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October 1, 1993Journal of Trauma and Acute Care Surgery

Urban Firearm Deaths

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Authors

MMMichael D. McGonigalRegions HospitalJCJohn T. ColeTexas Tech UniversityCSC. William SchwabInserm

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Implication

Retrospective cross-sectional analysis uncovers a 123% increase in firearm homicides in urban youth, highlighting worsening lethality and trauma center strain.

Key Points

  • To examine trends in firearm homicide victims, weapon types, and associated toxicology and criminal records between 1985 and 1990.
  • Reviewed Philadelphia County Medical Examiner death records across two cross-sectional years: 1985 and 1990.
  • Analyzed demographic variables, autopsy findings, toxicological reports, weapon characteristics, and criminal history records.
  • Firearm homicides increased by 123% from 145 victims in 1985 to 324 in 1990, driven primarily by fatalities among Black males aged 15–24 years.
  • Handguns accounted for at least 90% of homicides each year, with semiautomatic handgun involvement rising from 24% to 39% and on-scene deaths from semiautomatics surging from 5% to 34%.
  • Antemortem intoxication rose from 54% to 61% (cocaine present in 39% of 1990 victims), and victims with a prior criminal record rose from 44% to 67%, with past drug offenses escalating from 33% to 84%.

Cite This Study

McGonigal et al. (1993) studied this question.

synapsesocial.com/papers/6a87a7e53c8582a8d3aca3cchttps://doi.org/10.1097/00005373-199310000-00006
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Trends in Firearm-related Mortality in Pennsylvania, 2012–20232026
  2. 2A Population‐based Study of Fatal and Nonfatal Firearm‐related Injuries1997 · 13 citations
  3. 3Systematic disparities in reporting on community firearm violence on local television news in Philadelphia, PA, USA2024 · 3 citations
  4. 4Community Firearm Violence, Youth Depression, and Suicide Risk in Philadelphia: 2017–20242026
  5. 5Epidemiology of fatal and nonfatal community firearm violence in New York City, 2019–20232025