Suicide by Gunshot in the United Kingdom: A review of the literature

Author:

HAW CAMILLA1,SUTTON LESLEY2,SIMKIN SUE3,GUNNELL DAVID4,KAPUR NAVNEET5,NOWERS MIKE6,HAWTON KEITH7

Affiliation:

1. Consultant Psychiatrist, St. Andrew's Hospital, Northampton NN1 5DG

2. Research Assistant, Centre for Suicide Research, Department of Psychiatry, Warneford Hospital, Oxford OX3 7JX

3. Researcher and Co-ordinator, Centre for Suicide Research, Department of Psychiatry, Warneford Hospital, Oxford OX3 7JX

4. Professor of Epidemiology, Department of Social Medicine, University of Bristol, Bristol BS8 2PR

5. Senior Lecturer, Centre for Suicide Prevention, Williamson Building, University of Manchester, Manchester M13 9PL

6. Consultant Psychiatrist, Cossham Hospital, Lodge Road, Bristol BS15 1LF

7. Professor, Centre for Suicide Research, Department of Psychiatry, Warneford Hospital, Oxford OX3 7JX

Abstract

This paper reviews the research literature on gunshot suicide in the United Kingdom and the international literature with reference to strategies aimed at preventing gunshot suicides. Trends in gun ownership and changes in firearm legislation in the UK over the past 20 years are described. Most UK gunshot suicides are male, middle-aged and living with a partner and involve the use of shotguns. They are less likely to have current or past mental health problems, or a previous act of self-harm, than people who commit suicide by other methods, and their suicide is more likely to have been precipitated by a relationship dispute. Where alcohol is consumed the amount tends to be large. The international literature provides evidence of a strong association between rates of gun ownership and gunshot suicide, and some evidence of a reduction in firearm suicide rates following the introduction of restrictive firearm legislation. Over the past 20 years the number of gunshot suicides in the UK has declined by over 50% to a little over a hundred deaths per annum. At the same time, firearm legislation has become progressively more restrictive and rates of gun ownership have declined. Measures, which might further reduce the prevalence of gunshot suicides in the UK, are discussed.

Publisher

SAGE Publications

Subject

Law,Health Policy,Issues, ethics and legal aspects

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