Gun Deaths in U.S. Remain Highest Among High-Income Nations

Americans are ten times more likely to die from firearms than citizens of other developed countries, according to new report published in The American Journal of Medicine

Philadelphia, PA February 1, 2016

Gun deaths are a serious public health issue in the United States and the scope of the problem is often difficult to illustrate. A new study published in The American Journal of Medicine lays out the risk in concrete terms. When compared to 22 other high-income nations, Americans are ten times more likely to be killed by a gun than their counterparts in the developed world. Specifically, gun homicide rates are 25 times higher in the U.S. and, while the overall suicide rate is on par with other high-income nations, the U.S. gun suicide rate is eight times higher.

In order to help put America’s relationship with guns into perspective, researchers from the University of Nevada-Reno and the Harvard T.H. Chan School of Public Health analyzed mortality data gathered by the World Health Organization in 2010. Investigators found that despite having similar rates of nonlethal crimes as other high-income countries, the U.S. has much higher rates of lethal violence, mostly driven by extremely higher rates of gun-related homicides.

The study reveals some stark truths about living and dying in the United States. When compared to other high-income nations, as an American you are:

  • Seven times more likely to be violently killed
  • Twenty-five times more likely to be violently killed with a gun
  • Six times more likely to be accidentally killed with a gun
  • Eight times more likely to commit suicide using a gun
  • Ten times more likely to die from a firearm death overall

Homicide is the second leading cause of death for Americans 15 to 24 years of age, and the third leading cause of death among those 25 to 34 years of age. Investigators found that for these two groups, the risk relative to their counterparts in other developed nations is alarmingly elevated. Americans 15 to 24 years of age are 49 times more likely to die from firearm homicide compared to similarly aged young people in other high-income nations. For those aged 25 to 34, the risk is 32 times higher.

“More than two-thirds of the homicides in the U.S. are firearm homicides and studies have suggested that the nongun homicide rate in the U.S. may be high because the gun homicide rate is high,” explained Erin Grinshteyn, PhD, Assistant Professor, University of Nevada-Reno, School of Community Health Science. “For example, offenders take into account the threat posed by their adversaries. Individuals are more likely to have lethal intent if they anticipate that their adversaries will be armed.”

Suicide is another source of gun deaths. While suicide rates for the U.S. are similar to those in other high-income countries, Americans are eight times as likely to take their own lives using a gun. Dozens of studies in the U.S. indicate that less access to guns would decrease both the U.S. gun suicide rate and our overall suicide rate.

“Differences in overall suicide rates across cities, states, and regions in the United States are best explained not by differences in mental health, suicide ideation, or even suicide attempts, but by availability of firearms,” explained study co-author David Hemenway, PhD, Professor, Health Policy at Harvard T.H. Chan School of Public Health and Director of the Harvard Injury Control Research Center and the Harvard Youth Violence Prevention Center. “Many suicides are impulsive, and the urge to die fades away. Firearms are a swift and lethal method of suicide with a high case-fatality rate.”

America’s love affair with firearms has dire consequences, especially when compared to outcomes in the rest of the developed world. Investigators found that despite having only half the population of the other 22 high-income nations combined, the U.S. accounted for 82% of all firearm deaths. In addition, the U.S. accounted for 90% of all women, 91% of children aged 0 to 14 years, and 92% of youth aged 15 to 24 years who were killed by firearms.

“Overall, our results show that the U.S., which has the most firearms per capita in the world, suffers disproportionately from firearms compared with other high-income countries,” noted Dr. Grinshteyn. “These results are consistent with the hypothesis that our firearms are killing us rather than protecting us.”


Notes for Editors
“Violent Death Rates: The United States Compared to Other High-Income OECD Countries, 2010,” by Erin Grinshteyn, PhD, and David Hemenway, PhD (DOI: This article appears online in advance of The American Journal of Medicine, Volume 129, Issue 3 (March 2016),published by Elsevier.

Full text of this article is available to credentialed journalists upon request. Contact Jane Grochowski at +1 215 239 3712 or to obtain copies. Journalists who would like to interview the authors should contact Anne McMillin, Public Relations Manager, University of Nevada School of Medicine, at +1 775 682 9254 or or David Hemenway at +1 617 432 4493 or

About The American Journal of Medicine
The American Journal of Medicine, known as the “Green Journal,” is one of the oldest and most prestigious general internal medicine journals published in the United States. It has an Impact Factor of 5.003 and is ranked #8 out of 153 General and Internal Medicine titles based on number of total citations, according to the 2014 Journal Citation Reports® published by Thomson Reuters.

AJM, the official journal of The Association of Professors of Medicine, a group comprised of chairs of departments of internal medicine at 125-plus US medical schools, publishes peer-reviewed, original scientific studies that have direct clinical significance. The information contained in this article in The American Journal of Medicine is not a substitute for medical advice or treatment, and the Journal recommends consultation with your physician or healthcare professional. AJM is published by Elsevier.

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