In 2024, the Tennessee General Assembly passed SB1657/HB1846, legislation that requires the Tennessee Department of Health to submit an annual report to the Governor, detailing the total number of firearm injuries and deaths, as well as certain demographics, caused by firearms in this state per 100,000 people that occurred in the previous calendar year.

​

• Below is a table listing all Tennessee counties based on their rate of firearm death per 100,000 over five years, from 2019 to 2023.​

• Firearm deaths include all gun deaths, regardless of intent.​

• While homicide rates of occurrence are higher in larger metros, small metropolitan counties had the highest rate of occurrence for firearm suicides.

• Suicides are the leading cause of firearm death nationally and in Tennessee.​

• The statewide average for this five year period was 21.2 deaths per 100,000.