Gay and Lesbian Teen-Age Suicide Toll Is High; The Method of Choice
Besides the homicidal dangers posed by guns, there is another important life-saving implication of gun control legislation -- the prevention of suicide. The leading method of death by suicide (both men and women) is by gun -- 60 percent of those who die by suicide use a handgun or long gun to kill themselves. About 47 percent of all firearms-related deaths in the United States each year are attributable to suicide.
One of the most common reasons people cite for defending the private ownership of firearms is self-protection. Some feel the need to store guns in their home to protect themselves, their family and their possessions.
The best evidence on the subject comes from a study reported by Kellermann and Reay in 1986. They counted all people who died by gunshot wound in a large urban county during a six-year period and categorized 398 cases where the gun causing death had been stored in the house where the shooting occurred. The guns were fired for self-protection in only 2 percent of the cases.
The guns were fired accidentally in 3 percent of the cases -- usually a child found the gun, played with it and killed another child. The guns were fired to kill another person who was not an intruder in 10 percent of cases -- usually an adult in the household killed a spouse, girlfriend or boyfriend. The guns were used for suicide in 84 percent of cases.
Thus, guns stored in the home are used for suicide 40 times more often than for self-protection.
If access to guns were greatly restricted, would suicide rates drop? A Seattle-Vancouver comparison study suggested that stricter Canadian gun control laws were associated with a 27 percent lower suicide rate for those 15 to 24 years old (Sloan, Rivara and colleagues, 1990).
Loftin and colleagues (1990) showed that suicide by firearms in the District of Columbia area dropped by 23 percent after the 1976 introduction of one of the most restrictive gun control laws in the country -- though residents could continue to get guns in Maryland and Virginia. The Washington homicide rate also decreased about 25 percent.
The risk of adolescent suicide does not seem lower in homes where guns are stored under lock and key, or without ammunition.
The adolescent suicide rate in the United States has tripled since the 1950's. The rate of suicide by gun has grown hand in hand with growth in the domestic production, sales and private ownership of firearms and grown most where gun control laws are least restrictive.
The homicide and suicide rates in the United States might be expected to drop as much as 25 percent each in a relatively short period if aggressive, restrictive gun control legislation were enacted tomorrow.
Is it more important to enact legislation protecting the life and safety of all our citizens or to allow a minority of citizens the freedom to play with instruments of death and injury unhampered? Guns have to be tightly controlled. DAVID C. CLARK Dir., Center for Suicide Research and Prevention, Rush-Presbyterian- St. Luke's Medical Center Chicago, June 18, 1992