Lindsey L Monteith, Julie A Kittel, Evan R Polzer, Ryan Holliday, Joseph A Simonetti, Claire A Hoffmire
{"title":"Suicide by suffocation among Asian American, Native Hawaiian and Pacific Islander Veterans in the USA (2012-2018).","authors":"Lindsey L Monteith, Julie A Kittel, Evan R Polzer, Ryan Holliday, Joseph A Simonetti, Claire A Hoffmire","doi":"10.1136/ip-2024-045425","DOIUrl":"10.1136/ip-2024-045425","url":null,"abstract":"<p><strong>Background: </strong>Suicide rates have increased substantially among Asian American, Native Hawaiian and Pacific Islander (AANHPI) Veterans who are more likely to use suffocation as a suicide method than Veterans overall. This study examined demographic, healthcare and injury characteristics of AANHPI Veterans who died by suicide through suffocation and examined the contexts of these deaths. Analyses further examined if there were differences between AANHPI and non-AANHPI Veterans who died by suffocation suicide.</p><p><strong>Methods: </strong>This mixed methods analysis used National Violent Death Reporting System (NVDRS) data from AANHPI (n=44) and non-AANHPI (n=3090) Veterans who died by suicide through suffocation (2012-2018).</p><p><strong>Results: </strong>Hanging comprised nearly all suffocation deaths, although ligature types varied extensively. Residence was the most common location of injury and death, with basements a more common location of death within the home among AANHPI Veterans, relative to a matched, non-AANHPI Veteran sample. There was a significantly higher proportion of females among AANHPI decedents. Additionally, AANHPI decedents were significantly less likely to have emergency medical services present, relative to non-AANHPI decedents. The majority of AANHPI decedents were discovered by family or an intimate partner.</p><p><strong>Conclusions: </strong>Addressing ligature suicide among AANHPI Veterans is necessary to ensure an equitable suicide prevention approach. Lethal means safety initiatives and postvention strategies that consider salient contextual factors (eg, location of death, discovery by loved ones) are warranted for this population. Considering the ubiquity of ligatures and ligature points, upstream suicide prevention approaches that address drivers of suicide risk are particularly important for preventing suicide among AANHPI Veterans.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"648-654"},"PeriodicalIF":1.9,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13422101/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142927014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jun Hee Won, Jaehong Yoon, Joo Jeong, Younshik Chung, Sangjin Han, Young Sun Ro, Ja-Ho Leigh
{"title":"Effects of urbanisation and seasons on the relationship between frozen road conditions and road traffic injury: a longitudinal study of national emergency medical service data in South Korea.","authors":"Jun Hee Won, Jaehong Yoon, Joo Jeong, Younshik Chung, Sangjin Han, Young Sun Ro, Ja-Ho Leigh","doi":"10.1136/ip-2024-045327","DOIUrl":"10.1136/ip-2024-045327","url":null,"abstract":"<p><strong>Background: </strong>Frozen road conditions could be a factor in road traffic injuries, and seasonality and urbanisation level are potential influencing factors. However, few studies have considered this relationship. Therefore, we examined the effect of frozen road conditions on road traffic injury rates and the differences across seasons and urbanisation levels.</p><p><strong>Methods: </strong>We used nationwide data on road traffic injuries and weather from the National Emergency Medical Service Run Sheet and the Korea Meteorological Administration, respectively, from 2018 to 2021. We analysed the relationship between frozen road conditions and road traffic injuries by administrative district and day using a generalised estimating equation with log link function and Poisson distribution, stratified by season and urbanisation level.</p><p><strong>Results: </strong>After excluding summer, the analysis of 605 254 road traffic injury cases revealed a higher road crash incidence under frozen road conditions, with injuries increasing by 30% (rate ratio (RR): 1.33, 95% CI: 1.30 to 1.37). The relationship between road traffic injury rate and frozen road conditions varied significantly by season and urbanisation level. The stratification analysis showed that the relationship between these two variables was significant in the fall (RR: 2.07, 95% CI: 1.74 to 2.46) and winter (RR: 1.37, 95% CI: 1.34 to 1.40). Furthermore, the road traffic injury rate was higher on frozen road conditions in urban (RR: 1.24, 95% CI: 1.19 to 1.29) and rural areas (RR: 1.47, 95% CI: 1.42 to 1.51), not in metropolitan areas.</p><p><strong>Conclusion: </strong>The road traffic injury rate increased under frozen road conditions and varied by season and urbanisation level. These findings indicate the need for road safety strategies tailored according to season and urbanisation level.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"591-596"},"PeriodicalIF":1.9,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13422108/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142780088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Benedek Paskuj, Mahdi Zaki, Ágnes Zsila, Nicola Bailey, Gábor Orosz
