Exposure to firearm injury and suicide in a rural Pennsylvania county: implications for mental and behavioral health.
Behavioral health
Firearm injury
Mental health
Rural
Suicide
Violence
Journal
Journal of behavioral medicine
ISSN: 1573-3521
Titre abrégé: J Behav Med
Pays: United States
ID NLM: 7807105
Informations de publication
Date de publication:
28 Oct 2024
28 Oct 2024
Historique:
received:
20
04
2024
accepted:
14
10
2024
medline:
29
10
2024
pubmed:
29
10
2024
entrez:
29
10
2024
Statut:
aheadofprint
Résumé
To evaluate the association between self-reported gun violence exposures and mental health and behavioral health indicators in a rural population. Using cross-sectional survey responses from 630 residents of a rural county in Pennsylvania, logistic regression models estimate the likelihood of residents indicating moderate or severe levels of health outcomes as a function of gun violence exposure. We control for a series of variables related to gun ownership, behavior, history with firearms and demographic characteristics. Personal firearm victimization was associated with self-reported depressive symptoms and interrupted sleep. Secondary exposure to firearm violence, particularly exposure to friends attempting or completing a suicide, was associated with higher odds of reporting severe levels (14 days or more in the past month) of depressive symptoms, anxiety, and poor sleep. For firearm suicide involving a friend or family member, the odds of reporting severe levels of all three outcomes are 3 times greater (OR 2.984, 95% CI 1.457-6.108). For each additional firearm exposure, the odds of experiencing severe levels of mental health and sleep difficulties are 1.4 times greater (OR 1.384, 95% CI 1.115-1.720). Cumulative exposures also increase the odds of reporting binge drinking and drug use. Firearm violence exposure was associated with adverse health indicators in this rural population. Approaches to counter the effects of cumulative firearm exposure and firearm suicide exposure, including reinvigorating community spaces and strengthening social supports, may help to reduce mental health burden in rural communities.
Identifiants
pubmed: 39467926
doi: 10.1007/s10865-024-00529-8
pii: 10.1007/s10865-024-00529-8
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024. The Author(s).
Références
Ballard, J. (2018). Many Americans know someone who had died by suicide. YouGov Poll. https://today.yougov.com/society/articles/21541-americans-depression-suicide-mental-health
Barnard, L. M., Leavitt, C., Spark, T. L., Leary, J. B., & Wallace, E. A. (2022). Who discovers the firearm suicide decedent: An epidemiologic characterization of survivor-victims. Injury Epidemiology, 9(1), 45–45. https://doi.org/10.1186/s40621-022-00408-3
doi: 10.1186/s40621-022-00408-3
pubmed: 36503582
pmcid: 9743761
Bohm, M. K. (2021). Binge drinking among adults, by select characteristics and state—United States, 2018. MMWR. Morbidity and Mortality Weekly Report, 70.
Buggs, S. A., Zhang, X., Aubel, A., Bruns, A., & Kravitz-Wirtz, N. (2022). Heterogeneous effects of spatially proximate firearm homicide exposure on anxiety and depression symptoms among US youth. Preventive Medicine, 1, 107224.
doi: 10.1016/j.ypmed.2022.107224
Gatz, M., Brown, V., Hennigan, K., Rechberger, E., O’Keefe, M., Rose, T., & Bjelajac, P. (2007). Effectiveness of an integrated, trauma-informed approach to treating women with co-occurring disorders and histories of trauma: The Los Angeles site experience. Journal of Community Psychology, 35, 863–878.
doi: 10.1002/jcop.20186
Haden, S. C., & Scarpa, A. (2008). Community violence victimization and depressed mood: The moderating effects of coping and social support. Journal of Interpersonal Violence, 23, 1213–1234. https://doi.org/10.1177/0886260508314297
doi: 10.1177/0886260508314297
pubmed: 18378814
Kalesan, B. (2020). Investigating intersections between firearm suicide, drug-related mortality and primary economic dependency in rural America: a cross-sectional study. Injury Prevention, 26, A3. https://doi.org/10.1136/injuryprev-2020-savir.6
doi: 10.1136/injuryprev-2020-savir.6
Kobau, R., Safran, M. A., Zack, M. M., Moriarty, D. G., & Chapman, D. (2004). Sad, blue, or depressed days, health behaviors and health-related quality of life, behavioral risk factor surveillance system, 1995–2000. Health and Quality of Life Outcomes, 2, 1–8.
