According to the Centers for Disease Control and Prevention (CDC), unintentional injury is the leading cause of death in children and adolescents aged 1-17 years old. More specifically, firearm-related injuries are the leading cause. While the mention of firearm-related deaths can evoke thoughts of school shootings, the majority of these injuries occur in the home environment. A recent study, published in the journal Pediatrics, examined the prevalence of firearm-related deaths in cases of intimate partner violence (IPV) among adults in domestic settings. IPV encompasses various forms of abuse or aggression within romantic relationships that are physical, sexual, or psychological in nature.

The researchers used data from the National Violence Death Reporting System (NVDRS), a state-based surveillance system established to aid the CDC in monitoring violence-related fatalities. They analyzed law enforcement and coroner/medical examiner reports to identify child firearm homicides caused by IPV and other contextual factors. These factors included relationship of the perpetrator to the victim, the number of victims, the child custody situation, and instances such as break-ups. From 2003 to 2020, the NVDRS recorded a total of 11,594 child homicide deaths. Among these, 5716 were identified as firearm-related deaths, with 686 cases related to IPV.

Intimate partner violence inadvertently affects children as well.

Image Source: Thai Liang Lim

The researchers discovered that in 86% of IPV-related firearm homicides involving children, the children were unintended victims. When there was another victim, the child’s mother 94% of the time. Although males account for 80% of all child firearm homicide victims, including scenarios of hunting accidents or community violence, when females were the victims, IPV was six times more likely to be present. This highlights the disproportionate burden on women and girls in domestic homicides.

The data also revealed other patterns. The perpetrator was the child’s biological father in 46% of cases, while the mother’s male companion (e.g., boyfriend or stepfather) accounted for 15% of the cases. In 38% of these cases, a prior breakup acted as a stressor.  It’s possible that the breakups triggered feelings of loss that lead to anger, revenge, and violence. Notably, two-thirds of the victims were Black children, underscoring deeper structural disparities.

This study had several limitations. The data relied on law enforcement and medical examiner reports, with varying levels of detail. These reports may not have captured the perspectives off all those involved. Nonetheless, the broader trends in the study remain relevant. Overall, the issue at hand is multifaceted but preventable. Addressing it effectively requires intervention from different angles. At the individual level, promoting healthier relationships, creating supportive environments, and implementing effective conflict resolution strategies within homes are crucial steps. On a larger scale, measures to reduce access to firearms to individuals at risk of harming themselves or others are also necessary.

Featured Image: © Pixel-Shot /Adobe Stock

Vivian Nguyen

Author Vivian Nguyen

Vivian Nguyen is a third-year medical student at UT Southwestern. She majored in Microbiology and minored in Professional Writing during her undergraduate time at UCLA. She enjoys combining her passions for writing and medicine to improve health literacy, but she also writes poetry in her free time.

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