Who considers it horrific and in what context?

Here are some common causes of death for ages 20-29 in the USA[1]:

Poisoning kills 460 ppm

suicide kills 336 ppm

Motor vehicles kill 331 ppm

Homicide kills 245 ppm

Heart disease kills 80 ppm

[1] https://webappa.cdc.gov/sasweb/ncipc/leadcause.html