Nationally, homicide and suicide are the 2nd and 3rd leading causes of death among children and youth under the age of 21. Sixteen to 19-year-olds now have the highest rate of handgun victimization among all age groups. The firearm suicide rate for White males is over 4 times higher than the rate for African American males, whereas the firearm homicide rate is over 9 times higher for African American males. Almost half of all deaths among African American male teenagers now involve firearms. Multiple steps, both short- and long-term, need to be taken to reduce firearm death rates among children and youth. Some of the possible methods to do so are discussed.