Guns overtook car crashes to become the leading cause of death for US children and teenagers in 2020. Data from the Centers for Disease Control and Prevention (CDC) shows that over 4,300 young Americans died of firearm-related injuries in 2020. While suicides contributed to the toll, the data shows that homicides form the majority of gun-related deaths. More than 390 million guns are owned by US civilians. According to the research - which was published this week in the New England Journal Medicine - the rise in gun-related deaths among Americans between the ages of one and 19 was part of an overall 33.4% increase in firearm homicides nationwide. The overall rate of gun deaths of all reasons - suicide, homicide, unintentional and undetermined - among children and teenagers rose by 29.5%, more than twice that of the wider population. "We continue to fail to protect our youth from a preventable cause of death," said a research letter. The rate of gun-related deaths per 100,000 residents rose among both men and women and across ethnic demographics between 2019 and 2020, with the largest increase among black Americans. In past years, gun-related deaths were second only to car crashes as the leading cause of death among young Americans. Incidents of drug overdoses and poisonings rose 83.6% between 2019 and 2020, and now are the third leading cause of death in that age group.