Toward a Safer World by 2040: The JAMA Summit Report on Reducing Firearm Violence and Harms

Importance: Since the start of the 21st century, more than 800000 firearm deaths and more than 2 million firearm injuries have occurred in the US. All categories of firearm violence - homicide, suicide, unintentional - result in reverberating harms to individuals, families, communities, and society. The collective responsibility of society is to safeguard the health and safety of its members, including from firearm harms. The JAMA Summit on Firearm Violence convened 60 thought leaders from a wide array of disciplines to chart an innovations roadmap that will lead to substantial reductions in firearm harms by 2040. Observations: The vision for 2040 is a country where firearm violence is substantially reduced and where all people and communities report feeling safe from firearm harms. The vision centers on practical solutions with an understanding of the country's constitutional protections for firearm ownership. Achieving the 2040 vision will require expansion of proven evidence-based strategies and the development of new, innovative approaches rooted in equity, accountability, and collective responsibility. Discussions centered on projecting a safer world, community violence interventions, technologic innovations, federal and state-level oversight of firearms, ethical considerations, and primordial prevention of firearm violence. The Summit charted a roadmap of 5 essential actions in the next 5 years to achieve this vision: (1) focus on communities and change fundamental structures that lead to firearm harms, (2) harness technological strengths responsibly, (3) change the narrative around firearm harms, (4) take a whole-government and whole-society approach, and (5) spark a research revolution on preventing firearm harms. Conclusions and Relevance: A safer world will require investing in the discovery, implementation, and scaling of solutions that reduce firearm harms and center on the people and communities most affected by firearm violence.