased firearms by engaging the public and major stakeholders r
  
  
  
  
    67 s through initiatives such as the passage of firearm control laws, detoxification of domestic gas, mo
  
    69 d abuse and neglect, overweight and obesity, firearm deaths and injuries, mental health, racial/ethni
  
    71  possible to determine whether the change in firearm deaths can be attributed to the gun law reforms.
    72 ata to examine whether a spike in accidental firearm deaths occurred at the same time as the greater 
  
    74 decade of the 21st century mask a shift from firearm deaths towards a rapid rise in nonfatal injuries
    75 ter gun law reforms), the mean rate of total firearm deaths was 1.2 (95% CI, 1.0-1.4) per 100,000 pop
  
    77 perpetrator) and in trends of rates of total firearm deaths, firearm homicides and suicides, and tota
  
  
  
  
    82 e containing GSR particles expelled during a firearm discharge was used as an analog for the clothing
  
    84 rm owners who were more likely to think that firearm discussions are at least sometimes appropriate i
    85 her income counties, decedents killed by non-firearm (e.g., Taser) versus firearm mechanisms, and dea
    86 eristics such as firearm ownership for 2013, firearm export rates, and non-firearm homicide rates for
    87  Broadly reducing availability and access to firearms has lowered firearm suicide rates in other coun
    88 thod for their initial self-harm, especially firearms, have an exceptionally high risk of suicide, pa
    89 zard ratio=7.5, 95% CI=5.5-10.1), especially firearms (hazard ratio=15.86, 95% CI=10.7-23.4; computed
    90 t this was not statistically significant for firearm homicide (ratio of trends, 0.975; 95% CI, 0.949-
    91 ship for 2013, firearm export rates, and non-firearm homicide rates for 2009, and unemployment rates 
    92  in trends of rates of total firearm deaths, firearm homicides and suicides, and total homicides and 
    93  the purchase of firearms or ammunition, and firearm identification nationally could substantially re
  
    95 sked where and when they acquired their last firearm; if they purchased the firearm; and whether, as 
  
  
    98 cide are preferred by young men: hanging and firearms in high-income countries, pesticide poisoning i
  
  
   101 firearms and also require them to relinquish firearms in their possession were associated with 9.7% l
  
  
  
   105 e/ethnicity and intent in fatal and nonfatal firearm injuries (FFIs and NFIs) in United States during
  
  
   108 differ between patients with assault-related firearm injuries (n = 339) and those with other assault-
   109  were not associated with increases in local firearm injuries (rate ratio [RR], 0.99 [CI, 0.97 to 1.0
   110 ssociated with short-term increases in local firearm injuries and whether this association differs by
  
   112 ation was driven by significant increases in firearm injuries from interpersonal violence (RR, 2.23 [
  
   114 ients with unintentional and assault-related firearm injuries was 10% and 15% (subhazard ratio, 1.88 
  
   116 and after a patient becomes hospitalized for firearm injury according to injury intent (intentional [
   117 ty-five percent of respondents believed that firearm injury is a public health issue, and 71% believe
  
   119 n programs typically focus on patients whose firearm injury occurred through interpersonal violence (
   120   Compared with the 2 weeks before, postshow firearm injury rates remained stable in regions near Cal
  
   122 ns aged 15 years or older hospitalized for a firearm injury, other injuries, or a noninjury reason fr
  
  
  
   126 ally identify a gunshot residue (GSR) when a firearm is discharged is a very important and crucial pa
  
  
  
  
   131 dy the association between state IPV-related firearm laws and IPH rates over a 25-year period (1991 t
   132      Very few of the existing state-specific firearm laws are associated with reduced firearm mortali
   133 tion between state and federal youth-focused firearm laws mandating a minimum age for the purchase or
   134 n the USA, US states have enacted a range of firearm laws to either strengthen or deregulate the exis
  
   136 ine the independent association of different firearm laws with overall firearm mortality, homicide fi
  
