Skip to main content

Main menu

  • Home
  • Current Issue
  • Ahead of Print
  • Past Issues
  • Info for
    • Authors
    • Print Subscriptions
  • About
    • About the Journal
    • About the Academy
    • Editorial Board
  • Feedback
  • Alerts
  • AAPL

User menu

  • Alerts

Search

  • Advanced search
Journal of the American Academy of Psychiatry and the Law
  • AAPL
  • Alerts
Journal of the American Academy of Psychiatry and the Law

Advanced Search

  • Home
  • Current Issue
  • Ahead of Print
  • Past Issues
  • Info for
    • Authors
    • Print Subscriptions
  • About
    • About the Journal
    • About the Academy
    • Editorial Board
  • Feedback
  • Alerts
Research ArticleRegular Article

Suicide Prevention Effects of Extreme Risk Protection Order Laws in Four States

Jeffrey W. Swanson, April M. Zeoli, Shannon Frattaroli, Marian Betz, Michele Easter, Reena Kapoor, Christopher Knoepke, Michael Norko, Veronica A. Pear, Ali Rowhani-Rahbar, Julia P. Schleimer and Garen J. Wintemute
Journal of the American Academy of Psychiatry and the Law Online August 2024, JAAPL.240056-24; DOI: https://doi.org/10.29158/JAAPL.240056-24
Jeffrey W. Swanson
Dr. Swanson is a Professor and Dr. Easter is an Assistant Professor in Psychiatry and Behavioral Sciences, Duke University School of Medicine, and both are faculty affiliates of the Wilson Center for Science and Justice, Duke University School of Law, Durham, NC. Dr. Zeoli is an Associate Professor in the Institute for Firearm Injury Prevention and the Department of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor, MI. Dr. Frattaroli is a Professor, Health Policy and Management, and Core Faculty, Center for Gun Violence Solutions at the Johns Hopkins Bloomberg School of Public Health. Dr. Kapoor is an Associate Professor of Psychiatry and Dr. Norko is a Professor of Psychiatry, Yale School of Medicine, New Haven, CT. Dr. Kapoor is Director of Forensic Services and Dr. Norko is a Forensic Policy Advisor, Connecticut Department of Mental Health and Addiction Services, Hartford, CT. Dr. Betz is a Professor and Director of the Firearm Injury Prevention Initiative, Department of Emergency Medicine and Dr. Knoepke is an Assistant Professor of Cardiology and Law Enforcement Lead, Firearm Injury Prevention Initiative, University of Colorado School of Medicine, Aurora, CO, Dr. Pear is Assistant Professor in Residence, Violence Prevention Research Program, Department of Emergency Medicine and Dr. Wintemute is a Professor and the Susan P. Baker-Stephen P. Teret Chair in Violence Prevention, University of California, Davis, Davis, CA. Dr. Rowhani- Rahbar is the Bartley Dobb Professor for the Study and Prevention of Violence, Professor of Epidemiology and Pediatrics, and Director of the Firearm Injury & Policy Research Program and Ms. Schleimer is a PhD Candidate, Department of Epidemiology, School of Public Health, University of Washington, Seattle, WA, and a Research Data Analyst at the Violence Prevention Research Program, Department of Emergency Medicine, University of California, Davis.
PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
April M. Zeoli
Dr. Swanson is a Professor and Dr. Easter is an Assistant Professor in Psychiatry and Behavioral Sciences, Duke University School of Medicine, and both are faculty affiliates of the Wilson Center for Science and Justice, Duke University School of Law, Durham, NC. Dr. Zeoli is an Associate Professor in the Institute for Firearm Injury Prevention and the Department of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor, MI. Dr. Frattaroli is a Professor, Health Policy and Management, and Core Faculty, Center for Gun Violence Solutions at the Johns Hopkins Bloomberg School of Public Health. Dr. Kapoor is an Associate Professor of Psychiatry and Dr. Norko is a Professor of Psychiatry, Yale School of Medicine, New Haven, CT. Dr. Kapoor is Director of Forensic Services and Dr. Norko is a Forensic Policy Advisor, Connecticut Department of Mental Health and Addiction Services, Hartford, CT. Dr. Betz is a Professor and Director of the Firearm Injury Prevention Initiative, Department of Emergency Medicine and Dr. Knoepke is an Assistant Professor of Cardiology and Law Enforcement Lead, Firearm Injury Prevention Initiative, University of Colorado School of Medicine, Aurora, CO, Dr. Pear is Assistant Professor in Residence, Violence Prevention Research Program, Department of Emergency Medicine and Dr. Wintemute is a Professor and the Susan P. Baker-Stephen P. Teret Chair in Violence Prevention, University of California, Davis, Davis, CA. Dr. Rowhani- Rahbar is the Bartley Dobb Professor for the Study and Prevention of Violence, Professor of Epidemiology and Pediatrics, and Director of the Firearm Injury & Policy Research Program and Ms. Schleimer is a PhD Candidate, Department of Epidemiology, School of Public Health, University of Washington, Seattle, WA, and a Research Data Analyst at the Violence Prevention Research Program, Department of Emergency Medicine, University of California, Davis.
