OBJECTIVE: To report the prevalence of weapons involved in the victimization of youth with particular emphasis on weapons with a “high lethality risk” and how such exposure fits into the broader victimization and life experiences of children and adolescents.

RESULTS: Estimates from the Second National Survey of Children’s Exposure to Violence indicate that >17.5 million youth in the United States have been exposed to violence involving a weapon in their lifetimes as witnesses or victims, or >1 in 4 children. More than 2 million youth in the United States (1 in 33) have been directly assaulted in incidents where the high lethality risk weapons of guns and knives were used. Differences were noted between victimizations involving higher and lower lethality risk weapons as well as between any weapon involvement versus none. Poly-victims, youth with 7 or more victimization types, were particularly likely to experience victimization with any weapon, as well as victimization with a highly lethal weapon compared with nonpoly-victims.