Association between urban greenspace, tree canopy cover and intentional deaths: An exploratory geospatial analysis.

Greenspaces can provide restorative experiences, offer opportunities for outdoor recreation, and reduce mental fatigue; all of which may improve community health and safety. Yet few studies have examined the neighborhood-level benefits of greenspace in reducing violent deaths. This study explored the association between three distinct greenspace metrics: public greenspace quantity, public greenspace accessibility, neighborhood tree canopy cover, and intentional deaths (i.e., homicides and suicides). Generalized linear models and spatial error models investigated the association between greenspace, tree canopy and intentional deaths in three geographically distinct cities in North Carolina. Results revealed that increased neighborhood greenspace accessibility and tree canopy cover were associated with reduced intentional deaths in all three urban areas. Neighborhood greenspace accessibility was the most protective factor across all study areas. The relationship between neighborhood greenspace accessibility and intentional deaths was more significant for non-firearm deaths as compared to firearm deaths, indicating that weapon type may be an important consideration for neighborhood greenspace interventions. Compared to predominantly White neighborhoods, predominantly Black neighborhoods had higher rates of homicide in Asheville and Durham and higher rates of suicide in Charlotte. Future policy and research should focus on improving equitable access to existing and future greenspaces, especially in primarily Black neighborhoods.