PhD, MPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Shannon Frattaroli
Dr. Swanson is a Professor and Dr. Easter is an Assistant Professor in Psychiatry and Behavioral Sciences, Duke University School of Medicine, and both are faculty affiliates of the Wilson Center for Science and Justice, Duke University School of Law, Durham, NC. Dr. Zeoli is an Associate Professor in the Institute for Firearm Injury Prevention and the Department of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor, MI. Dr. Frattaroli is a Professor, Health Policy and Management, and Core Faculty, Center for Gun Violence Solutions at the Johns Hopkins Bloomberg School of Public Health. Dr. Kapoor is an Associate Professor of Psychiatry and Dr. Norko is a Professor of Psychiatry, Yale School of Medicine, New Haven, CT. Dr. Kapoor is Director of Forensic Services and Dr. Norko is a Forensic Policy Advisor, Connecticut Department of Mental Health and Addiction Services, Hartford, CT. Dr. Betz is a Professor and Director of the Firearm Injury Prevention Initiative, Department of Emergency Medicine and Dr. Knoepke is an Assistant Professor of Cardiology and Law Enforcement Lead, Firearm Injury Prevention Initiative, University of Colorado School of Medicine, Aurora, CO, Dr. Pear is Assistant Professor in Residence, Violence Prevention Research Program, Department of Emergency Medicine and Dr. Wintemute is a Professor and the Susan P. Baker-Stephen P. Teret Chair in Violence Prevention, University of California, Davis, Davis, CA. Dr. Rowhani- Rahbar is the Bartley Dobb Professor for the Study and Prevention of Violence, Professor of Epidemiology and Pediatrics, and Director of the Firearm Injury & Policy Research Program and Ms. Schleimer is a PhD Candidate, Department of Epidemiology, School of Public Health, University of Washington, Seattle, WA, and a Research Data Analyst at the Violence Prevention Research Program, Department of Emergency Medicine, University of California, Davis.
PhD, MPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Marian Betz
Dr. Swanson is a Professor and Dr. Easter is an Assistant Professor in Psychiatry and Behavioral Sciences, Duke University School of Medicine, and both are faculty affiliates of the Wilson Center for Science and Justice, Duke University School of Law, Durham, NC. Dr. Zeoli is an Associate Professor in the Institute for Firearm Injury Prevention and the Department of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor, MI. Dr. Frattaroli is a Professor, Health Policy and Management, and Core Faculty, Center for Gun Violence Solutions at the Johns Hopkins Bloomberg School of Public Health. Dr. Kapoor is an Associate Professor of Psychiatry and Dr. Norko is a Professor of Psychiatry, Yale School of Medicine, New Haven, CT. Dr. Kapoor is Director of Forensic Services and Dr. Norko is a Forensic Policy Advisor, Connecticut Department of Mental Health and Addiction Services, Hartford, CT. Dr. Betz is a Professor and Director of the Firearm Injury Prevention Initiative, Department of Emergency Medicine and Dr. Knoepke is an Assistant Professor of Cardiology and Law Enforcement Lead, Firearm Injury Prevention Initiative, University of Colorado School of Medicine, Aurora, CO, Dr. Pear is Assistant Professor in Residence, Violence Prevention Research Program, Department of Emergency Medicine and Dr. Wintemute is a Professor and the Susan P. Baker-Stephen P. Teret Chair in Violence Prevention, University of California, Davis, Davis, CA. Dr. Rowhani- Rahbar is the Bartley Dobb Professor for the Study and Prevention of Violence, Professor of Epidemiology and Pediatrics, and Director of the Firearm Injury & Policy Research Program and Ms. Schleimer is a PhD Candidate, Department of Epidemiology, School of Public Health, University of Washington, Seattle, WA, and a Research Data Analyst at the Violence Prevention Research Program, Department of Emergency Medicine, University of California, Davis.
MD, MPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Michele Easter
Dr. Swanson is a Professor and Dr. Easter is an Assistant Professor in Psychiatry and Behavioral Sciences, Duke University School of Medicine, and both are faculty affiliates of the Wilson Center for Science and Justice, Duke University School of Law, Durham, NC. Dr. Zeoli is an Associate Professor in the Institute for Firearm Injury Prevention and the Department of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor, MI. Dr. Frattaroli is a Professor, Health Policy and Management, and Core Faculty, Center for Gun Violence Solutions at the Johns Hopkins Bloomberg School of Public Health. Dr. Kapoor is an Associate Professor of Psychiatry and Dr. Norko is a Professor of Psychiatry, Yale School of Medicine, New Haven, CT. Dr. Kapoor is Director of Forensic Services and Dr. Norko is a Forensic Policy Advisor, Connecticut Department of Mental Health and Addiction Services, Hartford, CT. Dr. Betz