LAUSR

Key Points Question What are the incidence rates of nonfatal firearm injury and firearm mortality in youths who have been involved with the juvenile justice system? Findings This 25-year longitudinal cohort study (n = 1829) found that youths involved with the juvenile justice system had up to 23 times the rate of firearm mortality as the general population; rates varied by sex, race and ethnicity, and age. Sixteen years after detention, more than one-quarter of Black and Hispanic males had been injured or killed by firearms. Meaning These findings suggest that reducing firearm injury and mortality in high-risk youths and young adults requires a multidisciplinary approach involving legal professionals, health care professionals, educators, street outreach workers, and public health researchers.