Who uses firearms as a means of suicide? A population study exploring firearm accessibility and method choice

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Title Who uses firearms as a means of suicide? A population study exploring firearm accessibility and method choice
Author Klieve, Helen Margaret; Sveticic, Jerneja; De Leo, Diego
Journal Name BMC Medicine
Year Published 2009
Place of publication United Kingdom
Publisher BioMed Central Ltd.
Abstract Background: The 1996 Australian National Firearms Agreement introduced strict access limitations. However, reports on the effectiveness of the new legislation are conflicting. This study, accessing all cases of suicide 1997-2004, explores factors which may impact on the choice of firearms as a suicide method, including current licence possession and previous history of legal access. Methods: Detailed information on all Queensland suicides (1997-2004) was obtained from the Queensland Suicide Register, with additional details of firearm licence history accessed from the Firearm Registry (Queensland Police Service). Cases were compared against licence history and method choice (firearms or other method). Odds ratios (OR) assessed the risk of firearms suicide and suicide by any method against licence history. A logistic regression was undertaken identifying factors significant in those most likely to use firearms in suicide. Results: The rate of suicide using firearms in those with a current license (10.92 per 100,000) far exceeded the rate in those with no license history (1.03 per 100,000). Those with a license history had a far higher rate of suicide (30.41 per 100,000) compared to that of all suicides (15.39 per 100,000). Additionally, a history of firearms licence (current or present) was found to more than double the risk of suicide by any means (OR = 2.09, P < 0.001). The group with the highest risk of selecting firearms to suicide were older males from rural locations. Conclusion: Accessibility and familiarity with firearms represent critical elements in determining the choice of method. Further licensing restrictions and the implementation of more stringent secure storage requirements are likely to reduce the overall familiarity with firearms in the community and contribute to reductions in rates of suicide.
Peer Reviewed Yes
Published Yes
Alternative URI http://dx.doi.org/10.1186/1741-7015-7-52
Copyright Statement Copyright 2009 Klieve et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Volume 7
Page from 1
Page to 9
ISSN 1741-7015
Date Accessioned 2010-03-05
Language en_AU
Research Centre Australian Institute for Suicide Research and Prevention
Faculty Griffith Health Faculty
Subject Mental Health
URI http://hdl.handle.net/10072/29751
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1

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