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Structural competency and the future of firearm research

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  • Metzl, Jonathan M.
  • McKay, Tara
  • Piemonte, Jennifer L.

Abstract

In this critical literature review we develop a five-part agenda for pandemic-era research into mass shootings and multiple-victim homicides that promotes understanding the psychologies of individual shooters within larger structures and systems. We show how the momentous events set in motion by the COVID-19 virus, and the structural drivers of inequity and racism that its spread exposed, challenge mental health research on gun trauma to better account for broader terrains of race and place, as well as the tensions, politics, and assumptions that surround guns in the U.S. more broadly. Doing so will broaden mental-health interventions into epidemics of U.S. gun trauma, and challenge mental health research better recognize structural biases inherent in its own purview. We frame the agenda through the rubric of structural competency, an emerging framework that systematically trains health care professionals and others to recognize ways that institutions, neighborhood conditions, market forces, public policies, and health care delivery systems shape symptoms and diseases.

Suggested Citation

  • Metzl, Jonathan M. & McKay, Tara & Piemonte, Jennifer L., 2021. "Structural competency and the future of firearm research," Social Science & Medicine, Elsevier, vol. 277(C).
    • Handle: RePEc:eee:socmed:v:277:y:2021:i:c:s0277953621002112
    DOI: 10.1016/j.socscimed.2021.113879
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    References listed on IDEAS

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    1. Christoph Koenig & David Schindler, 2023. "Impulse Purchases, Gun Ownership, and Homicides: Evidence from a Firearm Demand Shock," The Review of Economics and Statistics, MIT Press, vol. 105(5), pages 1271-1286, September.
    2. Mark R. Joslyn & Donald P. Haider-Markel, 2017. "Gun Ownership and Self-Serving Attributions for Mass Shooting Tragedies," Social Science Quarterly, Southwestern Social Science Association, vol. 98(2), pages 429-442, June.
    3. Jonathan M. Metzl, 2019. "What guns mean: the symbolic lives of firearms," Palgrave Communications, Palgrave Macmillan, vol. 5(1), pages 1-5, December.
    4. Metzl, J.M. & MacLeish, K.T., 2015. "Mental Illness, mass shootings, and the politics of American firearms," American Journal of Public Health, American Public Health Association, vol. 105(2), pages 240-249.
    5. repec:aph:ajpbhl:10.2105/ajph.2016.303613_5 is not listed on IDEAS
    6. Papachristos, Andrew V. & Wildeman, Christopher & Roberto, Elizabeth, 2015. "Tragic, but not random: The social contagion of nonfatal gunshot injuries," Social Science & Medicine, Elsevier, vol. 125(C), pages 139-150.
    7. Santilli, A. & Duffany, K.O. & Carroll-Scott, A. & Thomas, J. & Greene, A. & Arora, A. & Agnoli, A. & Gan, G. & Ickovics, J., 2017. "Bridging the response to mass shootings and urban violence: Exposure to violence in new haven, Connecticut," American Journal of Public Health, American Public Health Association, vol. 107(3), pages 374-379.
    8. Lee, Jooyoung, 2013. "The pill hustle: Risky pain management for a gunshot victim," Social Science & Medicine, Elsevier, vol. 99(C), pages 162-168.
    9. Desmond Ang, 0. "The Effects of Police Violence on Inner-City Students," The Quarterly Journal of Economics, Oxford University Press, vol. 136(1), pages 115-168.
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    Cited by:

    1. Orr, Zvika & Jackson, Levi & Alpert, Evan Avraham & Fleming, Mark D., 2023. "Biomedicine and the treatment of difference in a Jerusalem emergency department," Social Science & Medicine, Elsevier, vol. 339(C).

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