1 00:00:04,437 --> 00:00:06,706 GOOD 2 00:00:06,773 --> 00:00:08,208 AFTERNOON, EVERYONE. WELCOME TO 3 00:00:08,274 --> 00:00:09,676 THE WEDNESDAY AFTERNOON LECTURE 4 00:00:09,743 --> 00:00:11,511 SERIES. FOR THOSE IN THE ROOM I 5 00:00:11,578 --> 00:00:14,547 VERY MUCH APPRECIATE YOU BRAVES 6 00:00:14,614 --> 00:00:16,449 ICEY WEATHER TO COME ON CAMPUS 7 00:00:16,516 --> 00:00:18,385 TO BE IN THE ROOM. THOSE ONLINE 8 00:00:18,451 --> 00:00:19,819 APPRECIATE YOU ARE -- HOPEFULLY 9 00:00:19,886 --> 00:00:23,656 YOU ARE IN A WARM SAFE PLACE. 10 00:00:23,723 --> 00:00:25,091 GET A HOT CHOCOLATE OR SOMETHING 11 00:00:25,158 --> 00:00:27,160 AND WATCHING THIS WOULD BE A 12 00:00:27,227 --> 00:00:30,230 NICE TREAT. TODAY, THIS IS A 13 00:00:30,296 --> 00:00:32,098 FIRST OF THE THREE SPECIAL NIH 14 00:00:32,165 --> 00:00:34,167 DIRECTORS LECTURE, THIS WALS 15 00:00:34,234 --> 00:00:35,969 SEASON. THESE SPEAKERS ARE 16 00:00:36,035 --> 00:00:38,138 SELECTED AMONG ALMOST 200 WALS 17 00:00:38,204 --> 00:00:40,540 NOMINATION BY THE NIH DIRECTOR 18 00:00:40,607 --> 00:00:42,842 MIC BY DR. LAWRENCE TABAK IN HIS 19 00:00:42,909 --> 00:00:47,213 ROLE AS ACTING NIH DIRECTOR, IN 20 00:00:47,280 --> 00:00:47,847 2023, 2024 SELECTIONS WHEN THEY 21 00:00:47,914 --> 00:00:51,251 WERE MADE. DR. MONICA 22 00:00:51,317 --> 00:00:53,186 BERTONELLI THE NIH DIRECTOR WAS 23 00:00:53,253 --> 00:00:54,020 SUPPOSED TO INTRODUCE THE 24 00:00:54,087 --> 00:00:55,588 SPEAKER. UNFORTUNATELY COULDN'T 25 00:00:55,655 --> 00:00:57,590 MAKE IT BECAUSE HER FLIGHT WAS 26 00:00:57,657 --> 00:00:59,192 CANCELED DUE TO WEATHER SO YOU 27 00:00:59,259 --> 00:01:00,994 GOT ME, A MUCH LESS IMPORTANT 28 00:01:01,060 --> 00:01:04,564 PERSON INTRODUCING THE SPEAKER. 29 00:01:04,631 --> 00:01:06,633 I'M THE ACTING PSYCHODIRECTOR 30 00:01:06,699 --> 00:01:08,835 AND SUNY INVESTIGATOR NATIONAL 31 00:01:08,902 --> 00:01:11,404 INSTITUTE OF MINORITY AND HEALTH 32 00:01:11,471 --> 00:01:15,809 DISPARITYVING RESEARCH. HERE ONN 33 00:01:15,875 --> 00:01:17,477 BEOF THE HEALTH DISPARITY GROUP 34 00:01:17,544 --> 00:01:19,012 WHO NOMINATED THE SPEAKERS 35 00:01:19,078 --> 00:01:20,980 TODAY. THOSE WATCHING REMOTELY 36 00:01:21,047 --> 00:01:22,515 PARTICIPATE IN THE Q&A AFTER 37 00:01:22,582 --> 00:01:23,783 TODAY'S PRESENTATION. YOU CAN DO 38 00:01:23,850 --> 00:01:25,752 SO BY CLICKING ON THE BUTTON 39 00:01:25,819 --> 00:01:28,488 BELOW YOUR VIDEOCAST WINDOW. 40 00:01:28,555 --> 00:01:30,390 WHICH SAYS SEND LIVE FEEDBACK, 41 00:01:30,457 --> 00:01:31,991 CLICK ON THAT, TYPE IN YOUR NAME 42 00:01:32,058 --> 00:01:34,861 AND QUESTION AND WE WILL RELAY 43 00:01:34,928 --> 00:01:36,563 THIS INFORMATION TO DR. HEMENWAY 44 00:01:36,629 --> 00:01:38,998 AT THE END OF THE LECTURE. YOU 45 00:01:39,065 --> 00:01:41,100 CAN SHARE YOUR QUESTIONS ANY 46 00:01:41,167 --> 00:01:42,702 TIME. FOR THOSE IN THE AUDIENCE 47 00:01:42,769 --> 00:01:44,704 WE HAVE TWO MICROPHONES, YOU CAN 48 00:01:44,771 --> 00:01:47,941 USE THE ONE ON THE LEFT OR 49 00:01:48,007 --> 00:01:49,542 RIGHT, WHATEVER CLOSEST TO YOU 50 00:01:49,609 --> 00:01:51,110 OR FURTHER AWAY FROM YOU AND YOU 51 00:01:51,177 --> 00:01:53,513 CAN ASK QUESTIONS AFTER THE 52 00:01:53,580 --> 00:01:55,181 LECTURE. WE ALSO OFFER 53 00:01:55,248 --> 00:01:56,449 CONTINUING MEDICAL EDUCATION 54 00:01:56,516 --> 00:01:57,584 CREDITS FOR THIS PRESENTATION. 55 00:01:57,650 --> 00:02:04,424 THE CME CODE TODAY IS 50108. 56 00:02:04,491 --> 00:02:08,328 REPEAT, 50108. NOW, LET'S TURN 57 00:02:08,394 --> 00:02:11,131 TO THE BUSINESS. LET ME 58 00:02:11,197 --> 00:02:13,066 INTRODUCE OUR SPEAKER TODAY. IN 59 00:02:13,132 --> 00:02:16,202 2016 FOLLOWING THE MASS SHOOTING 60 00:02:16,269 --> 00:02:19,539 IN THE U.S. AT A TIME -- AT THAT 61 00:02:19,606 --> 00:02:20,740 TIME IN FLORIDA, THE AMERICAN 62 00:02:20,807 --> 00:02:22,842 MEDICAL ASSOCIATION DECLARED GUN 63 00:02:22,909 --> 00:02:24,244 VIOLENCE IS A PUBLIC HEALTH 64 00:02:24,310 --> 00:02:26,179 CRISIS IN THE UNITED STATES. 65 00:02:26,246 --> 00:02:28,715 HOWEVER, SINCE THEN, THE CRISIS 66 00:02:28,781 --> 00:02:32,552 HAS ONLY GOTTEN WORSE. IN 2021 67 00:02:32,619 --> 00:02:36,256 THERE WERE 48,830 GUN RELATED 68 00:02:36,322 --> 00:02:38,124 DEATHS, 23% INCREASE FROM 2019 69 00:02:38,191 --> 00:02:41,528 NUMBER. EVEN WORSE GUN DEATH 70 00:02:41,594 --> 00:02:44,197 AMONG CHILDREN AN TEENAGERS ROSE 71 00:02:44,264 --> 00:02:47,000 50% DURING THOSE TWO YEARS. ALSO 72 00:02:47,066 --> 00:02:49,168 IT IS IMPORTANT TO KNOW GUN 73 00:02:49,235 --> 00:02:50,870 VIOLENCE DISPROPORTIONATELY 74 00:02:50,937 --> 00:02:52,105 AFFECTING COMMUNITIES 75 00:02:52,171 --> 00:02:54,107 EXPERIENCING HEALTH DISPARITY. 76 00:02:54,173 --> 00:02:55,575 SINCE GUN VIOLENCE A PUBLIC 77 00:02:55,642 --> 00:02:57,043 HEALTH CRISIS WE NEED A PUBLIC 78 00:02:57,110 --> 00:02:58,811 HEALTH APPROACH TO ADDRESS THIS 79 00:02:58,878 --> 00:03:01,814 CRISICRISIS. TODAY WE ARE FOR GO 80 00:03:01,881 --> 00:03:03,216 HAVE DR. DAVID HEMENWAY, 81 00:03:03,283 --> 00:03:05,084 PROFESSOR HEALTH POLICY HARVARD 82 00:03:05,151 --> 00:03:07,420 TH CHAN SCHOOL OF PUBLIC HEALTH 83 00:03:07,487 --> 00:03:09,622 AND CO-DIRECTOR HARVARD INJURY 84 00:03:09,689 --> 00:03:11,057 CONTROL RESOURCE CENTER TO TALK 85 00:03:11,124 --> 00:03:12,859 ABOUT THE PUBLIC HEALTH 86 00:03:12,926 --> 00:03:13,993 AAPPROPRIATE. HE IS AWARD 87 00:03:14,060 --> 00:03:15,695 WINNING EXPERT IN FIREARM 88 00:03:15,762 --> 00:03:17,864 VIOLENCE PREVENTION AMONG MANY 89 00:03:17,931 --> 00:03:18,998 RENDITIONS HE WAS RECOGNIZED BY 90 00:03:19,065 --> 00:03:21,634 CDC AS ONE OF THE 20 MOST 91 00:03:21,701 --> 00:03:25,138 INFLUENTIAL INJURY AND VIOLENCE 92 00:03:25,204 --> 00:03:26,172 PROFESSIONALS OVER THE PAST 20 93 00:03:26,239 --> 00:03:29,509 YEARS IN 2012. HE HAS ONE TEN 94 00:03:29,576 --> 00:03:30,443 HARVARD SCHOOL PUBLIC HEALTH 95 00:03:30,510 --> 00:03:32,211 TEACHING AWARDS AND INAUGURAL 96 00:03:32,278 --> 00:03:33,346 STUDENT ASSOCIATION COMMUNITY 97 00:03:33,413 --> 00:03:36,849 ENGAGEMENT AWARD. IN 2020, 98 00:03:36,916 --> 00:03:41,120 2021, HE WAS PA RADCLIFFE FELLOW 99 00:03:41,187 --> 00:03:43,156 DISTINCTION FOR EXCEPTIONAL 100 00:03:43,222 --> 00:03:44,557 SCIENTISTS WRITERS SCHOLARS 101 00:03:44,624 --> 00:03:46,526 PUBLIC INTELLECTUALS AND ARTISTS 102 00:03:46,593 --> 00:03:47,894 WHO WORK -- WHOSE WORK IS MAKING 103 00:03:47,961 --> 00:03:49,462 A DIFFERENCE IN THE PROFESSIONAL 104 00:03:49,529 --> 00:03:51,464 FIELDS AS IN THE LARGER WORLD. 105 00:03:51,531 --> 00:03:53,566 DR. HEMENWAY RECEIVE HIS 106 00:03:53,633 --> 00:03:54,867 UNDERGRADUATE IN ECONOMICS FROM 107 00:03:54,934 --> 00:03:56,502 HARVARD UNIVERSITY, MASTERS 108 00:03:56,569 --> 00:03:57,804 DEGREE IN ECONOMICS FROM 109 00:03:57,870 --> 00:04:01,341 UNIVERSITY OF MICHIGAN, AND 110 00:04:01,407 --> 00:04:07,246 Ph.Ph.D. FROM HARVARD UNIVERSITY 111 00:04:07,313 --> 00:04:08,247 SINCE 197 HE DIRECT AND 112 00:04:08,314 --> 00:04:11,084 CO-DIRECT THE HARVARD INJURY 113 00:04:11,150 --> 00:04:13,286 RESOURCE CONSULT CENTER. HE'S 114 00:04:13,353 --> 00:04:14,988 WRITTEN FIVE BOOKS AND 125 115 00:04:15,054 --> 00:04:16,255 JOURNAL ARTICLES INCLUDING 116 00:04:16,322 --> 00:04:19,425 PRIVATE GUNS AN PUBLIC HEALTH, 117 00:04:19,492 --> 00:04:20,526 AND WHILE WE WERE SLEEPING 118 00:04:20,593 --> 00:04:22,962 SUCCESS STORIES IN INJURY AND 119 00:04:23,029 --> 00:04:24,897 VIOLENCE PREVENTION. HE MADE 120 00:04:24,964 --> 00:04:26,566 SIGNIFICANT CONTRIBUTIONS TO THE 121 00:04:26,633 --> 00:04:31,337 FIREARM LITERATURE IN GUN 122 00:04:31,404 --> 00:04:35,508 OWNERSHIP, GUN TRAINING, AND 123 00:04:35,575 --> 00:04:37,210 PUBLIC USE TO REDUCE GUN 124 00:04:37,276 --> 00:04:39,979 VIOLENCE AND MANY OTHER ISSUES. 125 00:04:40,046 --> 00:04:42,749 IN LIGHT OF COLD OUTSIDE, HELP 126 00:04:42,815 --> 00:04:45,018 ME WELCOME DR. HEMENWAY. 127 00:04:45,084 --> 00:04:51,457 [APPLAUSE] 128 00:04:51,524 --> 00:04:56,529 >> SO I WILL TALK GUNS, I'M FROM 129 00:04:56,596 --> 00:04:59,465 NEW YORK, TALK TOO FAST. GUNS 130 00:04:59,532 --> 00:05:00,733 ARE A BIG PUBLIC HEALTH PROBLEM, 131 00:05:00,800 --> 00:05:02,201 THE PUBLIC HEALTH APPROACH, I 132 00:05:02,268 --> 00:05:03,069 WILL TALK ABOUT THE IMPORTANCE 133 00:05:03,136 --> 00:05:06,039 OF DATA AND RESEARCH SINCE I'M 134 00:05:06,105 --> 00:05:08,641 HERE. AND LOOK AT TWO AREAINGS 135 00:05:08,708 --> 00:05:09,709 UNINTENTIONAL CHILD FIREARM 136 00:05:09,776 --> 00:05:10,710 FATALITIES AND SUICIDE 137 00:05:10,777 --> 00:05:14,614 PREVENTION. SO WE KNOW EXACTLY 138 00:05:14,681 --> 00:05:16,049 HOW MANY PEOPLE WERE SHOT AND 139 00:05:16,115 --> 00:05:17,550 KILLED EACH YEAR, WE DON'T KNOW 140 00:05:17,617 --> 00:05:20,319 ABOUT -- WE ONLY KNOW 141 00:05:20,386 --> 00:05:22,121 APPROXIMATELY HOW MANY SHOT, 142 00:05:22,188 --> 00:05:23,156 APPROXIMATELY HOW MANY CRIMINAL 143 00:05:23,222 --> 00:05:24,057 INCIDENTS THERE ARE BUT ALL 144 00:05:24,123 --> 00:05:26,459 THESE THINGS ARE A LOT. WHAT WE 145 00:05:26,526 --> 00:05:28,928 DO KNOW IS IF WE DO NOTHING OVER 146 00:05:28,995 --> 00:05:30,963 THE NEXT DECADE MORE THAN A 147 00:05:31,030 --> 00:05:35,134 MILLION AMERICANS WILL BE SHOT. 148 00:05:35,201 --> 00:05:37,804 IF WE LOOK AT THE DATA, WE HAVE 149 00:05:37,870 --> 00:05:40,606 A LOT OF SUICIDES, HOMICIDES, 150 00:05:40,673 --> 00:05:42,642 MOST SUICIDES ARE FIREARM 151 00:05:42,709 --> 00:05:44,944 SUICIDES MOST HOMICIDES ARE 152 00:05:45,011 --> 00:05:46,245 FIREARM SUICIDES. IF WE TALK 153 00:05:46,312 --> 00:05:48,081 HOW MANY SIDES OR SUICIDES IN 154 00:05:48,147 --> 00:05:49,649 THE UNITED STATES YOU HAVE TO 155 00:05:49,716 --> 00:05:51,984 TALK ABOUT GUNS. THERE ARE MORE 156 00:05:52,051 --> 00:05:55,321 FIREARM SUICIDES THAN FIREARM 157 00:05:55,388 --> 00:05:58,624 HOMICIDES. OF COURSE THERE ARE 158 00:05:58,691 --> 00:06:00,426 MANY OTHER PROBLEMS THAN JUST 159 00:06:00,493 --> 00:06:03,096 PEOPLE DYING, THERE IS NON-FATAL 160 00:06:03,162 --> 00:06:04,430 INJURIES SPINAL CORD INJURIES SO 161 00:06:04,497 --> 00:06:05,898 FORTH. THERE IS INTIMIDATION 162 00:06:05,965 --> 00:06:07,734 WITH GUNS, A LOT OF ROBBERIES 163 00:06:07,800 --> 00:06:11,003 WITH GUNS. WE KNOW NOW THE 164 00:06:11,070 --> 00:06:12,338 EVIDENCE IS MORE EVERY YEAR 165 00:06:12,405 --> 00:06:14,240 ABOUT HOW EXPOSURE TO 166 00:06:14,307 --> 00:06:15,808 PARTICULARLY THE FIREARM 167 00:06:15,875 --> 00:06:17,610 VIOLENCE, INCREASES THE RISK OF 168 00:06:17,677 --> 00:06:21,147 LONG TERM TRAUMA. LONG TERM 169 00:06:21,214 --> 00:06:22,582 PHYSICAL PROBLEMS, LONG TERM 170 00:06:22,648 --> 00:06:24,350 MENTAL HEALTH PROBLEMS. THEN 171 00:06:24,417 --> 00:06:26,252 THERE'S ALL THESE OTHER PROBLEMS 172 00:06:26,319 --> 00:06:27,720 ASSOCIATED WITH GUNS AN GUN 173 00:06:27,787 --> 00:06:32,992 VIOLENCE. KEY THING IS THAT GUN 174 00:06:33,059 --> 00:06:34,894 VIOLENCE AMONG HIGH INCOME 175 00:06:34,961 --> 00:06:37,430 COUNTRIES IS AS UNIQUELY 176 00:06:37,497 --> 00:06:40,366 AMERICAN PROBLEM. WE ARE A 177 00:06:40,433 --> 00:06:43,169 CONSPICUOUS OUTLIER T TO COMPARD 178 00:06:43,236 --> 00:06:45,371 TO THE OTHER HIGH INCOME 179 00:06:45,438 --> 00:06:46,339 COUNTRIES 30 OR NO. WE ARE 180 00:06:46,405 --> 00:06:47,473 SIMILAR TO MOST OTHER COUNTRIES 181 00:06:47,540 --> 00:06:50,376 IN LOTS OF WAYS ONE WAY WE HAVE 182 00:06:50,443 --> 00:06:52,779 SIMILAR NON-GUN CRIME RATES IN 183 00:06:52,845 --> 00:06:56,549 TERMS OF THINGS LIKE SEXUAL 184 00:06:56,616 --> 00:06:57,917 ASSAULT, ROB BRINGS, WE HAVE 185 00:06:57,984 --> 00:07:00,920 SIMILAR VIOLENCE RATES, WE HAVE 186 00:07:00,987 --> 00:07:02,822 STUDIES DONE ABOUT IN SCHOOLS 187 00:07:02,889 --> 00:07:04,724 AND SIMILAR BULLYING RATES, 188 00:07:04,791 --> 00:07:06,058 SIMILAR AGGRESSION RATES, 189 00:07:06,125 --> 00:07:07,627 SIMILAR DEPRESSION RATES BUT WE 190 00:07:07,693 --> 00:07:10,863 ARE DIFFERENT IN ONE BIG AREA, 191 00:07:10,930 --> 00:07:12,565 AND THAT WE HAVE VERY DIFFERENT 192 00:07:12,632 --> 00:07:14,133 GUNS THAN WE HAVE, WE HAVE LOTS 193 00:07:14,200 --> 00:07:16,102 MORE GUNS WE HAVE PARTICULARLY 194 00:07:16,169 --> 00:07:18,571 MORE HANDGUNS THAN ARE AVAILABLE 195 00:07:18,638 --> 00:07:20,373 ELSEWHERE AND OVER THE LAST 20 196 00:07:20,439 --> 00:07:22,308 YEARS OR SO WE HAVE LOTS MORE 197 00:07:22,375 --> 00:07:24,877 MILITARY WEAPONS AND CIVIL -- IN 198 00:07:24,944 --> 00:07:25,978 CIVILIAN HANDS, COMPARED TO 199 00:07:26,045 --> 00:07:27,747 EVERY ONE OF THESE OTHER HIGH 200 00:07:27,814 --> 00:07:29,415 INCOME COUNTRIES WE HAVE BY FAR 201 00:07:29,482 --> 00:07:33,486 THE WEAKEST GUN CONTROL LAWS. 202 00:07:33,553 --> 00:07:34,954 THIS IS JUST GIVES YOU A FEELING 203 00:07:35,021 --> 00:07:37,190 ABOUT THE SIZE OF OUR PROBLEM 204 00:07:37,256 --> 00:07:39,158 RELATIVE TO OTHER HIGH INCOME 205 00:07:39,225 --> 00:07:40,359 COUNTRIES THAT WILL LOOK AT -- 206 00:07:40,426 --> 00:07:43,229 LOOKS AT 5 TO 14-YEAR-OLDS, THE 207 00:07:43,296 --> 00:07:44,697 REASON FOR THEM IS BECAUSE IT IS 208 00:07:44,764 --> 00:07:46,399 HARD TO BLAME THE VICTIM AND 209 00:07:46,465 --> 00:07:47,800 THERE IS A LOT OF VICTIM BLAMING 210 00:07:47,867 --> 00:07:49,535 IN THIS AREA. THESE ARE KIDS WHO 211 00:07:49,602 --> 00:07:52,338 ARE BASICALLY K-8. WHAT THIS 212 00:07:52,405 --> 00:07:54,006 SAYS IS THAT A CHILD IN THE 213 00:07:54,073 --> 00:07:55,741 UNITED STATES K-8 HAS A LOT 214 00:07:55,808 --> 00:07:59,579 HIGHER RISK OF GUN HOMICIDE THAN 215 00:07:59,645 --> 00:08:02,348 BEING A VICTIM THAN A CHILD IN 216 00:08:02,415 --> 00:08:06,819 CANADA OR ENGLAND OR IN FRANCE 217 00:08:06,886 --> 00:08:11,524 OR JAPAN, KOREA, ANY OF THE 218 00:08:11,591 --> 00:08:13,192 OTHER 30 PLUS HIGH INCOME 219 00:08:13,259 --> 00:08:15,261 COUNTRIES IT IS NOT 50% HIGHER 220 00:08:15,328 --> 00:08:17,263 OR TWO TIMES HIGHER OR FIVE 221 00:08:17,330 --> 00:08:20,466 TIMES, IT IS ALMOST 27 TIMES 222 00:08:20,533 --> 00:08:23,469 HIGHER. OUR GUN SUICIDE RATE 223 00:08:23,536 --> 00:08:26,005 AMONG CHILDREN IS 27 TIMES 224 00:08:26,072 --> 00:08:29,442 HIGHER. A CHILD 14-YEAR-OLD 225 00:08:29,508 --> 00:08:33,613 FLUNKS A CLASS OR LITTLE 226 00:08:33,679 --> 00:08:34,947 GIRLFRIEND BREAKS UP WITH HIM, 227 00:08:35,014 --> 00:08:36,382 FINDS HIS DAD'S GUN BANG HE'S 228 00:08:36,449 --> 00:08:37,984 DEAD. UNINTENTIONAL FIREARM 229 00:08:38,050 --> 00:08:39,352 DEATH RATE COMPARED TO OTHER 230 00:08:39,418 --> 00:08:41,053 CHILDREN IS 8 TIMES HIGHER. I 231 00:08:41,120 --> 00:08:43,055 TEACH AT PUBLIC HEALTH SCHOOL 232 00:08:43,122 --> 00:08:44,056 WITH INTERNATIONAL STUDENTS AND 233 00:08:44,123 --> 00:08:46,759 THEY LOOK AT ME AND SAY WHY 234 00:08:46,826 --> 00:08:47,994 DON'T YOU GUYS DO SOMETHING. IT 235 00:08:48,060 --> 00:08:51,230 IS HARD TO EXPLAIN. LET ME TALK 236 00:08:51,297 --> 00:08:53,866 PUBLIC HEALTH APPROACH. I HAVE 237 00:08:53,933 --> 00:08:55,334 BEEN TRYING TO PROMOTE PUBLIC 238 00:08:55,401 --> 00:08:57,470 HEALTH APPROACH FOR 30 OR MORE 239 00:08:57,536 --> 00:08:59,805 YEARS AND IT IS ACTUALLY WE HAVE 240 00:08:59,872 --> 00:09:02,174 HAD SOME SUCCESS ON TRACTION 241 00:09:02,241 --> 00:09:06,846 MORE AN MORE HERE, PROGRESSIVE 242 00:09:06,913 --> 00:09:08,581 POLICE CHIEFS IN CITIES SAYING 243 00:09:08,648 --> 00:09:10,516 WE CAN'T ARREST OUR WAY OUT OF 244 00:09:10,583 --> 00:09:12,551 THIS PROBLEM, WE NEED TO DO 245 00:09:12,618 --> 00:09:13,619 SOMETHING ELSE A PUBLIC HEALTH 246 00:09:13,686 --> 00:09:17,390 APPROACH. PEOPLE TALKING PUBLIC 247 00:09:17,456 --> 00:09:19,025 HEALTH APPROACH DON'T KNOW WHAT 248 00:09:19,091 --> 00:09:20,893 IT MEANS. THIS IS WHAT IT MEANS 249 00:09:20,960 --> 00:09:22,595 TO ME. ONE SENTENCE DESCRIPTION 250 00:09:22,662 --> 00:09:24,163 OF PUBLIC HEALTH APPROACH IS 251 00:09:24,230 --> 00:09:25,865 LET'S MAKE IT EASY FOR PEOPLE TO 252 00:09:25,932 --> 00:09:27,833 STAY HEALTHY, HARD FOR THEM TO 253 00:09:27,900 --> 00:09:30,937 BECOME SICK OR INJURED. I DO A 254 00:09:31,003 --> 00:09:32,805 LITTLE WORK IN OBESITY 255 00:09:32,872 --> 00:09:36,342 PREVENTION BECAUSE IT HASN'T HAD 256 00:09:36,409 --> 00:09:37,810 ENOUGH MONEY FOR ME IN THE GUN 257 00:09:37,877 --> 00:09:39,612 RESEARCH AREA. AND WHAT DOES 258 00:09:39,679 --> 00:09:41,814 THIS MEAN IN TERMS OF OBESITY? 259 00:09:41,881 --> 00:09:43,616 MAKE IT REALLY EASY FOR PEOPLE 260 00:09:43,683 --> 00:09:47,053 TO GET HEALTHY EXERCISE MAKE IT 261 00:09:47,119 --> 00:09:48,754 HARD TO BECOME A COUCH POTATO, 262 00:09:48,821 --> 00:09:50,656 MAKE IT EASY FOR THEM TO GET 263 00:09:50,723 --> 00:09:51,724 HEALTHY FOODS, MAKE IT HARDER 264 00:09:51,791 --> 00:09:56,195 FOR THEM TO GET JUST SCUGGER 265 00:09:56,262 --> 00:09:57,330 SNACKS. WE DO THE OPPOSITE IN 266 00:09:57,396 --> 00:09:59,365 THE UNITED STATES, WHY ARE WE 267 00:09:59,432 --> 00:10:00,666 SURPRISED WE HAVE THE BIG 268 00:10:00,733 --> 00:10:04,337 OBESITY PROBLEM. KEY ELEMENTS OF 269 00:10:04,403 --> 00:10:05,805 PUBLIC HEALTH APPROACH, THE 270 00:10:05,871 --> 00:10:07,373 FIRST IS MOST IMPORTANT. 271 00:10:07,440 --> 00:10:08,874 PREVENTION. PREVENTION 272 00:10:08,941 --> 00:10:10,309 PREVENTION. PREVENTION. THAT IS 273 00:10:10,376 --> 00:10:12,345 WHAT IT IS. YOU ARE TRYING TO 274 00:10:12,411 --> 00:10:14,447 PREVENT FOR ANY INJURY PROBABLY 275 00:10:14,513 --> 00:10:16,248 A DOZEN THINGS HAVE TO HAPPEN, 276 00:10:16,315 --> 00:10:17,883 IF YOU CHANGE ANY ONE OF DOZEN 277 00:10:17,950 --> 00:10:20,286 THINGS THE INJURY WOULDN'T HAVE 278 00:10:20,353 --> 00:10:21,821 HAPPENED. AND WHAT WE LEARNED 279 00:10:21,887 --> 00:10:24,757 FROM LOOKING AT VARIOUS INJURIES 280 00:10:24,824 --> 00:10:27,193 IS THAT TYPICALLY UPSTREAM 281 00:10:27,259 --> 00:10:28,861 PREVENTION NOT WAITING TO THE 282 00:10:28,928 --> 00:10:30,363 LAST SECOND NOT FOCUSING ON THE 283 00:10:30,429 --> 00:10:32,732 INDIVIDUAL INJURED OR INDIVIDUAL 284 00:10:32,798 --> 00:10:34,233 WHO IMMEDIATELY CAUSED THE 285 00:10:34,300 --> 00:10:36,802 INJURY, BUT IF YOU GO UPSTREAM 286 00:10:36,869 --> 00:10:38,604 IT IS MUCH MORE EFFECTIVE TO 287 00:10:38,671 --> 00:10:40,840 MAKE CHANGES UPSTREAM, TYPICALLY 288 00:10:40,906 --> 00:10:43,075 MORE COST EFFECTIVE. WE WILL 289 00:10:43,142 --> 00:10:44,977 TALK ABOUT THAT A LOT. PUBLIC 290 00:10:45,044 --> 00:10:47,680 HELP IS NOT NAMED INDIVIDUALS 291 00:10:47,747 --> 00:10:52,251 BUT POPULATION BASED APPROACH SO 292 00:10:52,318 --> 00:10:54,820 THAT FOR EXAMPLE, SOMETIMES I 293 00:10:54,887 --> 00:10:58,024 GIVE A LECTURE TO PSYCHIATRISTS, 294 00:10:58,090 --> 00:10:59,625 IF I'M TALKING TO PSYCHIATRISTS 295 00:10:59,692 --> 00:11:02,128 IN BOSTON I MIGHT ASK WHY DO YOU 296 00:11:02,194 --> 00:11:04,263 THINK THAT MASSACHUSETTS HAS 297 00:11:04,330 --> 00:11:06,699 SUCH LOWER SUICIDE RATE THAN A 298 00:11:06,766 --> 00:11:08,834 STATE LIKE ARIZONA WHICH HAS THE 299 00:11:08,901 --> 00:11:11,971 SAME POPULATION? AND THEIR 300 00:11:12,038 --> 00:11:13,639 CORRECT RESPONSE IS GEE, WE 301 00:11:13,706 --> 00:11:16,409 DIDN'T KNOW THAT BECAUSE THEY 302 00:11:16,475 --> 00:11:18,210 DIDN'T KNOW THAT, THEY ARE NOT 303 00:11:18,277 --> 00:11:19,378 INTERESTED IN THAT, THEY ARE 304 00:11:19,445 --> 00:11:20,513 INTERESTED IN INDIVIDUALS AND WE 305 00:11:20,579 --> 00:11:22,114 ARE INTERESTED IN POPULATIONS, I 306 00:11:22,181 --> 00:11:24,784 PRESSED THEM WHY DO YOU THINK 307 00:11:24,850 --> 00:11:26,786 THAT IS? THEY COME UP WITH 308 00:11:26,852 --> 00:11:27,920 DIFFERENT THINGS LIKE MAYBE THE 309 00:11:27,987 --> 00:11:29,622 IMMIGRANTS, MAYBE THE SUN, MAYBE 310 00:11:29,688 --> 00:11:30,890 THEY DON'T HAVE ENOUGH 311 00:11:30,956 --> 00:11:32,091 PSYCHIATRISTS. OF COURSE IT IS 312 00:11:32,158 --> 00:11:33,325 NONE OF THOSE. WHAT IS THE 313 00:11:33,392 --> 00:11:37,063 ANSWER? WHY DOES ARIZONA HAVE SO 314 00:11:37,129 --> 00:11:37,963 MANY MORE SUICIDES THAN 315 00:11:38,030 --> 00:11:39,131 MASSACHUSETTS? THE ANSWER IS 316 00:11:39,198 --> 00:11:40,800 GUNS. THAT'S THE ANSWER. IF I 317 00:11:40,866 --> 00:11:41,867 ASKED YOU ANY QUESTIONS THAT'S 318 00:11:41,934 --> 00:11:44,737 GOING TO BE THE ANSWER TO THIS. 319 00:11:44,804 --> 00:11:47,840 PUBLIC HEALTH IS ABOUT TRYING -- 320 00:11:47,907 --> 00:11:49,175 IS BROADENING THE APPROACH 321 00:11:49,241 --> 00:11:50,309 RATHER THAN NARROWING THE 322 00:11:50,376 --> 00:11:51,977 APPROACH, TRYING TO GET 323 00:11:52,044 --> 00:11:54,513 EVERYBODY TO HELP EVERYBODY TO 324 00:11:54,580 --> 00:11:56,148 SEE -- SEEN AS PART OF THE 325 00:11:56,215 --> 00:11:57,683 SOLUTION RATHER THIS THAN PART 326 00:11:57,750 --> 00:11:59,351 OF PROBLEM SO LESS BLAME AND 327 00:11:59,418 --> 00:12:01,520 MORE SHARED RESPONSIBILITY AND 328 00:12:01,587 --> 00:12:03,055 THE PROBLEM WITH BLAME SOMETIMES 329 00:12:03,122 --> 00:12:04,523 BLAME IS USEFUL BUT FOR 330 00:12:04,590 --> 00:12:06,058 PREVENTION MOSTLY THE PROBLEM 331 00:12:06,125 --> 00:12:08,327 WITH BLAME IS IT MEANS IT IS 332 00:12:08,394 --> 00:12:09,328 SOMEBODY ELSE'S FAULT, WE DON'T 333 00:12:09,395 --> 00:12:11,130 HAVE TO DO ANYTHING ABOUT IT. WE 334 00:12:11,197 --> 00:12:12,498 WANT EVERYONE TO DO SOMETHING 335 00:12:12,565 --> 00:12:15,000 ABOUT IT. THE PUBLIC HEALTH 336 00:12:15,067 --> 00:12:17,103 APPROACH IS A HARM REDUCTION 337 00:12:17,169 --> 00:12:18,704 APPROACH, IT IS BASICALLY -- 338 00:12:18,771 --> 00:12:20,906 LET'S STEP BACK AND ASK FIRST WE 339 00:12:20,973 --> 00:12:22,475 HAVE TO AGREE THERE IS A PROBLEM 340 00:12:22,541 --> 00:12:24,076 AND LET'S FIGURE OUT HOW ALL 341 00:12:24,143 --> 00:12:25,978 DIFFERENT SECTORS OF SOCIETY CAN 342 00:12:26,045 --> 00:12:28,614 HELP SOLVE THE PROBLEM. 343 00:12:28,681 --> 00:12:29,982 EVERYBODY IS PART OF THE 344 00:12:30,049 --> 00:12:31,917 SOLUTION. GUN MANUFACTURERS, GUN 345 00:12:31,984 --> 00:12:34,587 OWNERS, THE FAITH COMMUNITY, 346 00:12:34,653 --> 00:12:36,155 ACTUARIES, THE POLICE, 347 00:12:36,222 --> 00:12:37,723 POLITICIANS, HAIRDRESSERS, SO 348 00:12:37,790 --> 00:12:39,625 FORTH, WE WORKED WITH A LOT OF 349 00:12:39,692 --> 00:12:41,627 GROUPS, WE WORK WITH BARBERS 350 00:12:41,694 --> 00:12:43,529 FIGURING WAYS THEY CAN REDUCE 351 00:12:43,596 --> 00:12:47,700 GUN VIOLENCE. ONE GREAT INJURY 352 00:12:47,766 --> 00:12:51,470 PREVENTION SUCCESS STORIES, IS 353 00:12:51,537 --> 00:12:53,172 THE MOTOR VEHICLE SUCCESS STORY. 354 00:12:53,239 --> 00:12:55,107 A STORY WE AND THE INJURY 355 00:12:55,174 --> 00:12:56,609 PREVENTION WORLD TELL GRADUATE 356 00:12:56,675 --> 00:12:58,177 STUDENTS OVER THE CAMPFIRE AND 357 00:12:58,244 --> 00:13:01,247 PASSED DOWN FROM GENERATION TO 358 00:13:01,313 --> 00:13:02,414 GENERATION. STORY GOES LIKE 359 00:13:02,481 --> 00:13:07,052 THIS. IN THE 1950s WE WERE 360 00:13:07,119 --> 00:13:09,855 TOLD OVER AND OVER THAT MOST 361 00:13:09,922 --> 00:13:12,491 MOTOR VEHICLE CRASHES DUE TO 362 00:13:12,558 --> 00:13:15,227 DRIVER ERROR. THERE ARE TIRED 363 00:13:15,294 --> 00:13:17,496 DRIVERS DISTRACTED DRIVERS. 364 00:13:17,563 --> 00:13:18,697 DRIVERS MAKE MISTAKES ALL THE 365 00:13:18,764 --> 00:13:21,300 TIMEMENT IF DRIVERS NEVER MADE 366 00:13:21,367 --> 00:13:22,401 MISTAKES THERE WOULD BE ALMOST 367 00:13:22,468 --> 00:13:25,404 NO CRASHES. MOST MOTOR VEHICLE 368 00:13:25,471 --> 00:13:27,940 FATALITIES ARE ASSOCIATED WITH 369 00:13:28,007 --> 00:13:30,176 DELIBERATE UNLAWFUL BEHAVIOR. IT 370 00:13:30,242 --> 00:13:32,411 IS THE ASSOCIATED WITH SPEEDING, 371 00:13:32,478 --> 00:13:34,213 WITH DRUNK DRIVING, WITH TEXTING 372 00:13:34,280 --> 00:13:36,215 WHILE DRIVING, IF WE DIDN'T -- 373 00:13:36,282 --> 00:13:38,150 IF EVERYONE OBEYED THE LAW, ALL 374 00:13:38,217 --> 00:13:40,586 WE HAVE TO DO OBEY THE LAW ALL 375 00:13:40,653 --> 00:13:43,155 THE TIME WE COULD ELIMINATE MOST 376 00:13:43,222 --> 00:13:44,723 TRAFFIC FATALITIES INCLUDING 377 00:13:44,790 --> 00:13:47,092 PEDESTRIANS IF THEY OBEYED THE 378 00:13:47,159 --> 00:13:48,861 LAW. SO WHAT WE ARE TOLD OF 379 00:13:48,928 --> 00:13:52,198 COURSE THAT THIS IS THE TRUTH 380 00:13:52,264 --> 00:13:53,599 WHAT WE WISH IN SOME SENSE IT 381 00:13:53,666 --> 00:13:55,734 IS, WHAT SHOULD WE DO, EDUCATE 382 00:13:55,801 --> 00:13:56,902 DRIVERS, AND WE SHOULD ENFORCE 383 00:13:56,969 --> 00:13:59,071 THE TRAFFIC LAW. EDUCATION 384 00:13:59,138 --> 00:14:00,539 ENFORCEMENT IS THE GUN MESSAGE 385 00:14:00,606 --> 00:14:04,043 OF THE GUN LOBBY TODAY, EDUCATE 386 00:14:04,109 --> 00:14:06,745 PEOPLE WITH THE 80 EAGLE PROGRAM 387 00:14:06,812 --> 00:14:08,113 SHOWN NOT TO HAVE EFFECT AND 388 00:14:08,180 --> 00:14:09,148 ENFORCE THE LAWS THROWING MORE 389 00:14:09,215 --> 00:14:10,716 PEOPLE IN JAIL. WE HAVE THE 390 00:14:10,783 --> 00:14:12,651 HIGHEST NUMBER OF PEOPLE IN JAIL 391 00:14:12,718 --> 00:14:14,386 PER CAPITA OF ANY COUNTRY IN THE 392 00:14:14,453 --> 00:14:17,423 WORLD ALREADY. BUT FORTUNATELY 393 00:14:17,489 --> 00:14:19,291 IN THE 1950s PUBLIC HEALTH 394 00:14:19,358 --> 00:14:21,227 PHYSICIANS ASKED A DIFFERENT 395 00:14:21,293 --> 00:14:23,762 QUESTION. NOT WHO WAS RESPONSE 396 00:14:23,829 --> 00:14:26,365 -- WHO SCAWSED THE CRASH, BUT 397 00:14:26,432 --> 00:14:30,769 WHAT CAUSED THE INJURY. PEOPLE 398 00:14:30,836 --> 00:14:33,138 WERE BEING SPEARED BY STEERING 399 00:14:33,205 --> 00:14:34,840 COLUMNS IN THEIR CHEST, FACES 400 00:14:34,907 --> 00:14:38,077 LACERATED BY GLASS WHEN THEIR 401 00:14:38,143 --> 00:14:39,311 HEAD HIT P WIN FIELD AND WENT 402 00:14:39,378 --> 00:14:42,047 THROUGH, THEY LEAVE THE ROAD ONE 403 00:14:42,114 --> 00:14:45,551 SECOND AND GO HIT A TREE OR LAMP 404 00:14:45,618 --> 00:14:47,186 POST PLANTED ALONG THE SIDE OF 405 00:14:47,253 --> 00:14:50,022 HIGHWAYS. WE PUBLIC HEALTH 406 00:14:50,089 --> 00:14:51,323 PHYSICIANS SAY COUP WE MAKE THE 407 00:14:51,390 --> 00:14:53,325 ROADS SAFER MAKE THE CARS 408 00:14:53,392 --> 00:14:55,461 SAFERRER, MAKE THE EMERGENCY 409 00:14:55,527 --> 00:14:57,196 MEDICAL SYSTEM SAFER? THIS IS 410 00:14:57,263 --> 00:14:59,131 BASICALLY THE PICTURE OF MY 411 00:14:59,198 --> 00:15:02,668 FIRST CAR I DROVE AFTER A YEAR 412 00:15:02,735 --> 00:15:05,070 ON DRIVERS EDUCATION, WHICH HAS 413 00:15:05,137 --> 00:15:07,239 SHOWN NOT TO HAVE EFFECT ON 414 00:15:07,306 --> 00:15:08,774 FATALITY RATES BUT MANDATED 415 00:15:08,841 --> 00:15:09,975 WHERE I WENT TO SCHOOL IN 416 00:15:10,042 --> 00:15:12,211 ILLINOIS. MY CAR, HERE IT IS, NO 417 00:15:12,278 --> 00:15:14,346 SEAT BELTS DIDN'T HAVE ANY AIR 418 00:15:14,413 --> 00:15:17,149 BAGS OR A STEERING COLUMN OR A 419 00:15:17,216 --> 00:15:19,051 CRASH WEATHER INTERIOR, 420 00:15:19,118 --> 00:15:21,086 LAMINATED SAFETY GLASS, DIDN'T 421 00:15:21,153 --> 00:15:23,022 HAVE EMERGENCY AUTOMATIC 422 00:15:23,088 --> 00:15:25,057 BREAKING, LANE DEPARTURE 423 00:15:25,124 --> 00:15:26,792 WARNINGS, REAR FACING CAMERAS 424 00:15:26,859 --> 00:15:28,861 BLIND SPOT DETECTION. FINALLY WE 425 00:15:28,927 --> 00:15:30,863 HAVE BLIND SPOT DETECTION. 