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Abstract
Violence-related injuries, including suicide, adversely affect the health and welfare
of all Americans through premature death, disability, medical costs, and lost productivity.
Estimating the magnitude of the economic burden of violence is critical for understanding
the potential amount of resources that can be saved if cost-effective violence prevention
efforts can be broadly applied. From 2003 to 2005, the lifetime medical costs and
productivity losses associated with medically treated injuries due to interpersonal
and self-directed violence occurring in the United States in 2000 were assessed.
Several nationally representative data sets were combined to estimate the incidence
of fatal and nonfatal injuries due to violence. Unit medical and productivity costs
were computed and then multiplied by corresponding incidence estimates to yield total
lifetime costs of violence-related injuries occurring in 2000.
The total costs associated with nonfatal injuries and deaths due to violence in 2000
were more than $64.8 [corrected] billion. Most of this cost ($64.4 billion or 92%)
was due to lost productivity. However, an estimated $5.6 billion was spent on medical
care for the more than 2.5 million injuries due to interpersonal and self-directed
violence.
The burden estimates reported here provide evidence of the large health and economic
burden of violence-related injuries in the U.S. But the true burden is likely far
greater and the need for more research on violence surveillance and prevention are
discussed.