is a Professor and Director of the Firearm Injury Prevention Initiative, Department of Emergency Medicine and Dr. Knoepke is an Assistant Professor of Cardiology and Law Enforcement Lead, Firearm Injury Prevention Initiative, University of Colorado School of Medicine, Aurora, CO, Dr. Pear is Assistant Professor in Residence, Violence Prevention Research Program, Department of Emergency Medicine and Dr. Wintemute is a Professor and the Susan P. Baker-Stephen P. Teret Chair in Violence Prevention, University of California, Davis, Davis, CA. Dr. Rowhani- Rahbar is the Bartley Dobb Professor for the Study and Prevention of Violence, Professor of Epidemiology and Pediatrics, and Director of the Firearm Injury & Policy Research Program and Ms. Schleimer is a PhD Candidate, Department of Epidemiology, School of Public Health, University of Washington, Seattle, WA, and a Research Data Analyst at the Violence Prevention Research Program, Department of Emergency Medicine, University of California, Davis.
PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Reena Kapoor
Dr. Swanson is a Professor and Dr. Easter is an Assistant Professor in Psychiatry and Behavioral Sciences, Duke University School of Medicine, and both are faculty affiliates of the Wilson Center for Science and Justice, Duke University School of Law, Durham, NC. Dr. Zeoli is an Associate Professor in the Institute for Firearm Injury Prevention and the Department of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor, MI. Dr. Frattaroli is a Professor, Health Policy and Management, and Core Faculty, Center for Gun Violence Solutions at the Johns Hopkins Bloomberg School of Public Health. Dr. Kapoor is an Associate Professor of Psychiatry and Dr. Norko is a Professor of Psychiatry, Yale School of Medicine, New Haven, CT. Dr. Kapoor is Director of Forensic Services and Dr. Norko is a Forensic Policy Advisor, Connecticut Department of Mental Health and Addiction Services, Hartford, CT. Dr. Betz is a Professor and Director of the Firearm Injury Prevention Initiative, Department of Emergency Medicine and Dr. Knoepke is an Assistant Professor of Cardiology and Law Enforcement Lead, Firearm Injury Prevention Initiative, University of Colorado School of Medicine, Aurora, CO, Dr. Pear is Assistant Professor in Residence, Violence Prevention Research Program, Department of Emergency Medicine and Dr. Wintemute is a Professor and the Susan P. Baker-Stephen P. Teret Chair in Violence Prevention, University of California, Davis, Davis, CA. Dr. Rowhani- Rahbar is the Bartley Dobb Professor for the Study and Prevention of Violence, Professor of Epidemiology and Pediatrics, and Director of the Firearm Injury & Policy Research Program and Ms. Schleimer is a PhD Candidate, Department of Epidemiology, School of Public Health, University of Washington, Seattle, WA, and a Research Data Analyst at the Violence Prevention Research Program, Department of Emergency Medicine, University of California, Davis.
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Christopher Knoepke
Dr. Swanson is a Professor and Dr. Easter is an Assistant Professor in Psychiatry and Behavioral Sciences, Duke University School of Medicine, and both are faculty affiliates of the Wilson Center for Science and Justice, Duke University School of Law, Durham, NC. Dr. Zeoli is an Associate Professor in the Institute for Firearm Injury Prevention and the Department of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor, MI. Dr. Frattaroli is a Professor, Health Policy and Management, and Core Faculty, Center for Gun Violence Solutions at the Johns Hopkins Bloomberg School of Public Health. Dr. Kapoor is an Associate Professor of Psychiatry and Dr. Norko is a Professor of Psychiatry, Yale School of Medicine, New Haven, CT. Dr. Kapoor is Director of Forensic Services and Dr. Norko is a Forensic Policy Advisor, Connecticut Department of Mental Health and Addiction Services, Hartford, CT. Dr. Betz is a Professor and Director of the Firearm Injury Prevention Initiative, Department of Emergency Medicine and Dr. Knoepke is an Assistant Professor of Cardiology and Law Enforcement Lead, Firearm Injury Prevention Initiative, University of Colorado School of Medicine, Aurora, CO, Dr. Pear is Assistant Professor in Residence, Violence Prevention Research Program, Department of Emergency Medicine and Dr. Wintemute is a Professor and the Susan P. Baker-Stephen P. Teret Chair in Violence Prevention, University of California, Davis, Davis, CA. Dr. Rowhani- Rahbar is the Bartley Dobb Professor for the Study and Prevention of Violence, Professor of Epidemiology and Pediatrics, and Director of the Firearm Injury & Policy Research Program and Ms. Schleimer is a PhD Candidate, Department of Epidemiology, School of Public Health, University of Washington, Seattle, WA, and a Research Data Analyst at the Violence Prevention Research Program, Department of Emergency Medicine, University of California, Davis.
PhD, MSW