426 00:15:30,929 --> 00:15:32,498 ALMOST ALL MY LIFE THE DANGEROUS 427 00:15:32,564 --> 00:15:33,966 THING IS SOMEBODY IS DRIVING 428 00:15:34,033 --> 00:15:35,567 THEREN I HAVE TO TURN AND SEE IF 429 00:15:35,634 --> 00:15:37,803 THEY ARE THERE. COME ON, YOU -- 430 00:15:37,870 --> 00:15:40,372 PEOPLE ARE ENGINEERS THEY CAN DO 431 00:15:40,439 --> 00:15:43,142 BETTER, FINALLY THEY HAVE. ROADS 432 00:15:43,208 --> 00:15:44,810 ARE MUCH BETTER CARS AND MUST 433 00:15:44,877 --> 00:15:47,246 HAVE SAFER THE PUNCH LINE OF 434 00:15:47,313 --> 00:15:49,415 COURSE IS NOT -- 75 YEARS LATER 435 00:15:49,481 --> 00:15:50,783 NOBODY THINKS DRIVERS ARE BETTER 436 00:15:50,849 --> 00:15:52,151 TODAY THAN THEY WERE IN THE 437 00:15:52,217 --> 00:15:53,519 1950s. BUT DRIVERS TODAY ARE 438 00:15:53,585 --> 00:15:55,821 BETTER ABOUT DRUNK DRIVING, THEY 439 00:15:55,888 --> 00:15:58,057 ARE WORSE ABOUT DISTRACTED 440 00:15:58,123 --> 00:15:59,692 DRIVING AND NOW IN MASSACHUSETTS 441 00:15:59,758 --> 00:16:01,694 ANYWAY DRIVING WITH MARIJUANA IN 442 00:16:01,760 --> 00:16:04,496 THEIR SYSTEM. BUFFET TALLTIES 443 00:16:04,563 --> 00:16:06,699 PER MILE DRIVEN HAVE FALLEN OVER 444 00:16:06,765 --> 00:16:08,801 90%. IT DOESN'T MEAN YOU 445 00:16:08,867 --> 00:16:09,935 SHOULDN'T TRY TO CHANGE DRIVERS, 446 00:16:10,002 --> 00:16:12,004 IT IS HARD TO DO AND A LOT 447 00:16:12,071 --> 00:16:13,939 EASIER MORE COST EFFECTIVE OFTEN 448 00:16:14,006 --> 00:16:17,476 TO CHANGE THE AGENT OF INJURY OR 449 00:16:17,543 --> 00:16:18,877 THE ENVIRONMENT. THIS IS THE KEY 450 00:16:18,944 --> 00:16:21,146 INSIGHT I THINK TO THIS MOTOR 451 00:16:21,213 --> 00:16:23,349 VEHICLE SUCCESS STORY, YOU DON'T 452 00:16:23,415 --> 00:16:25,417 HAVE TO CHANGE PEOPLE. IF IT IS 453 00:16:25,484 --> 00:16:27,219 GOING TO BE INCREDIBLY EXPENSIVE 454 00:16:27,286 --> 00:16:28,787 AND NOT EFFECTIVE. WHAT YOU WANT 455 00:16:28,854 --> 00:16:33,225 TO DO IS CREATE A SYSTEM OR IT 456 00:16:33,292 --> 00:16:36,762 IS HARD TO MAKE MISTAKES OR HARD 457 00:16:36,829 --> 00:16:38,130 TO BEHAVE INAPPROPRIATELY. IF 458 00:16:38,197 --> 00:16:40,332 SOME PEOPLE STILL MAKE MISTAKES 459 00:16:40,399 --> 00:16:41,800 AND BEHAVE INAPPROPRIATELY, NO 460 00:16:41,867 --> 00:16:44,269 ONE IS SERIOUSLY INJURED. WHAT 461 00:16:44,336 --> 00:16:45,904 DOES THIS MEAN? YOU ARE DRIVING 462 00:16:45,971 --> 00:16:48,006 ALONG AND FALLING ASLEEP, YOU GO 463 00:16:48,073 --> 00:16:49,341 OFF THE ROAD AND YOU HIT TREE, 464 00:16:49,408 --> 00:16:51,143 YOU ARE DEAD. THAT'S WHAT 465 00:16:51,210 --> 00:16:52,644 HAPPENED TO A FRIEND OF MINE IN 466 00:16:52,711 --> 00:16:54,413 THE 1950s. BUT WHAT YOU HAVE 467 00:16:54,480 --> 00:16:56,648 NOW IS DRIVING ALONG GOING TO 468 00:16:56,715 --> 00:16:58,917 SLEEP SUDDENLY YOU EITHER HIT IF 469 00:16:58,984 --> 00:17:01,153 IN CALIFORNIA BOX BUMP BUMP BUMP 470 00:17:01,220 --> 00:17:02,955 TO WAKE YOU UP OR NOW IF YOU 471 00:17:03,021 --> 00:17:04,323 HAVE A REASONABLE CAR IT GOES 472 00:17:04,390 --> 00:17:06,058 BEEP BEEP BEEP AND WAKES YOU UP, 473 00:17:06,125 --> 00:17:08,494 SAYS WAKE UP STUPID YOU GO BACK 474 00:17:08,560 --> 00:17:10,429 IN LINE AND NOTHING BAD HAPPENS 475 00:17:10,496 --> 00:17:11,296 THAT'S THE KIND OF SYSTEM YOU 476 00:17:11,363 --> 00:17:14,299 WANT. ANOTHER EXAMPLE, REASON I 477 00:17:14,366 --> 00:17:15,567 PUT THIS IN IS BECAUSE I WAS 478 00:17:15,634 --> 00:17:16,635 HERE WHEN THEY WERE BUILDING 479 00:17:16,702 --> 00:17:19,171 THIS METRO IN DC. THEY SPENT A 480 00:17:19,238 --> 00:17:20,472 LOT OF TIME IN ENERGY TRYING TO 481 00:17:20,539 --> 00:17:22,841 MAKE SO DC METRO WOULD BE SAFE. 482 00:17:22,908 --> 00:17:25,844 THEY DID ALL THESE THINGS TO IT, 483 00:17:25,911 --> 00:17:28,680 TV CAMERAS, NOT KEEPING -- 484 00:17:28,747 --> 00:17:30,616 HAVING NO LONG WINDING CORRIDORS 485 00:17:30,682 --> 00:17:34,319 AND NOT HAVING FOOD IN THERE SO 486 00:17:34,386 --> 00:17:37,656 FORTH. THEY HAD GONE TO ALL THE 487 00:17:37,723 --> 00:17:39,591 SUBWAY SYSTEMS AROUND THE WORLD 488 00:17:39,658 --> 00:17:41,527 TO FIGURE WHERE PEOPLE WERE 489 00:17:41,593 --> 00:17:43,862 MUGGED AND THEY BUILT A BETTER 490 00:17:43,929 --> 00:17:45,531 SYSTEM. AT LEAST IN THE FIRST 491 00:17:45,597 --> 00:17:48,000 DECADE OR SO, I DON'T KNOW, I 492 00:17:48,066 --> 00:17:50,235 HAVEN'T FOLLOWED IN D.C. BUT 493 00:17:50,302 --> 00:17:51,970 MURDER RATE ROBBERY ASSAULT RATE 494 00:17:52,037 --> 00:17:53,472 WAS A FOURTH OF WHAT IT WAS IN 495 00:17:53,539 --> 00:17:58,010 CHICAGO OR NEW YORK OR BOSTON OR 496 00:17:58,076 --> 00:17:59,578 TOKYO. IT IS NOT BECAUSE YOU 497 00:17:59,645 --> 00:18:02,681 GUYS WERE NICER THAN WE WERE. IT 498 00:18:02,748 --> 00:18:04,183 IS JUST THAT YOU HAVE A BETTER 499 00:18:04,249 --> 00:18:08,987 SYSTEM. SO AS I MENTIONED, I 500 00:18:09,054 --> 00:18:10,355 WROTE THIS BOOK HOW TO PREVENT 501 00:18:10,422 --> 00:18:12,624 GUN VIOLENCE AND THIS HERE IS 502 00:18:12,691 --> 00:18:13,992 THE PUBLIC HEALTH APPROACH, ALL 503 00:18:14,059 --> 00:18:15,928 THE THINGS WE CAN DO, ONLY $25 504 00:18:15,994 --> 00:18:19,531 ON AMAZON. THERE'S SO MANY 505 00:18:19,598 --> 00:18:20,766 THINGS THAT CAN BE DONE, I'LL 506 00:18:20,833 --> 00:18:22,868 MENTION A FEW THAT MANUFACTURERS 507 00:18:22,935 --> 00:18:24,970 CAN DO TO REDUCE CRIME, IT WOULD 508 00:18:25,037 --> 00:18:27,406 BE NICE IF THEY MADE IT HARD TO 509 00:18:27,473 --> 00:18:28,841 OBLITERATE SERIAL NUMBERS ON 510 00:18:28,907 --> 00:18:30,776 GUNS RATHER THAN EASY RIGHT NOW. 511 00:18:30,843 --> 00:18:32,678 A LOT OF GUNS CAN'T BE TRACED 512 00:18:32,744 --> 00:18:35,314 BECAUSE THE SERIAL NUMBER IS 513 00:18:35,380 --> 00:18:37,983 OBLITERATED WHY? SO EASY TO 514 00:18:38,050 --> 00:18:38,984 OBLITERATE, THEY CAN MAKE IT 515 00:18:39,051 --> 00:18:40,719 HARD TO OBLITERATE, WOULD BE 516 00:18:40,786 --> 00:18:42,521 NICE BUT THEY DON'T DO IT. WOULD 517 00:18:42,588 --> 00:18:44,223 BE NICE TO KNOW WHEN A GUN WAS 518 00:18:44,289 --> 00:18:46,225 -- WHEN A BULLET WAS FIRED YOU 519 00:18:46,291 --> 00:18:47,793 GOT THE BULLET OR CASING THAT 520 00:18:47,860 --> 00:18:49,962 YOU CAN TRACE IT EXACTLY TO NOT 521 00:18:50,028 --> 00:18:52,965 THE MAKE MODEL OF THE GUN BUT 522 00:18:53,031 --> 00:18:54,433 THE EXACT GUN. THAT IS NOT THAT 523 00:18:54,500 --> 00:18:59,872 HARD TO DO DO. BALLISTIC 524 00:18:59,938 --> 00:19:01,206 FINGERPRINTING, IT IS 2024 WE 525 00:19:01,273 --> 00:19:03,242 CAN DO ALL THESE THINGS WE CAN 526 00:19:03,308 --> 00:19:04,843 DO BALLISTIC FINGERPRINTING AND 527 00:19:04,910 --> 00:19:07,913 MAKE IT EASIER TO CATCH THE BAD 528 00:19:07,980 --> 00:19:10,215 GUYS. TO REDUCE OXIDANTS WILL 529 00:19:10,282 --> 00:19:11,450 ARE THINGS THAT CAN BE DONE 530 00:19:11,517 --> 00:19:13,585 ABOUT COUPLE OF DECADES AGO I 531 00:19:13,652 --> 00:19:15,354 WAS AT A CONFERENCE OF THE 532 00:19:15,420 --> 00:19:17,623 AMERICAN PUBLIC HEALTH 533 00:19:17,689 --> 00:19:18,824 ASSOCIATION AND WE WERE IN LINE 534 00:19:18,891 --> 00:19:22,194 AT A RESTAURANT AND FEMALE 535 00:19:22,261 --> 00:19:23,228 DELEGATE DROPPED SOMETHING FROM 536 00:19:23,295 --> 00:19:25,264 HER PURSE, A NICE LOCAL WENT TO 537 00:19:25,330 --> 00:19:27,132 PICK IT UP OUT OF HIS POCKET, 538 00:19:27,199 --> 00:19:28,967 DROPPED IT THERE, HIT THE GROUND 539 00:19:29,034 --> 00:19:30,736 BANG WENT OFF AND THE BULLET 540 00:19:30,802 --> 00:19:33,038 WENT THROUGH TWO FEMALE 541 00:19:33,105 --> 00:19:33,839 DELEGATES WHO WERE RACED TO THE 542 00:19:33,906 --> 00:19:34,573 EMERGENCY DEPARTMENT. WE 543 00:19:34,640 --> 00:19:36,308 SHOULDN'T HAVE ANY GUNS THAT CAN 544 00:19:36,375 --> 00:19:37,643 GO OFF WHEN THEY ARE DROPPED. 545 00:19:37,709 --> 00:19:40,445 THAT IS SILLY. I WILL TALK ABOUT 546 00:19:40,512 --> 00:19:41,680 CHILD PROOF GUNS AND MAGAZINE 547 00:19:41,747 --> 00:19:43,549 SAFETIES IN A MINUTE. THERE'S SO 548 00:19:43,615 --> 00:19:46,652 MANY THINGS WE SHOULD HAVE, WE 549 00:19:46,718 --> 00:19:47,786 SHOULD HAVE BETTER PERSONALIZED 550 00:19:47,853 --> 00:19:49,855 GUNS IN THE SENSE THAT IT SHOULD 551 00:19:49,922 --> 00:19:52,524 BE SO THAT NOBODY ELSE CAN USE 552 00:19:52,591 --> 00:19:55,794 MY GUN IF IT GETS STOLEN. RIGHT 553 00:19:55,861 --> 00:20:00,832 NOW THERE ARE I THINK 350,000 554 00:20:00,899 --> 00:20:01,700 GUN A YEAR WHICH STOLEN. IT IS 555 00:20:01,767 --> 00:20:02,834 ONE OF THE MANY WAYS IN WHICH IT 556 00:20:02,901 --> 00:20:05,504 IS REALLY EASY FOR THE WRONG 557 00:20:05,571 --> 00:20:08,240 PEOPLE TO GET HOLD OF GUNS. YOUR 558 00:20:08,307 --> 00:20:09,775 CELL PHONE IF YOU LOSE YOUR CELL 559 00:20:09,841 --> 00:20:12,110 PHONE YOU CAN MAKE SURE OTHERS 560 00:20:12,177 --> 00:20:14,446 CAN'T USE IT. YOU OUGHT TO BE 561 00:20:14,513 --> 00:20:16,048 ABLE TO DO THE SAME WITH YOUR 562 00:20:16,114 --> 00:20:19,117 GUN. THERE ARE LOTS OF PUBLIC 563 00:20:19,184 --> 00:20:21,520 HEALTH SUCCESSES, LOTS OF INJURY 564 00:20:21,587 --> 00:20:22,888 PREVENTION SUCCESSES, WHY NOT IN 565 00:20:22,955 --> 00:20:24,423 FIREARM? 566 00:20:24,489 --> 00:20:26,858 I WROTE A BOOK A FEW YEARS AGO, 567 00:20:26,925 --> 00:20:30,095 AGAIN, ONLY $25 ON AMAZON.COM. 568 00:20:30,162 --> 00:20:31,563 CALLED WHILE WE WERE SLEEPING, 569 00:20:31,630 --> 00:20:34,666 IT IS 64 DOCUMENTED SUCCESSES 570 00:20:34,733 --> 00:20:37,469 HOW THE WORLD IS MADE SAFER. 571 00:20:37,536 --> 00:20:39,972 FORTUNATELY NICELY I'M SO HAPPY 572 00:20:40,038 --> 00:20:44,343 INJURY IN TERMS OF BOTH GETTING 573 00:20:44,409 --> 00:20:46,745 GOOD DATA AND RESEARCH ACTUALLY 574 00:20:46,812 --> 00:20:47,879 MATTERED IN ALMOST ALL THESE 575 00:20:47,946 --> 00:20:50,582 PREVENTION STORIES. IT IS ALSO 576 00:20:50,649 --> 00:20:52,484 36 HEROES YOU NEVER HEARD OF WHO 577 00:20:52,551 --> 00:20:54,720 MADE THE WORLD A BETTER PLAC PL. 578 00:20:54,786 --> 00:20:57,823 SUB PUBLIC HEALTH PEOPLE, ALMOST 579 00:20:57,889 --> 00:20:59,124 ALL ADVOCATEDS WHOSE MADE THE 580 00:20:59,191 --> 00:21:01,159 WORLD SAFER IN THIS ONE AREA, 581 00:21:01,226 --> 00:21:02,394 WHICH IS INJURY AND VIOLENCE 582 00:21:02,461 --> 00:21:08,200 PREVENTION. WE HAVE PARTICULAR 583 00:21:08,266 --> 00:21:10,068 PROBLEMS IN THE GUN AREA, WHY WE 584 00:21:10,135 --> 00:21:11,637 DON'T GET MANY SUCCESSES. ONE 585 00:21:11,703 --> 00:21:13,438 IS I THINK THIS IS THE ONLY 586 00:21:13,505 --> 00:21:14,606 INDUSTRY MAYBE ONE OTHER THAT 587 00:21:14,673 --> 00:21:16,642 HAS NO FEDERAL OVERSIGHT FOR 588 00:21:16,708 --> 00:21:20,078 SAFETY OF GUNS. IT IS ALMOST 589 00:21:20,145 --> 00:21:21,780 IMPOSSIBLE OVER THE LAST 20 590 00:21:21,847 --> 00:21:23,582 YEARS AS A LAW PASSED 20 YEARS 591 00:21:23,649 --> 00:21:25,684 AGO TO MAKE IT ALMOST IMPOSSIBLE 592 00:21:25,751 --> 00:21:27,619 TO SUE MANUFACTURERS LIKE 593 00:21:27,686 --> 00:21:28,420 CIGARETTE COMPANIES WERE SUED. 594 00:21:28,487 --> 00:21:32,591 WE HAVE THE ATF ALCOHOL TOBACCO 595 00:21:32,658 --> 00:21:34,192 AND FIREARM IT IS BUREAU AND IT 596 00:21:34,259 --> 00:21:36,395 IS SUPPOSED TO LIKE OVERSEE WHAT 597 00:21:36,461 --> 00:21:41,733 IS GOING ON AMONG GUN SHOPS AND 598 00:21:41,800 --> 00:21:44,536 SO FORTH. ITS HANDS WERE TIED IN 599 00:21:44,603 --> 00:21:48,340 NUMEROUS WAYS ONE WAY IS CAN'T 600 00:21:48,407 --> 00:21:50,976 EVEN PUT COMPUTERIZE A LOT OF 601 00:21:51,043 --> 00:21:52,344 DATA. IT IS AGAINST THE LAW FOR 602 00:21:52,411 --> 00:21:54,146 IT TO HAVE COMPUTERIZED DATA, 603 00:21:54,212 --> 00:21:56,715 CRAZY. THERE ARE A LOT OF DATA 604 00:21:56,782 --> 00:22:01,319 AND RESEARCH QUESTIONS WE HAVE 605 00:22:01,386 --> 00:22:02,988 INADEQUATE DATA BEHAVIORAL 606 00:22:03,055 --> 00:22:04,556 FACTORS USED TO HAVE GUN 607 00:22:04,623 --> 00:22:05,791 QUESTIONS, NOW IT DOESN'T 608 00:22:05,857 --> 00:22:07,125 TRACING DATA WOULD BE HELPFUL 609 00:22:07,192 --> 00:22:08,994 FOR RESEARCHERS AVAILABLE IN 199 610 00:22:09,061 --> 00:22:10,829 T, NOT THE INDIVIDUAL DATA, NOT 611 00:22:10,896 --> 00:22:12,297 AVAILABLE TO RESEARCHERS ANY 612 00:22:12,364 --> 00:22:14,433 MORE, SO FORTH. WE CAN DO A LOT 613 00:22:14,499 --> 00:22:16,001 BETTER IN TERMS OF THE DATA 614 00:22:16,068 --> 00:22:17,335 WHICH WE COLLECTED THE DATA 615 00:22:17,402 --> 00:22:21,273 WHICH ARE AVAILABLE. NOT 616 00:22:21,339 --> 00:22:22,641 SURPRISINGLY WE HAVE TWO LITTLE 617 00:22:22,708 --> 00:22:25,644 FIREARMS RESEARCH BECAUSE NOT 618 00:22:25,711 --> 00:22:27,813 ONLY DO WE NOT HAVE GREAT DATA 619 00:22:27,879 --> 00:22:29,381 BUT WE HAVEN'T HAD MUCH MONEY 620 00:22:29,448 --> 00:22:31,483 FOR RESEARCH, I ALWAYS SAY 621 00:22:31,550 --> 00:22:32,851 PUBLIC HEALTH IS UNDERFUNDED 622 00:22:32,918 --> 00:22:34,853 RELATIVE TO MEDICINE, WITHIN 623 00:22:34,920 --> 00:22:35,987 PUBLIC HEALTH JERRY PREVENTION 624 00:22:36,054 --> 00:22:37,956 IS PARTICULARLY UNDERFUNDED WITH 625 00:22:38,023 --> 00:22:39,758 INJURY PREVENTION FIREARMS 626 00:22:39,825 --> 00:22:42,661 RESEARCH WAS PROBABLY THE MOST 627 00:22:42,728 --> 00:22:44,696 UNDERFUNDED. MOST KNOW THE SORRY 628 00:22:44,763 --> 00:22:47,799 ABOUT BIG DECREASE IN DECLINE IN 629 00:22:47,866 --> 00:22:49,935 CDC GUN RESEARCH WHICH NEVER 630 00:22:50,001 --> 00:22:52,270 STARTED OUT MUCH AT ALL, 631 00:22:52,337 --> 00:22:53,872 2.5 MILLION AND LONG TIME WITH 632 00:22:53,939 --> 00:22:55,774 ZERO NOW BACK UP TO # 633 00:22:55,841 --> 00:22:58,443 .5 MILLION. HERE IS THE THING I 634 00:22:58,510 --> 00:23:00,712 JUST COULD SHOW BASICALLY FROM 635 00:23:00,779 --> 00:23:02,948 NIH, DISPARITY FROM 1973 TO 636 00:23:03,014 --> 00:23:06,251 2012. IN TERMS OF RESEARCH 637 00:23:06,318 --> 00:23:08,487 AWARDS. DURING THAT TIME THERE 638 00:23:08,553 --> 00:23:10,722 WERE THREE NIH RESEARCH AWARDS, 639 00:23:10,789 --> 00:23:14,726 ABOUT FIREARMS AND ALMOST 500 640 00:23:14,793 --> 00:23:17,129 THEORY OF POLIO AND RABIES WHICH 641 00:23:17,195 --> 00:23:18,430 CAUSED SOMEWHAT DIFFERENT 642 00:23:18,497 --> 00:23:21,767 AMOUNTS OF PROBLEMSS. THINGS ARE 643 00:23:21,833 --> 00:23:24,569 BETTER BUT THIS SHOWS YOU THIS 644 00:23:24,636 --> 00:23:28,507 IS A GRAPH OF EMPIRICAL ARTICLES 645 00:23:28,573 --> 00:23:30,041 ON FIREARMS THROUGHOUT THE YEARS 646 00:23:30,108 --> 00:23:31,910 WHICH YOU COULD FIND IN PUBMED. 