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Related Experiment Videos

Child and Adolescent Firearm-Related Homicide Occurring at Home.

Jordan M Rook1,2, Whitney Orji1, Savannah C Walker3

  • 1Department of Surgery, University of California, Los Angeles (UCLA) David Geffen School of Medicine, Los Angeles.

JAMA Surgery
|September 26, 2025
PubMed
Summary

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This summary is machine-generated.

Nearly a quarter of pediatric firearm homicides occur at home, with young children disproportionately affected. Domestic violence and child abuse are significant risk factors for these in-home deaths.

Area of Science:

  • Public Health
  • Criminology
  • Pediatrics

Background:

  • Firearms are the leading cause of death for children and adolescents in the U.S.
  • Pediatric firearm-related homicides often receive less research attention than mass shootings or community gun violence, particularly in-home incidents.

Purpose of the Study:

  • To analyze pediatric firearm homicides by location and sociodemographic characteristics.
  • To investigate the hypothesis that young children are more likely to die by in-home firearm homicide.

Main Methods:

  • Retrospective cohort study using the National Violent Death Reporting System Restricted Access Database (2005-2021).
  • Included victims aged 0-17 years. Analyzed in-home vs. outside-the-home homicides using multivariable logistic regression and temporal trends with linear regression.

Related Experiment Videos

Main Results:

  • Of 2196 pediatric firearm-related homicides (2020-2021), 24.4% occurred at home.
  • Younger children (0-12 years) were more likely to experience in-home homicide (63.2%).
  • In-home homicides were associated with murder-suicide, child abuse, and intimate partner violence. Incidence of in-home homicide increased from 2010 to 2021.

Conclusions:

  • Nearly one-quarter of pediatric firearm homicides occur within the home, with a higher proportion affecting younger children.
  • Domestic violence and child abuse are significant risk factors for in-home pediatric firearm homicides.
  • Current safe storage laws may be insufficient; extreme risk protection orders and firearm relinquishment in domestic violence cases warrant further investigation.