Policies to Prevent Illegal Acquisition of Firearms: Impacts on Diversions of Guns for Criminal Use, Violence, and Suicide

Purpose of Review Firearm-related deaths are a significant source of mortality in the USA. More than 30,000 individuals die annually from firearm-related injuries, including homicide and suicide, in our nation. This review summarizes recent findings on policies designed to prevent illegal acquisition of firearms and their impacts on diversions of guns into underground markets and firearm-related homicide and suicide. Recent Findings A significant body of evidence has been produced between 2013 and 2018 demonstrating the effectiveness of laws requiring prospective handgun purchasers to obtain a permit (PTP). The evidence for other types of laws to deter illegal acquisition of firearms is less robust. Summary Current research on illegal acquisition and the impact of related policies illustrates that there are policies that effectively reduce diversion and have positive impacts on firearm-related violence. However, there is a paucity of research that use strong study designs and clearly identifies specific policy impacts pertaining to diversion and illegal acquisition of firearms. Future research is needed that further elucidates transactions that facilitate a gun’s entry into an underground market and the role and impact of policies regulating these transactions.