647 00:23:31,977 --> 00:23:37,816 YOU CAN SEE JUST VERY FEW 648 00:23:37,883 --> 00:23:40,185 20072008, ONLY FIVE OR SIX WE 649 00:23:40,252 --> 00:23:41,653 MUST HAVE DONE MOST OF THESE. 650 00:23:41,720 --> 00:23:45,157 FINALLY MANY 2015 THERE ARE 651 00:23:45,223 --> 00:23:46,858 MORE, MORE MONEY AND IT IS STILL 652 00:23:46,925 --> 00:23:49,528 SO UNDERFUNDED. BUT THINGS ARE 653 00:23:49,594 --> 00:23:51,596 GETTING MUCH BETTER, MORE TYPE L 654 00:23:51,663 --> 00:23:58,103 ARE INTERESTED. THE REDDISH LINE 655 00:23:58,170 --> 00:24:00,539 IS THE NUMBER THAT WERE FUNDED 656 00:24:00,605 --> 00:24:03,508 AND THE OTHERS ARE BASICALLY 657 00:24:03,575 --> 00:24:05,510 HAVING NO FUNDING OR NO 658 00:24:05,577 --> 00:24:08,847 DECLARATION. WHENEVER THERE IS A 659 00:24:08,914 --> 00:24:11,950 BIG TRAGEDY I GET CALL THE 660 00:24:12,017 --> 00:24:13,185 MEDIA, I MENTION RESEARCH AND 661 00:24:13,251 --> 00:24:14,653 THEY SAY WHAT DO WE NEED MORE 662 00:24:14,719 --> 00:24:15,887 RESEARCH ABOUT? WHAT IS ONE 663 00:24:15,954 --> 00:24:17,756 THING TO KNOW? I TELL THEM NOT 664 00:24:17,823 --> 00:24:19,991 ONE THING IT IS LIKE CANCER 665 00:24:20,058 --> 00:24:21,493 RESEARCHER THERE'S NO CANCER 666 00:24:21,560 --> 00:24:24,763 RESEARCH THE LAST 25 YEARS, ONE 667 00:24:24,830 --> 00:24:26,131 THING YOU NEED TO KNOW. THE 668 00:24:26,198 --> 00:24:27,799 ANSWER I GUESS IS HOW TO CURE 669 00:24:27,866 --> 00:24:28,934 CANCER. I DON'T THINK THAT IS 670 00:24:29,000 --> 00:24:31,469 THE RIGHT ANSWER. WE KNOW IT IS 671 00:24:31,536 --> 00:24:32,037 ALMOST NOTHING ABOUT MOST 672 00:24:32,103 --> 00:24:33,905 THINGS. THERE'S ONE ARTICLE IN 673 00:24:33,972 --> 00:24:36,608 GUN THEFT EMPIRICAL ARTICLE. I 674 00:24:36,675 --> 00:24:38,009 DON'T THINK ANY EMPIRICAL 675 00:24:38,076 --> 00:24:40,178 ARTICLES ABOUT OPEN CARRY. IT IS 676 00:24:40,245 --> 00:24:42,414 INCREDIBLE HOW LITTLE WE KNOW 677 00:24:42,480 --> 00:24:45,584 ABOUT SO MANY THINGS IN GUN 678 00:24:45,650 --> 00:24:48,286 AREA. FIRST STEP IN PUBLIC 679 00:24:48,353 --> 00:24:49,721 HEALTH APPROACH IS A GOOD DATA 680 00:24:49,788 --> 00:24:51,556 SYSTEM, THERE IS A GOOD DATA 681 00:24:51,623 --> 00:24:53,425 SYSTEM FOR MOTOR VEHICLE THEFTS. 682 00:24:53,491 --> 00:24:54,993 ANY TIME THERE IS A MOTOR 683 00:24:55,060 --> 00:24:56,695 VEHICLE THEFT THERE'S 125 PIECES 684 00:24:56,761 --> 00:24:59,264 OF INFORMATION COLLECTED 685 00:24:59,331 --> 00:25:00,365 CONSISTENTLY AND ACROSS STATES 686 00:25:00,432 --> 00:25:01,967 SO WE KNOW WHAT IS WAS GOING ON 687 00:25:02,033 --> 00:25:03,335 IN MOTOR VEHICLES WHICH IS A 688 00:25:03,401 --> 00:25:04,703 REASON THERE WAS A BIG MOTOR 689 00:25:04,769 --> 00:25:06,338 VEHICLE SUCCESS STORY. FINALLY 690 00:25:06,404 --> 00:25:07,939 WE HAVE THE NATIONAL VIOLENT 691 00:25:08,006 --> 00:25:09,641 THEFT REPORTING SYSTEM I THINK 692 00:25:09,708 --> 00:25:12,110 ONE OF THE GREAT THINGS I LIKED 693 00:25:12,177 --> 00:25:14,112 IN MY CAREER IS THE TINY LITTLE 694 00:25:14,179 --> 00:25:15,914 ROLE I PLAYED IN HELPING CREATE 695 00:25:15,981 --> 00:25:17,048 THE NATIONAL VIOLENT DEATH 696 00:25:17,115 --> 00:25:19,584 REPORTING SYSTEM WHICH IS NOW 697 00:25:19,651 --> 00:25:20,819 20 SOMETHING YEARS FINALLY IN 698 00:25:20,886 --> 00:25:21,653 ALL STATES. HERE IS WHAT 699 00:25:21,720 --> 00:25:25,824 HAPPENED IN 1999 WE HAD PILOT. I 700 00:25:25,891 --> 00:25:27,492 USED TO BE A SHILL FOR THE 701 00:25:27,559 --> 00:25:28,560 SYSTEM SAYING HOW IMPORTANT IT 702 00:25:28,627 --> 00:25:30,095 WAS TO CREATE A DATA SYSTEM 703 00:25:30,161 --> 00:25:33,198 WHICH IS CONSISTENT AND 704 00:25:33,265 --> 00:25:35,734 COMPARABLE ACROSS ALL STATES 705 00:25:35,800 --> 00:25:37,702 ABOUT ALL VIOLENT DEATHS. I 706 00:25:37,769 --> 00:25:42,240 WOULD GIVE GROUP LIKE YOU A QUIZ 707 00:25:42,307 --> 00:25:45,377 AND SAY YOU HAVE THIS, WHAT 708 00:25:45,443 --> 00:25:48,914 PROPORTION -- THREE MOST COMMON 709 00:25:48,980 --> 00:25:52,517 CHARACTERTY TICKS FOR FATAL GUN 710 00:25:52,584 --> 00:25:55,053 ACCIDENTS, WHERE DO TEENS OBTAIN 711 00:25:55,120 --> 00:25:58,857 THEIR GUNS,. GOT A PRIZE, A 712 00:25:58,924 --> 00:26:01,059 SHIRT THAT SUPPORTED VDRS. WHAT 713 00:26:01,126 --> 00:26:02,327 WAS THE ANSWER TO THESE? THE 714 00:26:02,394 --> 00:26:04,229 ANSWER YOU TURNED THE SHEET OVER 715 00:26:04,296 --> 00:26:05,630 AND THE ANSWER IS NOBODY KNOWS. 716 00:26:05,697 --> 00:26:07,165 IF PEOPLE TOLD YOU THEY KNEW THE 717 00:26:07,232 --> 00:26:08,266 ANSWER TO THIS THEY WERE LYING 718 00:26:08,333 --> 00:26:09,434 BECAUSE THERE WAS NO DATA ABOUT 719 00:26:09,501 --> 00:26:10,802 ANY OF THOSE THINGS. THAT IS ONE 720 00:26:10,869 --> 00:26:12,637 OF THE THINGS THE NATIONAL 721 00:26:12,704 --> 00:26:13,905 VIOLENT DATA SYSTEM HAS DONE IS 722 00:26:13,972 --> 00:26:19,344 PROVIDE LOTS OF DATA. DATA ARE 723 00:26:19,411 --> 00:26:20,946 CRUCIAL NOT ONLY REFUTE 724 00:26:21,012 --> 00:26:22,013 MISINFORMATION BUT ONE THING 725 00:26:22,080 --> 00:26:24,249 PEOPLE RECOGNIZE IS HOW 726 00:26:24,316 --> 00:26:25,984 IMPORTANT IT IS TO PROVIDE 727 00:26:26,051 --> 00:26:29,521 INSIGHTS ABOUT WHAT ARE THE BEST 728 00:26:29,587 --> 00:26:32,757 POLICIES. AN EXAMPLE, TALK ABOUT 729 00:26:32,824 --> 00:26:34,693 UNINTENTIONAL FIREARM DEATHS, 730 00:26:34,759 --> 00:26:36,061 THEN TALK ABOUT SUICIDE. THE 731 00:26:36,127 --> 00:26:38,363 DARLING OF THE GUN LOBBY, AT 732 00:26:38,430 --> 00:26:41,399 LEAST THE RESEARCHER WHO AS JOHN 733 00:26:41,466 --> 00:26:44,035 LOT USED TO SAY OVER ON FOX NEWS 734 00:26:44,102 --> 00:26:45,570 AND LA TIMES EDITORIALS, YOU CAN 735 00:26:45,637 --> 00:26:48,239 LOOK THIS UP, HE SAID QUOTE, 736 00:26:48,306 --> 00:26:51,676 ABOUT TWO-THIRDS OF ACCIDENTAL 737 00:26:51,743 --> 00:26:53,912 GUN DEATHS TO CHILDREN ARE NOT 738 00:26:53,979 --> 00:26:55,580 SHOTS FIRED BY OTHER LITTLE 739 00:26:55,647 --> 00:26:58,049 KIDS, BUT RATHER BEEN ADULT 740 00:26:58,116 --> 00:27:00,919 MALES WITH CRIMINAL BACKGROUNDS. 741 00:27:00,986 --> 00:27:02,520 I TRIED TO SAY WHERE DID YOU GET 742 00:27:02,587 --> 00:27:04,089 THIS DATA? ANSWER IS I DON'T 743 00:27:04,155 --> 00:27:05,490 KNOW WHERE HE GOT IT, I STILL 744 00:27:05,557 --> 00:27:07,325 DON'T KNOW BECAUSE IT TURNS OUT 745 00:27:07,392 --> 00:27:09,327 TO BE COMPLETE COMPLETELY WRONG. 746 00:27:09,394 --> 00:27:10,895 IF YOU THOUGHT THIS WAS TRUE 747 00:27:10,962 --> 00:27:12,731 ADULT MALES WITH CRIMINAL 748 00:27:12,797 --> 00:27:14,165 BACKGROUNDS, BUT IT IS NOT TRUE. 749 00:27:14,232 --> 00:27:15,734 HOW DO WE KNOW THIS? FROM THE 750 00:27:15,800 --> 00:27:17,869 NATIONAL VIOLENT DEATH REPORTING 751 00:27:17,936 --> 00:27:19,337 SYSTEM. WHAT WE KNOW FOR EXAMPLE 752 00:27:19,404 --> 00:27:22,907 NOW IS THAT FOR CHILDREN 0 TO 14 753 00:27:22,974 --> 00:27:26,011 IS NOT ADULTS KILLING CHILDREN 754 00:27:26,077 --> 00:27:27,579 UNINTENTIONALLY, IT IS CHILDREN 755 00:27:27,645 --> 00:27:29,614 KILLING CHILDREN. ABOUT A THIRD 756 00:27:29,681 --> 00:27:31,649 OR ARE SELF-INFLICTED, A THIRD 757 00:27:31,716 --> 00:27:34,419 OTHER CHILDREN, SHOOTERS, ABOUT 758 00:27:34,486 --> 00:27:36,354 A SIXTH OR SLIGHTLY OLDER 759 00:27:36,421 --> 00:27:39,290 TEENAGERS SHOOTERS, A 760 00:27:39,357 --> 00:27:40,492 15-YEAR-OLD SHOOT AS 761 00:27:40,558 --> 00:27:41,760 14-YEAR-OLD. MAYBE THE SAME 762 00:27:41,826 --> 00:27:45,830 CLASS. AND THEN ADULTS ALMOST 763 00:27:45,897 --> 00:27:46,765 ALL PARENTS WITH NO INDICATION 764 00:27:46,831 --> 00:27:49,801 THEY ARE CRIMINALS. HERE IS ONE 765 00:27:49,868 --> 00:27:51,169 LITTLE TABLE YOU CAN DRAW FROM 766 00:27:51,236 --> 00:27:56,408 WHAT WE LOOKED AT. THIS IS 767 00:27:56,474 --> 00:27:57,942 UNINTENTIONAL FIREARM, THUS THE 768 00:27:58,009 --> 00:28:00,678 CHILDREN BY AGE. YOU CAN SEE 769 00:28:00,745 --> 00:28:02,714 KEEPS GOING UP BUT 2 TO 770 00:28:02,781 --> 00:28:04,649 4-YEAR-OLD IS AN ANOMALY, HIGHER 771 00:28:04,716 --> 00:28:06,484 THAN FIVE OR TEN-YEAR-OLDS 772 00:28:06,551 --> 00:28:09,487 ALMOST ALL MALE VICTIMS, ALMOST 773 00:28:09,554 --> 00:28:11,523 ALWAYS OTHER INFLICTED EXCEPT 774 00:28:11,589 --> 00:28:14,025 TWO TO FOUR-YEAR-OLD. ALMOST 775 00:28:14,092 --> 00:28:16,528 ALWAYS LOAN HOUSE EXCEPT 11 TO 776 00:28:16,594 --> 00:28:17,429 14-YEAR-OLDS WHERE IT IS OFTEN 777 00:28:17,495 --> 00:28:20,131 AT A FRIEND'S HOUSE. KNOWING 778 00:28:20,198 --> 00:28:22,434 THAT HELPS. WHAT YOU KNOW IT IS 779 00:28:22,500 --> 00:28:25,170 MOSTLY SHOT, THESE KIDS ARE 780 00:28:25,236 --> 00:28:27,405 MOSTLY SHOT BY SOMEBODY ELSE. 781 00:28:27,472 --> 00:28:28,206 BUT TWO TO FOUR-YEAR-OLD VERSUS 782 00:28:28,273 --> 00:28:30,308 HIGH RATE OF ACCIDENTAL DEATH 783 00:28:30,375 --> 00:28:32,911 AND THEY SHOOT THEMSELVES. 784 00:28:32,977 --> 00:28:34,779 BASICALLY NOBODY IS SHOT AT A 785 00:28:34,846 --> 00:28:36,614 FRIEND'S HOUSE BEFORE AGE OF 11 786 00:28:36,681 --> 00:28:40,251 SO WHAT IS THE POLICY? WE HAVE A 787 00:28:40,318 --> 00:28:42,053 PROBLEM, I DON'T KNOW, 35 YEARS 788 00:28:42,120 --> 00:28:44,155 AGO, WITH CHILDREN FINDING 789 00:28:44,222 --> 00:28:45,623 ASPIRIN BOTTLES AND OPENING THEM 790 00:28:45,690 --> 00:28:47,725 AND DRINKING A LOT OF IT TAKING 791 00:28:47,792 --> 00:28:48,460 ASPIRIN PILLS AN DYING AND WHAT 792 00:28:48,526 --> 00:28:50,095 YOU COULD DO IS BLAME THE 793 00:28:50,161 --> 00:28:52,263 PARENTS, BLAME THE KIDS BUT WE 794 00:28:52,330 --> 00:28:55,300 DECIDED TO SOLVE THE PROBLEM BY 795 00:28:55,366 --> 00:28:58,536 HAVING CHILD PROOF BOTTLES. YOU 796 00:28:58,603 --> 00:29:01,005 CAN GET CHILD PROOF GUNS NOT 797 00:29:01,072 --> 00:29:02,874 DIFFICULT, WHY DIFFICULT L? 798 00:29:02,941 --> 00:29:04,776 BECAUSE 130 YEARS AGO MORE THAN 799 00:29:04,843 --> 00:29:07,612 A CENTURY AGO, LESS THAN A SMITH 800 00:29:07,679 --> 00:29:09,581 AND WESSON FAME CARED ABOUT KIDS 801 00:29:09,647 --> 00:29:11,116 AND DECIDED TO CREATE A CHILD 802 00:29:11,182 --> 00:29:12,650 PROOF GUN. HE SAID HIS GUNS 803 00:29:12,717 --> 00:29:13,885 WOULD BE SO THAT IF YOU WANT TO 804 00:29:13,952 --> 00:29:15,019 FIRE THE GUN NOT ONLY PULL 805 00:29:15,086 --> 00:29:17,122 TRIGGER BUT YOU HAVE TO PUT 806 00:29:17,188 --> 00:29:18,690 PRESSURE ON THE HANDLE. THAT'S 807 00:29:18,756 --> 00:29:20,391 ALL. TWO THINGS. BUT 808 00:29:20,458 --> 00:29:21,993 THREE-YEAR-OLDS CAN'T DO THAT. 809 00:29:22,060 --> 00:29:23,495 THEY CAN'T FIGURE OUT HOW TO 810 00:29:23,561 --> 00:29:27,098 PUSH DOWN AND TURN AT THE SAME 811 00:29:27,165 --> 00:29:27,999 TIME. YOU CAN SAVE THESE KIDS 812 00:29:28,066 --> 00:29:31,369 BUT WE DON'T DO THAT. FOR MALES 813 00:29:31,436 --> 00:29:33,204 OVER 10 YEARS, THERE'S THE ASK 814 00:29:33,271 --> 00:29:34,205 CAMPAIGN, THEY ARE AT THE 815 00:29:34,272 --> 00:29:36,141 FRIENDS HOUSE A LOT AND A LOT 816 00:29:36,207 --> 00:29:39,077 DIE THERE AND YOU COULD ASK, SAY 817 00:29:39,144 --> 00:29:41,579 IS YOUR -- IS THERE A GUN 818 00:29:41,646 --> 00:29:42,914 PRESENT? IF THERE IS A GUN 819 00:29:42,981 --> 00:29:45,483 PRESENT IS IT LOCKED UP STORED 820 00:29:45,550 --> 00:29:49,654 APPROPRIATELY. THEN ONE NICE 821 00:29:49,721 --> 00:29:52,757 THING ABOUT MVDRS IS THEY HAVE 822 00:29:52,824 --> 00:29:53,658 NARRATIVE, THIS IS NARRATIVE 823 00:29:53,725 --> 00:29:55,293 SUMMARY OF NARRATIVE BUSINESS 824 00:29:55,360 --> 00:29:56,661 THE POLICE AND ONE BY THE 825 00:29:56,728 --> 00:30:01,699 MEDICAL EXAMINER, I HAVE READ SO 826 00:30:01,766 --> 00:30:03,101 MANY NARRATIVES AND FOR 827 00:30:03,168 --> 00:30:04,235 UNINTENTIONAL FIREARM THAT'S THE 828 00:30:04,302 --> 00:30:05,937 CHILDREN. THE COMMON THINGS THAT 829 00:30:06,004 --> 00:30:08,473 COMES UP OVER AND OVER IS A BOY 830 00:30:08,540 --> 00:30:10,108 FINDS DAD SEMIAUTOMATIC PISTOL, 831 00:30:10,175 --> 00:30:12,143 TAKES OUT MAGAZINE, HERE ARE THE 832 00:30:12,210 --> 00:30:13,077 BULLETS THIS MUST BE UNLOADED 833 00:30:13,144 --> 00:30:14,779 THERE'S NOTHING THAT SAYS IT IS 834 00:30:14,846 --> 00:30:17,081 NOT UNLOADED, NOTHING SAYS AND 835 00:30:17,148 --> 00:30:19,083 HE PULL IT IS TRIGGER. 