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Michael Norko
Dr. Swanson is a Professor and Dr. Easter is an Assistant Professor in Psychiatry and Behavioral Sciences, Duke University School of Medicine, and both are faculty affiliates of the Wilson Center for Science and Justice, Duke University School of Law, Durham, NC. Dr. Zeoli is an Associate Professor in the Institute for Firearm Injury Prevention and the Department of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor, MI. Dr. Frattaroli is a Professor, Health Policy and Management, and Core Faculty, Center for Gun Violence Solutions at the Johns Hopkins Bloomberg School of Public Health. Dr. Kapoor is an Associate Professor of Psychiatry and Dr. Norko is a Professor of Psychiatry, Yale School of Medicine, New Haven, CT. Dr. Kapoor is Director of Forensic Services and Dr. Norko is a Forensic Policy Advisor, Connecticut Department of Mental Health and Addiction Services, Hartford, CT. Dr. Betz is a Professor and Director of the Firearm Injury Prevention Initiative, Department of Emergency Medicine and Dr. Knoepke is an Assistant Professor of Cardiology and Law Enforcement Lead, Firearm Injury Prevention Initiative, University of Colorado School of Medicine, Aurora, CO, Dr. Pear is Assistant Professor in Residence, Violence Prevention Research Program, Department of Emergency Medicine and Dr. Wintemute is a Professor and the Susan P. Baker-Stephen P. Teret Chair in Violence Prevention, University of California, Davis, Davis, CA. Dr. Rowhani- Rahbar is the Bartley Dobb Professor for the Study and Prevention of Violence, Professor of Epidemiology and Pediatrics, and Director of the Firearm Injury & Policy Research Program and Ms. Schleimer is a PhD Candidate, Department of Epidemiology, School of Public Health, University of Washington, Seattle, WA, and a Research Data Analyst at the Violence Prevention Research Program, Department of Emergency Medicine, University of California, Davis.
MD, MAR
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Veronica A. Pear
Dr. Swanson is a Professor and Dr. Easter is an Assistant Professor in Psychiatry and Behavioral Sciences, Duke University School of Medicine, and both are faculty affiliates of the Wilson Center for Science and Justice, Duke University School of Law, Durham, NC. Dr. Zeoli is an Associate Professor in the Institute for Firearm Injury Prevention and the Department of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor, MI. Dr. Frattaroli is a Professor, Health Policy and Management, and Core Faculty, Center for Gun Violence Solutions at the Johns Hopkins Bloomberg School of Public Health. Dr. Kapoor is an Associate Professor of Psychiatry and Dr. Norko is a Professor of Psychiatry, Yale School of Medicine, New Haven, CT. Dr. Kapoor is Director of Forensic Services and Dr. Norko is a Forensic Policy Advisor, Connecticut Department of Mental Health and Addiction Services, Hartford, CT. Dr. Betz is a Professor and Director of the Firearm Injury Prevention Initiative, Department of Emergency Medicine and Dr. Knoepke is an Assistant Professor of Cardiology and Law Enforcement Lead, Firearm Injury Prevention Initiative, University of Colorado School of Medicine, Aurora, CO, Dr. Pear is Assistant Professor in Residence, Violence Prevention Research Program, Department of Emergency Medicine and Dr. Wintemute is a Professor and the Susan P. Baker-Stephen P. Teret Chair in Violence Prevention, University of California, Davis, Davis, CA. Dr. Rowhani- Rahbar is the Bartley Dobb Professor for the Study and Prevention of Violence, Professor of Epidemiology and Pediatrics, and Director of the Firearm Injury & Policy Research Program and Ms. Schleimer is a PhD Candidate, Department of Epidemiology, School of Public Health, University of Washington, Seattle, WA, and a Research Data Analyst at the Violence Prevention Research Program, Department of Emergency Medicine, University of California, Davis.
PhD, MPH, MA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Ali Rowhani-Rahbar
Dr. Swanson is a Professor and Dr. Easter is an Assistant Professor in Psychiatry and Behavioral Sciences, Duke University School of Medicine, and both are faculty affiliates of the Wilson Center for Science and Justice, Duke University School of Law, Durham, NC. Dr. Zeoli is an Associate Professor in the Institute for Firearm Injury Prevention and the Department of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor, MI. Dr. Frattaroli is a Professor, Health Policy and Management, and Core Faculty, Center for Gun Violence Solutions at the Johns Hopkins Bloomberg School of Public Health. Dr. Kapoor is an Associate Professor of Psychiatry and Dr. Norko is a Professor of Psychiatry, Yale School of Medicine, New Haven, CT. Dr. Kapoor is Director of Forensic Services and Dr. Norko is a Forensic Policy Advisor, Connecticut Department of Mental Health and Addiction Services, Hartford, CT. Dr. Betz is a Professor and Director of the Firearm Injury Prevention Initiative, Department