Excerpted from Richard G. Rogers et al., “Dying Young in the United States: What’s Driving High Death Rates Among Americans Under Age 25 and What Can Be Done?” Population Bulletin 76, no. 2 (2022).
Dying Young in the United States
What's Driving High Death Rates Among Americans Under Age 25 and What Can Be Done?View Bulletin
31,780 Reasons to Care About Gun Violence
In 2020, for the first time in decades, more children ages 17 and younger died from guns than from motor vehicle crashes.View Blog
What Can We Learn From Other Countries?
Other nations have enacted—by American standards—relatively stringent gun laws. For instance, following a shooting that left 14 people dead, Canada “imposed a twenty-eight-day waiting period for purchases; mandatory safety training courses; more detailed background checks; bans on large-capacity magazines; and bans or greater restrictions on military-style firearms and ammunition.”6 More recently, Canada moved to ban military-style assault weapons outright, prohibiting their purchase, sale, use, and importation within national borders. Japan and Israel limit civilians to shotguns and air rifles and require extensive safety training, licensing, and mental health screening. Australia, New Zealand, and the United Kingdom have national registries and policies that require individuals to demonstrate their need to own a firearm.
Mandatory gun buybacks and outright bans akin to those implemented in New Zealand and the United Kingdom are likely to be less well received in the United States, largely because many Americans are reluctant to sell their guns to the government and perceive gun culture as tied to the country’s revolutionary origins and frontier history. Nevertheless, most Americans support further regulation of gun ownership.7 States that have passed more restrictive gun laws have lower firearm-related mortality rates.8
Potential Policy Solutions
- Institute universal background checks, waiting periods, and gun safety training.
- Establish a robust federal database of gun owners.
- Create a national firearm licensing system.
- Repeal concealed-carry licenses.
- Ban assault weapons, high-capacity magazines, and bump stocks.
- Restrict gun ownership by persons with criminal records.
- Increase the legal age to buy a gun.
- Offer gun buyback programs.
- Pass extreme risk protection order laws, and use restraining and ex parte orders to reduce gun access among youth and people at risk of harming themselves or others (for example, in cases of domestic abuse).
- Integrate focused deterrence interventions and community policing practices into local law enforcement agencies, and hospital-based interventions at the national level.
- Fund research into the risk factors for and effects of gun violence.
- Promote media reporting guidelines designed to stop sensationalizing coverage of shootings.
- Expand access to high-quality mental health care.
The United States could drastically reduce mortality in early life and at other ages by reducing gun-related deaths. Compared with other high-income countries, the United States has the highest prevalence of gun ownership and the most lax gun laws, which the data show is a lethal combination. In a 2019 analysis of 29 high-income countries, Erin Grinshteyn and David Hemenway found that the United States accounted for 97% of the firearm deaths among children ages 0 to 4 and 92% of firearm deaths for those ages 5 to 14.9
1 Rebecca M. Cunningham, Maureen A. Walton, and Patrick M. Carter, “The Major Causes of Death in Children and Adolescents in the United States,” New England Journal of Medicine 379, no. 25 (2018): 2468-75.
3 Lydia Saad, “What Percentage of Americans Own Guns?” Gallup, Nov. 13, 2020; and Judith Palfrey and Sean Palfrey, “Preventing Gun Deaths in Children,” New England Journal of Medicine 368 (2013): 401-3.
4 Cunningham, Walton, and Carter, “The Major Causes of Death in Children and Adolescents in the United States.”
5 Jennifer Karas Montez et al., “U.S. State Policies, Politics, and Life Expectancy,” The Milbank Quarterly 98, no. 3 (2020): 668-99.
8 Montez et al., “U.S. State Policies, Politics, and Life Expectancy”; and Chris Murphy, The Violence Inside Us: A Brief History of an Ongoing American Tragedy (New York: Random House, 2020).
9 Erin Grinshteyn and David Hemenway, “Violent Death Rates in the US Compared to Those of the Other High-Income Countries, 2015,” Preventive Medicine 123 (2019): 20-26.