95% OF 836 00:30:19,150 --> 00:30:20,451 THE TIME NOTHING BAD HAPPENS. I 837 00:30:20,518 --> 00:30:22,487 GIVE TALKS AND AFTERWARDS PEOPLE 838 00:30:22,554 --> 00:30:23,621 TELL ME OH, YEAH, THAT HAPPENED 839 00:30:23,688 --> 00:30:25,790 TO ME AND I SHOT AGAINST A WALL 840 00:30:25,857 --> 00:30:27,792 AND MY SISTER HELPED ME COVER IT 841 00:30:27,859 --> 00:30:30,461 UPUP. BUT OCCASIONALLY THE BULLT 842 00:30:30,528 --> 00:30:32,430 GOES OFF, IT HITS SOMEBODY, 843 00:30:32,497 --> 00:30:33,998 TYPICALLY, A YOUNGER BROTHER, 844 00:30:34,065 --> 00:30:37,035 YOUNGER SISTER BEST FRIEND AND 845 00:30:37,101 --> 00:30:38,603 SOMEBODY DIES. THEN THE QUESTION 846 00:30:38,670 --> 00:30:41,639 WHAT CAN WE DO? WE TEND TO DO, 847 00:30:41,706 --> 00:30:43,474 LET'S BLAME THE KID, BLAME THE 848 00:30:43,541 --> 00:30:45,877 PARENTS. LET'S UNSUCCESSFULLY 849 00:30:45,944 --> 00:30:47,212 SUE SOMEBODY BECAUSE WE CAN'T 850 00:30:47,278 --> 00:30:48,713 SUE THE GUN MANUFACTURER OR 851 00:30:48,780 --> 00:30:49,847 LET'S SOLVE THE PROBLEM. HOW DO 852 00:30:49,914 --> 00:30:51,749 WE SOLVE THE PROBLEM? TWO WAYS 853 00:30:51,816 --> 00:30:53,918 ONE MAKE IT CLEAR THAT THERE IS 854 00:30:53,985 --> 00:30:55,153 A BULLET LEFT IN THE CHAMBER 855 00:30:55,220 --> 00:30:56,754 WHEN YOU LOOK OR BETTER TAKE OUT 856 00:30:56,821 --> 00:31:00,058 THE MAGAZINE, THE GUN WON'T 857 00:31:00,124 --> 00:31:01,292 FIRE. SOME SEMIAUTOMATICS YOU 858 00:31:01,359 --> 00:31:02,694 CAN DO THAT, JUST MAKE THAT 859 00:31:02,760 --> 00:31:04,362 MANDATORY THAT'S NOT THAT 860 00:31:04,429 --> 00:31:07,198 DIFFICULT. YOU ALSO WANT SAFE 861 00:31:07,265 --> 00:31:08,666 STORAGE, SMART GUNS, SO THAT 862 00:31:08,733 --> 00:31:10,168 WHEN THE KID FINDS THE GUN THEY 863 00:31:10,235 --> 00:31:17,108 CAN'T USE IT. I WANT TO SPEND 864 00:31:17,175 --> 00:31:20,144 THE REST OF THE TIME TALKING 865 00:31:20,211 --> 00:31:24,415 SUICIDE PREVENTION. SUICIDES 866 00:31:24,482 --> 00:31:25,817 MANY MORE SUICIDES THAN 867 00:31:25,883 --> 00:31:27,518 HOMICIDES MANY MORE GUN SUICIDES 868 00:31:27,585 --> 00:31:28,753 THAN GUN HOMICIDES. I WANT TO 869 00:31:28,820 --> 00:31:30,321 TALK ABOUT REDUCING SUICIDES 870 00:31:30,388 --> 00:31:31,456 WITHOUT CHANGING ANY LAWS, 871 00:31:31,522 --> 00:31:32,590 WITHOUT CHANGING ANYONE'S MENTAL 872 00:31:32,657 --> 00:31:38,663 HEALTH. LIKE MAGIC. ONE OF THE 873 00:31:38,730 --> 00:31:39,697 THINGS YOU SHOULD KNOW IS ALMOST 874 00:31:39,764 --> 00:31:41,299 EVERYBODY WHEN THEY RESEARCH 875 00:31:41,366 --> 00:31:42,567 SUICIDE ASKS WHY. THAT IS A 876 00:31:42,634 --> 00:31:44,369 REASONABLE THING TO ASK. WHY 877 00:31:44,435 --> 00:31:45,903 SOMEONE ATTEMPT SUICIDE, WHY DID 878 00:31:45,970 --> 00:31:48,072 THEY DIE? WE ASKED A DIFFERENT 879 00:31:48,139 --> 00:31:49,274 QUESTION THE LAST 30 YEARS, HOW, 880 00:31:49,340 --> 00:31:52,277 HOW DID THEY DIE? WHAT DID THEY 881 00:31:52,343 --> 00:31:59,450 USE? TURNS OUT IN IF YOU LOOK 882 00:31:59,517 --> 00:32:01,119 HISTORICALLY THAT I WON'T ARGUE 883 00:32:01,185 --> 00:32:02,553 MOST OF THE SUCCESS STORIES, THE 884 00:32:02,620 --> 00:32:07,325 REAL SUCCESS STORIES IN TERMS OF 885 00:32:07,392 --> 00:32:09,193 REDUCING SUICIDE THE LAST 886 00:32:09,260 --> 00:32:10,261 HUNDRED YEARS HAD NOTHING TO DO 887 00:32:10,328 --> 00:32:13,431 WITH CHANGING MENTAL HEALTH, 888 00:32:13,498 --> 00:32:15,933 NOTHING TO DO WITH CHANGING 889 00:32:16,000 --> 00:32:17,201 SUICIDE ATTEMPTS AND EVERYTHING 890 00:32:17,268 --> 00:32:20,104 TO DO WITH CHANGING SUICIDE 891 00:32:20,171 --> 00:32:22,540 DEATHS. IN BRITAIN FOR EXAMPLE, 892 00:32:22,607 --> 00:32:25,176 IN MANY 1960s, PUTTING YOUR 893 00:32:25,243 --> 00:32:26,811 HEAD IN THE OVEN WAS THE MOST 894 00:32:26,878 --> 00:32:29,681 COMMON WAY OF OVER 40% SUICIDE 895 00:32:29,747 --> 00:32:33,318 DEATHS IN BRITAIN AT THE TIME 896 00:32:33,384 --> 00:32:35,787 WERE THIS METHOD, SYLVIA PLAT 897 00:32:35,853 --> 00:32:37,322 DIED. IT IS A PRETTY GOOD 898 00:32:37,388 --> 00:32:40,258 METHOD IN THE SENSE THAT IT IS 899 00:32:40,325 --> 00:32:42,694 NON-PAINFUL AND NON-DISFIGURING 900 00:32:42,760 --> 00:32:44,362 SO WHEN SOMEBODY FINDS YOU THEY 901 00:32:44,429 --> 00:32:48,666 DON'T FIND A HORRIBLE MESS. IN 902 00:32:48,733 --> 00:32:51,436 1970, OR BETWEEN 1960s AND 903 00:32:51,502 --> 00:32:54,772 1970, THE GAS WAS MADE 904 00:32:54,839 --> 00:32:58,376 NON-TOXIC, SERENDIPITOUS GAS 905 00:32:58,443 --> 00:33:01,846 DIDN'T SEE DIDN'T HAVE CARBON 906 00:33:01,913 --> 00:33:02,914 MONOXIDE, SUICIDE RATES DROPPED 907 00:33:02,980 --> 00:33:04,749 A THIRD. A THIRD INCREDIBLE 908 00:33:04,816 --> 00:33:08,286 REDUCTION IN TEN YEARS, WHY? 909 00:33:08,353 --> 00:33:09,954 PEOPLE STILL PUT THEIR HEADS IN 910 00:33:10,021 --> 00:33:11,756 THE OVEN, JUST TAKE THEM OUT 911 00:33:11,823 --> 00:33:13,891 AFTER A WHILE AND GO ON ABOUT 912 00:33:13,958 --> 00:33:18,129 THEIR BUSINESS. INCREDIBLE 913 00:33:18,196 --> 00:33:21,232 SUCCESS STORY. IN 1996 SRI LAIN 914 00:33:21,299 --> 00:33:23,368 DA WAS THE COUNTRY HAD THE 915 00:33:23,434 --> 00:33:24,168 HIGHEST SUICIDE RATES IN THE 916 00:33:24,235 --> 00:33:27,672 WORLD. HIGHEST SUICIDE RATES IN 917 00:33:27,739 --> 00:33:30,308 THE WORLD. HOW DID THEY DIE? 918 00:33:30,375 --> 00:33:31,909 MOST DIED A HORRIBLE WAY, 919 00:33:31,976 --> 00:33:34,045 HORRIBLE WAY TO COMMIT SUICIDE, 920 00:33:34,112 --> 00:33:35,613 THEY DRANK LIQUID PESTICIDES, 921 00:33:35,680 --> 00:33:37,081 TYPICALLY TAKES THREE OR MORE 922 00:33:37,148 --> 00:33:39,917 DAYS TO DIE. IT IS PAINFUL, 923 00:33:39,984 --> 00:33:45,923 MEDICINE CAN'T HELP YOU. FINALLY 924 00:33:45,990 --> 00:33:47,592 SRI LAIN DA BANNED THE MOST 925 00:33:47,658 --> 00:33:49,026 TOXIC OF THE PESTICIDES WHICH 926 00:33:49,093 --> 00:33:49,894 EVEN THE UNITED STATES BANNED. 927 00:33:49,961 --> 00:33:51,763 WHAT HAPPENED IS SUICIDE RATES 928 00:33:51,829 --> 00:33:55,099 DROPPED BY 50%, BETWEEN 1996 AND 929 00:33:55,166 --> 00:33:58,002 2005. THERE WAS NO CHANGE IN 930 00:33:58,069 --> 00:34:01,239 PESTICIDE ATTEMPTS OF SUICIDE OR 931 00:34:01,305 --> 00:34:03,574 CHANGES BY TOTAL SUICIDE BY ANY 932 00:34:03,641 --> 00:34:05,309 OTHER METHOD BY OTHER METHODS NO 933 00:34:05,376 --> 00:34:07,011 CHANGE IN TOTAL OUTPUT IN TERMS 934 00:34:07,078 --> 00:34:10,848 OF RATE OF INCREASE IN OUTPUT, 935 00:34:10,915 --> 00:34:12,650 JUST INCREDIBLE SUCCESS STORY. 936 00:34:12,717 --> 00:34:17,388 IT WAS JUST BY CHANGING THE 937 00:34:17,455 --> 00:34:18,923 METHOD THE AVAILABLE MEANS OF 938 00:34:18,990 --> 00:34:22,994 SUE IDESUICIDE. THERE IS A GUN , 939 00:34:23,060 --> 00:34:24,462 DEFENSE FORCE NOW IN THE NEWS 940 00:34:24,529 --> 00:34:25,363 UNFORTUNATELY ALL THE TIME THEY 941 00:34:25,430 --> 00:34:29,167 HAD A BIG SUICIDE PROBLEM IN THE 942 00:34:29,233 --> 00:34:33,137 EARLY 2000s. ONE OF THE BIG 943 00:34:33,204 --> 00:34:35,239 PROBLEMS WAS DURING WEEKEND 944 00:34:35,306 --> 00:34:37,375 LEAVE IN ISRAEL THERE'S LOTS OF 945 00:34:37,442 --> 00:34:41,612 GUNS BUT MOSTLY MILITARY GUNS. 946 00:34:41,679 --> 00:34:43,815 THESE YOUNG ISRAELI MEN AND 947 00:34:43,881 --> 00:34:45,516 WOMEN WERE ALLOWED TO BRING 948 00:34:45,583 --> 00:34:46,818 THEIR GUNS HOME DURING WEEKEND 949 00:34:46,884 --> 00:34:49,454 LEAVE, TRAUMATIZED, AND A LOT OF 950 00:34:49,520 --> 00:34:52,690 THEM COMMIT SUICIDE WITH THE 951 00:34:52,757 --> 00:34:54,525 GUNS. IN 2006 IDF DID A NUMBER 952 00:34:54,592 --> 00:34:57,528 OF THINGS, BIGGEST THEY DID WAS 953 00:34:57,595 --> 00:34:59,397 IT SAID THE SOLDIERS YOU CAN'T 954 00:34:59,464 --> 00:35:01,666 BRING YOUR GUNS HOME WITH YOU. 955 00:35:01,732 --> 00:35:03,701 SO WHAT HAPPENED INCREDIBLE 956 00:35:03,768 --> 00:35:07,805 SUICIDES DECREASED BY 40% DUE 957 00:35:07,872 --> 00:35:09,340 LARGELY TO DROP IN WEEKEND 958 00:35:09,407 --> 00:35:10,808 SUICIDES BECAUSE THEY PEOPLE, 959 00:35:10,875 --> 00:35:12,710 EVEN IF THEY ATTEMPTED SUICIDE 960 00:35:12,777 --> 00:35:15,079 TYPICALLY THEY DIDN'T DIE. HOW 961 00:35:15,146 --> 00:35:17,515 COULD MEANS POSSIBLY MATTER? THE 962 00:35:17,582 --> 00:35:19,050 KIND OF LOBBY TELL YOU OVER AND 963 00:35:19,116 --> 00:35:20,418 OVER IF YOU WANT TO KILL 964 00:35:20,485 --> 00:35:21,352 YOURSELF YOU WILL. IF YOU WANT 965 00:35:21,419 --> 00:35:23,020 TO KILL YOURSELF YOU WILL. 966 00:35:23,087 --> 00:35:25,256 THAT'S EITHER COMPLETELY WRONG 967 00:35:25,323 --> 00:35:29,393 OR A TOTTOLOGY, TAKE YOUR PICK. 968 00:35:29,460 --> 00:35:30,962 WHY DOES MEANS MATTER FIRST 969 00:35:31,028 --> 00:35:32,864 ACUTE PHASE OF SUICIDAL CRISIS, 970 00:35:32,930 --> 00:35:36,834 THERE'S OFTEN, NOT ALWAYS BUT 971 00:35:36,901 --> 00:35:38,402 COMMONLY WEAK. THERE'S ALSO OF 972 00:35:38,469 --> 00:35:40,238 STUDIES ASKING PEOPLE WHO 973 00:35:40,304 --> 00:35:41,806 ATTEMPTED SUICIDE EVEN PEOPLE 974 00:35:41,873 --> 00:35:44,942 WHO HAD ATTEMPTED CALLED NEARLY 975 00:35:45,009 --> 00:35:46,811 LETHAL SUICIDE PEOPLE WHO HAD 976 00:35:46,878 --> 00:35:48,346 DONE THINGS WHICH YOU WOULDN'T 977 00:35:48,412 --> 00:35:49,447 -- THEY THOUGHT THEY WOULD 978 00:35:49,514 --> 00:35:50,781 REALLY DIE YOU THOUGHT THEY 979 00:35:50,848 --> 00:35:52,817 WOULD DIE, THEY SHOULD HAVE DIED 980 00:35:52,884 --> 00:35:54,919 THEY DIED 90% OF THE TIME BUT 981 00:35:54,986 --> 00:35:58,389 SOME PEOPLE LIVE. THEY SHOT 982 00:35:58,456 --> 00:36:00,124 THEMSELVES IN THE HEAD, SOMEHOW 983 00:36:00,191 --> 00:36:01,726 SURVIVED THEY JUMPED OFF THE 984 00:36:01,792 --> 00:36:03,094 BRIDGE AND SOMEHOW SURVIVED. 985 00:36:03,160 --> 00:36:05,029 THIS IS PEOPLE ARE ASKED A LOT 986 00:36:05,096 --> 00:36:07,331 OF QUESTIONS. TURNS OUT THE ONE 987 00:36:07,398 --> 00:36:08,933 QUESTION WAS HOW LONG WAS IT 988 00:36:09,000 --> 00:36:10,401 BETWEEN WHEN YOU DECIDED YOU 989 00:36:10,468 --> 00:36:12,103 WERE GOING TO ATTEMPT SUICIDE 990 00:36:12,169 --> 00:36:14,906 AND YOU ACTUALLY DID? FOR ABOUT 991 00:36:14,972 --> 00:36:17,441 A QUARTER THEY SAID LESS THAN 992 00:36:17,508 --> 00:36:19,810 FIVE MINUTES. FOR OVER A HALF 993 00:36:19,877 --> 00:36:22,079 THEY SAID LESS THAN AN HOUR. 994 00:36:22,146 --> 00:36:24,048 SOME PEOPLE PLANNED SUICIDES, 995 00:36:24,115 --> 00:36:26,250 PEOPLE WHO ARE 90 AND HAVE 996 00:36:26,317 --> 00:36:28,286 TERMCAL CANCER AND IN PAIN -- 997 00:36:28,352 --> 00:36:29,720 TERMINAL CANCER AND IN PAIN BUT 998 00:36:29,787 --> 00:36:32,490 MOST PEOPLE WHO ARE DYING WERE 999 00:36:32,557 --> 00:36:36,527 DOING IT PRETTY QUICKLY. NOW, 1000 00:36:36,594 --> 00:36:39,297 THE LETHALITY VARIES GREATLY BY 1001 00:36:39,363 --> 00:36:41,032 METHOD. LETHALITY OF THE METHOD 1002 00:36:41,098 --> 00:36:42,900 EASILY AT HAND OR SUICIDAL 1003 00:36:42,967 --> 00:36:44,602 CRISIS PLAYS A ROLE WHETHER THE 1004 00:36:44,669 --> 00:36:47,171 PERSON LIVES OR DIES. INTENT OF 1005 00:36:47,238 --> 00:36:51,175 COURSE MATTERS. BUT THE 1006 00:36:51,242 --> 00:36:53,511 AVAILABLE MEANS OF SUICIDE 1007 00:36:53,578 --> 00:36:55,880 MATTERS A LOT ALSO. ESPECIALLY 1008 00:36:55,947 --> 00:36:57,315 FOR THINGS WHICH ARE COMMONLY 1009 00:36:57,381 --> 00:37:00,952 USED. THIS SORT OF GIVES TWO 1010 00:37:01,018 --> 00:37:01,886 PICTURES OF SUICIDE. ON THE 1011 00:37:01,953 --> 00:37:04,622 RIGHT IS WHAT IF YOU ARE A 1012 00:37:04,689 --> 00:37:07,091 HOSPITALIST WHO YOU SEE. PEOPLE 1013 00:37:07,158 --> 00:37:09,160 WHO COME IN FOR SUICIDE AND 1014 00:37:09,226 --> 00:37:10,995 BASICALLY HERE IS ALL THE 1015 00:37:11,062 --> 00:37:14,565 NON-FATAL PEOPLE, IT IS 83% ARE 1016 00:37:14,632 --> 00:37:16,434 PEOPLE TAKING PILLS AND SO 1017 00:37:16,500 --> 00:37:18,369 FORTH. 11% PEOPLE CUTTING 1018 00:37:18,436 --> 00:37:19,670 THEMSELVES. THESE ARE SUICIDE 1019 00:37:19,737 --> 00:37:22,306 ATTEMPTS. THE SUICIDE 1020 00:37:22,373 --> 00:37:24,909 COMPLETIONS OVER HALF ARE 1021 00:37:24,976 --> 00:37:27,712 FIREARMS. SMALL PERCENTAGE OF 1022 00:37:27,778 --> 00:37:29,380 PEOPLE WHO ATTEMPT WITH A GUN, 1023 00:37:29,447 --> 00:37:30,448 OVER HALF IN THE UNITED STATES 1024 00:37:30,514 --> 00:37:33,551 DIE, NOW 55% MOST RECENT YEAR. 1025 00:37:33,618 --> 00:37:36,320 WHO ATTEMPT SUICIDE WHO DIE FROM 1026 00:37:36,387 --> 00:37:39,457 SUICIDE DIE FROM FIREARMS. WHY 1027 00:37:39,523 --> 00:37:44,128 IS THAT? BECAUSE THE SUICIDE 1028 00:37:44,195 --> 00:37:45,529 RATE THE COMPLETION RATE IF YOU 1029 00:37:45,596 --> 00:37:47,765 SHOOT YOURSELF WITH A GUN IS 1030 00:37:47,832 --> 00:37:50,134 90%, IF YOU FAKE A LOT OF PILLS, 1031 00:37:50,201 --> 00:37:51,869 NO MATTER HOW MUCH YOU TAKE 1032 00:37:51,936 --> 00:37:53,571 THERE'S 3%. MEDICINE CAN SAVE 1033 00:37:53,638 --> 00:37:54,939 YOU IF YOU TAKE THE PILLS THEY 1034 00:37:55,006 --> 00:37:59,443 CAN'T SAVE YOU IF YOU SHOOT 1035 00:37:59,510 --> 00:38:03,648 YOURSELF. WON'T THEY GO ON TO 1036 00:38:03,714 --> 00:38:05,016 COMMIT SUICIDE ANYWAY? NO 1037 00:38:05,082 --> 00:38:06,150 QUESTION A HISTORY OF SUICIDE 1038 00:38:06,217 --> 00:38:08,119 ATTEMPT IS A RISK FACTOR FOR 1039 00:38:08,185 --> 00:38:11,856 COMPLETED SUICIDE. IT IS A RISK 1040 00:38:11,922 --> 00:38:14,125 FACTOR. BUT ONLY A RISK FACTOR. 