Publication: No place like home: A national study on firearm-related injuries in the American household
Issued Date
2020-01-01
Resource Type
ISSN
18791883
00029610
00029610
Other identifier(s)
2-s2.0-85084388280
Rights
Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
American Journal of Surgery. (2020)
Suggested Citation
Napaporn Kongkaewpaisan, Majed El Hechi, Mohamad El Moheb, Claudia P. Orlas, Gezzer Ortega, Melissa A. Mendoza, Jonathan Parks, Noelle N. Saillant, Haytham M.A. Kaafarani, April E. Mendoza No place like home: A national study on firearm-related injuries in the American household. American Journal of Surgery. (2020). doi:10.1016/j.amjsurg.2020.04.030 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/56324
Research Projects
Organizational Units
Authors
Journal Issue
Thesis
Title
No place like home: A national study on firearm-related injuries in the American household
Abstract
© 2020 Elsevier Inc. Background: We aimed to examine the prevalence of, and describe factors associated with, firearm-related injuries in American households. Methods: Using the 2010–2016 ACS-TQIP database, all ICD-9/10 external causes of injury for firearm-related injuries were queried with the place of occurrence designated as “home”. Causes of injury were identified as assault, intentional self-injury, and unintentional injury. Univariate then multivariable regression analyses were performed to identify factors associated with each injury type. Results: 12,657 firearm-related injuries in households were identified. Of those, 49.9% were victims of assault, 35.7% were intentional self-injury, and 14.4% were unintentional. Mortality was highest among self-inflicted injuries (52.4%), followed by assault (12.9%), and unintentional injuries (5.9%). On multivariable analysis, age <45 years, African-American race, and drug use were independently associated with an injury secondary to assault. Age >65 years, White race, psychiatric illness, and alcohol use disorder were independently associated with intentional self-injury. White and American-Indian race were independently associated with unintentional injuries. Conclusions: Assault is the most common cause of home-related firearm injury requiring hospitalization, while intentional self-injury is the most lethal.