Traffic crashes have become one of the key public health issues, triggering significant apprehension among citizens and urban authorities. However, prior studies have often been limited by their inability to fully capture the dynamic and complex nature of spatiotemporal instability in urban traffic crashes, typically focusing on static or purely spatial effects. Addressing this gap, our study employs a novel methodological framework that integrates an Integrated Nested Laplace Approximation (INLA)-based Stochastic Partial Differential Equation (SPDE) model with spatially adaptive graph structures, which enables the effective handling of vast and intricate geospatial data while accounting for spatiotemporal instability. This approach represents a significant advancement over conventional models, which often fail to account for the fluid interplay between time-varying weather conditions, geographical attributes, and crash severity. We applied this methodology to analyze traffic crashes across three major U.S. cities—New York, Los Angeles, and Houston—using comprehensive crash data from 2016 to 2019. Our findings reveal city-specific disparities in the factors influencing severe traffic crashes, which are defined as incidents resulting in at least one person sustaining serious injury or death. Despite some universal trends, such as the risk-enhancing effect of cold weather and pedestrian crossings, we find marked differences across cities in relation to factors like temperature, precipitation, and the presence of certain traffic facilities. Additionally, the adjustment observed in the spatiotemporal standard deviations, with values such as 0.85 for New York and 0.471 for Los Angeles, underscores the varying levels of annual temporal instability across cities, indicating that the fluctuation in crash severity factors over time differs markedly among cities. These results underscore the limitations of traditional modeling approaches, demonstrating the superiority of our spatiotemporal method in capturing the heterogeneity of urban traffic crashes. This work has important policy implications, suggesting a need for tailored, location-specific strategies to improve traffic safety, thereby aiding authorities in better resource allocation and strategic planning.