1041 00:38:14,191 --> 00:38:17,595 WHAT PROPORTION OF SERIOUS 1042 00:38:17,662 --> 00:38:18,963 ATTEMPTERS, NOT PEOPLE WHO WERE 1043 00:38:19,030 --> 00:38:23,534 JUST CALL FOR HELP BUT PEOPLE 1044 00:38:23,601 --> 00:38:25,002 WHO HAVE DONE SOMEBODY MOST 1045 00:38:25,069 --> 00:38:26,270 THOUGHT THEY WOULD DIE FOR WHAT 1046 00:38:26,337 --> 00:38:31,676 THEY DID. THEY JUMPED OFF A HIGH 1047 00:38:31,742 --> 00:38:33,210 BUILDING. PEOPLE HAVE BEEN 1048 00:38:33,277 --> 00:38:36,013 FOLLOWING A GOOD NUMBER OF 1049 00:38:36,080 --> 00:38:37,915 STUDIES PEE P FOLLOWING 20 1050 00:38:37,982 --> 00:38:39,950 YEARS, WHAT PERCENT OF SERIOUS 1051 00:38:40,017 --> 00:38:41,218 ATTEMPT EVENTUALLY DIE BY 1052 00:38:41,285 --> 00:38:48,159 SUICIDE? ANSWER IS LESS THAN 10. 1053 00:38:48,225 --> 00:38:50,594 REALLY IS. AND MOST OF THE LARGE 1054 00:38:50,661 --> 00:38:52,663 MAJORITY OF PEOPLE WHO ATTEMPT 1055 00:38:52,730 --> 00:38:54,965 SUICIDE AND ARE SAVED, ARE HAPPY 1056 00:38:55,032 --> 00:38:57,034 TO BE ALIVE. NOT LIKE OH MY 1057 00:38:57,101 --> 00:38:58,569 GOODNESS NOW I'LL GO DO IT 1058 00:38:58,636 --> 00:39:00,004 AGAIN. THEY ARE HAPPY TO BE 1059 00:39:00,071 --> 00:39:04,709 ALIVE. THERE IS ALSO A LOT OF 1060 00:39:04,775 --> 00:39:07,244 STUDIES AND THE STUDY I ARE 1061 00:39:07,311 --> 00:39:08,279 OVERWHELMING A GUN IN THE HOME 1062 00:39:08,345 --> 00:39:10,381 INCREASES THE RISK OF PSEUDOSIDE 1063 00:39:10,448 --> 00:39:12,149 NOT ONLY TO -- SUICIDE NOT ONLY 1064 00:39:12,216 --> 00:39:13,317 GUN OWNER BUT EVERYBODY IN THE 1065 00:39:13,384 --> 00:39:14,218 HOME IN THE UNITED STATES, THE 1066 00:39:14,285 --> 00:39:18,756 GUN OWNER SPOUSE, THE GUN OWNER 1067 00:39:18,823 --> 00:39:21,859 CHILDREN. THERE'S BEEN LIKE 18 1068 00:39:21,926 --> 00:39:23,994 CASE CONTROL STUDIES. LOOKING 1069 00:39:24,061 --> 00:39:26,897 ALL DIFFERENT AGE GROUPS ALL -- 1070 00:39:26,964 --> 00:39:29,800 LOTS AND LOTS, DOZEN -- MAYBE A 1071 00:39:29,867 --> 00:39:31,502 SCORE OF ECOLOGICAL STUDIES 1072 00:39:31,569 --> 00:39:33,170 LOOKING ACROSS CITIES ACROSS 1073 00:39:33,237 --> 00:39:35,473 STATES, ACROSS REGIONS. COUPLE 1074 00:39:35,539 --> 00:39:37,074 OF LONGITUDINAL STUDIES IN 1075 00:39:37,141 --> 00:39:38,342 CALIFORNIA BECAUSE CALIFORNIA IS 1076 00:39:38,409 --> 00:39:39,877 THE ONE PLACE WHICH HAS GOOD 1077 00:39:39,944 --> 00:39:43,447 DATA. THEY ALL SHOW HAVING A 1078 00:39:43,514 --> 00:39:45,349 GUN IN THE HOME IS BAD FOR THE 1079 00:39:45,416 --> 00:39:48,486 HOME IN TERMS OF SUICIDE. WE 1080 00:39:48,552 --> 00:39:50,621 TRIED TO LOOK AT MAYBE INSTEAD 1081 00:39:50,688 --> 00:39:53,924 PEOPLE IN THE HOME GUN OWNERS 1082 00:39:53,991 --> 00:39:55,693 AND FAMILIES ARE HAVE HIGHER 1083 00:39:55,760 --> 00:39:56,861 MENTAL HEALTH PROBLEMS OR 1084 00:39:56,927 --> 00:39:58,996 SOMETHING, ANSWER IS NO, NO, N . 1085 00:39:59,063 --> 00:40:00,464 SO THIS GIVES YOU A FEELING 1086 00:40:00,531 --> 00:40:01,832 ECOLOGICAL, NOT A STUDY. THIS 1087 00:40:01,899 --> 00:40:03,033 GIVES YOU A FEELING FOR THE SIZE 1088 00:40:03,100 --> 00:40:07,605 OF THE PROBLEM. STUDY LOOKS AT 1089 00:40:07,671 --> 00:40:08,973 ALL THE STATES AND YEARS AND 1090 00:40:09,039 --> 00:40:10,407 CONTROLS FOR LOTS OF THINGS, 1091 00:40:10,474 --> 00:40:15,146 GIVE YOU A FEELING FOR OVER A 1092 00:40:15,212 --> 00:40:17,448 DECADE, 2011 TO 2020 FOR 1093 00:40:17,515 --> 00:40:18,849 FEMALES. I PICK FEMALES I DON'T 1094 00:40:18,916 --> 00:40:20,184 KNOW JUST BECAUSE I WANTED 1095 00:40:20,251 --> 00:40:22,553 SOMETHING ELSE BESIDES LITTLE 1096 00:40:22,620 --> 00:40:24,455 KIDS. ALSO FIND SOMEBODY HARD TO 1097 00:40:24,522 --> 00:40:27,491 BLAME THE VICTIM. WHAT THIS SAYS 1098 00:40:27,558 --> 00:40:30,060 IS IF YOU LOOK AT UNINTENTIONAL 1099 00:40:30,127 --> 00:40:31,228 FIREARM, LOOK AT ALL THE STATES 1100 00:40:31,295 --> 00:40:33,731 HERE, LOOKING AT NOT THE STATES 1101 00:40:33,798 --> 00:40:35,800 WITH LOTS OF PROBLEMS, JUST 1102 00:40:35,866 --> 00:40:39,203 STATES WITH LOTS OF GUN AND 1103 00:40:39,270 --> 00:40:40,304 STATES WITH FEW GUNS. TURNS OUT 1104 00:40:40,371 --> 00:40:42,506 STATES WITH LOTS OF GUNS ALSO 1105 00:40:42,573 --> 00:40:43,741 HAVE WEAK GUN LAWS STATES WITH 1106 00:40:43,808 --> 00:40:45,876 FEW GUNS HAVE STRONGER GUN LAWS, 1107 00:40:45,943 --> 00:40:47,545 STATES WITH LOTS OF GUNS ARE 1108 00:40:47,611 --> 00:40:48,779 TYPICALLY THE SOUTHERN STATES IN 1109 00:40:48,846 --> 00:40:50,581 THE MOUNTAIN STATES,S THE STATES 1110 00:40:50,648 --> 00:40:54,585 WITH FEW GUNS ARE PLACES LIKE 1111 00:40:54,652 --> 00:40:57,555 NEW ENGLAND AND NEW YORK, 1112 00:40:57,621 --> 00:40:58,956 MASSACHUSETTS, WHERE I AM FROM, 1113 00:40:59,023 --> 00:41:02,059 NEW JERSEY WHERE THE SOPRANOS 1114 00:41:02,126 --> 00:41:04,361 ARE FROM AND HAWAII. WHAT THIS 1115 00:41:04,428 --> 00:41:06,597 SAYS IS THAT DURING THIS PERIOD, 1116 00:41:06,664 --> 00:41:10,034 THEY ARE ABOUT THE SAME NUMBER 1117 00:41:10,100 --> 00:41:11,836 OF FEMALE YEARS AT RISK. WE 1118 00:41:11,902 --> 00:41:13,604 RIDE TO KEEP GOING UNTIL WE GOT 1119 00:41:13,671 --> 00:41:15,072 ENOUGH STATES AND THEY WERE 1120 00:41:15,139 --> 00:41:16,207 COMPARABLE SO SAME NUMBER OF 1121 00:41:16,273 --> 00:41:19,376 TOTAL PEOPLE. THERE IS MORE 1122 00:41:19,443 --> 00:41:20,978 WOMEN IN LOW GUN STATES DURING 1123 00:41:21,045 --> 00:41:24,014 THIS PERIOD. THERE ARE 18 WOMEN 1124 00:41:24,081 --> 00:41:25,950 IN LOW GUN STATES ONE 1125 00:41:26,016 --> 00:41:27,284 INTENTIONALLY DIED IN FIREARM 1126 00:41:27,351 --> 00:41:29,720 DEATH COMPARED TO 96 IN HIGH GUN 1127 00:41:29,787 --> 00:41:34,124 STATES. 768 WOMEN IN LOW GUN 1128 00:41:34,191 --> 00:41:35,259 STATES, WHO COMMITTED SUICIDE 1129 00:41:35,326 --> 00:41:37,928 WITH A GUN COMPARED TO 6,610 IN 1130 00:41:37,995 --> 00:41:42,867 THE HIGH GUN STATES. 982 WOMEN 1131 00:41:42,933 --> 00:41:43,667 IN LOW DONE STATES WHO ARE 1132 00:41:43,734 --> 00:41:45,102 VICTIMIZED IN TERMS OF BEING 1133 00:41:45,169 --> 00:41:49,139 SHOT IN A HOMICIDE. COMPARED TO 1134 00:41:49,206 --> 00:41:52,710 4,136 IN THE HIGH GUN STATES. 1135 00:41:52,776 --> 00:41:53,911 THIS DOESN'T CONTROL, JUST A 1136 00:41:53,978 --> 00:41:55,546 SIZE OF THIS PROBLEM, IT IS 1137 00:41:55,613 --> 00:42:00,818 ENORMOUS. LOOKS LIKE A 1138 00:42:00,885 --> 00:42:02,052 DIFFERENCE IN SUICIDE ACROSS 1139 00:42:02,119 --> 00:42:04,054 STATES BUT LOOKING AT ALL 50 1140 00:42:04,121 --> 00:42:05,456 STATES NO RELATIONSHIP BETWEEN 1141 00:42:05,522 --> 00:42:08,325 GUN OWNERSHIP LEVELS, AND 1142 00:42:08,392 --> 00:42:09,960 NON-GUN SUICIDE OR NON-GUN 1143 00:42:10,027 --> 00:42:13,564 HOMICIDE. ALL THE DIFFERENCES 1144 00:42:13,631 --> 00:42:17,268 IS IN TERMS OF GUNS. NEW ENGLAND 1145 00:42:17,334 --> 00:42:18,636 WHERE I AM FROM THERE'S SIX 1146 00:42:18,702 --> 00:42:20,504 STATES, THREE STATES WITH LOTS 1147 00:42:20,571 --> 00:42:22,139 OF GUN THREE WITH FEW GUNS. THE 1148 00:42:22,206 --> 00:42:24,108 ONES WITH LOTS OF GUNS HAVE ALL 1149 00:42:24,174 --> 00:42:27,578 THE STATES HAVE ABOUT THE SAME 1150 00:42:27,645 --> 00:42:31,148 NUMBER OF NON-FIREARM SUICIDES 1151 00:42:31,215 --> 00:42:33,284 BUT THE THREE STATES WITH LOTS 1152 00:42:33,350 --> 00:42:33,951 OF GUNS HAVE HIGH RATES OF 1153 00:42:34,018 --> 00:42:36,587 FIREARM STEW SIDE. THREE STATES 1154 00:42:36,654 --> 00:42:41,191 WITH LOW RATES OF GUNS HAVE LOW 1155 00:42:41,258 --> 00:42:43,294 SUICIDES. (INAUDIBLE) LIVE FREE 1156 00:42:43,360 --> 00:42:46,397 AND DIE NEW HAMPSHIRE. SO WE 1157 00:42:46,463 --> 00:42:47,731 HAVE BEEN TRYING TO DISSEMINATE 1158 00:42:47,798 --> 00:42:50,134 THIS MESSAGE OVER AND OVER AND 1159 00:42:50,200 --> 00:42:52,803 OVER. IT IS NOT LIKE WE THE ONLY 1160 00:42:52,870 --> 00:42:55,105 PEOPLE BUT GROUPS OF US, WE HAVE 1161 00:42:55,172 --> 00:42:56,740 BEEN REALLY SUCCESSFUL IN THE 1162 00:42:56,807 --> 00:42:59,777 LAST TEN YEARS THE ARMY 1163 00:42:59,843 --> 00:43:00,544 UNDERSTANDS THAT GUN REALLY 1164 00:43:00,611 --> 00:43:02,279 MATTER FOR SUICIDES, THE 1165 00:43:02,346 --> 00:43:04,548 VETERANS REALLY MATTER -- 1166 00:43:04,615 --> 00:43:07,051 UNDERSTAND. EASY ACCESSIBILITY 1167 00:43:07,117 --> 00:43:09,186 GUN MATTER FOR SUICIDE. ALL THE 1168 00:43:09,253 --> 00:43:11,055 STATE SUICIDE PREVENTION 1169 00:43:11,121 --> 00:43:12,556 STRATEGIES AND PLANS NOW TALK 1170 00:43:12,623 --> 00:43:14,391 ABOUT GUNS AND SUICIDE. REALLY 1171 00:43:14,458 --> 00:43:18,329 MATTERS. WE TRIED TO DO A LOT 1172 00:43:18,395 --> 00:43:21,432 OF LETHAL MEANS COUNSELING 1173 00:43:21,498 --> 00:43:22,833 PROVIDERS AND GATE KEEPERS TO 1174 00:43:22,900 --> 00:43:24,301 HELP PHYSICIANS AND OTHERS 1175 00:43:24,368 --> 00:43:26,937 UNDERSTAND THIS. I TALK A LITTLE 1176 00:43:27,004 --> 00:43:29,940 BIT ABOUT THE GUN OWNING 1177 00:43:30,007 --> 00:43:32,676 COMMUNITY. ONLINE HELPING 1178 00:43:32,743 --> 00:43:36,046 PROVIDERS, WE ABOUT OVER 15,000 1179 00:43:36,113 --> 00:43:37,514 CLINICIANS TAKE THIS ONLINE 1180 00:43:37,581 --> 00:43:39,249 TRAINING TRYING TO UNDERSTAND A 1181 00:43:39,316 --> 00:43:40,584 LITTLE BIT ABOUT ACCESS TO 1182 00:43:40,651 --> 00:43:44,989 LETHAL MEANS AND SUICIDE. ONE OF 1183 00:43:45,055 --> 00:43:46,890 THE THINGS WE HAVE DONE IS TRY 1184 00:43:46,957 --> 00:43:49,893 TO FUND COMMON GROUND WITH A 1185 00:43:49,960 --> 00:43:51,695 WOMAN NAMED CATHY BARBARA, A 1186 00:43:51,762 --> 00:43:53,764 WOMAN TO DEAL WITH TO TALK WITH 1187 00:43:53,831 --> 00:43:55,799 GUNNERS IN THIS WAY. SHE WORKED 1188 00:43:55,866 --> 00:43:58,402 WITH GUNNERS AROUND THE WORLD. 1189 00:43:58,469 --> 00:44:00,838 ONE OF THE NICE THINGS SHE DID 1190 00:44:00,904 --> 00:44:03,941 IS IN UTAH SHE GOT HERSELF 1191 00:44:04,008 --> 00:44:07,244 INVITED TO THIS SAFETY -- THIS 1192 00:44:07,311 --> 00:44:08,312 TRAINERS WHO WERE DOING 1193 00:44:08,379 --> 00:44:10,914 CONCEALED CARRY TRAINING. UTAH 1194 00:44:10,981 --> 00:44:13,984 IS A RED STATE, LOTS OF GUNS, 1195 00:44:14,051 --> 00:44:15,019 PROBABLY THE GUN TRAINING 1196 00:44:15,085 --> 00:44:18,956 CAPITAL OF THE WORLD. IT TRAINS 1197 00:44:19,023 --> 00:44:21,558 TRAINERS IN LOTS OF STATES. AND 1198 00:44:21,625 --> 00:44:22,593 SHE SAID YOU ARE DOING -- TRYING 1199 00:44:22,659 --> 00:44:25,662 TO DO A GOOD JOB REDUCING 1200 00:44:25,729 --> 00:44:27,031 ACCIDENTAL GUN DEATH BUT FOR 1201 00:44:27,097 --> 00:44:30,267 EVERY ACCIDENTAL GUN DEATH IN 1202 00:44:30,334 --> 00:44:33,070 UTAH THERE ARE 85 SUICIDE? 1203 00:44:33,137 --> 00:44:34,972 AND THEY SAID THAT CAN'T BE. HOW 1204 00:44:35,039 --> 00:44:36,507 IS THAT POSSIBLE? SHE SAID RAISE 1205 00:44:36,573 --> 00:44:39,109 YOUR HAND IF U YOU KNOW SOMEONE 1206 00:44:39,176 --> 00:44:40,811 WHO WOULD INTENTIONALLY KILL 1207 00:44:40,878 --> 00:44:42,880 THEMSELVESES WITH A GUN. A A FEW 1208 00:44:42,946 --> 00:44:46,683 HANDS UP UP. RAISE YOUR HAND INU 1209 00:44:46,750 --> 00:44:48,018 KNOW SOMEONE WHO COMMITTED 1210 00:44:48,085 --> 00:44:49,620 SUICIDE. THESE ARE OLDER WHITE 1211 00:44:49,686 --> 00:44:51,522 GUYS AND THAT'S HOW THEY DIE 1212 00:44:51,588 --> 00:44:53,057 MOSTLY. THEY SAID ALL RIGHT. 1213 00:44:53,123 --> 00:44:55,526 THAT IS REALLY POSSIBLE, SHE 1214 00:44:55,592 --> 00:44:58,562 SAID WELL, MAYBE WHAT IF WE 1215 00:44:58,629 --> 00:45:00,431 CREATED -- DO YOU GUYS TALK 1216 00:45:00,497 --> 00:45:02,232 SUICIDE AT ALL IN ANY TRAININGS? 1217 00:45:02,299 --> 00:45:07,204 IN THEY SAID NO. SHE, 8 TO 1. 1218 00:45:07,271 --> 00:45:08,672 WHAT IF WE WORK TOGETHER TO 1219 00:45:08,739 --> 00:45:10,941 CREATE A MODULE, WOULD YOU USE 1220 00:45:11,008 --> 00:45:12,509 IT? MAYBE LET'S SEE. WORK 1221 00:45:12,576 --> 00:45:13,877 TOGETHER AND CREATE AD MODULE 1222 00:45:13,944 --> 00:45:16,013 AND THEY LOVED THE MODULE, THEY 1223 00:45:16,080 --> 00:45:17,181 THINK IT IS THE GREATEST THING. 1224 00:45:17,247 --> 00:45:20,451 THE MODULE BASICALLY IS, IT IS A 1225 00:45:20,517 --> 00:45:21,985 MESSAGE SIMILAR FRIENDS DON'T 1226 00:45:22,052 --> 00:45:23,787 LET FRIENDS DRIVE DRUNK. 