ED Psychiatric Boarding of Children Worsens Nationwide
Penn LDI Senior Fellow Dominic Sisti Cites “Alarming Levels”
In Their Own Words
The following excerpt is from an op-ed that first appeared in the Philadelphia Inquirer on January 24th, 2025.
Last year, the surgeon general declared that gun violence is a public health crisis, noting firearms are the leading cause of death in children and teens. Gun deaths of children and teens in our city are not random; almost all of them occur in low-child-opportunity neighborhoods.
It’s the difference between four pediatric gun injuries in Society Hill and 163 injuries in Strawberry Mansion — just five miles away — during the same eight-year time frame.
In my recent study, I analyzed pediatric firearm injury data for children and teens aged 0-19 years in Philadelphia, from 2015 to 2023. I found that children and teens who lived in a low-opportunity neighborhood were two and a half times more likely to sustain a gun injury, and were more likely to die from their injury.
In my study, I used the Child Opportunity Index — a composite index of indicators across health, education, physical environment, and socioeconomic status based on where children and teens live. While I expected many injuries would occur in low-opportunity neighborhoods, I was shocked to find almost all these injuries and deaths occurred in low-opportunity neighborhoods. We also found stark racial disparities: 97% of pediatric firearm injuries (and 96% of deaths) in Philadelphia were among Black and Hispanic children and teens.
Read the entire op-ed here.

Penn LDI Senior Fellow Dominic Sisti Cites “Alarming Levels”
Failure to Include Diverse Populations Undermines Innovation in the Age of Precision Medicine
A Wharton–Netter Center Collaboration Uses Experiential Learning to Build a Health Care Workforce Pipeline
The Odd Paradox of the Big Beautiful Bill’s Health Care Goals
Lower Pay for Black and Hispanic Patients Drives Unequal Access to Care
Penn LDI’s Antonia Villarruel and 10 Other Authors Map Social Determinants Across Multiple Racial and Ethnic Groups