Guns are the leading cause of death for American children. What to know

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Photo by Jonnica Hill via Unsplash

More American kids die from guns than any other cause of death. 

In 2021, gun violence replaced car crashes as the leading cause of death for children in the U.S. Since then, it’s remained the leading killer.

More than 4,450 kids ages 19 and younger died in 2023, the most recent year for available data on the CDC’s WONDER database

By contrast, 3,889 kids died in car crashes, 2,026 died from poisoning, 1,782 died from cancer and 1,218 died from suffocation, according to WONDER, which collects mortality information from death certificates at the state level. 

These trends underscore the need for deeper reporting. Here’s some more context and story angles to consider to get you started.

Story angles 

A major driver of childhood gun violence is suicide. And access to guns increases the likelihood of death by suicide for children and adolescents more than fourfold and 90% of youth gun suicides involve firearms from the victim’s own home or a relative’s. Advocates and medical professionals have long pushed for safe storage requirements in homes with children to help prevent these deaths. 

As we previously covered, Black kids and teens are dying by suicide much more frequently. The suicide rate for Black youth has been increasing faster than that of any racial and ethnic group. 

LGBTQ+ youth are also at a higher risk for suicide. They are more than four times as likely to attempt suicide than their peers, according to the Trevor Project, a nonprofit focused on ending suicide among LGBTQ+ young people. 

They are not inherently prone to suicide because of their sexual orientation or gender identity, rather due to the marginalization and stigmatization they face, according to the Trevor Project. 

  • In addition to suicide, community violence also poses a risk to children, especially in  Black communities and in disadvantaged areas. For example, kids living in the poorest neighborhoods are up to 20 times more likely to be shot than their peers living in well-off areas, one study found. Firearm death rates among kids increased 46% from 2019 to 2021, primarily driven by gun assaults, according to a KFF report. Nonfatal shooting injuries are two to four times more likely to occur than fatal ones, according to KFF, and Black youth are much more likely than their white counterparts to be injured by or exposed to a gun violence incident.
  • The impacts of living in high violence areas go beyond the risk of physical safety. There are several other health issues they could face, including an increased likelihood of depression, PTSD, anxiety and poor academic performance. One study found that living in neighborhoods with high levels of violence can affect children’s development. 

The trauma of experiencing regular violence in their environment can also worsen a kid’s mental health and their ability to learn, several studies have demonstrated. In one study from the University of Chicago, exposure to community violence creates emotional and psychological distress that disrupts kids’ lives, making them more likely to join gangs, engage in risky sexual behavior and drop out of school.

  • Look for interesting angles in the data. For example, I like that this story from The Trace focused on how gun violence is the leading cause of death for Gen Z. They analyzed data from the WONDER database and found that in 2023, 11,368 Zoomers (people born between 1997 and 2012) were killed by firearms — more than died from overdoses, car accidents and cancer. And guns have been Gen Z’s leading cause of death since 2017, their analysis found. 

I like that they contrasted that figure with data from 20 years ago and found that the top cause of death for people of similar ages to Gen Z, 11 to 26 years old, was car crashes. 

Data and resources 


AHCJ’s past coverage of kids and guns 

The gun violence impacting kids is a topic we’ve covered often. Here’s a rundown of helpful posts on the topic:

Kaitlin Washburn

Kaitlin Washburn is AHCJ’s health beat leader on firearm violence and trauma and a reporter for the Chicago Sun-Times.