1227 00:45:23,854 --> 00:45:25,155 BASICALLY IT SAYS IF YOUR 1228 00:45:25,222 --> 00:45:27,324 FRIENDS IS GOING THROUGH A BAD 1229 00:45:27,391 --> 00:45:29,126 PATCH, IT SHOULD BE YOUR 1230 00:45:29,193 --> 00:45:29,893 RESPONSIBILITY AND YOU SHOULD 1231 00:45:29,960 --> 00:45:34,565 KNOW IT IS YOUR RESPONSIBILITY 1232 00:45:34,631 --> 00:45:36,366 TO QUOTE, IN THEIR WORDS BABY 1233 00:45:36,433 --> 00:45:37,201 SIT THE GUN. YOUR FRIEND IS 1234 00:45:37,267 --> 00:45:39,069 GETTING A DIVORCE, DRINKING HE'S 1235 00:45:39,136 --> 00:45:43,607 TALKING CRAZY, YOU SHOULD TAKE 1236 00:45:43,674 --> 00:45:45,776 HIS GUNS. NOT HE SHOULD HAND YOU 1237 00:45:45,843 --> 00:45:50,180 HIS GUNS HE SHOULD KNOW, YOU 1238 00:45:50,247 --> 00:45:51,315 SHOULDN'T HAVE YOUR GUNS FOR A 1239 00:45:51,381 --> 00:45:53,183 WHILE. HE GETS A NEW GIRLFRIEND, 1240 00:45:53,250 --> 00:45:55,285 THINGS GET BETTER, HE GETS THEM 1241 00:45:55,352 --> 00:45:57,888 BACK. THEY LOVE IT THEY CREATED, 1242 00:45:57,955 --> 00:45:59,923 THIS IS THEIR THING, THE BEST 1243 00:45:59,990 --> 00:46:02,159 PSA I HAVE EVER SEEN. THIS 1244 00:46:02,226 --> 00:46:04,828 GUNNER. AT GUN RANGE. HE IS A 1245 00:46:04,895 --> 00:46:09,166 GUNNER, AT THE GUN RANGE, WITH 1246 00:46:09,233 --> 00:46:11,135 NICE NOT TOO LOUD. BABA BABA 1247 00:46:11,201 --> 00:46:14,104 BABA. AND THEN HE TURNS TO THE 1248 00:46:14,171 --> 00:46:15,205 CAMERA AND SAYS LAST YEAR THINGS 1249 00:46:15,272 --> 00:46:18,108 WERE REALLY GOING BAD IN MY 1250 00:46:18,175 --> 00:46:19,476 LIFE. I JUST DON'T KNOW DIDN'T 1251 00:46:19,543 --> 00:46:21,345 KNOW WHAT I WAS GOING TO DO AND 1252 00:46:21,411 --> 00:46:23,580 MY FRIEND BABY SAT MY GUN AND I 1253 00:46:23,647 --> 00:46:26,683 THINK IT SAVED MY LIFE. THEN HE 1254 00:46:26,750 --> 00:46:27,818 GOES BACK BUM BUM BUM BUM BUM. 1255 00:46:27,885 --> 00:46:30,521 THAT'S THE END. IT IS A BIG 1256 00:46:30,587 --> 00:46:35,058 SUCCESS STORY. THEY LOVE IT. 1257 00:46:35,125 --> 00:46:40,364 AND NOT ONLY THEY -- COME IN GUN 1258 00:46:40,430 --> 00:46:41,965 SAFETY, CONSIDER TEMPORARY 1259 00:46:42,032 --> 00:46:44,101 STORAGE OF FAMILY MEMBER MAYBE 1260 00:46:44,168 --> 00:46:47,905 SUICIDAL. THE PUBLIC HEALTH 1261 00:46:47,971 --> 00:46:49,106 APPROACH INCLUDES NOT ONLY 1262 00:46:49,173 --> 00:46:50,641 CHANGING THE PRODUCT OR NEW 1263 00:46:50,707 --> 00:46:52,843 ENVIRONMENT BUT CHANGING SOCIAL 1264 00:46:52,910 --> 00:46:56,146 NORMS AND FINDING ALLIES TO 1265 00:46:56,213 --> 00:46:57,948 CHANGE SOCIAL NORMS. TRYING TO 1266 00:46:58,015 --> 00:46:59,216 CHANGE SOCIAL NORMS ABOUT GUNS 1267 00:46:59,283 --> 00:47:01,652 AN SUICIDE. ONE NICE THING ABOUT 1268 00:47:01,718 --> 00:47:04,688 WORKING WITH SUICIDES, WE ARE 1269 00:47:04,755 --> 00:47:06,123 ALL -- THEY ARE APPROACHED BY 1270 00:47:06,190 --> 00:47:07,257 CATHY AS PARTS OF THE SOLUTION. 1271 00:47:07,324 --> 00:47:08,859 NOT PART OF THE PROBLEM. THEY 1272 00:47:08,926 --> 00:47:10,394 BECAME INTERESTED IN THIS. 1273 00:47:10,460 --> 00:47:12,062 BECAUSE THIS AFFECTS THEM. THEY 1274 00:47:12,129 --> 00:47:14,898 SAID WELL, LET'S TRY TO DO 1275 00:47:14,965 --> 00:47:15,966 SOMETHING ABOUT -- TRY TO FIND 1276 00:47:16,033 --> 00:47:19,236 OUT MORE ABOUT THIS. SO THEY 1277 00:47:19,303 --> 00:47:21,905 SAID OKAY, LET'S -- WE WILL GET 1278 00:47:21,972 --> 00:47:24,341 THE LEGISLATURE TO DO A STUDY, 1279 00:47:24,408 --> 00:47:29,413 TO GET SOME DATA. SO THEY GOT 1280 00:47:29,479 --> 00:47:33,350 THE LEGISLATURE AND LIKE A 1281 00:47:33,417 --> 00:47:34,585 $250,000 AND PROBABLY GAVE US 1282 00:47:34,651 --> 00:47:39,122 THE MONEY AT HARVARD. WE FOUND 1283 00:47:39,189 --> 00:47:41,024 OUT THESE THINGS AND ONE THING 1284 00:47:41,091 --> 00:47:42,859 THEY REQUIRED IS THAT EVERYBODY 1285 00:47:42,926 --> 00:47:44,628 LINK DATA WITH US SO FOR THE 1286 00:47:44,695 --> 00:47:47,264 FIRST TIME EVER, WE HAVE DATA 1287 00:47:47,331 --> 00:47:48,532 LINKING SUICIDINGS WITH MEDICAL 1288 00:47:48,599 --> 00:47:55,439 CARE. EVERY SUICIDE, ATTEMPTED 1289 00:47:55,505 --> 00:47:57,441 SUICIDE, YOUTH GOT BACKGROUND 1290 00:47:57,507 --> 00:47:59,076 CHECK, DID THEY PASS A 1291 00:47:59,142 --> 00:48:00,577 BACKGROUND CHECK. DID THEY HAVE 1292 00:48:00,644 --> 00:48:03,146 A CONCEALED CARRY PERMIT. WAS 1293 00:48:03,213 --> 00:48:06,850 THIS THEIR HONE GUN, DID THEY 1294 00:48:06,917 --> 00:48:07,784 SOMEHOW TRACING DATA. NOBODY HAS 1295 00:48:07,851 --> 00:48:09,019 DONE THIS BEFORE. NOBODY HAS 1296 00:48:09,086 --> 00:48:11,321 DONE THIS SINCE. WE CAN'T GET 1297 00:48:11,388 --> 00:48:14,057 PALACE MASS TO LINK THE DATA BUT 1298 00:48:14,124 --> 00:48:15,726 THEY ALREADY DO IT THERE. THEY 1299 00:48:15,792 --> 00:48:16,893 ALSO SAID THIS IS REALLY 1300 00:48:16,960 --> 00:48:19,663 IMPORTANT. WE THINK PEOPLE GUN 1301 00:48:19,730 --> 00:48:20,797 TRAINERS SHOULD DO SOMETHING 1302 00:48:20,864 --> 00:48:22,733 ABOUT SUICIDE. THEY SHOULD USE 1303 00:48:22,799 --> 00:48:26,803 THIS MODULE. THEY SAID HOW CAN 1304 00:48:26,870 --> 00:48:29,373 WE DO THIS, WE CAN TRY TO 1305 00:48:29,439 --> 00:48:31,041 CONVINCE ALL OF THEM BUT THAT IS 1306 00:48:31,108 --> 00:48:32,709 TOO HARD. SO MANY GUN TRAINERS. 1307 00:48:32,776 --> 00:48:34,711 WE WILL MAKE IT MANDATORY. WE 1308 00:48:34,778 --> 00:48:36,580 KNOW EVERYBODY IN THE 1309 00:48:36,647 --> 00:48:37,514 LEGISLATURE, SO NOW IT IS 1310 00:48:37,581 --> 00:48:39,216 REQUIRED IF YOU TEACH A 1311 00:48:39,283 --> 00:48:40,183 CONCEALED CARRY CLASS THEN YOU 1312 00:48:40,250 --> 00:48:43,020 HAVE A MODULE ABOUT GUN SUICIDE 1313 00:48:43,086 --> 00:48:44,488 THAT IS ONE OF THREE STATES, 1314 00:48:44,554 --> 00:48:46,056 MASSACHUSETTS IS ONE BECAUSE I 1315 00:48:46,123 --> 00:48:47,591 WAS ON SOME COMMITTEE AND PUSH 1316 00:48:47,658 --> 00:48:50,093 AND PUSHED IN MASSACHUSETTS. SO 1317 00:48:50,160 --> 00:48:52,229 ANYWAY,S A DECADE AGO SUICIDE 1318 00:48:52,296 --> 00:48:53,797 PREVENTION PRACTITIONERS WEREN'T 1319 00:48:53,864 --> 00:48:57,567 TALKING GUNS. NOW THEY ARE. A 1320 00:48:57,634 --> 00:48:59,202 DECADE AGO FIREARM EXPERTS 1321 00:48:59,269 --> 00:49:00,704 WEREN'T TALKING SUICIDE, NOW 1322 00:49:00,771 --> 00:49:03,440 THEY ARE BEGINNING TO. GUN SHOPS 1323 00:49:03,507 --> 00:49:05,442 GUN RANGES, IN 20 STATES WE 1324 00:49:05,509 --> 00:49:08,312 WORKED WITH, INCLUDE SUICIDE 1325 00:49:08,378 --> 00:49:10,080 PREVENTION OUTREACH AS PART OF 1326 00:49:10,147 --> 00:49:11,782 THEIR MISSION WHICH IS NICE FOR 1327 00:49:11,848 --> 00:49:14,318 GUN INNERS. BUT THE BIG PROBLEM, 1328 00:49:14,384 --> 00:49:16,253 WE HAVE A LONG WAY TO GO IN THIS 1329 00:49:16,320 --> 00:49:20,257 LITTLE AREA. ONLY 30% OF 1330 00:49:20,324 --> 00:49:22,092 PHYSICIANS IN THE UNITED STATES 1331 00:49:22,159 --> 00:49:23,460 UNDERSTAND THAT A GUN ONLY 1332 00:49:23,527 --> 00:49:26,296 INCREASES THE RISK OF SUICIDE. 1333 00:49:26,363 --> 00:49:27,964 70% DO NOT UNDERSTAND, DO NOT 1334 00:49:28,031 --> 00:49:30,634 BELIEVE IT THOUGH THE EVIDENCE 1335 00:49:30,701 --> 00:49:35,205 IS OVERWHELMING. 85% ALMOST ALL 1336 00:49:35,272 --> 00:49:36,740 GUN OWNERS DON'T BELIEVE IT OR 1337 00:49:36,807 --> 00:49:38,208 UNDERSTAND IT SO THEY ARE 1338 00:49:38,275 --> 00:49:40,877 BRINGING INCREDIBLY DANGEROUS 1339 00:49:40,944 --> 00:49:41,945 PRODUCT IN THEIR HOUSE THAT 1340 00:49:42,012 --> 00:49:43,847 REALLY INCREASED THE SUICIDE 1341 00:49:43,914 --> 00:49:46,850 RATE THREEFOLD TO THEIR 1342 00:49:46,917 --> 00:49:47,784 CHILDREN, AND THEY DON'T 1343 00:49:47,851 --> 00:49:53,390 UNDERSTAND IT. AGAIN, AMAZON 1344 00:49:53,457 --> 00:49:54,124 THANK YOU. 1345 00:49:54,191 --> 00:49:58,061 [APPLAUSE] 1346 00:49:58,128 --> 00:49:59,896 >> WE DO HAVE A COUPLE OF 1347 00:49:59,963 --> 00:50:01,098 QUESTIONS. THOSE BOOKS WERE 1348 00:50:01,164 --> 00:50:06,603 MENTIONED IN OUR STAFF MESSAGE. 1349 00:50:06,670 --> 00:50:08,004 TO REMIND EVERYONE WE HAVE A 1350 00:50:08,071 --> 00:50:11,375 RECEPTION ON THIS SNOW DAY I CAN 1351 00:50:11,441 --> 00:50:12,809 SAY THE -- THE PARTICIPANT TO 1352 00:50:12,876 --> 00:50:15,112 COOKIE RATIO IS QUITE -- IS VERY 1353 00:50:15,178 --> 00:50:18,882 MUCH IN YOUR FAVOR. SO ANYONE IS 1354 00:50:18,949 --> 00:50:20,484 FREE TO USE THE MICS IF YOU HAVE 1355 00:50:20,550 --> 00:50:23,253 QUESTIONS, I WILL START FROM THE 1356 00:50:23,320 --> 00:50:26,723 ONLINE ONES. LET ME GO THE FIRST 1357 00:50:26,790 --> 00:50:30,460 ONE, THIS CAME IN EARLY. I HAVE 1358 00:50:30,527 --> 00:50:33,363 READ THAT SWITZERLAND AND 1359 00:50:33,430 --> 00:50:37,367 PERHAPS CANADA, SORRY MISSING, 1360 00:50:37,434 --> 00:50:38,668 THEY HAVE AS MANY OR MORE GUNS 1361 00:50:38,735 --> 00:50:42,939 PER CAPIPER CAPITA. IS THIS TRU, 1362 00:50:43,006 --> 00:50:44,241 WHY DO THEY HAVE FEWER GUN 1363 00:50:44,307 --> 00:50:45,442 DEATH? 1364 00:50:45,509 --> 00:50:46,977 SOMETHING TO DO WITH HEALTH 1365 00:50:47,043 --> 00:50:48,779 DISPARITIES OR MENTAL HEALTH? 1366 00:50:48,845 --> 00:50:51,581 >> LET ME TALK FIRST WITH 1367 00:50:51,648 --> 00:50:53,016 CANADA, CANADA DOESN'T HAVE 1368 00:50:53,083 --> 00:50:54,618 NEARLY AS MANY GUNS AS THE 1369 00:50:54,684 --> 00:50:56,420 UNITED STATES. MICHAEL MOORE 1370 00:50:56,486 --> 00:50:57,921 SAID THEY DID AND HE WAS 1371 00:50:57,988 --> 00:51:00,190 COMPLETELY WRONG AND SO 1372 00:51:00,257 --> 00:51:04,094 ANNOYING. SECONDLY, THERE ARE 1373 00:51:04,161 --> 00:51:05,095 GUNS ARE MOSTLY LONGANS WHEREAS 1374 00:51:05,162 --> 00:51:10,233 A LOT OF HANDGUNS MOSTLY 1375 00:51:10,300 --> 00:51:11,501 (INAUDIBLE) HANDGUNS WE HAVE 1376 00:51:11,568 --> 00:51:12,636 MILITARY WEAPONS THEY DON'T 1377 00:51:12,702 --> 00:51:15,172 THERE. AND THEY HAVE STRONG GUN 1378 00:51:15,238 --> 00:51:18,008 LAWS SO EXAMPLE DO YOU GET A GUN 1379 00:51:18,074 --> 00:51:19,276 THERE YOU HAVE A WAITING PERIOD, 1380 00:51:19,342 --> 00:51:20,777 YOU HAVE A LONG BACKGROUND 1381 00:51:20,844 --> 00:51:22,913 CHECK, MORE LIKE AN FBI CHECK 1382 00:51:22,979 --> 00:51:24,381 AND YOU HAVE TO TELL YOUR SPOUSE 1383 00:51:24,448 --> 00:51:25,715 AN E SPOUSE YOU ARE GETTING A 1384 00:51:25,782 --> 00:51:28,084 GUN. THEY HAVE TO APPROVE IT. 1385 00:51:28,151 --> 00:51:32,355 SO IT IS VERY DIFFERENT WORLD. 1386 00:51:32,422 --> 00:51:33,523 SWITZERLAND, PEOPLE HAVE DONE 1387 00:51:33,590 --> 00:51:36,726 THESE STUDY ABOUT SWITZERLAND IS 1388 00:51:36,793 --> 00:51:38,261 -- GOD I CAN'T REMEMBER I GET 1389 00:51:38,328 --> 00:51:41,364 CONFUSED WITH ISRAEL, IF WE HAD 1390 00:51:41,431 --> 00:51:42,933 THE GUN LAWS IN THE UNITED 1391 00:51:42,999 --> 00:51:45,735 STATES THAT THEY HAD IN 1392 00:51:45,802 --> 00:51:48,305 SWITZERLAND ALL THE RAD BY 1393 00:51:48,371 --> 00:51:49,072 GUNNERS WOULD COMPLAIN THIS IS 1394 00:51:49,139 --> 00:51:50,607 THE MOST UNFAIR SYSTEM. THEY 1395 00:51:50,674 --> 00:51:54,244 HAVE MUCH STRONGER GUN LAWS A 1396 00:51:54,311 --> 00:51:56,046 LOT OF THEIR GUNS LIKE A LOT OF 1397 00:51:56,112 --> 00:51:58,515 ISRAELI GUNS ARE MILITARY 1398 00:51:58,582 --> 00:52:00,016 WEAPONS. THEY -- YOU SAY YEAH 1399 00:52:00,083 --> 00:52:02,085 YOU HAVE GUNS BUT OWNED BY 1400 00:52:02,152 --> 00:52:03,920 MILITARY. THEY HAVE ALL THESE 1401 00:52:03,987 --> 00:52:05,255 REGULATIONS THEY HAVE TO BE 1402 00:52:05,322 --> 00:52:07,491 STORED CORRECTLY, IF AND 1403 00:52:07,557 --> 00:52:09,292 SEPARATELY FROM THE AMMUNITION. 1404 00:52:09,359 --> 00:52:13,129 IF THEY FIND YOU OPEN THE 1405 00:52:13,196 --> 00:52:16,333 AMMUNITION YOU CAN BE COURT 1406 00:52:16,399 --> 00:52:19,302 MARSHALLED. ONE THING TOO IS WE 1407 00:52:19,369 --> 00:52:22,873 KNOW THERE IS A CHANGE IN 1408 00:52:22,939 --> 00:52:23,907 SWITZERLAND SO REDUCED THE 1409 00:52:23,974 --> 00:52:25,742 NUMBER, I HATE PEOPLE WHO GO 1410 00:52:25,809 --> 00:52:28,144 INTO MILITARY SERVICE AND NOT 1411 00:52:28,211 --> 00:52:29,713 REALLY SUICIDE RATE BECAUSE IT 1412 00:52:29,779 --> 00:52:32,048 REDUCED THE SUICIDE RATE AMONG 1413 00:52:32,115 --> 00:52:33,049 THAT PARTICULAR AGE GROUP. 1414 00:52:33,116 --> 00:52:41,491 >> LET'S GO IN THE HOUSE. 1415 00:52:41,558 --> 00:52:46,296 (OFF MIC) 1416 00:52:46,363 --> 00:52:50,033 >> YEAH. SO MY QUESTION IS ABOUT 1417 00:52:50,100 --> 00:52:52,302 YOUTH AND HOW TO FIND ALLIES. IT 1418 00:52:52,369 --> 00:52:56,339 IS AMAZING THAT WOMAN WHO WENT 1419 00:52:56,406 --> 00:52:57,340 TO AND REALLY CONNECTED TO 1420 00:52:57,407 --> 00:52:59,376 PEOPLE AND THEN I THINK 1421 00:52:59,442 --> 00:53:02,546 SOMETHING LIKE GUN VIOLENCE, IT 1422 00:53:02,612 --> 00:53:05,549 IS JUST VERY HARD TO JUST 1423 00:53:05,615 --> 00:53:07,350 COMPLETELY FORGET ABOUT YOUR 1424 00:53:07,417 --> 00:53:11,121 MORAL STATE OR HOW YOU ACTUALLY 1425 00:53:11,187 --> 00:53:13,723 FEEL ABOUT WHETHER YOU ARE 1426 00:53:13,790 --> 00:53:15,258 OWNING GUN OR NOT AND THEN YOU 1427 00:53:15,325 --> 00:53:16,526 KNOW SOME THINK IT IS GREAT, 1428 00:53:16,593 --> 00:53:18,028 SOME THINK IT IS A HORRIBLE 1429 00:53:18,094 --> 00:53:19,829 THING. AS A RESEARCHER PUBLIC 1430 00:53:19,896 --> 00:53:21,131 HEALTH RESEARCHER HOW DO YOU 1431 00:53:21,197 --> 00:53:23,033 OVERCOME THAT, BECAUSE I'M 1432 00:53:23,099 --> 00:53:27,270 SAYING IF YOU FAKE IT IT 1433 00:53:27,337 --> 00:53:29,239 (INAUDIBLE) AND YOU CAN'T FIND 1434 00:53:29,306 --> 00:53:29,639 ALLIES. 