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Research Projects

Below are ongoing or completed research projects led by members of the Center for Firearm Injury Prevention by topic.

Behavioral health and criminal legal system interactions of extreme risk protection order respondents: A statewide mixed-methods study

To characterize patterns of behavioral health orders and criminal legal system involvements in cases of extreme risk protection orders and examine their relationship with subsequent behavioral health and criminal legal system outcomes.


Decision-Making Processes Involving Behavioral Health and Criminal Legal Systems for Extreme Risk Protection Order Respondents

Identify factors influencing the decision-making processes for professionals (i.e., judges, law enforcement officers (LEOs), co-responders, and prosecutors) as they order a behavioral health evaluation (BHE), involuntarily transport or arrest individuals, conduct behavioral health assessments, or offer legal counsel as part of ERPO.


Pathways 2 Safety

Develop, implement, and evaluate a training program and workplace based intervention for community behavioral health providers to conduct lethal means safety counseling.


School Shootings and Mental Health in the United States

To understand the mental health impacts of school shootings on those directly and indirectly involved and to inform future research, guide public health interventions, and support advocacy groups and policy makers working to reduce the frequency and impact of school shootings.


Shared decision-making for firearm safety among older adults at high risk for firearm suicide

To refine and evaluate an innovative decision aid to promote safer firearm storage for older adults with early dementia or depression.


S.P.A.R.K.: Understanding Resilience in Children and Families After Parental Loss to Gun Violence

To understand how children and surviving caregivers experience parental loss to gun violence, identify protective factors that support healing, adaptation, resilience, and long-term well-being, and build evidence to inform upstream public health, policy, and systems-level supports that will reduce downstream harm for families over time.


Use of mental health services among firearm injury survivors

To understand access and utilization of mental health services among firearm injury survivors and factors affecting patterns of utilization

Building research capacity for firearm safety among children

To utilize multidisciplinary research expertise across the U.S., as well as stakeholder partner groups of gun owners, to catalyze the science of childhood firearm injury prevention.


Culture, longitudinal patterns, and safety promotion of handgun carrying among rural adolescents: Implications for injury prevention

To improve our knowledge of the culture, scope, and developmental patterns of handgun carrying, as well as its determinants and consequences, among youth living in rural communities, and provide actionable evidence for informing strategies that can prevent firearm-related injury and promote safety in this population.


Early Childhood Education and Violence Prevention Across the Life Course and Generations

To estimate the effects of Head Start, a large-scale, comprehensive early childhood education intervention, 1) inter-generationally on suicidal ideation and inter-personal violence perpetration, and 2) intra-generationally on handgun carrying and inter-personal violence perpetration, along with interactive effects of demographic, social, economic, and environmental factors.


School Shootings and Mental Health in the United States

To understand the mental health impacts of school shootings on those directly and indirectly involved and to inform future research, guide public health interventions, and support advocacy groups and policy makers working to reduce the frequency and impact of school shootings.


Social impact evaluation and assessment of youth firearm violence intervention and prevention programs

To examine the impact of community-based youth firearm violence intervention and prevention programs across Washington State.


S.P.A.R.K.: Understanding Resilience in Children and Families After Parental Loss to Gun Violence

To understand how children and surviving caregivers experience parental loss to gun violence, identify protective factors that support healing, adaptation, resilience, and long-term well-being, and build evidence to inform upstream public health, policy, and systems-level supports that will reduce downstream harm for families over time.


The impacts of state-level abortion restrictions post-Dobbs on intimate partner violence and child maltreatment

To assess the relationship between post-Dobbs state-specific abortion restrictions and two subtypes of violence: injuries due to intimate partner violence (IPV) and child maltreatment (CM) stratified by firearm-related status.


Uncovering the Facilitators of Change within Youth Mentoring Interventions to Prevent Interpersonal Firearm Violence Among Youth

Focus on how community-based youth mentoring programs can prevent firearm violence in the communities they serve while promoting social justice among youth and families.

Social impact evaluation and assessment of youth firearm violence intervention and prevention programs

To examine the impact of community-based youth firearm violence intervention and prevention programs across Washington State.


Uncovering the Facilitators of Change within Youth Mentoring Interventions to Prevent Interpersonal Firearm Violence Among Youth

Focus on how community-based youth mentoring programs can prevent firearm violence in the communities they serve while promoting social justice among youth and families.


Evaluation of Safe Storage Distribution Events

To evaluate the implementation of statewide programs that distribute firearm locking mechanisms into community settings.


Pathways 2 Safety

Develop, implement, and evaluate a training program and workplace based intervention for community behavioral health providers to conduct lethal means safety counseling.


Early Childhood Education and Violence Prevention Across the Life Course and Generations

To estimate the effects of Head Start, a large-scale, comprehensive early childhood education intervention, 1) inter-generationally on suicidal ideation and inter-personal violence perpetration, and 2) intra-generationally on handgun carrying and inter-personal violence perpetration, along with interactive effects of demographic, social, economic, and environmental factors.


