Firearms: the leading cause of years of potential life lost

Objectives Data from the Centers for Disease Control and Prevention (CDC) show that firearm deaths are increasing in the USA. The aims of this study were to determine the magnitude of potential years of life lost due to firearms and to examine the evolution of firearm deaths on the basis of sex, rac...

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Main Authors: Peter Rhee, Rifat Latifi, Kartik Prabhakaran, Joshua Klein
Format: Article
Language:English
Published: BMJ Publishing Group 2022-03-01
Series:Trauma Surgery & Acute Care Open
Online Access:https://tsaco.bmj.com/content/7/1/e000766.full
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author Peter Rhee
Rifat Latifi
Kartik Prabhakaran
Joshua Klein
author_facet Peter Rhee
Rifat Latifi
Kartik Prabhakaran
Joshua Klein
author_sort Peter Rhee
collection DOAJ
description Objectives Data from the Centers for Disease Control and Prevention (CDC) show that firearm deaths are increasing in the USA. The aims of this study were to determine the magnitude of potential years of life lost due to firearms and to examine the evolution of firearm deaths on the basis of sex, race, and geographical location within the USA.Methods Data was extracted (2009–2018) from the National Vital Statistics Reports from the CDC and the Web-based Injury Statistics Query and Reporting System database. Years of potential life lost was calculated by the CDC standard of subtracting the age at death from the standard year of 80, and then summing the individual years of potential life lost (YPLL) across each cause of death.Results The YPLL in 2017 and 2018 was higher for firearms than motor vehicle crashes (MVCs). In 2018, the YPLL for firearms was 1.42 million and 1.34 million for MVC. Males comprised the majority (85.4%) of the 38 929 firearm deaths. White males had the most YPLL due to suicide, with 4.95 million YPLL during the course of the 10-year period; black males had the most YPLL due to homicide with 3.2 million YPLL during the same time period. The largest number of suicides by firearms was in older white males. Firearm-related injury deaths were highest in the South, followed by the West, Midwest, and Northeast, respectively.Conclusion Firearms are now the leading cause of YPLL in trauma. Firearm deaths have overtaken MVC as the mechanism for the main cause of potential years of life lost since 2017. Suicide in white males accounts for more YPLL than homicides. Deaths related to firearms are potentially preventable causes of death and prevention efforts should be redirected.Level of evidence Level III—Descriptive Study.
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spelling doaj.art-49dfc39c7e974ae7a8322f3face1ffb22023-07-16T02:00:07ZengBMJ Publishing GroupTrauma Surgery & Acute Care Open2397-57762022-03-017110.1136/tsaco-2021-000766Firearms: the leading cause of years of potential life lostPeter Rhee0Rifat Latifi1Kartik Prabhakaran2Joshua Klein3Surgery, Westchester Medical Center, Valhalla, New York, USASurgery, Westchester Medical Center, Valhalla, New York, USASurgery, Westchester Medical Center, Valhalla, New York, USASurgery, Westchester Medical Center, Valhalla, New York, USAObjectives Data from the Centers for Disease Control and Prevention (CDC) show that firearm deaths are increasing in the USA. The aims of this study were to determine the magnitude of potential years of life lost due to firearms and to examine the evolution of firearm deaths on the basis of sex, race, and geographical location within the USA.Methods Data was extracted (2009–2018) from the National Vital Statistics Reports from the CDC and the Web-based Injury Statistics Query and Reporting System database. Years of potential life lost was calculated by the CDC standard of subtracting the age at death from the standard year of 80, and then summing the individual years of potential life lost (YPLL) across each cause of death.Results The YPLL in 2017 and 2018 was higher for firearms than motor vehicle crashes (MVCs). In 2018, the YPLL for firearms was 1.42 million and 1.34 million for MVC. Males comprised the majority (85.4%) of the 38 929 firearm deaths. White males had the most YPLL due to suicide, with 4.95 million YPLL during the course of the 10-year period; black males had the most YPLL due to homicide with 3.2 million YPLL during the same time period. The largest number of suicides by firearms was in older white males. Firearm-related injury deaths were highest in the South, followed by the West, Midwest, and Northeast, respectively.Conclusion Firearms are now the leading cause of YPLL in trauma. Firearm deaths have overtaken MVC as the mechanism for the main cause of potential years of life lost since 2017. Suicide in white males accounts for more YPLL than homicides. Deaths related to firearms are potentially preventable causes of death and prevention efforts should be redirected.Level of evidence Level III—Descriptive Study.https://tsaco.bmj.com/content/7/1/e000766.full
spellingShingle Peter Rhee
Rifat Latifi
Kartik Prabhakaran
Joshua Klein
Firearms: the leading cause of years of potential life lost
Trauma Surgery & Acute Care Open
title Firearms: the leading cause of years of potential life lost
title_full Firearms: the leading cause of years of potential life lost
title_fullStr Firearms: the leading cause of years of potential life lost
title_full_unstemmed Firearms: the leading cause of years of potential life lost
title_short Firearms: the leading cause of years of potential life lost
title_sort firearms the leading cause of years of potential life lost
url https://tsaco.bmj.com/content/7/1/e000766.full
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