Suicide Rates and State Laws Regulating Access and Exposure to Handguns
Open accessAbstract
Objectives. Using previous research, we examined the impact of 4 handgun laws (waiting periods, universal background checks, gun locks, and open carrying regulations) on suicide rates. Methods. We used publicly available databases to collect information on statewide laws, suicide rates, and demographic characteristics for 2013. Results. Each law was associated with significantly lower firearm suicide rates and the proportion of suicides resulting from firearms. In addition, each law, except for that which required a waiting period, was associated with a lower overall suicide rate. Follow-up analyses showed a significant indirect effect on overall suicide rates through the proportion of suicides by firearms, indicating that the reduced overall suicide rate was attributable to fewer suicide attempts, fewer handguns in the home, suicide attempts using less lethal means, or a combination of these factors. States that implemented any of these laws saw a decreased suicide rate in subsequent years, whereas the only state that repealed 1 of these laws saw an increased suicide rate. Conclusions. Our results were supportive of a potentially vital role in suicide prevention for state legislation that limits access and exposure to handguns.
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The association between gun restrictions and lower suicide rates was confirmed in trends in four states that implemented restrictive firearm legislation during 2009-2013.
“The latter observation has been confirmed in trends in four states that implemented restrictive changes in firearm legislation during the 2009–2013 period.59”
From Suicide (2020) · cites this paper as [59]
Cites
Meta-analysis in social research
(1982) · Evaluation and Program Planning · doi:10.1016/0149-7189(82)90011-8 · Cited by 3,896 · see citing works
Preacher, K. J., & Kelley, K. (2011) · Psychological Methods · doi:10.1037/a0022658 · Cited by 3,060 · see citing works
Klonsky, E. D., & May, A. M. (2014) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12068 · Cited by 740 · see citing works
(2011) · Choice Reviews Online · doi:10.5860/choice.48-5742 · Cited by 642 · see citing works
Suicide acts in 8 states: incidence and case fatality rates by demographics and method
Spicer, R. S., & Miller, T. R. (2000) · American Journal of Public Health · doi:10.2105/ajph.90.12.1885 · Cited by 491 · see citing works
Effects of Restrictive Licensing of Handguns on Homicide and Suicide in the District of Columbia
Loftin, C., McDowall, D., Wiersema, B., & Cottey, T. J. (1991) · New England Journal of Medicine · doi:10.1056/nejm199112053252305 · Cited by 399 · see citing works
Firearm Legislation and Firearm-Related Fatalities in the United States
Fleegler, E. W., Lee, L. K., Monuteaux, M. C., Hemenway, D., & Mannix, R. (2013) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2013.1286 · Cited by 306 · see citing works
Ludwig, J. (2000) · JAMA · doi:10.1001/jama.284.5.585 · Cited by 287 · see citing works
Lethality of firearms relative to other suicide methods: a population based study
Shenassa, E. D., Catlin, S. N., & Buka, S. L. (2003) · Journal of Epidemiology & Community Health · doi:10.1136/jech.57.2.120 · Cited by 260 · see citing works
Controlling Access to Suicide Means
Sarchiapone, M., Mandelli, L., Iosue, M., Andrisano, C., & Roy, A. (2011) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph8124550 · Cited by 222 · see citing works
Household Firearm Ownership and Suicide Rates in the United States
Miller, M., Azrael, D. R., & Hemenway, D. (2002) · Epidemiology · doi:10.1097/00001648-200209000-00006 · Cited by 196 · see citing works
The Preventive Effect of Strict Gun Control Laws On Suicide and Homicide
Lester, D., & Murrell, M. E. (1982) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.1982.tb00935.x · Cited by 90 · see citing works
Lethality of Suicidal Methods and Suicide Risk: Two Distinct Concepts
Card, J. J. (1974) · OMEGA - Journal of Death and Dying · doi:10.2190/k59m-y0kn-pakv-jfuv · Cited by 79 · see citing works
The Association Between State Laws Regulating Handgun Ownership and Statewide Suicide Rates
Anestis, M. D., Khazem, L. R., Law, K. C., Houtsma, C., LeTard, R., Ringer, F. B., & Martin, R. L. (2015) · American Journal of Public Health · doi:10.2105/ajph.2014.302465 · Cited by 78 · see citing works
Self-citationThompson, B. (2008) · Sage eBooks · doi:10.4135/9781412995627.d21 · Cited by 66 · see citing works
Suicide Rates, Handgun Control Laws, and Sociodemographic Variables
Boor, M., & Bair, J. H. (1990) · Psychological Reports · doi:10.2466/pr0.1990.66.3.923 · Cited by 59 · see citing works
Firearm-related injuries in Canada: issues for prevention.