{"title":"Explosive Ordnance Risk Education boosts interpersonal discussion to increase safe behavioural intentions in Afghanistan.","authors":"Benedek Paskuj, Mahdi Zaki, Ágnes Zsila, Nicola Bailey, Gábor Orosz","doi":"10.1136/ip-2024-045316","DOIUrl":"10.1136/ip-2024-045316","url":null,"abstract":"<p><strong>Background: </strong>Explosive remnants of war claim more than three lives every day in Afghanistan. This study evaluates the impact of BBC Media Action Afghanistan's Explosive Ordnance Risk Education project in raising public awareness and promoting safe behaviours regarding explosive ordnances in Afghanistan. The project deployed a multimedia approach to reach a mass audience, including a radio discussion show, public service announcements on TV and radio, social media content and playing content on intercity buses.</p><p><strong>Methods: </strong>A panel study with 400 participants from high-risk provinces assessed knowledge, discussion and behavioural intentions related to explosives before and after a mass media intervention. In the broadcast period, the research unobtrusively monitored the dosage of exposure to the media content.</p><p><strong>Results: </strong>Findings from the panel study indicated a significant increase in discussions about explosive risks and safer behavioural interventions (e.g. avoiding and reporting explosive ordnances) post intervention.</p><p><strong>Conclusion: </strong>The results constitute one of the first pieces of systematically collected evidence on media and communication's potential in explosive risk education by facilitating interpersonal discussion and in turn change of behavioural intentions in areas contaminated by explosive ordnances and remnants of war.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"661-665"},"PeriodicalIF":1.9,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143482897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Weicong Cai, Ke Peng, Ye Jin, Lin Lei, Maoyi Tian, Margaret Peden, Rebecca Q Ivers, Ji Peng, Julie Brown
{"title":"Changes in child restraint practices in Shenzhen, China three years after the enactment of local legislation: two population-based cross-sectional surveys.","authors":"Weicong Cai, Ke Peng, Ye Jin, Lin Lei, Maoyi Tian, Margaret Peden, Rebecca Q Ivers, Ji Peng, Julie Brown","doi":"10.1136/ip-2024-045469","DOIUrl":"10.1136/ip-2024-045469","url":null,"abstract":"<p><strong>Background: </strong>The enactment of child restraint systems (CRSs) legislation is highly effective in increasing CRS practices. However, evidence from low- and middle-income countries is still lacking. This study aimed to assess the changes in CRS practices in Shenzhen, China following the implementation of CRS legislation.</p><p><strong>Methods: </strong>Data from two cross-sectional surveys conducted in community health service centres and kindergartens 1 year before and 3 years after the enactment of mandatory CRS legislation in 2015 were used to assess the changes in CRS practices in Shenzhen, China. Temporal changes in CRS practices were investigated, and logistic regression models were performed to examine the differences in CRS practices 3 years after the legislation compared with the period before the legislation.</p><p><strong>Results: </strong>The proportion of CRS possession and use increased from 27.8% (1047/3768, 95% CI: 26.4% to 29.3%) to 72.6% (4900/6748, 95% CI: 71.5% to 73.7%) and from 22.9% (864/3768, 95% CI: 21.6% to 24.3%) to 56.3% (3800/6748, 95% CI: 55.1% to 57.5%), respectively, with a decrease of appropriate CRS use from 75.9% (656/864, 95% CI: 72.9% to 78.7%) to 69.7% (2649/3800, 95% CI: 68.2% to 71.2%) after the implementation of CRS legislation.</p><p><strong>Conclusions: </strong>The findings indicate a significant improvement in CRS possession and use in Shenzhen, 3 years after the enactment of mandatory CRS legislation. Further efforts to update the local legislation to provide specific guidelines for appropriate CRS use and implement targeted multifaceted interventions are needed to increase optimal CRS practices for better child passenger safety in Shenzhen.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"571-578"},"PeriodicalIF":1.9,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13422030/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142894253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Edwin Akomaning, Samuel Prince Osei, Akshaya Srikanth Bhagavathula
