Korean J Aerosp Environ Med.
2015 Dec;25(3):67-70.
Aircraft-Assisted Pilot Suicide: Its Realities and Prevention Strategies
- Affiliations
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- 1Department of Psychiatry, Inha University College of Medicine, Incheon, Korea
Abstract
- The crash of Germanwings flight 9525 was tremendously shocking disaster because it has been turned
out that the co-pilot, Andreas Lubitz, deliberately descended the plane to the crash site while the pilot
locked out of the cockpit. It also has been revealed that Lubitz had been treated for suicidal tendencies
before getting his pilot license and was taking prescription drugs for depression and anxiety. Aftermath,
international debate took place on the issues of regulatory measures for pilots’ mental illnesses for
prevention of aircraft-assisted suicide. In this review, previous results on aircraft-assisted suicide and
possible ways of its prevention were discussed. Aircraft-assisted suicide is still very uncommon,
accounting for less than 0.5% of all fatal aviation accidents. Suicide can be resulted from complex
interactions among bio-psycho-social factors which constitute the “stress-diathesis model”. Excessively
strict regulation for depression would foment pilots to conceal their mental problems and it would rather
compromise aviation safety. Statistically, the strongest risk factor of aircraft-assisted suicide is being
alone in the cockpit (odds ratio=38.7). Overall, it is important to provide easy access to confidential mental
health service and to ensure the “rule of two” in the cockpit to prevent pilot suicide and promote aviation safety.