Article Text

Download PDFPDF
Highlights from the literature

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


In a sobering review paper, examining the deaths in the USA among children and young adults up to 20 years of age, Goldstick JE et al (New Eng J Med 2022;386:1955–1956. DOI: 10.1056/NEJMc2201761) have used data from The Centres for Disease Control and Prevention (CDC) which has recently released updated official mortality data. It showed that there were 45 222 firearm-related deaths in the United States in 2020 which is a new peak and establishes fire-arm related deaths as the top cause of deaths for children and adolescents in the USA. The figure published is astonishing and shows a marked decrease in deaths from road traffic accidents from 10 per 100 000 children and adolescents in 1999 down to 5 per 100 000 in 2020 whereas deaths from firearms have increased from 4.5 to 6 per 100 000 over the same time-period. The deaths include homicide, accidents, and suicide. Although previous analyses have shown increases in firearm-related mortality in recent years (2015 to 2019), as compared with the relatively stable rates from earlier years (1999 to 2014), these new data show a sharp 13.5% increase in the crude rate of firearm-related death from 2019 to 2020. This change was driven largely by firearm …

View Full Text


  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Provenance and peer review Commissioned; internally peer reviewed.