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Firearm-Related Deaths: National and State-Level Data

January 19, 2017

Michelle Aurelius, MD

Alison Miller, MA

The North Carolina Medical Examiner System

• OCME investigates sudden, violent, and unexpected deaths in North Carolina. • Accident

• Homicide

• Natural

• Suicide

• OCME investigates 12,000 deaths per year.• Approximately 14% of the total number of deaths in North Carolina

• OCME collects data from autopsy reports, death certificates, investigation reports, and toxicology reports.• OCME data can be used to:

• Identify trends

• Inform public health initiatives

• Develop prevention strategies

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Firearm-Related Deaths in the United States

Source: www.everytownresearch.org (2015)

This number increased to 99 per day in 2015!

Firearm-Related Deaths in the United States, 2005 – 2015

There were 356,831 firearm-related deaths from 2005 to 2015. Of these deaths, 212,770 were suicides.

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Suicide59.6%

Homicide36.5%

Accident1.8%

Undetermined0.8%

Other1.2%

Source: Centers for Disease Control and Prevention/National Center for Health Statistics. Multiple Cause of Death Files, 1999 – 2015: CDC WONDER online database. Analysis by the North Carolina Office of the Chief Medical Examiner.

Gender % Total Rate per 100,000

Male 86.1 18.4

Female 13.9 2.9

TOTAL 100% 10.5

Race % Total Rate per 100,000

White 73.1 9.7

Black 24.5 18.9

Asian 1.4 2.6

American Indian 1.0 7.5

TOTAL 100% 10.5

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2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015

Total 30695 30897 31224 31593 31347 31673 32351 33563 33636 33600 36252

Rate 10.4 10.4 10.4 10.4 10.2 10.3 10.4 10.7 10.6 10.5 11.3

9.6

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10.4

10.6

10.8

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Firearm-Related Deaths in the United States, 2005 – 2015

Source: Centers for Disease Control and Prevention/National Center for Health Statistics. Multiple Cause of Death Files, 1999 – 2015: CDC WONDER online database. Analysis by the North Carolina Office of the Chief Medical Examiner.

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• There were 36,252 firearm-related deaths in 2015.

• Highest Rates of Firearm-Related Deaths (All Manners of Death) • Alaska (24.0 per 100,000)

• Louisiana (20.4)

• Montana (19.8)

• Alabama (19.7)

• Mississippi (19.7)

• Highest Numbers of Firearm-Related Deaths (All Manners of Death)• Texas (3,203)

• California (3,095)

• Florida (2,559)

• Pennsylvania (1,485)

• Georgia (1,448)

• North Carolina ranked 21st in the nation with a rate of 12.8 per 100,000.

Firearm-Related Deaths in the United States, 2015

Source: Centers for Disease Control and Prevention/National Center for Health Statistics. December 2016.

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Firearm-Related Deaths in the United States, 2015

Source: Centers for Disease Control and Prevention/National Center for Health Statistics. December 2016.

Firearm-Related Deaths in the United States, 2015

There were 22,018 suicides in 2015. Homicides represented the second largest group with 12,968 deaths.

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Suicide60.7%

Homicide35.8%

Accident1.3%

Undetermined0.8%

Other1.3%

Source: Centers for Disease Control and Prevention/National Center for Health Statistics. Multiple Cause of Death Files, 1999 – 2015: CDC WONDER online database. Analysis by the North Carolina Office of the Chief Medical Examiner.

Gender % Total Rate per 100,000

Male 85.6 19.6

Female 14.4 3.2

TOTAL 100% 11.3

Race % Total Rate per 100,000

White 72.5 10.4

Black 25.0 20.2

Asian 1.5 2.7

American Indian 1.1 8.4

TOTAL 100% 11.3

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<1 1-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+

Total 9 78 78 278 2381 4502 7406 5337 5361 4766 3114 2024 914

Rate 0.0 0.5 0.4 1.3 11.3 19.8 16.8 13.1 12.4 11.7 11.3 14.5 14.5

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Age Group (Years)

Firearm-Related Deaths in the United States by Age Group, 2015

Firearm-Related Deaths in the United States, 2015

Source: Centers for Disease Control and Prevention/National Center for Health Statistics. Multiple Cause of Death Files, 1999 – 2015: CDC WONDER online database. Analysis by the North Carolina Office of the Chief Medical Examiner.

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Firearm-Related Deaths in North Carolina

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Source: North Carolina Office of the Chief Medical Examiner (2016)

There were 719 firearm-related deaths in North Carolina in the first 6 months of 2016. Of these deaths, 437 were suicides.

2016 PROVISIONAL DATA

Firearm-Related Deaths in North Carolina

Accident1.1%

Homicide36.4%

Suicide60.8%

Undetermined0.7%

Pending1.0%

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Source: North Carolina Office of the Chief Medical Examiner (2016)

2016 PROVISIONAL DATA

Firearm-Related Deaths in North Carolina

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1 47

212

359

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Accident Homicide Suicide Undetermined Pending

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Manner of Death

Firearm-Related Deaths by Gender and Manner of Death, January – June 2016

Female Male

2016 PROVISIONAL DATA

Firearm-Related Deaths in North Carolina

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Source: North Carolina Office of the Chief Medical Examiner (2016)

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395

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160

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Manner of Death

Firearm-Related Deaths by Race and Manner of Death, January – June 2016

White Black Unknown American Indian Asian

2016 PROVISIONAL DATA

Firearm-Related Deaths in North Carolina

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Source: North Carolina Office of the Chief Medical Examiner (2016)

<1 1-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+

Female 0 1 0 0 9 13 17 27 20 24 16 7 0

Male 0 2 0 4 41 64 116 107 78 72 53 37 11

Female Rate 0.0 0.3 0.0 0.0 2.7 3.8 2.6 4.0 2.8 3.6 3.2 2.7 0.0

Male Rate 0.0 0.7 0.0 1.2 11.6 17.3 18.2 16.8 11.6 11.9 12.3 19.3 18.8

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Firearm-Related Deaths by Gender and Age Group, January – June 2016

Contact Information

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Data Requests

If you would like to request OCME data, please visit our website at www.ocme.dhhs.nc.gov. If you have any questions, please

contact Alison Miller at alison.miller@dhhs.nc.gov.

Michelle Aurelius, MD

michelle.aurelius@dhhs.nc.gov

Thank you!