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State Gun Laws and Firearm Suicide Rates
Maple Goh1, Eric W Fleegler2, Michael Siegel1
1Department of Public Health and Community Medicine, Tufts University School of Medicine, Boston, Massachusetts.
State firearm laws, including handgun permits, waiting periods, and concealed carry licenses, are associated with significant reductions in firearm suicide rates. These laws show a cumulative effect, further lowering suicide rates when implemented together.
Area of Science:
- Public Health
- Criminology
- Epidemiology
Background:
- Numerous states have enacted firearm laws to limit access for high-risk individuals.
- Evidence on the effectiveness of these laws in reducing firearm suicides is mixed due to methodological limitations.
Purpose of the Study:
- To examine the association between state firearm laws and firearm-related suicide deaths across all 50 US states from 1976 to 2024.
Main Methods:
- Cross-sectional study using difference-in-differences fixed-effects panel regression with Prais-Winsten correction.
- Annual state-level data on firearm-related suicides from 1976-2024 obtained from CDC WISQARS.
- Six firearm laws were analyzed with a 2-year lag: handgun permits, waiting periods, concealed carry permits, minimum age, extreme risk protection orders, and dealer permits.
Main Results:
- Handgun permit laws, waiting periods, and concealed carry licenses were significantly associated with decreased firearm suicide rates (e.g., waiting periods: -12.5%).
- These laws were not associated with nonfirearm suicide rates, serving as a negative control.
- States implementing 1, 2, or all 3 of these laws (handgun permits, waiting periods, concealed carry permits) showed progressively lower firearm suicide rates.
Conclusions:
- Permit-to-purchase requirements for handguns, waiting periods, and concealed carry licenses are independently and cumulatively linked to lower firearm suicide rates.
- These findings highlight the potential of specific firearm regulations in suicide prevention efforts.
- The study underscores the importance of robust data and methodological approaches in evaluating firearm policy impacts.
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