Chapdelaine, A., Samson, E., Kimberley, M. D., & Viau, L. (1991) · Europe PMC (PubMed Central) · Cited by 56 · see citing works
Mann, J. J., & Gibbons, R. D. (2013) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2013.13060818 · Cited by 23 · see citing works
The effect of gun availability on suicide rates
Yang, B., & Lester, D. (1991) · Atlantic Economic Journal · doi:10.1007/bf02299085 · Cited by 20 · see citing works
Gender, gun control, suicide and homicide in Canada
Carrington, P. J. (1999) · Archives of Suicide Research · doi:10.1080/13811119908258316 · Cited by 19 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Suicide, Suicide Attempts, and Suicidal Ideation
Klonsky, E. D., May, A. M., & Saffer, B. Y. (2016) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-021815-093204 · Cited by 1,675 · see citing works
Bennett, J. E., Stevens, G. A., Mathers, C. D., Bonita, R., Rehm, J., Kruk, M. E., Riley, L. M., Dain, K., Kengne, A. P., Chalkidou, K., et al. (2018) · The Lancet · doi:10.1016/s0140-6736(18)31992-5 · Cited by 1,336 · see citing works
Fazel, S., & Runeson, B. (2020) · New England Journal of Medicine · doi:10.1056/nejmra1902944 · Cited by 502 · see citing works
Prevention of Firearm Suicide in the United States: What Works and What Is Possible
Mann, J. J., & Michel, C. A. (2016) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2016.16010069 · Cited by 208 · see citing works
The Association Between Gun Ownership and Statewide Overall Suicide Rates
Anestis, M. D., & Houtsma, C. (2018) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12346 · Cited by 149 · see citing works
Self-citationState Gun Laws and Pediatric Firearm-Related Mortality
Goyal, M. K., Badolato, G. M., Patel, S. J., Iqbal, S. F., Parikh, K., & McCarter, R. (2019) · Pediatrics · doi:10.1542/peds.2018-3283 · Cited by 99 · see citing works
Examining the role of sex in self-injurious thoughts and behaviors
Fox, K. R., Millner, A. J., Mukerji, C. E., & Nock, M. K. (2018) · Clinical Psychology Review · doi:10.1016/j.cpr.2017.09.009 · Cited by 99 · see citing works
Association between Medicaid expansion and suicide mortality among nonelderly US adults
Austin, A. E., Naumann, R. B., & Short, N. A. (2021) · American Journal of Epidemiology · doi:10.1093/aje/kwab130 · Cited by 28 · see citing works
Brenner, L. A., Capaldi, V., Constans, J., Dobscha, S., Fuller, M., Matarazzo, B., McGraw, K., Richter, K., Sall, J., Smolenski, D., et al. (2025) · Annals of Internal Medicine · doi:10.7326/annals-24-01938 · Cited by 22 · see citing works
- Authors
- Anestis, M. D., & Anestis, J. C.
- Affiliations
- University of Southern Mississippi (US)
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 2015-10
- Volume
- 105
- Issue
- 10
- Pages
- 2049-2058
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- PMC
- PMC4566524
- OpenAlex
- W1717199461
- Cited by
- 141
- References
- 20
- Citations by year
- 2026: 6 · 2025: 7 · 2024: 9 · 2023: 6 · 2022: 13 · 2021: 17 · 2020: 16 · 2019: 18 · 2018: 10 · 2017: 22 · 2016: 14 · 2015: 3
- FWCI
- 20.29
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Public Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Rutgers University Community Repository (Rutgers University) (submittedVersion)
- Aquila Digital Community (University of Southern Mississippi) (submittedVersion)
- Topics
- Social Sciences › Health › Gun Ownership and Violence Research
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
- Keywords
- firearm suicide, suicide rates, gun control laws, waiting period, universal background checks, firearm access, suicide prevention, state legislation
- MeSH terms
- Female, Firearms, Humans, Longitudinal Studies, Male, Suicide, Suicide, Attempted, United States
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