Injury Prevention, volume 28, issue 6, pages ip-2022-044719

Effects of Wisconsin’s handgun waiting period repeal on suicide rates

Publication typeJournal Article
Publication date2022-09-02
BMJ
BMJ
scimago Q1
SJR0.898
CiteScore5.3
Impact factor2.5
ISSN13538047, 14755785
Public Health, Environmental and Occupational Health
Abstract
Objective

To estimate the effect of a handgun purchase waiting period repeal on handgun and firearm suicides in Wisconsin.

Methods

Data for outcome and predictor variables were obtained for the 1999–2020 study period. Synthetic controls were used to assess the impact of Wisconsin’s waiting period repeal on mean-centred suicide rates. Placebo tests, difference-in-differences regression and augmented synthetic controls supplemented the synthetic control analyses.

Results

Postrepeal suicides were more likely to involve handguns than those in the 5 years immediately preceding the repeal (χ² (1, N=8269) = 49.25, p<0.001). The waiting period repeal resulted in an estimated annual increase of 1.1 handgun suicides per 100 000, or roughly 65 handgun suicide deaths per year. Estimates from difference-in-differences regression and augmented synthetic control analyses indicated similar treatment effects. Relative to the synthetic control, firearm suicides increased 6.5% following the repeal.

Conclusion

The waiting period repeal in Wisconsin was associated with increases in both handgun and firearm suicides. The findings suggest that waiting periods may be effective means restriction policies to reduce suicide. Additionally, the synthetic control’s ability to closely approximate preintervention handgun suicide trends despite a limited donor pool has implications for future policy analyses.

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