Firearms and Suicide Risk
DEFINITION
- Suicide is defined as "death caused by self-directed injurious behavior with an intent to die as a result of the behavior".[1]
 - Suicide was among the leading causes of death in the U.S. in 2023 and the second leading cause of death for young Americans (aged 10-39). 
- Firearms accounted for approximately one-half (24,292; 53%) of suicides in 2020.[2]
 - Firearm suicides comprised about 58% of gun deaths in 2023.[3]
 - Completed suicides are predominantly male (78%); suicide rates are over 3.5 times higher in males than females.[4] 
- Males are roughly 4x more likely than females to die by suicide, although females attempt suicide 3x as often.[2]
 - This discrepancy is usually credited to the male preference for more fatal methods of suicide attempt, chiefly firearms; in 2009, there was a 90.9% case fatality in men vs. 70% in women for firearm-related suicides.[5]
 
 
 - The U.S. has the highest rate of firearm ownership per capita globally. It is estimated that one out of every three U.S. households contains a firearm.[6] Two-thirds of all gun deaths are suicides.[7] 
- Unsurprisingly, firearms (particularly handguns) are the most common means of suicide, representing almost half of all suicides, more than all other methods combined.[2] 
- Firearm use is more common in older adults (especially men) and accounts for over 70% of all suicide deaths for older adults.[8]
 
 
 - Unsurprisingly, firearms (particularly handguns) are the most common means of suicide, representing almost half of all suicides, more than all other methods combined.[2] 
 - Firearms are not only the most common method of suicide but also the most lethal, with an 85% fatality rate[2](see Graph).
 - Gun ownership is tightly positively correlated with the suicide rate.[7]
 
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Last updated: October 3, 2025
Citation
Felder, William, et al. "Firearms and Suicide Risk." Johns Hopkins Psychiatry Guide, The Johns Hopkins University, 2025. Johns Hopkins Guides, www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Psychiatry_Guide/787364/all/Firearms_and_Suicide_Risk. 
Felder W, Esagoff AI,  L, Nestadt P. Firearms and Suicide Risk. Johns Hopkins Psychiatry Guide. The Johns Hopkins University; 2025. https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Psychiatry_Guide/787364/all/Firearms_and_Suicide_Risk. Accessed November 4, 2025.
Felder, W., Esagoff, A. I., , L., & Nestadt, P. (2025). Firearms and Suicide Risk. In Johns Hopkins Psychiatry Guide. The Johns Hopkins University. https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Psychiatry_Guide/787364/all/Firearms_and_Suicide_Risk
Felder W, Esagoff AI,  L, Nestadt P. Firearms and Suicide Risk [Internet]. In: Johns Hopkins Psychiatry Guide. The Johns Hopkins University; 2025. [cited 2025 November 04]. Available from: https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Psychiatry_Guide/787364/all/Firearms_and_Suicide_Risk.
* Article titles in AMA citation format should be in sentence-case
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BT  -  Johns Hopkins Psychiatry Guide
UR  -  https://www.hopkinsguides.com/hopkins/view/Johns_Hopkins_Psychiatry_Guide/787364/all/Firearms_and_Suicide_Risk
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Johns Hopkins Psychiatry Guide