1435 00:53:29,706 --> 00:53:32,342 >> SO THE NOTION IS IT IS NOT -- 1436 00:53:32,409 --> 00:53:35,011 GUNS ARE NOT -- IT IS BASICALLY 1437 00:53:35,078 --> 00:53:37,714 PEOPLE WHO OWN GUNS AN PEOPLE 1438 00:53:37,781 --> 00:53:39,349 WHO DON'T OWN GUNS ALL WANT 1439 00:53:39,416 --> 00:53:41,585 PEOPLE TO BE SAFE. NOT THE GUN 1440 00:53:41,651 --> 00:53:44,454 OWNERS OH WE WANT PEOPLE UNSAFE, 1441 00:53:44,521 --> 00:53:46,957 THEY THINK MORE SAFE THOUGH THE 1442 00:53:47,023 --> 00:53:48,325 EVIDENCE HAS SHOWN OTHERWISE BUT 1443 00:53:48,391 --> 00:53:49,993 NOT LIKE THE EVIDENCE FOR 1444 00:53:50,060 --> 00:53:51,795 SUICIDE IT IS OVERWHELMING BUT 1445 00:53:51,861 --> 00:53:54,331 FOR SOME THINGS IT IS NOT. 1446 00:53:54,397 --> 00:53:56,299 CERTAINLY WHAT THE EVIDENCE 1447 00:53:56,366 --> 00:53:59,202 SHOWS IS THAT IF YOU HAVE A GUN 1448 00:53:59,269 --> 00:54:02,072 IT WILL INCREASE THE CHANCE 1449 00:54:02,138 --> 00:54:03,440 UNINTENTIONAL FIREARM INJURY, 1450 00:54:03,506 --> 00:54:05,575 IT'S HARD TO BE INJURED WITH A 1451 00:54:05,642 --> 00:54:08,678 GUN IF NO ONE HAS A GUN AROUND 1452 00:54:08,745 --> 00:54:10,246 YOU. IT INCREASES THE EVIDENCE 1453 00:54:10,313 --> 00:54:11,748 IS STRONG INCREASE THE RISK THE 1454 00:54:11,815 --> 00:54:14,417 WOMAN IN THE HOUSE WILL GET 1455 00:54:14,484 --> 00:54:17,287 KILLED BUT THAT AGAIN, THE RISK 1456 00:54:17,354 --> 00:54:19,122 IS NOT LIKE MOST PEOPLE'S 1457 00:54:19,189 --> 00:54:20,824 HUSBANDS KILL THEIR WIVES THEY 1458 00:54:20,890 --> 00:54:22,559 DONE. VERY FEW DO BUT IF THE 1459 00:54:22,626 --> 00:54:24,194 PEOPLE WHO ARE LIKELY TO IF THEY 1460 00:54:24,260 --> 00:54:25,395 HAVE A GUN ARE MUCH MORE LIKELY 1461 00:54:25,462 --> 00:54:29,566 THAT THE WOMAN WILL DIE. IT IS 1462 00:54:29,633 --> 00:54:33,837 FINDING ALLIES TURNS OUT NOT 1463 00:54:33,903 --> 00:54:36,039 THAT HARD BECAUSE MOST PEOPLE 1464 00:54:36,106 --> 00:54:38,775 BELIEVE IN MOST OF THE THINGS 1465 00:54:38,842 --> 00:54:40,443 THAT I BELIEVE IN, NOT ONLY 1466 00:54:40,510 --> 00:54:43,580 ABOUT PUBLIC HEALTH BUT ALSO 1467 00:54:43,647 --> 00:54:47,817 THAT 90% OF THE U.S. POPULATION 1468 00:54:47,884 --> 00:54:49,753 KIDS, THAT BALLPARK WANT 1469 00:54:49,819 --> 00:54:51,755 UNIVERSAL BACKGROUND CHECKS. THE 1470 00:54:51,821 --> 00:54:54,124 GUN OWNERS WANT IT. EVERYBODY 1471 00:54:54,190 --> 00:54:56,426 WANTS IT. WE JUST DON'T GET IT. 1472 00:54:56,493 --> 00:55:00,930 IF I HAD A LIST OF 30 KINDS OF 1473 00:55:00,997 --> 00:55:02,565 LAWS TO SEE AND I WOULD LIKE TO 1474 00:55:02,632 --> 00:55:06,970 SEE LOTS OF THINGS BESIDES THE 1475 00:55:07,037 --> 00:55:08,638 LAWS, THERE WOULD BE CONSENSUS 1476 00:55:08,705 --> 00:55:10,907 ABOUT WELL OVER HALF, GUN OWNERS 1477 00:55:10,974 --> 00:55:12,175 THEMSELVES NOT ONLY WITH 1478 00:55:12,242 --> 00:55:14,077 MAJORITY OF U.S. CITIZENS WANT 1479 00:55:14,144 --> 00:55:16,079 BUT GUN OWNSER WANT. WE JUST 1480 00:55:16,146 --> 00:55:18,381 DON'T GET THEM. WE DON'T HAVE A 1481 00:55:18,448 --> 00:55:20,817 SYSTEM THAT ALLOWS US TO GET ALL 1482 00:55:20,884 --> 00:55:24,154 THOSE THINGS THAT WOULD BE GOOD 1483 00:55:24,220 --> 00:55:28,992 FOR US SO HARD TO FIND ALLIES 1484 00:55:29,059 --> 00:55:30,927 AMONG LEADERS OF THE NRA BECAUSE 1485 00:55:30,994 --> 00:55:33,363 OF A DIFFERENT AGENDA BUT THE 1486 00:55:33,430 --> 00:55:35,065 AVERAGE PERSON IT'S EASY FOR 1487 00:55:35,131 --> 00:55:36,833 PEOPLE WHO WORK AT GUN RANGES 1488 00:55:36,900 --> 00:55:38,301 AND PEOPLE WHO OWN GUN SHOPS, IT 1489 00:55:38,368 --> 00:55:38,668 IS NOT HARD. 1490 00:55:38,735 --> 00:55:41,805 >> CAN I FOLLOW-UP WITH A 1491 00:55:41,871 --> 00:55:44,107 RELATED QUESTION? I'M PREACHING 1492 00:55:44,174 --> 00:55:47,343 TO THE CHOIR. WHY SO MUCH 1493 00:55:47,410 --> 00:55:48,878 RESISTANCE TO THESE SENSIBLE 1494 00:55:48,945 --> 00:55:49,913 RECOMMENDATIONS YOU MAKE? I 1495 00:55:49,979 --> 00:55:52,515 DIDN'T HEAR YOU SAY BAN GUNS. 1496 00:55:52,582 --> 00:55:54,017 YOUR MESSAGE IS RISK REDUCTION 1497 00:55:54,084 --> 00:55:57,887 AND SAFETY IMPROVEMENTS. 1498 00:55:57,954 --> 00:56:00,323 >> AT THE INDIVIDUAL LEVEL THERE 1499 00:56:00,390 --> 00:56:01,991 IS NOT THAT MUCH RESISTANCE AT 1500 00:56:02,058 --> 00:56:03,226 ALL. EVERYBODY I TALK TO IS A 1501 00:56:03,293 --> 00:56:05,028 GUN OWNER SAYS THAT SOUNDS RIGHT 1502 00:56:05,095 --> 00:56:09,132 I THOUGHT YOU WANTED TO TAKE 1503 00:56:09,199 --> 00:56:09,833 EVERYBODY ISOGONS. IT IS NOW 1504 00:56:09,899 --> 00:56:11,101 AGAINST THE SECOND AMENDMENT TO 1505 00:56:11,167 --> 00:56:14,471 DO THAT. THAT IS EVERY'S GUNS. 1506 00:56:14,537 --> 00:56:17,907 THIS IS HARM REDUCTI REDUCTION. 1507 00:56:17,974 --> 00:56:20,143 POLITICAL ISSUE AND 1508 00:56:20,210 --> 00:56:21,411 UNFORTUNATELY EVEN THE PEOPLE 1509 00:56:21,478 --> 00:56:23,880 WHO WOULD LIKE TO SEE MOST OF 1510 00:56:23,947 --> 00:56:26,783 THE THINGS WE TALK ABOUT TOO 1511 00:56:26,850 --> 00:56:28,351 MANY OF THEM VOID FOR PEOPLE, 1512 00:56:28,418 --> 00:56:29,919 TAKE MONEY FROM THE NATIONAL 1513 00:56:29,986 --> 00:56:33,456 RIFLE ASSOCIATION, AND OTHER 1514 00:56:33,523 --> 00:56:36,760 GROUPS, THEY ARE -- THEY TRY TO 1515 00:56:36,826 --> 00:56:38,128 CONVINCE EVERYBODY THAT YOU DO 1516 00:56:38,194 --> 00:56:39,295 ONE GOOD THING AND THAT IS GOING 1517 00:56:39,362 --> 00:56:41,998 TO LEAD TO TERRIBLE THINGS IN 1518 00:56:42,065 --> 00:56:45,702 THE FUTURE. IT IS A POLITICAL 1519 00:56:45,769 --> 00:56:48,371 ISSUE, WE HAVE ONE PARTY IN THE 1520 00:56:48,438 --> 00:56:49,706 UNITED STATES WHO IS COALESCED. 1521 00:56:49,773 --> 00:56:51,808 THIS IS UNFORTUNATELY PART OF 1522 00:56:51,875 --> 00:56:53,176 THE CULTURE WARS. ALL THESE 1523 00:56:53,243 --> 00:56:54,277 OTHER THINGS ABOUT PART OF THE 1524 00:56:54,344 --> 00:56:56,412 CULTURE WARS TOO. NOT JUST GUN 1525 00:56:56,479 --> 00:57:00,183 ISSUE. WE HAVE TO FIGURE HOW TO 1526 00:57:00,250 --> 00:57:01,551 SEPARATE THE -- SOME OF THE 1527 00:57:01,618 --> 00:57:06,656 SILLY THINGS IN CULTURE WARS. 1528 00:57:06,723 --> 00:57:09,359 >> SO I WAS -- I HAVE ALWAYS 1529 00:57:09,425 --> 00:57:12,095 LIKED THE PROPOSITIONS FOR 1530 00:57:12,162 --> 00:57:13,663 MAKING SAFER GUNS. YOU TALKED 1531 00:57:13,730 --> 00:57:14,931 ABOUT SEVERAL EXAMPLES OF THAT 1532 00:57:14,998 --> 00:57:16,199 IN YOUR PRESENTATION. AND I 1533 00:57:16,266 --> 00:57:17,801 PROBABLY SHOULD HAVE START WITH 1534 00:57:17,867 --> 00:57:19,702 GREAT TALK. ENJOYED IT. BUT TO 1535 00:57:19,769 --> 00:57:24,407 GET TO THE QUESTION, YOU 1536 00:57:24,474 --> 00:57:25,441 COMPARED GUN SAFETY AND CAR 1537 00:57:25,508 --> 00:57:26,509 SAFETY, ONE OF THE THINGS THAT 1538 00:57:26,576 --> 00:57:28,178 STRUCK ME ABOUT THAT IS CARS 1539 00:57:28,244 --> 00:57:29,646 HAVE A RELATIVELY SHORT LIFE ON 1540 00:57:29,712 --> 00:57:33,383 THE ROAD SO IN FIVE YEARS TIME 1541 00:57:33,449 --> 00:57:37,253 PEOPLE WILL HAVE USUALLY SWAPPED 1542 00:57:37,320 --> 00:57:39,522 OUT CARS, THERE ARE CARS ON THE 1543 00:57:39,589 --> 00:57:40,824 ROAD LONGER CERTAINLY BUT 1544 00:57:40,890 --> 00:57:42,592 AVERAGE LIFE SPAN IS AROUND 5 1545 00:57:42,659 --> 00:57:42,859 YEARS. 1546 00:57:42,926 --> 00:57:43,893 >> IT IS LIKE 15 YEARS. 1547 00:57:43,960 --> 00:57:44,761 >> EITHER WAY. 1548 00:57:44,828 --> 00:57:47,764 >> YOU ARE TOO RICH. 1549 00:57:47,831 --> 00:57:50,600 >> I AM GIVING OUT MONEY FOR 1550 00:57:50,667 --> 00:57:53,937 ANYBODY WHO WANTS IT. EVEN SO, I 1551 00:57:54,003 --> 00:57:55,939 HAVE A SENSE THAT THE LIFE SPAN 1552 00:57:56,005 --> 00:57:57,207 OF A CAR IS SHORTER THAN THE 1553 00:57:57,273 --> 00:57:59,876 LIFE SPAN OF A GUN. HOW DO YOU 1554 00:57:59,943 --> 00:58:02,445 WHAT IS THE APPROACH FOR ONCE -- 1555 00:58:02,512 --> 00:58:04,280 IF WE CAN GET THROUGH THE 1556 00:58:04,347 --> 00:58:06,616 GETTING TO A POINT WE MAKE SAFER 1557 00:58:06,683 --> 00:58:08,251 GUNS HOW DO YOU SWAP THOSE GUNS? 1558 00:58:08,318 --> 00:58:13,756 THE SAFER ONES OUT THERE. 1559 00:58:13,823 --> 00:58:15,325 >> WHEN YOU TALK DURABLE GOODS 1560 00:58:15,391 --> 00:58:21,130 THERE IS AN ISSUE IN THE INJURY 1561 00:58:21,197 --> 00:58:25,335 WORLD SO THAT SOFAS WERE LESS 1562 00:58:25,401 --> 00:58:27,203 FLAMMABLE, OVER TIME, TIME 1563 00:58:27,270 --> 00:58:29,205 PASSES, WHICH IS NICE, AND THE 1564 00:58:29,272 --> 00:58:31,040 STOCK CHANGES AND CHANGES, 1565 00:58:31,107 --> 00:58:32,475 SECONDLY, MOST, THERE IS A LOT 1566 00:58:32,542 --> 00:58:34,744 OF OLD GUNS OUT THERE, PEOPLE 1567 00:58:34,811 --> 00:58:36,212 DON'T USE OLD GUNS OFTEN. 1568 00:58:36,279 --> 00:58:39,215 PARTICULARLY IN CRIME, IF YOU 1569 00:58:39,282 --> 00:58:40,183 ARE SOMEONE GOING TO COMMIT A 1570 00:58:40,250 --> 00:58:41,117 CRIME YOU DON'T WANT ANT OLD 1571 00:58:41,184 --> 00:58:43,653 GUN. THE OLD GUN MAY NOT WORK AS 1572 00:58:43,720 --> 00:58:45,688 WELL BUT SECONDLY, THERE MAYBE 1573 00:58:45,755 --> 00:58:47,023 PROBLEMS. HOW DID YOU GET THE 1574 00:58:47,090 --> 00:58:49,559 OLD GUN, YOU GOT IT MAYBE 1575 00:58:49,626 --> 00:58:50,727 ILLEGALLY, PEOPLE TALK ABOUT 1576 00:58:50,793 --> 00:58:52,629 MAYBE A BODY ON IT. THIS GUN MAY 1577 00:58:52,695 --> 00:58:53,596 HAVE BEEN USED TO DO OTHER 1578 00:58:53,663 --> 00:58:54,831 THINGS WHICH NOW YOU CAN BE 1579 00:58:54,898 --> 00:58:58,468 CHARGED WITH. SO ALMOST ALWAYS 1580 00:58:58,534 --> 00:59:02,839 PEOPLE ARE USING PRETTY NEW 1581 00:59:02,906 --> 00:59:06,409 GUNS. SO IT IS LIKE FOR IN THE 1582 00:59:06,476 --> 00:59:08,778 CITIES WHERE THERE AREN'T MANY 1583 00:59:08,845 --> 00:59:10,847 GUNS, IT IS TYPICALLY A NEW 1584 00:59:10,914 --> 00:59:12,548 GENERATION COMES ALONG, HOW DO 1585 00:59:12,615 --> 00:59:16,920 THEY GET GUNS? NOT USE THEIR 1586 00:59:16,986 --> 00:59:18,288 FATHER'S GUNS THEY TRYING TO GET 1587 00:59:18,354 --> 00:59:20,390 THE NEW GUNS THE HOTTEST GUNS 1588 00:59:20,456 --> 00:59:21,858 WHATEVER. AND IF THE YOU MAKE IT 1589 00:59:21,925 --> 00:59:24,894 HARDER FOR THEM OR MAKE THEM -- 1590 00:59:24,961 --> 00:59:28,298 IT IS VERY HYMNFUL. -- HELPFUL. 1591 00:59:28,364 --> 00:59:29,832 ONE OF THE THINGS IN POST 1592 00:59:29,899 --> 00:59:32,101 PSYCHOLOGY AND ECONOMICS WORLD, 1593 00:59:32,168 --> 00:59:33,236 I HAVE BEEN TRAINED IN IS YOU 1594 00:59:33,303 --> 00:59:35,038 WANT PEOPLE NOT TO DO THINGS AS 1595 00:59:35,104 --> 00:59:37,307 MUCH JUST MAKE IT HARDER, JUST 1596 00:59:37,373 --> 00:59:39,375 RAISE THE PRICE. THAT'S WHAT WE 1597 00:59:39,442 --> 00:59:43,212 LEARNED ABOUT SUGER SWEETENED 1598 00:59:43,279 --> 00:59:44,781 BEVERAGE IS TOXIC, RAISE THE 1599 00:59:44,847 --> 00:59:46,416 PRICE A LITTLE AND IT HAS 1600 00:59:46,482 --> 00:59:48,318 EFFECT. THAT IS WHAT IT IS 1601 00:59:48,384 --> 00:59:49,719 DOING, RAISING THE PRICE TO MAKE 1602 00:59:49,786 --> 00:59:50,954 IT HARDER TO GET THE WRONG KINDS 1603 00:59:51,020 --> 00:59:54,190 OF THINGS. THE LONGER WE ALLOW 1604 00:59:54,257 --> 00:59:55,825 AK 47s OUT THERE, MORE PEOPLE 1605 00:59:55,892 --> 01:00:00,163 BUY HEM THE HARDER TO GET RID OF 1606 01:00:00,229 --> 01:00:02,665 THEM. AUSTRALIA FOUGHT BACK -- 1607 01:00:02,732 --> 01:00:07,270 BOUGHT BACK ALL THEIR ASSAULT 1608 01:00:07,337 --> 01:00:09,172 WEAPONS AND AT LEAST 18 YEARS 1609 01:00:09,238 --> 01:00:12,575 STOPPED HAVING MASS SHOOTINGS. 1610 01:00:12,642 --> 01:00:13,910 WHO KNOWS CAUSE AND EFFECT BUT 1611 01:00:13,977 --> 01:00:16,913 GEE, THEY HAD A LOT, 11 PREVIOUS 1612 01:00:16,980 --> 01:00:19,182 18 YEARS AND ZERO IN THE NEXT 18 1613 01:00:19,248 --> 01:00:21,517 YEARS SO LOOKS GOOD. BUT THERE'S 1614 01:00:21,584 --> 01:00:23,286 THEN YOU HAVE TO FIGURE OUT DO 1615 01:00:23,353 --> 01:00:24,654 YOU WANT -- PEOPLE SAY YOU WANT 1616 01:00:24,721 --> 01:00:26,289 TO GRANDFATHER THINGS OR NOT OR 1617 01:00:26,356 --> 01:00:30,593 YOU CAN BUY THINGS BACK OR JUST 1618 01:00:30,660 --> 01:00:32,862 LET TIME -- PUTTING IN AIR BAGS 1619 01:00:32,929 --> 01:00:35,898 IS THE SAME. CARS LAST 15 TO 17 1620 01:00:35,965 --> 01:00:38,468 YEARS, TAKE A LONG TIME, I CAN 1621 01:00:38,534 --> 01:00:40,436 TELL YOU AT MY AGE 17 YEARS DOES 1622 01:00:40,503 --> 01:00:43,873 NOT SEEM THAT LONG ANY MORE. 1623 01:00:43,940 --> 01:00:46,542 >> CONCLUDE WITH A EXCELLENT 1624 01:00:46,609 --> 01:00:48,778 FROM -- THIS IS THE NIH OFFICE 1625 01:00:48,845 --> 01:00:50,613 OF BEHAVIORAL AND SOCIAL 1626 01:00:50,680 --> 01:00:52,849 SCIENCES RESEARCH. SO THEY WRITE 1627 01:00:52,915 --> 01:00:53,750 SOMEONE WRITES THANK YOU FOR 1628 01:00:53,816 --> 01:00:55,585 YOUR TALK. I WOULD LIKE TO MAKE 1629 01:00:55,651 --> 01:00:57,353 SURE THE NIH AUDIENCE IS AWARE 1630 01:00:57,420 --> 01:00:59,122 THAT THERE ARE -- THERE HAS BEEN 1631 01:00:59,188 --> 01:01:00,890 AN ACTIVE AND GROWING PORTFOLIO 1632 01:01:00,957 --> 01:01:02,792 OF NIH SUPPORTED RESEARCH IN 1633 01:01:02,859 --> 01:01:05,962 FIREARM INJURY PREVENTION. 1634 01:01:06,029 --> 01:01:07,663 INCLUDING SUICIDE PREVENTION 1635 01:01:07,730 --> 01:01:09,699 ADDRESSING MANY ISSUES DISCUSSED 1636 01:01:09,766 --> 01:01:11,300 TODAY AND MUCH OF THE WORK IN 1637 01:01:11,367 --> 01:01:15,004 PARTNERSHIP WITH COMMUNITIES GUN 1638 01:01:15,071 --> 01:01:17,473 OWNERS, ET CETERA. THEY GIVE A 1639 01:01:17,540 --> 01:01:17,774 WEBSITE. 1640 01:01:17,840 --> 01:01:19,909 >> LET ME ASK YOU THIS. WHAT 1641 01:01:19,976 --> 01:01:21,411 PERCENT OF THE NIH BUDGET ARE WE 1642 01:01:21,477 --> 01:01:21,878 TALKING ABOUT? 1643 01:01:21,944 --> 01:01:26,449 >> LET ME JUST SEE. 1644 01:01:26,516 --> 01:01:28,418 OPERATOR: EPSILON? THAT SOUND 1645 01:01:28,484 --> 01:01:29,252 LIKE THE RIGHT NUMBER? 1646 01:01:29,318 --> 01:01:33,589 >> HIGHER THAN ZERO. 1647 01:01:33,656 --> 01:01:36,793 >> THE FASTEST GROWING FROM 1648 01:01:36,859 --> 01:01:38,094 VIRTUALLY ZERO. 1649 01:01:38,161 --> 01:01:45,034 >> THERE YOU GO. CME CODE IS 1650 01:01:45,101 --> 01:01:45,435 50108. 1651 01:01:45,501 --> 01:01:47,804 >> I WANT TO THANK DR. HEMENWAY 1652 01:01:47,870 --> 01:01:49,038 FROM COMING BRAVING THE COLD 1653 01:01:49,105 --> 01:01:50,573 WEATHER AND THOSE IN THE 1654 01:01:50,640 --> 01:01:51,974 AUDIENCE ATTENDING THE LECTURE 1655 01:01:52,041 --> 01:01:54,777 AND THOSE ONLINE, ENJOY YOUR HOT 1656 01:01:54,844 --> 01:01:57,280 CHOCOLATE AND WE'LL EAT THE 1657 01:01:57,346 --> 01:02:00,016 COOKIES. UNTIL NEXT TIME. THANK 1658 01:02:00,083 YOU.