Grossman D C, Reay D T, Baker S A
Harborview Injury Prevention and Research Center, Seattle, Wash 98104, USA.
Arch Pediatr Adolesc Med. 1999 Aug;153(8):875-8. doi: 10.1001/archpedi.153.8.875.
The source and ownership of guns used by children to shoot themselves or others is largely unknown.
To determine the ownership and usual storage location of firearms used in unintentional and self-inflicted intentional firearm deaths and injuries.
Retrospective case series.
King County, Washington.
Youths aged from birth to 19 years who sought medical treatment at a level I trauma center for a self-inflicted or unintentional firearm injury between 1990 and 1995 or who presented to the county medical examiner with a fatal self-inflicted or unintentional firearm injury between 1990 and 1995.
County medical examiner records, regional police investigative reports, medical records from a level I trauma center, and surveys of victims' families.
Source and ownership of the associated firearm.
Fifty-six fatal injuries and 68 nonfatal firearm injuries that met the criteria were identified. Of these, 59 were intentionally self-inflicted deaths and injuries and 65 were unintentional deaths and injuries. A firearm owned by a household member living with the victim was used in 33 (65%) of 51 suicides and suicide attempts and 11 (23%) of 47 unintentional injuries and deaths. Additionally, a firearm owned by another relative, friend, or parent of a friend of the victim was used in 4 (8%) of the 51 suicides and suicide attempts and 23 (49%) of the 47 unintentional injuries and deaths. Parental ownership accounted for 29 (57%) of the 51 suicides and suicide attempts and 9 (19%) of the 47 unintentional injuries and deaths. More than 75% of the guns used in suicide attempts and unintentional injuries were stored in the residence of the victim, a relative, or a friend.
Most guns involved in self-inflicted and unintentional firearm injuries originate either from the victim's home or the home of a friend or relative.
儿童用以枪击自己或他人的枪支来源及所属情况大多不明。
确定非故意及故意自伤性枪支伤亡事件中所涉枪支的所属情况及通常存放地点。
回顾性病例系列研究。
华盛顿州金县。
1990年至1995年间在一级创伤中心因自伤性或非故意性枪支伤害接受治疗的19岁及以下青少年，或1990年至1995年间因致命的自伤性或非故意性枪支伤害被送至县法医处的青少年。
县法医记录、地区警方调查报告、一级创伤中心的医疗记录以及对受害者家属的调查。
相关枪支的来源及所属情况。
共识别出56例致命伤和68例符合标准的非致命枪支伤害。其中，59例为故意自伤，65例为非故意伤亡。在51例自杀及自杀未遂事件中，有33例（65%）使用的是与受害者同住的家庭成员所拥有的枪支；在47例非故意伤害及死亡事件中，有11例（23%）使用的是此类枪支。此外，在51例自杀及自杀未遂事件中，有4例（8%）使用的是受害者的其他亲属、朋友或朋友的父母所拥有的枪支；在47例非故意伤害及死亡事件中，有23例（49%）使用的是此类枪支。在51例自杀及自杀未遂事件中，有29例（57%）枪支为父母所有；在47例非故意伤害及死亡事件中，有9例（19%）枪支为父母所有。在自杀未遂及非故意伤害事件中，超过75%的枪支存放在受害者、其亲属或朋友的住所。
大多数涉及自伤性及非故意性枪支伤害的枪支来自受害者家中或朋友或亲属家中。
