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Two facts dominate the gun-death record and almost cancel each other in the public mind. The first: gun homicide is a story of a peak and a long decline. The rate climbed into a 1974 high, surged again to about 7.0 per 100,000 in 1993, then fell for two decades to a 3.5 low in 2013 — a collapse most people never registered because crime news doesn't cover trends that go down. A pandemic-era spike (2020–2021) pushed it back up, but by 2024 it had fallen again to 4.7.
The second, quieter fact: suicide has risen almost without pause, from 10,911 deaths in 1968 to 27,593 in 2024 — and now makes up 62% of all gun deaths. When people picture "gun violence" they picture homicide; the data is mostly about something else. All of this plays out on top of a civilian arsenal that kept growing past the size of the population — roughly 393 million firearms, about 120 per 100 residents.
Source: CDC WONDER, via the 1968–2022 half-century analysis (PMC) and Pew (2024). All-intents totals; "other" deaths (police, accidental, undetermined) make up the gap between the totals and the two named series. CDC coded 1968–1978 as "firearms or explosives," 1979 on as firearms only.
Raw counts rise with population. Age-adjusted rates per 100,000 are the honest way to compare across half a century.
Among wealthy nations the United States is not an outlier by degree but by category. Its overall firearm-death rate runs roughly 11 times that of other high-income countries; for gun homicide specifically the gap is far larger — on the order of 25×. Studies of the high-income world find the U.S. accounts for the overwhelming majority of its gun deaths despite being a minority of its population. The civilian firearm stock — the highest per-person on Earth — is the variable that most cleanly separates the U.S. from its peers.