Dr. Barboza-Salerno Addresses Grand Challenge to Prevent Gun Violence

Tue, 06 Jan 2026 00:00:00 +0000

Dr. Gia Barboza-Salerno addresses the Grand Challenge to Prevent Gun Violence.

New Publication: Racial and Ethnic Disparities in Non-Fatal Self-Inflicted Firearm Injuries

Mon, 15 Jun 2026 00:00:00 +0000

Abstract

Nonfatal self-inflicted firearm injuries represent an important and understudied public health concern in the United States. We analyzed nationally representative data from the National Electronic Injury Surveillance System–Firearm Injury Surveillance Study (NEISS-FISS), 2000–2021, to characterize nonfatal self-inflicted firearm injuries among U.S. adults aged 18–64 years. Emergency department (ED) narratives were combined using text mining and an elastic net (LASSO) classification model to augment structured surveillance data. Among 7,362 unweighted cases (representing approximately 260,602 ED visits, 58% were classified as probable unintentional discharges, whereas approximately 10% were probable suicide attempts. Among cases with complete race and ethnicity data, Non-Hispanic White (NHW; 69.2%), Non-Hispanic Black (NHB; 23.2%), and Hispanic (7.6%) individuals comprised the primary analytic groups. Narrative analysis substantially increased detection of contextual factors, particularly alcohol involvement among Hispanic patients (12.0% to 20.1%). NHB patients had the highest proportion of lower-extremity injuries (51%), while Hispanic patients had the highest prevalence of craniofacial injuries (26%). The LASSO model effectively distinguished terms associated with probable suicide attempts from unintentional firearm discharges based on narrative language. Findings highlight limitations of structured intent coding within NEISS-FISS and demonstrate the value of narrative for improving characterization of firearm injury circumstances, revealing distinct racial and ethnic group patterns, to inform more tailored prevention strategies.

Plain-Language Summary

This study analyzes nonfatal, self-inflicted firearm injuries in the United States over a 22-year period (2000-2021) using the National Electronic Injury Surveillance System (NEISS-FISS). Because structured database codes often fail to capture the context or intent behind a self-inflicted discharge, the research team used text mining and a machine learning (LASSO) classification model to analyze the unstructured clinical narratives written by emergency department staff.

The results show that while 58% of visits were likely unintentional discharges (accidents), 10% were probable suicide attempts. The narrative text mining revealed distinct, racially disparate patterns of injury: Non-Hispanic Black patients suffered the highest proportion of lower-extremity injuries (51%), while Hispanic patients had the highest rates of craniofacial injuries (26%) and a significant association with alcohol involvement (increasing from 12% in coded data to 20% in narrative data). This highlights the value of using natural language processing to analyze emergency department notes for better injury prevention and public health surveillance.

Dr. Barboza-Salerno Addresses Grand Challenge to Prevent Gun Violence

Tue, 06 Jan 2026 00:00:00 +0000

Dr. Gia Barboza-Salerno addresses the Grand Challenge to Prevent Gun Violence in a feature by the College of Social Work. Read more about the initiatives to address gun violence on the College of Social Work blog.

Spatial accessibility to gun violence exposure on walkable routes to and from school

Mon, 01 Jul 2013 00:00:00 +0000

Plain-Language Summary

This study evaluates the exposure of school children to gun violence along their walkable routes to and from school in Englewood, Chicago. Using acoustic sensor detection technology (ShotSpotter) alongside realistic network routing models, the research quantifies both direct and indirect gunfire exposure during daily school commutes.

The findings show that children walking to school face frequent and geographically concentrated gunfire exposure, which varies significantly depending on specific walking routes and neighborhood social vulnerability. This work demonstrates the power of integrating spatial routing algorithms with acoustic gunshot data to guide school safety policies, active transit planning, and targeted community policing.

Gun Violence | ISSUES | The Ohio State University

Dr. Barboza-Salerno Addresses Grand Challenge to Prevent Gun Violence

New Publication: Racial and Ethnic Disparities in Non-Fatal Self-Inflicted Firearm Injuries

Abstract

Plain-Language Summary

Dr. Barboza-Salerno Addresses Grand Challenge to Prevent Gun Violence

Spatial accessibility to gun violence exposure on walkable routes to and from school

Plain-Language Summary