To determine the extent of firearms as a cause of mortality, Oklahoma vital statistic records were analyzed. The annual mortality rate in Oklahoma between 1985 and 1989 was 20% higher than the U.S. rate. Firearms were the second leading cause of injury deaths; firearms were the leading cause of injury deaths among blacks and the leading cause of all deaths among blacks 15 to 29 years of age. Ninety-two percent of the firearm-related deaths were intentional; firearms accounted for 70% of suicides and 59% of homicides. The male death rate from firearms was 4.5 times the female death rate. Suicide rates were highest among white males 65 years and older; homicide rates peaked among black males 25 to 34 years of age. Residents of eastern Oklahoma had the highest rates. The magnitude and preventability of firearm-related deaths and injuries demand attention and collaboration from Oklahoma health care providers; public health, mental health, and education officials; and criminal justice professionals.
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