Everyone knows there’s a problem with gun violence in Guilford County, but an eye-opening new study from the Guilford County Division of Public Health shows just how bad the problem is getting, that the trend is going in the wrong direction, and that the problem is greater in Guilford County than in other similarly sized counties in the state.

Every four years, the Guilford County Division of Public Health works with residents, community partners and healthcare providers to conduct a major and extensive report of the health of the community and the problems facing it. On Wednesday, Feb. 26, the county’s public health officials released their 2023-2024 Community Health Assessment – titled “Our Community. Our Health.”

The statistics in it show that Guilford County has a massive gun violence problem that surpasses the problem of similarly situated counties in the state.

The study uses a range of research tools and collected data to aggregate information regarding the health needs, challenges, resources and strengths in Guilford County, and it provides analysis intended to guide the county’s efforts in improving the health and well-being of residents.

Guilford County experienced a total of 2,612 incidents of violent crime in 2023, with 1,581 – about 60 percent – involving firearms that year. Those incidents include 1,384 aggravated assaults, 81 homicides, 41 suicides and 75 accidental shootings.

One suggested strategy to address the problem is community-driven intervention in key at-risk areas to help reduce disparities and foster an environment of long-term safety and stability.

The homicide mortality rate in Guilford County has steadily risen over the past several years, with a significant increase from 9.6 deaths per 100,000 population in 2018 to 11.5 in 2019, followed by a rise to 13.5 in 2020. As of 2021, this rate remained unchanged at 13.5 deaths per 100,000.

The report notes that this disturbing trend underscores the growing concern regarding violent crime and community safety in Guilford County.

The new study also points out that much of the gun violence in the county is preventable and adds that, beyond the immediate physical harm, firearm violence leaves lasting psychological effects on survivors and witnesses – which increases the risk of anxiety, depression and PTSD.

Also, the health assessment notes, exposure to gun violence at an early age often leads to traumatic childhood experiences that have long-term adverse effects on mental health and social outcomes.

The widespread extent of gun violence in Guilford County is also a major economic burden since gun violence taxes healthcare systems and law enforcement, and it hurts the local economy as well.  There are costs associated with medical care, legal proceedings and law enforcement responses – which all put a strain on county resources.

In addition, affected neighborhoods often see declining property values and fewer businesses locating there.

Additionally, the report notes, gun violence disproportionately impacts certain populations based on factors such as race, age, gender and socio-economic status.

The health assessment reveals that “Men experience a significantly higher homicide mortality rate of approximately 11.8 deaths per 100,000 population, compared to 4.0 for women.”

Also, the homicide rate for Black people is over seven times greater than that for White people in the county.

Of the 313 reported homicide deaths, 83.7 percent involved firearms, which, the report states, highlights an urgent need for interventions aimed at reducing firearm violence.

“The significant disparity in the homicide mortality rate among Black men,” it reads, “emphasizes the need for health equity-focused approaches to reduce community violence. This requires collaboration and engagement within communities that are disproportionately affected by violence and its lasting impacts. By prioritizing these efforts, we can work towards more equitable outcomes and foster safer communities in Guilford County.”

The report addresses gun-related suicide trends in Guilford County as well.

From 2017 to 2021, a total of 303 suicide deaths were reported, with just over half – 55 percent to be exact – involving firearms.

“The [suicide] mortality rates in Guilford County have fluctuated over the years, showing an unstable trend,” it reads. “As of 2021, the county’s rate stands at 13.8 per 100,000 population, slightly exceeding the targets set by the state’s Healthy North Carolina 2030 initiative. This indicates a need for continued focus on mental health resources and intervention strategies to effectively address the root causes and risk factors associated with suicide death.”

The county health assessment reveals that the suicide mortality rate for men in Guilford County is roughly five times higher than that for women.

Also, the rate of suicide for White people in Guilford County is about three times higher than that of Black people.

The report states, “This underscores the urgent need to promote safe firearm ownership, responsible storage and proper usage, as well as reducing access to lethal means. Firearms are the most lethal of suicide methods, and continue to be the one of the most common methods used in suicide attempts. Educating families, communities, and organizations about safe storage practices and limiting access to lethal means is crucial for saving lives.”

The homicide mortality rate of 11.8 per 100,000 population in Guilford County, the study notes, surpasses that of all comparison counties and exceeds the state average.

“This comparison not only reflects the conditions within the local community but also emphasizes the need for comprehensive strategies that will enhance safety measures,” it states. “Moreover, the significantly lower homicide rates in peer counties are encouraging, demonstrating that community safety and secure neighborhoods are achievable goals within our state.”

The suicide mortality rate in Guilford County surpasses that of three out of four similar North Carolina counties that the county was compared with, including Wake, Durham and Mecklenburg counties.

In addition to the prevalent and growing threat from gun violence in Guilford County, the four-year study identified several other areas of concern:

  • Maternal and Child Health
  • Behavioral Health
  • Sexually Transmitted Infections,
  • Access to Health Care and Healthy Eating and Active Living.

You can read the entire Community Health Assessment at HealthyGuilford.com.

Interim Guilford County Public Health Director Anita Ramachandran commented upon the release of the report: “Our commitment to public health is grounded in understanding the needs of Guilford County residents and is data driven. The Community Health Assessment sets a foundation for collaborative efforts, bringing together stakeholders from across the county to build a healthier, more resilient future for all.”

Laura Mrosla, a county health educator and the lead on this project, said the report is a call to action.

“This report highlights current health challenges, dives deeper into the root causes of these challenges, and elevates our community’s strengths,” Mrosla said. “It is also a call to action. We hope that this information will motivate community partners and residents to support evidence-based actions, ensuring all Guilford County residents can achieve their best health.”

The wide-ranging report also includes information on things like life expectancy, mental health and the “social determinants of health such as education, economic stability and access to care.”

As part of the process of compiling the report, the health division also took input through surveys and community meetings in order to make sure the report’s findings accurately reflected the experiences of those who live and work in Guilford County.