{"title":"Alcohol-related injuries from e-scooter and e-bike use in the US (2019-2022): a retrospective study.","authors":"Edwin Akomaning, Samuel Prince Osei, Akshaya Srikanth Bhagavathula","doi":"10.1136/ip-2024-045461","DOIUrl":"10.1136/ip-2024-045461","url":null,"abstract":"<p><strong>Background: </strong>The use of electric-powered scooters and bikes (e-scooters/bikes) is rising, but little is known about associated injuries and substance use. This study analysed the trends and factors associated with e-scooter/bike-related injuries and alcohol/substance use emergency department (ED) visits from 2019 to 2022.</p><p><strong>Methods: </strong>A retrospective analysis of US ED visit data from the 2019-2022 National Electronic Injury Surveillance System (NEISS) identified visits for e-scooter/bike-related injuries. NEISS data were collected using stratified, multistage sampling, and the analysis accounted for this complex sampling design. Outcomes included yearly visits, patient demographics, injury details and alcohol/substance use associations. Multivariable logistic regression analysed factors associated with e-bike/scooter-related injury ED visits and alcohol/substance use.</p><p><strong>Results: </strong>Of 4020 e-scooter/bike injury ED visits, 3700 (weighted estimate 279 990) were e-scooters and 320 (weighted estimate 16 600) were e-bikes. Visits increased three-fold from 2019 (n=22 835) to 2022 (n=65 892). Most of the injuries involved males, with 79.6% of e-scooter injuries and 79.7% of e-bike injuries), aged 18-39 years (51.5% e-scooter, 48.5% e-bike) and non-Hispanic White (34.9% e-scooter, 38.8% e-bike). Alcohol use was reported in 8.6% of e-scooters and 2.5% of e-bike injury-related ED visits. Males had 2.6 times higher odds of alcohol use (OR: 2.61, 95% CI: 1.84 to 3.69) and 2.2 times higher odds of substance use (OR: 2.23, 95% CI: 1.19 to 4.16) associated ED visits, compared with females. Compared with the 18-39-year age group, those aged 10-17 years had 7.5 and 4.1 times higher odds of alcohol and substance use leading to e-scooter and e-bike injury-related ED visits, respectively.</p><p><strong>Conclusions: </strong>E-scooter injuries are increasing rapidly, especially among younger males, with a three-fold increase from 2019 to 2022. Alcohol and substance use both contribute significantly to morbidity. Strengthening policy and prevention approaches like the use of helmets are warranted to improve e-scooter/bike safety.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"565-570"},"PeriodicalIF":1.9,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142800663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Wendy Shields, Evelyn Shiang, Elise Omaki, Anne Kenney, Andrea C Gielen
{"title":"Injury prevention in the US Maternal, Infant and Early Childhood Home Visiting programme.","authors":"Wendy Shields, Evelyn Shiang, Elise Omaki, Anne Kenney, Andrea C Gielen","doi":"10.1136/ip-2024-045280","DOIUrl":"10.1136/ip-2024-045280","url":null,"abstract":"<p><strong>Background: </strong>Many home-based interventions have been demonstrated to reduce unintentional and intentional injuries in young children aged 0-4 years, but an understanding of their inclusion in federally-funded home visiting programmes in the USA is needed.</p><p><strong>Methods: </strong>The study team administered a survey to key informants at each of the 21 home visiting models approved for United States Maternal, Infant, and Early Childhood Home Visiting program funding being implemented in 2023. Respondents were based across the United States and in other developed countries. The survey collected information about the content used by models to address unintentional injury, parental health/wellbeing, and child abuse/neglect in children aged 0-4 years.</p><p><strong>Results: </strong>Completed surveys were returned by all respondents (n=21). Most models reported the inclusion of some unintentional injury, parental health/well-being and child abuse/neglect content. While models on average covered four of the five child abuse/neglect topics listed, only five of the nine topics listed for unintentional injury and parental health/well-being were covered. Among the services used by models to address topics, covering content via standardised curriculum and referrals were the most frequent while less than one-quarter of models (n=5) provided families with safety equipment to address unintentional injury. Less than half of the models evaluated outcomes from their injury prevention services, and no models conducted cost-effectiveness evaluations.</p><p><strong>Conclusions: </strong>Home visiting programmes are a promising way to reduce injuries in children at high risk, but further development and evaluation of their injury prevention content could increase their impact in the USA.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"371-377"},"PeriodicalIF":1.9,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142107057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cashen Boccio, Melissa S Jones, Daniel Semenza, Dylan B Jackson
