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Editor’s note: This commentary is by Paul D. Manganiello, MD, MPH, of Norwich, an emeritus professor of obstetrics and gynecology at the Geisel School of Medicine at Dartmouth College. He is president of GunsenseVT Educational Fund.

In its last session, the Democratic Legislature failed to get any significant legislation passed addressing the issue of firearms and public safety. The only bill, attempting to reduce the risk of suicide by gun, that was submitted to Gov. Phil Scott would have imposed a 24-hour waiting period before the purchase of a handgun. The governor claimed that such legislation would be ineffective and sent it back to the Legislature. The governor also claimed that he wouldn’t be averse to signing firearm legislation if he thought that the legislation would be effective. We need to take him at his word.

Death as an endpoint is only part of the story of suicide. In 2017, the most recent year for which we have data, there were 112 deaths by suicide in Vermont. More than 60% of those deaths — 66 — were firearm-related; there were approximately 1,100 injuries from attempted suicides. Firearms were responsible for only 1% of these reported self-inflicted non-fatal injuries, i.e., poisoning, cutting, suffocation, etc. Due to the inherent lethality of firearms, those who chose suicide by firearm rarely have a second chance.

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Suicide occurs along the entire life spectrum. Interventions to reduce the incidence of suicide by gun needs to be targeted and comprehensive if we hope to have any meaningful impact.

If you are trying to have an impact on risk reduction for those under the age of 21, when it is illegal to purchase a firearm, waiting periods to purchase a firearm will be irrelevant. This is also the case for individuals who are over the age of 21 and who already have a firearm accessible to them. The duration of a waiting period is also crucial. Suicide is oftentimes impulsive, and studies have shown that a 72-hour waiting period in an acute crisis allows more time for the at-risk individual to receive needed help. Waiting 72 hours to take ownership of a firearm should not be seen as a hardship, but a public health benefit.

Our legislators need to enact legislation that addresses the whole of life’s spectrum as it relates to suicide. We can look to other states for best practices. For those under the age of 21, a child access prevention law; for those over the age of 21 wanting to purchase a firearm, a 72-hour waiting period; and for those who already have access to a firearm, a strong extreme risk protection order. All three have been shown to be effective at reducing death by suicide.

Last year I testified at the Senate Judiciary Committee’s public hearing in Randolph. There seemed to be misconceptions voiced surrounding child access prevention laws. In those states that have strong CAP laws, criminal liability only occurs to the owner of the firearm when someone is injured or killed as a result of the firearm not being properly secured (locked and unloaded). Police cannot perform random checks on the homes of gun owners to make sure that a firearm is secured. The law doesn’t forbid a gun owner from carrying a loaded firearm, it is only when a mishap occurs and the firearm is not in the possession of the owner and the firearm hasn’t been safely secured, that criminal liability is a possibility.

At that same hearing, some voiced opposition to the waiting period legislation, since it might prevent an individual who feared for their life by an intruder from being able to obtain a firearm for personal protection. On the surface that might seem like a real “protection” but a person who is inexperienced in handling a firearm is statistically more at risk of injuring himself or herself, or a family member. In Vermont, you are not allowed to hunt without a license, which requires proof of completing a gun safety course, why would anyone want to have a gun in the house without becoming proficient in how to use it? You should purchase a firearm when you are calm and not during a crisis. For self-protection, you need to know how to handle a weapon safely.

Attempts at suicide reduction have nothing to do with the Second Amendment but everything to do with our public health. Contact you Vermont state representatives and senators asking them to pass effective, meaningful and comprehensive legislation which will address a realistic approach to suicide reduction. Come to the Vermont Statehouse Jan. 29 to support decreasing access to lethal means on Mental Health Advocacy Day, beginning at 8:30 a.m.



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