Abstract
Firearm violence is a significant public health problem in the U.S. In 2020, there were 610 mass shootings, the highest recorded number according to the Gun Violence Archive, which includes all shootings with ≥4 victims1 (other estimates more conservatively record shooting deaths and exclude certain types). More women are killed by guns in the U.S. than in all other high-income countries, with almost half killed by domestic partners. Previous research found that before an attempted suicide or homicide, there are warning signs that the shooter intends to act.
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