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Evaluation of California's Armed and Prohibited Persons System

Prospective Evaluation of California's Armed and Prohibited Persons System

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02318732
Acronym
APPS
Enrollment
20000
Registered
2014-12-17
Start date
2015-02-01
Completion date
2026-11-01
Last updated
2026-09-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Violence

Keywords

violence

Brief summary

This study evaluates exposure to California's Armed and Prohibited Persons System (APPS) and risk of future violence and other important outcome events among individuals who legally purchased firearms in the past but have since become prohibited from owning them. The main hypothesis is that APPS will be associated with a significant reduction in risk for future violence among individuals who are directly affected.

Detailed description

Violence remains an important public safety and public health problem. Prior research has shown that denying firearm purchases by individuals who are at high risk for committing violent crimes, thereby restricting their access to firearms, is an effective violence prevention strategy. The Armed and Prohibited Persons System (APPS) is a new violence prevention initiative undertaken by the California Department of Justice (CalDOJ). APPS is used by law enforcement to systematically identify persons who, having legally purchased firearms in the past, have become prohibited persons in the present-usually as the result of a criminal conviction. Such individuals are at increased risk for future violence. APPS uses existing data to identify firearm owners among persons who have become prohibited from owning or possessing firearms under California or federal law. CalDOJ then uses this information to contact and attempt recovery of firearms in the possession of prohibited individuals. This controlled prospective longitudinal evaluation of APPS relies principally on data collected by CalDOJ in the course of APPS operations or on data in the public domain, such as community characteristics published by the U.S. Census Bureau. To maximize fairness during the implementation of APPS, approximately 1,000 California communities will be stratified by region, population, and violent crime rate and randomized into two groups that will be exposed to APPS at different times during the study period. Hierarchical analysis will examine outcomes for individuals clustered at the community level. The principal analysis will be on an intent to treat basis. A secondary per protocol analysis will also be conducted.

Interventions

BEHAVIORALAPPS intervention

Contact with and recovery of firearms from individuals who are prohibited from possessing them

Sponsors

University of California, Davis
Lead SponsorOTHER
Rutgers University
CollaboratorOTHER
Stanford University
CollaboratorOTHER
Northeastern University
CollaboratorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Adults with records of firearms ownership who have experienced a prohibiting event. Prohibiting events are based in Federal and California state law. Among others, they include criminal convictions for felonies and selected violent misdemeanors; emergency hospitalization for dangerousness associated with severe mental illness, as specified in statute; and status as respondent to a domestic violence restraining order.

Exclusion criteria

* None.

Design outcomes

Primary

MeasureTime frameDescription
Incidence of arrest for violent and firearm-related crimesUp to 3 yearsArrests for violent and firearm-related crimes among persons eligible for the APPS intervention

Secondary

MeasureTime frameDescription
Incidence of arrest for non-violent, non firearms-related crimesUp to 3 yearsArrests for crimes not involving violence or firearms among persons eligible for the APPS intervention
Incidence of emergency mental health hospitalizationsUp to 3 yearsEmergency mental health hospitalizations following a determination of dangerousness to self or others or grave disability among persons eligible for the APPS intervention
Incidence of domestic violence restraining ordersUp to 3 yearsDomestic violence restraining orders among persons eligible for the APPS intervention

Countries

United States

Contacts

PRINCIPAL_INVESTIGATORGaren J Wintemute, MD, MPH

University of California, Davis

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Sep 15, 2026