Online storage maps to facilitate voluntary firearm storage: Mixed methods evaluation

To examine the perspectives of (1) suppliers (ranges, retailers, and LEAs in Colorado and Washington) and (2) users (firearm owners and family members in Colorado and Washington) about statewide voluntary firearm storage maps, and to then (3) develop an implementation toolkit for other states.

Evaluating and improving the accuracy of ICD-coded hospital data systems in estimating the incidence of nonfatal firearm injuries by intent type

To identify ways to improve hospital billing data efficiently and substantially such that they can be used for surveillance of non-fatal firearm injury by intent.


Incorporating data from trauma registries into an existing project seeking to improve nonfatal firearm injury coding and surveillance

To assess intent coding in trauma registry data and examine the extent to which rule-based intent designations jibe with standard practice among trauma registrars.


Homicide, suicide, and prior domestic violence protection order (DVPO) case involvement: Data linkage and data quality evaluation pilot study

To describe patterns of DVPO case involvement leading up to homicide or suicide among people who have experienced domestic violence.

Black women’s experiences at the intersection of firearms and intimate partner violence

To understand the experiences of Black women who have left abusive relationships where their perpetrator threatened, harmed, or non-fatally injured them with a firearm.


Domestic violence protection orders in King County, WA

To characterize the implementation of orders to surrender and prohibit weapons over time, to assess firearm threats and violence against children, to examine respondent behaviors (e.g., suicidal threats) and outcomes (e.g., crime, violent death).


Homicide, suicide, and prior domestic violence protection order (DVPO) case involvement: Data linkage and data quality evaluation pilot study

To describe patterns of DVPO case involvement leading up to homicide or suicide among people who have experienced domestic violence.


Preventing firearm-related harm through domestic violence protection order firearm prohibitions and relinquishment

To rigorously evaluate the effectiveness of implementation of domestic violence protection order firearm prohibitions in four Washington counties in reducing subsequent firearm-related crime, injury, and death among victim-survivors, protected minors, and respondents [CDC 1R01CE003623-01].


Risk factors for intimate partner homicide: A case-control study focused on male perpetrators of intimate partner violence and the role of firearms

To examine why some suicidal male perpetrators of intimate partner violence kill their partner while others do not.


The impacts of state-level abortion restrictions post-Dobbs on intimate partner violence and child maltreatment

To assess the relationship between post-Dobbs state-specific abortion restrictions and two subtypes of violence: injuries due to intimate partner violence (IPV) and child maltreatment (CM) stratified by firearm-related status.

A multi-state evaluation of extreme risk protection orders: Implementation, outcomes, and jurisdictional variation

To examine the uptake and implementation of extreme risk protection order laws in six different states and evaluate its association with subsequent risk of injury and death.


Behavioral health and criminal legal system interactions of extreme risk protection order respondents: A statewide mixed-methods study

To characterize patterns of behavioral health orders and criminal legal system involvements in cases of extreme risk protection orders and examine their relationship with subsequent behavioral health and criminal legal system outcomes.


Decision-Making Processes Involving Behavioral Health and Criminal Legal Systems for Extreme Risk Protection Order Respondents

Identify factors influencing the decision-making processes for professionals (i.e., judges, law enforcement officers (LEOs), co-responders, and prosecutors) as they order a behavioral health evaluation (BHE), involuntarily transport or arrest individuals, conduct behavioral health assessments, or offer legal counsel as part of ERPO.


Extreme Risk Protection Orders in Washington State and their Impact on Firearm-Related Arrests and Convictions

To describe the current state of Washington’s Extreme Risk Protection Orders (ERPOs) and assess their impact on firearm-related arrests and convictions.


Spillover Implications of Extreme Risk Protection Orders (ERPO) for Household Members

This study examines violence victimization risk among household members of ERPO respondents by tracking outcomes across time and by comparing risk between cases where the full ERPO was granted versus denied or dismissed. It also explores the lived experiences and support needs of household members affected by ERPOs, drawing on the perspectives of household members themselves, ERPO advocates, and practitioners such as judges, law enforcement officers, and attorneys.

Access to and utilization of rehabilitation services after firearm injury

To evaluate the access to rehabilitation services among firearm injury survivors compared to other injury survivors, including inpatient and outpatient services among various patient groups, and to explore the relationship with demographic, social, economic, and environmental factors


Experiences of individuals with violence-related spinal cord injury with post-injury rehabilitation and community reintegration

To understand the experiences of individuals with violence-related spinal cord injury in receiving rehabilitation services, adjusting to disability, and returning to the community after injury, including characterizing met and unmet needs and community priorities, based on qualitative injuries of survivors


Impact of hospital-based violence intervention programs on healthcare utilization and health outcomes among firearm injury survivors

To understand the role and impact of hospital-based violence intervention programs (HVIPs) on utilization of recovery and rehabilitation-focused health services after firearm injury and on post-injury complications, including repeat hospitalization and emergency department visits, based on analysis of an HVIP in Washington State


S.P.A.R.K.: Understanding Resilience in Children and Families After Parental Loss to Gun Violence

To understand how children and surviving caregivers experience parental loss to gun violence, identify protective factors that support healing, adaptation, resilience, and long-term well-being, and build evidence to inform upstream public health, policy, and systems-level supports that will reduce downstream harm for families over time.


