- Nearly one quarter of pediatric firearm homicides occurred in the home in 2020–2021.
- Almost two thirds of homicides in children 12 years and younger occurred at home.
- In-home cases were more often linked to murder-suicide, child abuse, and intimate partner violence.
- Parents were the most common assailants, responsible for more than 40% of identified cases.
- Handguns accounted for nearly 90% of identified weapons in both in-home and outside-home homicides.
- Multiple fatalities were more common in in-home incidents compared with those outside the home.
- Pediatric firearm homicide rates increased from 2013 to 2021; in-home rates rose but proportions stayed stable.
Source: JAMA Surgery & Commentary
