We argue that Americans’ policy attitudes on firearm availability are influenced by the identity of the prospective owner. We use an experiment to demonstrate that attitudes towards gun control/availability are influenced by both race and gender; whether subjects are primed to think of African-Americans versus whites or men versus women has a substantial impact on the degree to which they support firearm access. We find that for many white Americans, Black men and white women stand on opposite poles – priming white Americans with the thought of a Black man decreases support for gun availability, whereas priming the thought of a white woman increases support for gun availability. Further, the magnitude of this effect is quite large – comparable to the difference between Democrats and Republicans. These findings underscore the importance of thinking about the complicated role identity groups play in understanding Americans’ preferences for government (in)action, even in policy areas with explicit Constitutional mandates.

The private ownership of firearms for participation in shooting sports, subject to a rigorous process of certification by the police, is not uncommon in the UK. Primary care medical involvement in this process is currently a contentious issue. The mental health of firearms owners is clearly germane to public safety: suicide is by far the greatest concern, alongside security breaches. Homicide committed with legally held firearms is very rare: there is very little cross-over between legitimate shooting sports and crime involving firearms. The perpetrators of family annihilation and single-incident mass killings using firearms in the UK have not been known to psychiatry, although a minority have been found to be mentally disordered post hoc. Regarding suicidality, there is little if any difference between those at risk who own firearms and those who do not, excepting that firearm suicide attempts are highly likely to be fatal. Guidance is offered in this article on the identification of patients who own firearms, the evaluation of risks and how to manage these in practical terms.