Use of mental health services among firearm injury survivors

To understand access and utilization of mental health services among firearm injury survivors and factors affecting patterns of utilization

A multi-state evaluation of extreme risk protection orders: Implementation, outcomes, and jurisdictional variation

To examine the uptake and implementation of extreme risk protection order laws in six different states and evaluate its association with subsequent risk of injury and death.


Behavioral health and criminal legal system interactions of extreme risk protection order respondents: A statewide mixed-methods study

To characterize patterns of behavioral health orders and criminal legal system involvements in cases of extreme risk protection orders and examine their relationship with subsequent behavioral health and criminal legal system outcomes.


Decision-Making Processes Involving Behavioral Health and Criminal Legal Systems for Extreme Risk Protection Order Respondents

Identify factors influencing the decision-making processes for professionals (i.e., judges, law enforcement officers (LEOs), co-responders, and prosecutors) as they order a behavioral health evaluation (BHE), involuntarily transport or arrest individuals, conduct behavioral health assessments, or offer legal counsel as part of ERPO.


Extreme Risk Protection Orders in Washington State and their Impact on Firearm-Related Arrests and Convictions

To describe the current state of Washington’s Extreme Risk Protection Orders (ERPOs) and assess their impact on firearm-related arrests and convictions.


Gun-free zones: Legislative landscape and relationship with firearm violence

To characterize the evolution of federal and state laws related to designating gun-free zones and identify how the incidence of firearm violence and crime has changed in government-designated gun-free vs. gun-allowing zones.


Research priorities for gun violence prevention after Bruen

To identify research needs after the Supreme Court’s landmark decision, New York State Rifle & Pistol Association, Inc. v. Bruen.


Firearm rights restoration and risk for subsequent firearm and non-firearm violence

To characterize firearm rights restorations and their association with subsequent violence in Washington State.


Risk of subsequent firearm-related crime among individuals with prior misdemeanor conviction

To evaluate the risk of arrest and conviction for firearm-related crime in relation to history of firearm and non-firearm-related misdemeanor crimes.


Domestic violence protection orders in King County, WA

To characterize the implementation of orders to surrender and prohibit weapons over time, to assess firearm threats and violence against children, to examine respondent behaviors (e.g., suicidal threats) and outcomes (e.g., crime, violent death).


Evaluation of suicide prevention training for healthcare professionals: A natural experiment

To evaluate the impact of state policies for suicide prevention training among healthcare professionals on suicide-related outcomes.

Culture, longitudinal patterns, and safety promotion of handgun carrying among rural adolescents: Implications for injury prevention

To improve our knowledge of the culture, scope, and developmental patterns of handgun carrying, as well as its determinants and consequences, among youth living in rural communities, and provide actionable evidence for informing strategies that can prevent firearm-related injury and promote safety in this population.


Firearm safety practices of rural families in Washington state

To understand firearm safety practices of rural families in Washington state.

Evaluation of Safe Storage Distribution Events

To evaluate the implementation of statewide programs that distribute firearm locking mechanisms into community settings.


Online storage maps to facilitate voluntary firearm storage: Mixed methods evaluation

To examine the perspectives of (1) suppliers (ranges, retailers, and LEAs in Colorado and Washington) and (2) users (firearm owners and family members in Colorado and Washington) about statewide voluntary firearm storage maps, and to then (3) develop an implementation toolkit for other states.


Shared decision-making for firearm safety among older adults at high risk for firearm suicide

To refine and evaluate an innovative decision aid to promote safer firearm storage for older adults with early dementia or depression.


Firearm safety practices of rural families in Washington state

To understand firearm safety practices of rural families in Washington state.

Evaluation of suicide prevention training for healthcare professionals: A natural experiment

To evaluate the impact of state policies for suicide prevention training among healthcare professionals on suicide-related outcomes.


Pathways 2 Safety

Develop, implement, and evaluate a training program and workplace based intervention for community behavioral health providers to conduct lethal means safety counseling.


Shared decision-making for firearm safety among older adults at high risk for firearm suicide

To refine and evaluate an innovative decision aid to promote safer firearm storage for older adults with early dementia or depression.


Risk factors for intimate partner homicide: A case-control study focused on male perpetrators of intimate partner violence and the role of firearms

To examine why some suicidal male perpetrators of intimate partner violence kill their partner while others do not.


Homicide, suicide, and prior domestic violence protection order (DVPO) case involvement: Data linkage and data quality evaluation pilot study

To describe patterns of DVPO case involvement leading up to homicide or suicide among people who have experienced domestic violence.


Early Childhood Education and Violence Prevention Across the Life Course and Generations

To estimate the effects of Head Start, a large-scale, comprehensive early childhood education intervention, 1) inter-generationally on suicidal ideation and inter-personal violence perpetration, and 2) intra-generationally on handgun carrying and inter-personal violence perpetration, along with interactive effects of demographic, social, economic, and environmental factors.

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