“…In 1994, Cook et al estimated the national cost of GSWs to be $17,000 for acute-care and follow-up treatment, amounting to $2.3 billion in lifetime costs, with US taxpayers responsible for nearly half of that cost 34 . In a study of selfinflicted injuries, GSWH were found to have a significantly greater financial burden with a mean treatment cost of $117,338 35 . This is similar to the calculated mean, independent of injury etiology, in our study of $113,023 which amounted to a total cohort admission cost of $11,867,415.…”