About 21 percent of those injuries are unintentional. This was highlighted in a report by the AP and USA Today news organizations that found during the first six months of 2016, minors died from accidental shootings - at their own hands, or at the hands of other children or adults - at a pace of one every other day - far more than limited United States federal statistics indicate.
1 child is killed every day from an accidental shooting in the U.S.
"These are preventable injuries that have a major public health impact on early death and disability among children", said Katherine A Fowler from the Centers for Disease Control and Prevention (CDC) in the US.
For nonfatal firearm injuries, the researchers examined data from the U.S. Consumer Product Safety Commission's National Electronic Injury Surveillance System database.
This may be why Dr. Ruth Abaya, an assistant professor of pediatrics in the division of Emergency Medicine at Children's Hospital of Philadelphia, told CBS News that while the child gun death and injury study published Monday was "staggering", the results were, "unfortunately, not surprising".
Boys account for 82 percent of all child firearm deaths, and black children have the highest rates of firearm mortality overall due to much higher firearm homicide rates. These injuries were either from a firearm-related assault, an act of self-harm, or from unintentional injury. "Firearm injury" was defined as a gunshot wound or penetrating injury from a weapon that uses a powder charge to fire a projectile (including handguns, rifles and shotguns).
The rate of gun-related deaths among children among 13 to 17 years old was 12 times higher than the rate of deaths among children under the age of 13.
African-American children had the highest rates of firearm homicide, and white and Native American children had the highest rates of firearm suicide.
So, if we want to truly understand the actual risk to life from guns, we need to look at the "rate" of gun-related deaths - that is, "per population".
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Race mattered: The annual firearm homicide rate for African American children (3.5 per 100,000) was almost twice as high as the rate for American Indian children (2.2 per 100,000), 4 times higher than the rate for Hispanic children (0.8 per 100,000), and ∼10 times higher than the rate for white children and Asian American children (each 0.4 per 100,000).
The highest rates for homicides were concentrated in the South; across the Midwestern states of Illinois, Missouri, Michigan and OH; and in California, Nevada, Connecticut, Maryland and Pennsylvania.
In younger children, homicides often happen in a multivictim scenario and by family conflict. Yet, suicide attempts with firearms are far more successful and irreversible than other methods.
The analysis of 2002-14 data is billed as the most comprehensive USA study on the topic.
Sacchetti said the best way to prevent these suicides and unintentional injuries and deaths is to keep guns locked away.
Parents also shouldn't underestimate how witnessing gun violence influences kids, said Joan Reid, a researcher at the University of South Florida in St. Petersburg who wasn't involved in the study. "It's very important for parents to be aware of that, particularly if they have guns in the home".
They are most common in southern states and some Midwestern states and for black children more than any other race.
Homicides deaths by firearms in children have declined but suicide deaths are on the rise.
"This is a very encouraging trend".