doi: 10.1186/1477-7525-2-40
Lundstrom, E. W., Pence, J. K., & Smith, G. S. (2023). The urgent need for firearm suicide prevention research in the rural US. Rural and Remote Health., 23, 1–2. https://doi.org/10.22605/RRH8267
doi: 10.22605/RRH8267
Magee, L. A., Fortenberry, J. D., Aalsma, M. C., Gharbi, S., & Wiehe, S. E. (2022). Healthcare utilization and mental health outcomes among nonfatal shooting assault victims. Preventive Medicine Reports, 1, 101824.
doi: 10.1016/j.pmedr.2022.101824
Magee, L. A., Semenza, D., Gharbi, S., & Wiehe, S. E. (2023). Addressing mental health needs of secondary homicide survivors through a social determinants of health framework. Homicide Studies, 27, 435–453.
doi: 10.1177/10887679231163099
Marshall, P., Sansom, K., Jagfeld, G., Jones, S., & Lobban, F. (2023). Caring for a friend or family member who has experienced suicidal behaviour: A systematic review and qualitative synthesis. Psychology and Psychotherapy, 96, 426–447. https://doi.org/10.1111/papt.12449
doi: 10.1111/papt.12449
pubmed: 36786386
pmcid: 10952656
Mauritz, M. W., Goossens, P. J. J., Draijer, N., & van Achterberg, T. (2013). Prevalence of interpersonal trauma exposure and trauma-related disorders in severe mental illness. European Journal of Psychotraumatology. https://doi.org/10.3402/ejpt.v4i0.19985
doi: 10.3402/ejpt.v4i0.19985
pubmed: 23577228
pmcid: 3621904
Mitchell, K. J., Jones, L. M., Turner, H. A., Beseler, C. L., Hamby, S., & Wade, R., Jr. (2021). Understanding the impact of seeing gun violence and hearing gunshots in public places: Findings from the youth firearm risk and safety study. Journal of Interpersonal Violence, 36, 8835–8851.
doi: 10.1177/0886260519853393
pubmed: 31179801
Parker, K., Horowitz, J. M., Igielnik, R., Oliphant, J. B., & Brown, A. (2017). America’s complex relationship with guns: The demographics of gun ownership. New York: Pew Research Center.
Pierce, O., Mascia, J., Brownlee, C. (2024). You’re more likely to be shot in Selma than Chicago. The Trace. https://www.thetrace.org/2024/03/gun-violence-statistics-urban-rural/
Pollock, N., Wilson, M., Karaivanov, Y., Power, N., & Reccord, C. (2020). Codesigning a public health approach to preventing firearm-related suicide deaths with rural communities. Canadian Medical Association Journal (CMAJ), 192, E1811–E1811. https://doi.org/10.1503/cmaj.77311
doi: 10.1503/cmaj.77311
pubmed: 33318094
Reeping, P. M., Mak, A., Branas, C. C., Gobaud, A. N., & Nance, M. L. (2023). Firearm death rates in rural vs urban US counties. JAMA Surgery, 158, 771–772.
doi: 10.1001/jamasurg.2023.0265
pubmed: 37099312
pmcid: 10134042
Salganik, M. J. (2019). Bit by bit: Social research in the digital age. Princeton: Princeton University Press.
Semenza, D. C., Baker, N., & Ziminski, D. (2023). Firearm violence exposure and health in 2 national samples of Black and American Indian/Alaska Native adults. Health Affairs Scholar, 1, qxad036.
doi: 10.1093/haschl/qxad036
pubmed: 38756674
pmcid: 10986215
Semenza, D. C., Daruwala, S., Stephens, J. R., & Anestis, M. D. (2024). Gun violence exposure and suicide among Black adults. JAMA Network Open, 7, e2354953.
doi: 10.1001/jamanetworkopen.2023.54953
pubmed: 38319659
pmcid: 10848043
Semenza, D. C., Hamilton, J. L., Testa, A., & Jackson, D. B. (2024). Individual and cumulative firearm violence exposure: Implications for sleep among Black and American Indian/Alaska Native adults. Annals of Epidemiology, 1, 18–22.
doi: 10.1016/j.annepidem.2024.01.006
Semenza, D. C., & Stansfield, R. (2021). Non-fatal gun violence and community health behaviors: A neighborhood analysis in Philadelphia. Journal of Behavioral Medicine., 44, 833–841.
