Q&A: Understanding and Preventing Youth Firearm Violence

This summer the United States Surgeon General Dr. Vivek Murthy released a landmark advisory on firearm violence, declaring it a public health crisis. According to the advisory, gun violence reaches across the lifespan and is currently the leading cause of death for children and adolescents in America.

Researchers at Youth-Nex, the UVA Center to Promote Effective Youth Development, have been examining some of the root causes of youth firearm violence disparities to better understand this crisis and how future prevention efforts may work.

Recently, the Society for Research on Adolescence (SRA) recognized Dr. Jessika Bottiani, an associate research professor at the UVA School of Education and Human Development and faculty affiliate at Youth-Nex, and her co-authors with the 2024 Social Policy Publication Award for a paper on the prevention of youth firearm violence disparities. SRA highlighted this review as work that should be read by all policymakers.

We sat down with Bottiani to learn more about this research review.

Q: Your paper examined research on youth firearm violence and firearm risk. What did you find?

A: Our review and synthesis of data demonstrated striking differences in firearm risk across intersectional identities. We separated out different types of firearm violence (e.g., homicide, suicide, injury), which revealed distinctions in risk across different demographic groups–most saliently gun homicide among Black boys and young men in urban settings.

A staggering degree of inequity in firearm fatalities is shouldered by Black boys and young men in this country, where the rate of firearm homicide is more than 20 times higher among Black boys and young men ages 15-24 than for white boys and young men in the same age groups. We also saw higher rates of gun suicide among white and Indigenous American boys and young men in rural areas of the United States.

When we examined rates by geography, we identified intersectional differences in risk that are important for policymakers to understand. For example, we saw that higher rates of firearm homicide among Black boys and young men were most salient in urban areas of the Midwest and south of the United States. Overlaying data onto maps demonstrated how young male suicide by firearm is also clustered geographically, for example, in rural counties in the Midwest and west for Indigenous young males, and in in rural counties in the west for White male youth (who have the second highest rate of suicide by firearm after Indigenous young males).

Q: Why was a review of the research specifically focused on disparities in youth firearm violence needed?

A: A lot of systematic and scoping reviews on firearm violence had come out in the literature around this time, but none of them focused on understanding why Black boys and young men in urban areas were so disproportionately affected, or why we were also seeing gaps affecting rural White boys and young men. This paper presented data that revealed the degree of these disparities and tried to understand the root causes.

We don’t pay enough attention to the role of racist historical policies and regulations that have calcified into today’s racially segregated geographies and poverty. With this paper, we wanted to reveal the way in which youth gun violence is inextricably bound to the history of race, place, and culture in the United States. The paper also delves into cultural norms around guns and masculinity. We feel insights on these aspects of context are vital for understanding how to address youth firearm violence.

Q: What future prevention efforts do you suggest in your paper?

A: We put forth a number of evidence-based solutions for settings ranging from emergency rooms to schools to address firearm violence at the individual level. Yet perhaps more importantly, we also provide suggestions for tackling the structural and sociocultural factors that underlie firearm violence.

At the community level, our recommendations range from violence interrupters to programs and policies that seek to disrupt racial segregation and redress housing inequities. We also note the potential for media campaigns addressing sociocultural norms to be a tool for prevention.

We provided a review of gun restriction and safety policies, and their potential effectiveness in addressing youth firearm violence (while also acknowledging the political climate wherein such policies have been increasingly challenged). We point out that some recent firearm related policies, purportedly race neutral in their language, had harmful impacts specifically on communities and people of color.

Individual level interventions or policies that seek to address only one piece of the puzzle are bound to be ineffective at scale. Rather, what is required are multisector, place-based initiatives that address structural factors related to poverty and the built environment in under-resourced segregated neighborhoods.