- Occupational access to firearms was associated with increased odds of firearm-related suicide: males OR 2.2, females OR 2.6.
- Mortality case-control study used NVDRS data (2013-2023), adjusting for worker demographics and rural residence.
- Reducing occupational firearm access and implementing lethal means counselling may lower firearm-related suicides.
J Occup Environ Med. 2026 Aug 11. doi: 10.1097/JOM.0000000000003857. Online ahead of print.
ABSTRACT
OBJECTIVE: To examine the association between occupational access to firearms and firearm-related suicide, adjusting for worker demographics and rural residence.
METHODS: We conducted a mortality case-control study using National Violent Death Reporting System data (2013-2023). Occupational access was defined as employment in jobs involving firearm use. Firearm-related suicides were compared with non-firearm suicides using multivariable logistic regression, with sex-stratified models estimating odds ratios (ORs) and 95% confidence intervals (CIs).
RESULTS: Workers with occupational firearm access had higher odds of firearm-related suicide (males: OR = 2.2, 95% CI: 2.1-2.4; females: OR = 2.6, 95% CI: 2.3-3.2).
CONCLUSIONS: Reducing occupational firearm access may lower firearm-related suicides. Interventions such as lethal means counseling should be considered.
PMID:42579847 | DOI:10.1097/JOM.0000000000003857
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