of Emergency Medicine and Dr. Knoepke is an Assistant Professor of Cardiology and Law Enforcement Lead, Firearm Injury Prevention Initiative, University of Colorado School of Medicine, Aurora, CO, Dr. Pear is Assistant Professor in Residence, Violence Prevention Research Program, Department of Emergency Medicine and Dr. Wintemute is a Professor and the Susan P. Baker-Stephen P. Teret Chair in Violence Prevention, University of California, Davis, Davis, CA. Dr. Rowhani- Rahbar is the Bartley Dobb Professor for the Study and Prevention of Violence, Professor of Epidemiology and Pediatrics, and Director of the Firearm Injury & Policy Research Program and Ms. Schleimer is a PhD Candidate, Department of Epidemiology, School of Public Health, University of Washington, Seattle, WA, and a Research Data Analyst at the Violence Prevention Research Program, Department of Emergency Medicine, University of California, Davis.
MD, PhD, MPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Julia P. Schleimer
Dr. Swanson is a Professor and Dr. Easter is an Assistant Professor in Psychiatry and Behavioral Sciences, Duke University School of Medicine, and both are faculty affiliates of the Wilson Center for Science and Justice, Duke University School of Law, Durham, NC. Dr. Zeoli is an Associate Professor in the Institute for Firearm Injury Prevention and the Department of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor, MI. Dr. Frattaroli is a Professor, Health Policy and Management, and Core Faculty, Center for Gun Violence Solutions at the Johns Hopkins Bloomberg School of Public Health. Dr. Kapoor is an Associate Professor of Psychiatry and Dr. Norko is a Professor of Psychiatry, Yale School of Medicine, New Haven, CT. Dr. Kapoor is Director of Forensic Services and Dr. Norko is a Forensic Policy Advisor, Connecticut Department of Mental Health and Addiction Services, Hartford, CT. Dr. Betz is a Professor and Director of the Firearm Injury Prevention Initiative, Department of Emergency Medicine and Dr. Knoepke is an Assistant Professor of Cardiology and Law Enforcement Lead, Firearm Injury Prevention Initiative, University of Colorado School of Medicine, Aurora, CO, Dr. Pear is Assistant Professor in Residence, Violence Prevention Research Program, Department of Emergency Medicine and Dr. Wintemute is a Professor and the Susan P. Baker-Stephen P. Teret Chair in Violence Prevention, University of California, Davis, Davis, CA. Dr. Rowhani- Rahbar is the Bartley Dobb Professor for the Study and Prevention of Violence, Professor of Epidemiology and Pediatrics, and Director of the Firearm Injury & Policy Research Program and Ms. Schleimer is a PhD Candidate, Department of Epidemiology, School of Public Health, University of Washington, Seattle, WA, and a Research Data Analyst at the Violence Prevention Research Program, Department of Emergency Medicine, University of California, Davis.
MPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Garen J. Wintemute
Dr. Swanson is a Professor and Dr. Easter is an Assistant Professor in Psychiatry and Behavioral Sciences, Duke University School of Medicine, and both are faculty affiliates of the Wilson Center for Science and Justice, Duke University School of Law, Durham, NC. Dr. Zeoli is an Associate Professor in the Institute for Firearm Injury Prevention and the Department of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor, MI. Dr. Frattaroli is a Professor, Health Policy and Management, and Core Faculty, Center for Gun Violence Solutions at the Johns Hopkins Bloomberg School of Public Health. Dr. Kapoor is an Associate Professor of Psychiatry and Dr. Norko is a Professor of Psychiatry, Yale School of Medicine, New Haven, CT. Dr. Kapoor is Director of Forensic Services and Dr. Norko is a Forensic Policy Advisor, Connecticut Department of Mental Health and Addiction Services, Hartford, CT. Dr. Betz is a Professor and Director of the Firearm Injury Prevention Initiative, Department of Emergency Medicine and Dr. Knoepke is an Assistant Professor of Cardiology and Law Enforcement Lead, Firearm Injury Prevention Initiative, University of Colorado School of Medicine, Aurora, CO, Dr. Pear is Assistant Professor in Residence, Violence Prevention Research Program, Department of Emergency Medicine and Dr. Wintemute is a Professor and the Susan P. Baker-Stephen P. Teret Chair in Violence Prevention, University of California, Davis, Davis, CA. Dr. Rowhani- Rahbar is the Bartley Dobb Professor for the Study and Prevention of Violence, Professor of Epidemiology and Pediatrics, and Director of the Firearm Injury & Policy Research Program and Ms. Schleimer is a PhD Candidate, Department of Epidemiology, School of Public Health, University of Washington, Seattle, WA, and a Research Data Analyst at the Violence Prevention Research Program, Department of Emergency Medicine, University of California, Davis.
MD, MPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • Info & Metrics
  • PDF
Loading

