Article: Firearm-related injuries in Canada: issues for prevention

We reviewed the available data on firearm-related injuries in Canada to suggest strategies for prevention in the context of the proposed amendments to the Criminal Code (Bill C-17) currently before Parliament. The risk of death from a firearm in Canada is equivalent to the risk of death from a motor vehicle crash. We discuss the risks associated with firearms with regard to suicides, homicides and "accidents." We also discuss the accessibility of firearms. This article builds upon a recently published update on the epidemiologic basis of the public health approach for the prevention of firearm-related injuries and deaths. The key to the etiologic approach to preventing such injuries and deaths is to view the incidents, regardless of their medicolegal circumstances, as having one factor in common: the discharge of a firearm.

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References

1.

Baker S . Without guns, do people kill people?. Am J Public Health. 1985; 75(6):587-8. PMC: 1646203. DOI: 10.2105/ajph.75.6.587. View

2.

Hedeboe J, Charles A, Nielsen J, Grymer F, Moller B, Jensen S . Interpersonal violence: patterns in a Danish community. Am J Public Health. 1985; 75(6):651-3. PMC: 1646200. DOI: 10.2105/ajph.75.6.651. View

3.

Kellermann A, REAY D . Protection or peril? An analysis of firearm-related deaths in the home. N Engl J Med. 1986; 314(24):1557-60. DOI: 10.1056/NEJM198606123142406. View

4.

Wintemute G, Teret S, Kraus J, Wright M, Bradfield G . When children shoot children. 88 unintended deaths in California. JAMA. 1987; 257(22):3107-9. DOI: 10.1001/jama.257.22.3107. View

5.

Wintemute G, Teret S, Kraus J, Wright M . The choice of weapons in firearm suicides. Am J Public Health. 1988; 78(7):824-6. PMC: 1350343. DOI: 10.2105/ajph.78.7.824. View

6.

Beneteau R . Trends in suicide. Can Soc Trends. 1988; (11):22-4. View

7.

Sloan J, Rivara F, REAY D, FERRIS J, Kellermann A . Firearm regulations and rates of suicide. A comparison of two metropolitan areas. N Engl J Med. 1990; 322(6):369-73. DOI: 10.1056/NEJM199002083220605. View

8.

Shanon A, Feldman W . Serious childhood injuries caused by air guns. CMAJ. 1991; 144(6):723-5. PMC: 1453057. View

9.

Kellermann A, Lee R, Mercy J, Banton J . The epidemiologic basis for the prevention of firearm injuries. Annu Rev Public Health. 1991; 12:17-40. DOI: 10.1146/annurev.pu.12.050191.000313. View

10.

HADDON Jr W . The changing approach to the epidemiology, prevention, and amelioration of trauma: the transition to approaches etiologically rather than descriptively based. Am J Public Health Nations Health. 1968; 58(8):1431-8. PMC: 1228774. DOI: 10.2105/ajph.58.8.1431. View

11.

Shuck L, Orgel M, Vogel A . Self-inflicted gunshot wounds to the face: a review of 18 cases. J Trauma. 1980; 20(5):370-7. View

12.

Sloan J, Kellermann A, REAY D, FERRIS J, Koepsell T, Rivara F . Handgun regulations, crime, assaults, and homicide. A tale of two cities. N Engl J Med. 1988; 319(19):1256-62. DOI: 10.1056/NEJM198811103191905. View

Firearm-related Injuries in Canada: Issues for Prevention