   138 th identifying the most effective aspects of firearm legislation and creating legislation that equall
  
   140   The politicized and controversial topic of firearm legislation has been grossly understudied when t
  
  
  
  
  
   146 y-level covariates, decedents injured by non-firearm mechanisms had higher odds of underreporting in 
   147 s killed by non-firearm (e.g., Taser) versus firearm mechanisms, and deaths recorded by a medical exa
  
   149 ew circumstances under which questions about firearms might be most appropriate if they are not asked
  
   151 s for firearm purchase could reduce national firearm mortality from 10.35 to 4.46 deaths per 100,000 
   152 We also projected the potential reduction of firearm mortality if the three most strongly associated 
  
  
   155 ost strongly associated with reduced overall firearm mortality were universal background checks for f
   156 rtality, nine were associated with increased firearm mortality, and seven had an inconclusive associa
   157 aws with overall firearm mortality, homicide firearm mortality, and suicide firearm mortality across 
   158 fic firearm laws are associated with reduced firearm mortality, and this evidence underscores the imp
   159 ation of different firearm laws with overall firearm mortality, homicide firearm mortality, and suici
   160 earm laws, nine were associated with reduced firearm mortality, nine were associated with increased f
  
   162 rreporting in the NVSS than those injured by firearms (odds ratio [OR]: 68.2; 95% CI: 15.7, 297.5; p 
  
  
   165 versal background checks for the purchase of firearms or ammunition, and firearm identification natio
  
  
   168 ated death (sHR, 4.3 [CI, 1.3 to 14.1]), and firearm- or violence-related arrest (sHR, 2.7 [CI, 2.0 t
   169 m-related death, and the combined outcome of firearm- or violence-related arrest ascertained through 
   170 f subsequent FRH, firearm-related death, and firearm- or violence-related arrest were 329 (95% CI, 14
  
   172 s of non-firearm owners and over one half of firearm owners in the United States believe that health 
  
  
   175 e attempt rates (2008-2009), higher rates of firearm ownership (assessed in 2004) were strongly assoc
   176 gating geographic and temporal variations in firearm ownership and firearm suicide rates indicate tha
   177 in states with higher than average household firearm ownership compared with states with lower than a
   178 , and state-specific characteristics such as firearm ownership for 2013, firearm export rates, and no
  
   180 the world regarding the relationship between firearm ownership rates and firearm suicide rates and th
   181 l-established relationship between household firearm ownership rates and suicide mortality persists a
  
  
  
  
  
  
  
   189 w them to identify the consequences to their firearm-possessing patients, understand their own roles 
  
   191 ), some states have adopted laws restricting firearm possession by intimate partner violence (IPV) of
   192 findings suggest that state laws restricting firearm possession by persons deemed to be at risk for p
   193 nary analysis suggests that a ban of private firearm possession, or possibly a partial reduction in g
   194  gun-related homicide rate: a ban of private firearms possession, or a policy allowing the general po
   195 rtality were universal background checks for firearm purchase (multivariable IRR 0.39 [95% CI 0.23-0.
   196 mentation of universal background checks for firearm purchase could reduce national firearm mortality
  
  
  
  
  
  
   203 hazard ratio [sHR], 21.2 [CI, 7.0 to 64.0]), firearm-related death (sHR, 4.3 [CI, 1.3 to 14.1]), and 
  
   205 ndex FRH (n = 613), rates of subsequent FRH, firearm-related death, and firearm- or violence-related 
   206    Primary outcomes included subsequent FRH, firearm-related death, and the combined outcome of firea
  
   208 ov 1, 2014, to May 15, 2015, using counts of firearm-related deaths in each US state for the years 20
  
   210 n 2005 and 2013 (n = 915 shows) and rates of firearm-related deaths, emergency department visits, and
   211 er state firearm legislation correlated with firearm-related fatality rates (FFR) during a 15-year pe
  
