Firearm injury is a leading cause of death among children and adolescents.1–3  Approximately 33 000 children were killed by firearms in the decade between 2012 and 2021, with an annual rate that increased 50% between 2019 (1732) and 2021 (2590). For every 1 of these lives tragically lost, 4 children survive their firearm injuries. This substantial rise in preventable death and injury among children by firearms underscores the need for firearm injury reduction to be a national priority area for policymakers, community leaders, clinicians, advocates, and researchers.

The authors of recent studies estimate that 40% of children who survive firearm injuries suffer chronic, complex medical conditions, with an associated $100 million in additional health care expenditures in the year after the injury. Of children who survive firearm injuries, between 47% and 70% are discharged directly from the emergency department (ED), resulting in only a...

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