doi: 10.1007/s10865-021-00232-y
pubmed: 34081244
Semenza, D. C., & Stansfield, R. (2021). Community gun violence and functional disability: An ecological analysis among men in four US cities. Health and Place, 1, 102625.
doi: 10.1016/j.healthplace.2021.102625
Semenza, D. C., Stansfield, R., Silver, I. A., & Savage, B. (2023). Reciprocal neighborhood dynamics in gun violence exposure, community health, and concentrated disadvantage in one hundred US cities. Journal of Urban Health, 100, 1128–1139.
doi: 10.1007/s11524-023-00796-x
pubmed: 37843742
pmcid: 10728405
Shiner, B., Peltzman, T., Cornelius, S. L., et al. (2022). Influence of contextual factors on death by suicide in rural and urban settings. The Journal of Rural Health, 38, 336–345. https://doi.org/10.1111/jrh.12579
doi: 10.1111/jrh.12579
pubmed: 33900641
Slovak, K., & Singer, M. (2001). Gun violence exposure and trauma among rural youth. Violence and Victims, 16, 389–400.
doi: 10.1891/0886-6708.16.4.389
pubmed: 11506448
Smith, M. E., Sharpe, T. L., Richardson, J., Pahwa, R., Smith, D., & DeVylder, J. (2020). The impact of exposure to gun violence fatality on mental health outcomes in four urban US settings. Social Science and Medicine, 1, 112587.
doi: 10.1016/j.socscimed.2019.112587
Song, Z. (2022). The business case for reducing firearm injuries. JAMA, 328, 1185–1186.
doi: 10.1001/jama.2022.16890
pubmed: 36166013
Song, Z., Zubizarreta, J. R., Giuriato, M., Koh, K. A., & Sacks, C. A. (2023). Firearm injuries in children and adolescents: health and economic consequences among survivors and family members: Study examines firearm injuries in children and adolescents and the health and economic consequences among survivors and family members. Health Affairs, 42, 1541–1550.
doi: 10.1377/hlthaff.2023.00587
pubmed: 37931194
Song, Z., Zubizarreta, J. R., Giuriato, M., Paulos, E., & Koh, K. A. (2022). Changes in health care spending, use, and clinical outcomes after nonfatal firearm injuries among survivors and family members: A cohort study. Annals of Internal Medicine, 175, 795–803.
doi: 10.7326/M21-2812
pubmed: 35377713
Stinson, J. D., Quinn, M. A., & Levenson, J. S. (2016). The impact of trauma on the onset of mental health symptoms, aggression, and criminal behavior in an inpatient psychiatric sample. Child Abuse and Neglect, 61, 13–22. https://doi.org/10.1016/j.chiabu.2016.09.005
doi: 10.1016/j.chiabu.2016.09.005
pubmed: 27693854
Turner, H. A., Mitchell, K. J., Jones, L. M., Hamby, S., Wade, R., Jr., & Beseler, C. L. (2019). Gun violence exposure and posttraumatic symptoms among children and youth. Journal of Traumatic Stress, 32, 881–889.
doi: 10.1002/jts.22466
pubmed: 31833114
University of Colorado Boulder (2024). Center for the Study and Prevention of Violence, Institute of Behavioral Science. Taking stock of the gun shop project. https://cspv.colorado.edu/what-we-do/taking-stock-gun-shop-project/
Vasan, A., Mitchell, H. K., Fein, J. A., Buckler, D. G., Wiebe, D. J., & South, E. C. (2021). Association of neighborhood gun violence with mental health-related pediatric emergency department utilization. JAMA Pediatrics, 175, 1244–1251.
doi: 10.1001/jamapediatrics.2021.3512
pubmed: 34542562
Villarroel, M. A., & Terlizzi, E. P. (2020). Symptoms of depression among adults: United States, 2019. https://www.cdc.gov/nchs/data/databriefs/db378-H.pdf
Zarse, E. M., Neff, M. R., Yoder, R., Hulvershorn, L., Chambers, J. E., Chambers, R. A., & Schumacher, U. (2019). The adverse childhood experiences questionnaire: Two decades of research on childhood trauma as a primary cause of adult mental illness, addiction, and medical diseases. Cogent Medicine. https://doi.org/10.1080/2331205X.2019.1581447
doi: 10.1080/2331205X.2019.1581447