On August 7, the American Academy of Family Physicians and seven other public health and medical associations issued a call for policies that begin to address firearm-related injuries and deaths. The call, “Firearm-Related Injury and Death in the United States: A Call to Action From the Nation’s Leading Physician and Public Health Professional Organizations,” was published in the Annals of Internal Medicine.
“Somehow, we need to come together as a nation on this issue,” said AAFP President John Cullen, MD. “Treating firearm injuries as a public health issue is an important first step. We did this for motor vehicle accidents and have seen a significant decrease in injuries. We didn’t try to remove cars, we made them safer. The public health approach worked. We need more data regarding gun-related injuries and deaths, but both sides of the debate should come together now and work on solutions—including safe storage laws, expanded background checks, research, and improved access to mental health services—we can all agree on.”
- Comprehensive criminal background checks for all firearm purchases, including sales by gun dealers, sales at gun shows, private sales, and transfers between individuals with limited exceptions should be required.
- Research to improve understanding of the causes and consequences of firearm-related injury and death and to identify, test, and implement strategies to reduce these events is important.
- Addition of dating partners, stalkers, or individuals who commit violence against another family member to the categories of people prohibited by federal law from buying firearms. Offenders who have been adjudicated guilty of a crime of violence against a family member or intimate partner, including dating partners, cohabitants, stalkers, and those who victimize a family member other than a partner or child, should be reported to the National Instant Criminal Background Check System and be prohibited from purchasing or possessing firearms.
- Laws that hold firearms owners accountable for negligently storing firearms. Safe storage is essential to reducing the risk for unintentional or intentional injuries or deaths from firearms, particularly in homes with children, adolescents, people with dementia, people with substance use disorders, and the small subset of people with serious mental illnesses that are associated with greater risk of harming themselves and/or others.
- Improved access to mental health care paired with safeguards against broadly prohibiting all individuals with a mental health or substance use disorder from purchasing firearms.
- Enactment of extreme risk protection order laws, which allow families and law enforcement to petition a judge to temporarily remove firearms from individuals at imminent risk for using them to harm themselves or others.
- Protection of confidential patient-physician communication on issues that affect their health, including counseling at-risk patients about mitigating the risks associated with firearms in the home and firearm safety.
- Constitutionally appropriate policies that effectively address high-capacity magazines and firearms with features designed to increase their rapid and extended killing capacity.
“In this call to action, physicians and public health experts emphasize the need to improve the health and safety of our patients, their families, and communities, while respecting the U.S. Constitution,” said Dr. Cullen. “By focusing on the areas that we can agree on as a nation, we can significantly reduce the number of people injured or killed by firearms.”