More proof for the need of more common sense and reasonable gun safety laws.
[url=www.jointogether.org/gv/news/features/reader/0,2061,563597,00.html]Guns in Home Endanger Household Members, Study Says[/url]
6/4/2003
Feature Story
by Dick Dahl
A new study by a University of Pennsylvania researcher adds further evidence that guns in the home significantly increase risks of gun death and injury for occupants.
Douglas J. Wiebe, a scholar at the Firearms Injury Center at Penn (FICAP) found that people in households with guns are almost twice as likely to be victims of gun homicide than people in households without guns. Furthermore, he found that people were 16 times more likely to commit suicide with a gun if one is present in the home.
Wiebe's findings corroborate those of several other researchers, including Dr. Arthur Kellermann of Emory University, whose landmark reports in the New England Journal of Medicine in 1992 and 1993 first drew broad attention to the problem.
Wiebe, whose article appears in the June issue of the Annals of Emergency Medicine, told Join Together Online that he set out to re-examine the hypothesis that guns in the home comprise homicide and suicide risk factors for occupants, and his results are similar to the conclusions of others who have examined these relationships. For instance, Wiebe said, he found that homes with guns in them were more likely to have gun homicides, but they were not more likely to have non-gun homicides. This conclusion is important, he suggests, because one standard argument about gun-homicide statistics in the home is that people get guns for protection against threats in a dangerous neighborhood or dangerous situation. As he wrote in his article, "If these were viable explanations, a gun in the home should be associated...with homicide by all means."
Perhaps the most striking conclusion in Wiebe's study, though, is the degree to which guns in the home influence suicide. Other researchers had also found huge increases in the likelihood of gun suicide if a gun is in the home, but Wiebe's research found much stronger evidence than previous researchers that people will forego other methods and choose a gun if it is present. While part of the reason for the high gun-suicide rates in homes with guns can be explained by the fact that some people buy guns for that very purpose, Wiebe says that explanation is partial at best. He cited a 1997 article in the American Journal of Public Health by Peter Cummings which found that persons who have family members who bought a handgun are much more likely to kill themselves with a gun and that the effect persists long after the purchase.
In other words, the mere presence of a gun in a household heightens a household member's likelihood of gun suicide. While the debate about gun control in the U.S. tends to focus on crime and self-defense issues, the fact that most gun deaths in the country every year are suicides generally receives little attention. According to the Centers for Disease Control and Prevention, 57 percent of all gun-related deaths are self-inflicted and 56 percent of all suicides are committed with a gun. Furthermore, while gun-related homicides have been dropping in recent years, gun-related suicides have held relatively steady. In 2000, the last year for which statistics are available, 16,586 people in the U.S. committed suicide with firearms.
As Morton Silverman, executive director of the National Suicide Prevention Resource Center at the Education Development Center in Newton, MA, told Join Together Online, any discussion about suicide needs to address the questions of suicidal means and methods. "One can be suicidal, but if one doesn't have the means to die, then the thought may pass," he said. "People who report being suicidal often report it as a fleeting feeling."
The impulsive nature of most suicides means that access to lethal methods is important, Silverman suggests. "The predominant view is that if you reduce access to means, you reduce the number of people who die by suicide," he said. "If you can figure out a way to make (guns) less available for that kind of behavior, then you're going to save lives."
Some experts on suicide suggest that one method for reducing gun suicides is involvement of physicians. "We have found that non-psychiatric physicians are not reviewing their patients for suicidal ideation, which would mean depression, and handgun availability," said Arinn Dixon Widmayer, executive director of Doctors Against Handgun Injury (DAHI), a program of the New York Academy of Medicine. "We have found that these physicians (a) are not doing this, (b) don't know how, and (c) are not sure it's even their job. We, of course, believe that it is."
To that end, DAHI is working on a program to educate non-psychiatric primary care physicians on the gun-suicide issue. "Our goal is to make sure that every patient knows about the dangers of having a gun in the home, particularly patients who have warning signs of depression," she said.
Wiebe, the author of the new article in the Annals of Emergency Medicine, also sees the need for greater physician involvement regarding the dangers of guns in the home. "Given the implication that firearms ownership has on so many people in the community -- the kids in the home, the neighbor kids who come over to play, the couple who live in the home -- think it is absolutely worthwhile to discuss whether there are firearms in the home and what can be done to keep people from getting hurt from them."