{"title":"Prevalence and correlates of handgun carrying and perceived ease of access among adolescents in Florida.","authors":"Cashen Boccio, Melissa S Jones, Daniel Semenza, Dylan B Jackson","doi":"10.1136/ip-2024-045347","DOIUrl":"10.1136/ip-2024-045347","url":null,"abstract":"<p><strong>Objective: </strong>Adolescent firearm violence poses a serious public health concern. The aim of this study is to explore correlates of access to firearms and firearm carrying patterns among adolescents in 2022. While previous research has documented correlates and risk factors for firearm carrying, the majority of this research has relied on samples collected prior to the COVID-19 pandemic and recent shifts in national patterns of firearm violence.</p><p><strong>Methods: </strong>We analysed data from the 2022 Florida Youth and Substance Use Survey (FYSAS) (N=41 768). Logistic regression models were used to examine associations between demographic, familial, temperamental, and behavioural factors and both ease of perceived firearm access and patterns of firearm carrying.</p><p><strong>Results: </strong>The results suggest that gender, grade level, race, residential setting, having a parent in the military, delinquency, depression, bullying and substance use are associated with perceived firearm access. In addition, gender, grade level, residential setting, ease of firearm access, delinquency, substance use, and bullying are all associated with firearm carrying.</p><p><strong>Conclusions: </strong>Our findings suggest a host of demographic features and behavioural factors are associated with both perceived ease of firearm access and patterns of firearm carrying. Implications of these findings for reducing access to firearms is discussed.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"378-383"},"PeriodicalIF":1.9,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142125657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Short note on economic connectedness, social connection and fatal injury.","authors":"Richard Stansfield","doi":"10.1136/ip-2024-045608","DOIUrl":"10.1136/ip-2024-045608","url":null,"abstract":"<p><strong>Objectives: </strong>To offer a brief assessment of the association between economic connectedness and violence.</p><p><strong>Methods: </strong>Using data from Facebook's Social Connectedness Index (SCI), I assess the relationship between social connectivity and homicide and suicide rates, relative to other traditional structural estimates of violence. I further assess whether social connectivity mediates the relationship between economic disadvantages and violence.</p><p><strong>Results: </strong>Economic connectedness is associated with county-level homicide and suicide rates and has the strongest connection with violence of any of the social connection measures examined. Traditional measures of economic disadvantage explained 57% of the county-level variation in economic connectedness. Economic connectedness in turn mediated a significant proportion of the association between economic disadvantages and both homicide and suicide. Including other control variables, higher economic connectedness was consistently associated with lower rates of violence, irrespective of county rurality, economic disadvantage or firearm availability.</p><p><strong>Conclusions: </strong>Violence researchers can incorporate a much-needed focus on social capital and cohesiveness into large-scale national studies using SCI data. Economic connectedness specifically may be a significant protective factor for violence, thus incorporating economic connectedness and social connection into violence research may provide support for new violence prevention efforts.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"501-504"},"PeriodicalIF":1.9,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143673851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
María Olivencia-Manzano, Marta Gómez-Galán, Manuel Díaz-Pérez, Angel Jesus Callejon-Ferre