Article Figures & Data

Figures

  • Tables
  • Figure
    • Download figure
    • Open in new tab
    • Download powerpoint

    Figure 1. Association between the probability that a male gun owner who attempts suicide will use a firearm in the attempt and the estimated number of ERPOs needed to prevent one suicide death: evidence from 4,583 ERPOs in four states. ERPO = extreme risk protection order.

  • Figure
    • Download figure
    • Open in new tab
    • Download powerpoint

    Figure 2. Firearm ownership rate and proportion of male suicides that involve guns in selected high gun ownership states, U.S. adult males, and in ERPO respondents. ERPO = extreme risk protection order; FS/S = firearm suicides to all suicides.

Tables

  • Figures
    • View popup
    Table 1

    Features of ERPO Statutes in California, Connecticut, Maryland, and Washington

    ERPO Statutory CharacteristicsCACTMDWA
    Categories of authorized ERPO petitioners
     Law enforcement officersXXXX
     Family or household membersXaXX
     Licensed clinicians and mental health care providersaX
     Others: employers, coworkers, dating partners, people who have a child in common, and certain school personnelX
    Standard of proof for ex parte orders
     Probable, reasonable, or good causebXXX
     Substantial likelihoodb
    Standard of proof for final orders
     Preponderance of the evidenceX
     Clear and convincing evidenceXXXX
    Duration of ex parte orders
     1–2 daysX
     14 daysXX
     21 daysX
    Duration of final orders
     Up to one yearbaXX
     1–5 yearsX
     Until respondent initiates review in which either law enforcement determines no probable cause of a risk or the state fails to prove by clear and convincing evidence at hearing that there is a riskX
    • ERPO = extreme risk protection order

    • ↵a In Connecticut, prior to June 1, 2022, only law enforcement and state officials could petition for an order; thereafter, family and household members could petition for an investigation by law enforcement that can result in law enforcement petitioning for an order. The law changed after the study was completed. During the study period, duration of the ERPO was up to 1 year.

