Background Firearm-related injuries are among the leading causes of premature death. American Indian and Alaska Native populations have disproportionately high rates of firearm-related injuries and deaths, with increases in firearm mortality rates between 2018 and 2023. Considering these trends, we conducted a special project to distribute firearm storage cabinets to two Tribal communities. Methods The project used a community-based participatory approach to engage and involve Tribal partners to encourage ownership and buy-in of the project. Tribal community members signed up to receive a firearm storage cabinet. Baseline surveys were conducted before delivery to identify firearm storage practices, and 30-day follow-up surveys were conducted to observe any changes in firearm storage practices. Results A total of 73 firearm storage cabinets were distributed, with 52 baseline and 52 follow-up surveys being completed. 69% of participants reported at least one minor (<17 years old) living with them. The percentage of homeowners who secured their firearms increased from 44% to 83%. The number of reported firearm storage locations dropped from 13 to 7. The majority of participant feedback reported that the cabinets provided a peace of mind. Conclusion Projects like this are increasingly important for rural Tribal communities to highlight the feasibility of scalable interventions. Using a community-based participative approach is a critical step for community buy-in and ownership. Acceptance and use of firearm storage cabinets can potentially lower the risk of firearm-related injuries and deaths in Tribal communities.
Chung et al. (Tue,) studied this question.