Eight recommendations have been endorsed by emergency medical services clinicians, emergency medicine doctors, surgeons

Likelihood of carrying gun increased for those with violence-related experience, suicide ideation or attempts, substance use

Findings based on large-scale machine learning analysis of individual-level handgun transaction records

Authors say findings highlight need to screen all teens for suicide risk and access to firearms

When probability of suicide attempt increases, gun owners may be less likely to endorse survey items about passive, active suicidal ideation

Largest increases seen among non-Hispanic Black males aged 10 to 44 years and in American Indian, Alaska Native males aged 25 to 44 years

Significant increases seen especially among rural, White, and higher-income adolescents

Of homicides occurring at home, sevenfold increased risk for being fatally shot by spouse, partner seen for cohabitants of gun owners

Increases in substance use disorders, psychiatric disorders, pain diagnoses, health care use and spending seen in survivors

<p>However, compared with suicide by other means, those using a firearm were more likely to have spoken about their plans</p>