{"title":"Psychosocial risks faced by olive workers in Spain: evaluated using the 'Mini Psychosocial Factors' questionnaire.","authors":"María Olivencia-Manzano, Marta Gómez-Galán, Manuel Díaz-Pérez, Angel Jesus Callejon-Ferre","doi":"10.1136/ip-2024-045230","DOIUrl":"10.1136/ip-2024-045230","url":null,"abstract":"<p><strong>Background: </strong>Spain has the largest olive-growing area in Europe. The goal of the present research is to evaluate the psychosocial risks faced by workers in the olive groves of Jaén (the largest olive grove region of Spain).</p><p><strong>Method: </strong>This method consists of 15 questions that analyse a total of 12 variables (mental load, demands, health, etc). A total of 502 questionnaires were completed. The method was performed using a non-stratified (with respect to the location of the growing areas) random selection with 'Universal Transverse Mercator' coordinates on a map of Jaen extracted from Andalusia region mapping. Multiple correspondence analysis, the Burt table and descriptive statistics (with a χ<sup>2</sup> test) have been used to analyse the results.</p><p><strong>Results: </strong>The responses of all the workers are identified in detail in the Burt table. Olive grove workers, regardless of their characteristics or the type of farm, are at a medium risk level for the different psychosocial factors (around 57% on average). The low-risk level is the next most common (around 36% on average). On average, only 7% of individuals are found at the high-risk level (only intensive olive groves exceed 10% of individuals at this risk level). Using multiple correspondence analysis, a video has been created to demonstrate the relationship between all the categories of all the variables studied from various perspectives in three dimensions. The first dimension captures mainly aspects of the social working environment (relation, recognition, support, compensation, control, mental load), whereas the second dimension captures mainly work demands (rhythm, demands). The third dimension is more about physical status (weight, body mass index).</p><p><strong>Conclusion: </strong>The risks found will improve injury prevention and are possibly caused by mismanagement of prevention. The extreme drought conditions of the 2022/2023 agricultural season could have affected the demands faced by workers.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"459-466"},"PeriodicalIF":1.9,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13217075/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142755091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Characterising fire or burn-related fatalities in the USA using the National Violent Death Reporting System, 2003-2020.","authors":"Saroj Bista, Bridget Duffy, Nichole L Michaels","doi":"10.1136/ip-2024-045338","DOIUrl":"10.1136/ip-2024-045338","url":null,"abstract":"<p><strong>Objectives: </strong>Intentional fire or burn-related deaths are rare in the USA compared with some countries, but do occur, and our knowledge of their epidemiology is limited. The objective of this study is to epidemiologically describe fire or burn-related deaths resulting from violence, including victim and suspected perpetrator characteristics and incident circumstances.</p><p><strong>Methods: </strong>This cross-sectional study uses National Violent Death Reporting System data from 2003 to 2020 to examine violent fire or burn-related deaths among individuals of all ages. Analyses include the following case types: (1) fire or burn-related injuries were immediate, underlying or antecedent cause of death; (2) death resulted from arson; or (3) weapon used was categorised as 'fire or burns'. Precipitating circumstances were examined by manner of death (ie, suicide, homicide or undetermined intent) using χ<sup>2</sup> tests, with p values of <0.05 indicating statistical significance.</p><p><strong>Results: </strong>Among 4395 victims, most were male (64.6%), non-Hispanic white (60.8%) and 20-64 years (72.7%). Deaths by suicide were most common (38.9%), followed by homicides (32.6%) and undetermined deaths (28.5%). Current mental health (53.4%) and substance use problems (15.0%) were common among suicide deaths. One-half (49.8%) of homicide deaths were precipitated by another crime and 19.5% were related to intimate partner violence.</p><p><strong>Conclusions: </strong>The prevalence of mental health and substance use problems among suicide victims underscores the urgency for targeted prevention strategies and timely interventions. Stressors, such as interpersonal conflicts and financial problems, may contribute to fire or burn-related violent deaths.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"415-423"},"PeriodicalIF":1.9,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13217037/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}