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Prominent theoretical perspectives applied to the victim-offender overlap typically focus on individual heterogeneity in traits related to risky behaviors or apply a lifestyle approach to consider differential exposure to risky situations. Gun-related offending provides a meaningful context to further develop both types of explanations. Extant literature has identified individual-level traits linked to violent offending and victimization. It also supports gun carrying as a key lifestyle characteristic. This study applies a life course approach to closely examine juvenile involvement in gun violence as victims and offenders. We use a unique dataset linking the health information (e.g., medical history, records from well visits) and criminal justice records (e.g., pre-sentencing reports, charges) of 440 youth court-ordered to participate in a violence prevention program in Indianapolis, IN between 2016 and 2019. All participants in the sample were charged with at least one gun or violent offense and around 24% were victims of a criminal shooting or died. We conduct a series of between- and within-individual analyses assessing the relationship between developmental risk factors, offending, and victimization. The implications for theory and policy are discussed.