Alcohol use plays a primary role in gun violence, wrote Deni Carise of the University of Pennsylvania Medical School in the Philadelphia Inquirer.
A startling 48 percent of homicide offenders were reportedly under the  influence of alcohol at the time of the offense, and 37 percent were  intoxicated, according to an analysis by University of North Carolina  researchers who reviewed more than 23 independent studies examining 8,265  homicide offenders in nine countries. 
In the United States, guns are the leading  cause of homicide and suicide.
"Both acute alcohol intoxication and chronic alcohol misuse are strongly  associated with risk for committing firearm violence, whether that violence is  directed at others or at oneself," said Garen J. Wintemute, founding director of  the Violence Prevention Research Program at the University of California, Davis.  He added that of the nearly 400,000 firearm-related U.S. deaths in 12 years, "it  is probable that more than a third of these deaths involve alcohol."
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