Although unintentional firearm deaths among children declined from 2002 to 2014 and firearm homicides declined from 2007 to 2014, firearm suicides decreased between 20 and then showed a significant upward trend from 2007 to 2014.
Rates of firearm homicide among children are higher in many Southern states and parts of the Midwest relative to other parts of the country.
States joined the NVDRS system in different years tests were used to test the statistical significance of differences in NVDRS circumstance counts between younger (aged 0–12 years) and older (aged 13–17 years) children for firearm homicide and unintentional firearm deaths.
State-level data include deaths of state residents only and exclude deaths of nonresidents, even if the fatal injury occurred within the state in question.
Firearm suicides are reported for children aged 10 years and older given how rare they are in children younger than age 10 (ie, 5 cases for the nation over the period 2000–2014) NEISS is a stratified probability sample of US hospitals that have an ED and a minimum of 6 beds, representing large urban, suburban, rural, and children’s hospitals.
Self-harm data are reported only for children aged 10 years and older (see previous note).
Information on nonfatal injury by racial and ethnic group is not presented here because of large amounts of missing race and ethnicity data.