   213 cause-, gender-, and race-specific trends in firearm-related hospitalization (FRH) and determinants o
   214 nt victimization or crime perpetration after firearm-related hospitalization (FRH) must be determined
   215    In response to firearm violence and other firearm-related injuries and deaths, an interdisciplinar
  
  
  
   219    This study is a retrospective analysis of firearm-related injuries in residents of Cook County, Il
  
   221 e is limited information about patients with firearm-related injuries undertriaged to nondesignated f
  
   223  are 19 trauma centers, 2842 of 9886 (28.7%) firearm-related injuries were initially treated in nonde
   224 effectiveness of clinical efforts to prevent firearm-related injuries, and what patients think about 
  
  
  
  
  
   230 mate partner violence, self-directed injury, firearm-related injury, and elder physical abuse) for co
  
   232 CI, 3.4% to 15.5% reduction) and 14.0% lower firearm-related IPH rates (CI, 5.1% to 22.0% reduction) 
  
  
  
   236 States and total age-adjusted suicide rates, firearm-related suicide rates, and non-firearm-related s
  
  
  
   240 rofessionals to talk to their patients about firearms?" Results: A majority (66% [95% CI, 63% to 69%]
   241 es analysis of a casing after discharge of a firearm revealing organic signature molecules including 
  
  
   244 owners residing in states regulating private firearm sales and 57% (CI, 40% to 75%) for those living 
  
  
  
   248 cs Query and Reporting System, data about 25 firearm state laws implemented in 2009, and state-specif
   249 is to educate clinicians about the impact of firearms statutes and restrictions for their patients.  
  
  
   252 ration in the preexisting downward trend for firearm suicide (ratio of trends, 0.981; 95% CI, 0.970-0
  
  
  
   256 ide rate (IRR = 0.69; 95% CI, 0.57-0.85) and firearm suicide rate among white boys (IRR = 0.72; 95% C
  
  
  
   260 tionship between firearm ownership rates and firearm suicide rates and the potential effectiveness of
  
   262 ilability and access to firearms has lowered firearm suicide rates in other countries but does not ap
   263 temporal variations in firearm ownership and firearm suicide rates indicate that greater firearm avai
  
  
   266 ted with higher rates of overall suicide and firearm suicide, but not with nonfirearm suicide (2008-2
  
   268 t was estimated that 22% of the reduction in firearm suicides was substituted by other suicide method
   269 s were more likely to attempt suicide with a firearm than those never deployed (currently deployed: O
  
   271 ing a subject who has loaded or discharged a firearm to verify involvement in a crime, hence providin
   272 rms and disclosing patient information about firearms to others, even when threats to health and safe
   273 hich disclosure of patient information about firearms to third parties is supported by regulations im
  
  
  
  
  
   279 ause-effect relationship between exposure to firearm violence and subsequent perpetration of serious 
  
   281 ere enrolled, and presence/absence of future firearm violence during follow-up could be ascertained i
  
  
  
   285 5 risk strata observed in the training data, firearm violence rates in the validation set were 18.2% 
   286  contributors and public policies related to firearm violence, as well as physician education and tra
  
  
  
  
  
   292 to 25%) said that provider discussions about firearms were always appropriate, 14% (CI, 11% to 16%) s
   293 did not explicitly require relinquishment of firearms were associated with a non-statistically signif
   294 ian practices in asking and counseling about firearms, which are done far less commonly than recommen
   295 re providers have been encouraged to discuss firearms with patients; whether patients view these disc
   296 n, emphasizing that physicians may ask about firearms (with rare exceptions), may counsel about firea
   297 2% of current U.S. gun owners who acquired a firearm within the past 2 years did so without a backgro
   298 ers who reported obtaining their most recent firearm within the previous 2 years reported doing so wi
   299 S. gun owners who acquired their most recent firearm without a background check, by time since and ma
   300 a smaller proportion of gun owners obtaining firearms without background checks than in the past, mil
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