February 2, 2026
Youth fighting in a neighborhood with police presence nearby.

Youth fighting in a neighborhood with police presence nearby.

A recent study published in the American Journal of Preventive Medicine has shed light on the critical link between neighborhood violence and youth firearm access. The research, led by Jungwon Min, PhD, MS, analyzed 23,334 emergency department visits by youth aged 14-18 years who completed behavioral health screenings between 2013 and 2024. The findings highlight the urgent need for interventions that address youth firearm access not just within the home, but also in community contexts.

Neighborhood Firearm Violence and Youth Fighting

The study found a significant association between neighborhood firearm violence exposure, involvement in fighting, and adolescents’ perceived ability to obtain a firearm outside the home. Fighting behavior was found to mediate 32% of the relationship between neighborhood firearm violence and perceived outside-home firearm availability. This suggests that youth who are exposed to neighborhood firearm violence are more likely to engage in fighting, which in turn increases their perceived ability to obtain a firearm outside the home.

The research has important implications for our understanding of the relationship between neighborhood violence and youth firearm access. By examining the role of fighting behavior in mediating this relationship, the study provides valuable insights into the complexities of this issue. The findings suggest that addressing youth firearm access in community contexts, rather than just focusing on home-based interventions, is crucial for preventing youth firearm carriage and future violence.

Perceived Firearm Availability and Youth Firearm Carriage

The study’s findings on the relationship between perceived firearm availability and youth firearm carriage are particularly noteworthy. The research suggests that youth who perceive firearms as readily available are more likely to carry firearms themselves. This highlights the need for targeted interventions that address perceived firearm availability, particularly in community contexts where youth are more likely to be exposed to neighborhood firearm violence.

The implications of these findings are far-reaching. By addressing perceived firearm availability, we can reduce the likelihood of youth firearm carriage and future violence. This requires a comprehensive approach that involves not only home-based interventions but also community-based initiatives that address the root causes of neighborhood violence.

Implications for Prevention and Intervention

The study suggests that ED-based screening for perceived firearm availability could be a vital step in preventing youth firearm carriage and future violence. By identifying youth who are at risk of firearm violence, healthcare providers can provide targeted interventions that address the underlying causes of this risk. This may involve referrals to community-based programs that provide counseling, mentorship, and other support services to youth who are exposed to neighborhood violence.

Community-based interventions are also critical for addressing youth firearm access. These interventions can take many forms, including after-school programs, mentorship initiatives, and community-based counseling services. By providing youth with positive alternatives to violence, we can reduce the likelihood of firearm carriage and future violence.

Future Directions

The study’s findings have important implications for future research and practice. By highlighting the critical link between neighborhood violence and youth firearm access, the research underscores the need for comprehensive interventions that address the root causes of this issue. This requires a multidisciplinary approach that involves healthcare providers, community leaders, and policymakers working together to develop targeted interventions that address youth firearm access in community contexts.

Ultimately, preventing youth firearm violence requires a sustained effort that involves not only addressing perceived firearm availability but also the underlying causes of neighborhood violence. By working together, we can reduce the likelihood of youth firearm carriage and future violence, and create safer, healthier communities for all.