    • ↵b In California, the standard of proof for temporary orders is “probable cause” for orders petitioned by law enforcement only and “substantial likelihood” for orders petitioned by family and law enforcement. During the study period, duration of the ERPO was up to 1 year.

    • View popup
    Table 2

    Counterfactual Estimation of Number of ERPOs Needed to Prevent One Suicide Death

    Counterfactual Estimates
    Observed Number of Suicide Deaths and Extrapolated Estimate of Suicide AttemptsSuicide AttemptsSuicide Deaths
    Suicide MethodObserved Suicides, by MethodNational Case Fatality Rate (CFR)Estimated Suicide Attempts, by MethodFirearmOther MethodFirearmOther MethodTotal
    Firearm200.9022.322.3—20.0—20.0
    Drug or poison80.02416.0162.2253.8146.04.9150.9
    Suffocation120.4228.911.317.610.17.317.5
    Cutting20.01283.2110.4172.799.41.2100.6
    Jumping20.287.22.84.42.51.23.7
    Other10.0258.222.735.520.40.621.1
    Total45815.8331.8484.0298.515.3313.8
    Expected313.8
    Observed45.0
    Lives saved268.8
    ERPOs4,583.0
    Number of ERPOs per life saved17.1
    • CFR = case fatality rate; ERPO = extreme risk protection order

PreviousNext
Back to top

In this issue

Journal of the American Academy of Psychiatry and the Law Online: 53 (1)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 53, Issue 1
1 Mar 2025
  • Table of Contents
  • Index by author
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in recommending The Journal of the American Academy of Psychiatry and the Law site.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Suicide Prevention Effects of Extreme Risk Protection Order Laws in Four States
(Your Name) has forwarded a page to you from Journal of the American Academy of Psychiatry and the Law
(Your Name) thought you would like to see this page from the Journal of the American Academy of Psychiatry and the Law web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
Suicide Prevention Effects of Extreme Risk Protection Order Laws in Four States
Jeffrey W. Swanson, April M. Zeoli, Shannon Frattaroli, Marian Betz, Michele Easter, Reena Kapoor, Christopher Knoepke, Michael Norko, Veronica A. Pear, Ali Rowhani-Rahbar, Julia P. Schleimer, Garen J. Wintemute
Journal of the American Academy of Psychiatry and the Law Online Aug 2024, JAAPL.240056-24; DOI: 10.29158/JAAPL.240056-24

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero

Share
Suicide Prevention Effects of Extreme Risk Protection Order Laws in Four States
Jeffrey W. Swanson, April M. Zeoli, Shannon Frattaroli, Marian Betz, Michele Easter, Reena Kapoor, Christopher Knoepke, Michael Norko, Veronica A. Pear, Ali Rowhani-Rahbar, Julia P. Schleimer, Garen J. Wintemute
Journal of the American Academy of Psychiatry and the Law Online Aug 2024, JAAPL.240056-24; DOI: 10.29158/JAAPL.240056-24
del.icio.us logo Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • Firearm Suicide and the Rationale for ERPOs
    • Method
    • Results
    • Discussion
    • Conclusion
    • Acknowledgments
    • Footnotes
    • References
  • Figures & Data
  • Info & Metrics
  • PDF

Related Articles

Cited By...

More in this TOC Section

  • A Forensic Science-Based Model for Identifying and Mitigating Forensic Mental Health Expert Biases
  • Bias in Peer Review of Forensic Psychiatry Publications
  • Reconsidering the Relationship Between Criminal Insanity and Delusions
Show more Regular Article

Similar Articles

Keywords

  • extreme risk protection orders
  • gun violence prevention
  • suicide
  • red flag laws

Site Navigation

  • Home
  • Current Issue
  • Ahead of Print
  • Archive
  • Information for Authors
  • About the Journal
  • Editorial Board
  • Feedback
  • Alerts

Other Resources

  • Academy Website
  • AAPL Meetings
  • AAPL Annual Review Course

Reviewers

  • Peer Reviewers

Other Publications

  • AAPL Practice Guidelines
  • AAPL Newsletter
  • AAPL Ethics Guidelines
  • AAPL Amicus Briefs
  • Landmark Cases

Customer Service

  • Cookie Policy
  • Reprints and Permissions
  • Order Physical Copy

Copyright © 2025 by The American Academy of Psychiatry and the Law