Vuorio Alpo, Laukkala Tanja, Navathe Pooshan, Budowle Bruce, Eyre Anne, Sajantila Antti
Mehiläinen Airport Health Centre, Vantaa and Finnish Institute of Occupational Health, Lappeenranta, Finland.
Aviat Space Environ Med. 2014 Aug;85(8):841-6. doi: 10.3357/ASEM.4000.2014.
Aircraft assisted suicides were studied in the United States, United Kingdom, Germany, and Finland during 1956-2012 by means of literature search and accident case analysis. According to our study the frequency varied slightly between the studies. Overall, the new estimate of aircraft assisted suicides in the United States in a 20-yr period (1993-2012) is 0.33% (95% CI 0.21-0.49) (24/7244). In the detailed accident case analysis, it was found that in five out of the eight cases from the United States, someone knew of prior suicidal ideation before the aircraft assisted fatality. The caveats of standard medico-legal autopsy and accident investigation methods in investigation of suspected aircraft assisted suicides are discussed. It is suggested that a psychological autopsy should be performed in all such cases. Also the social context and possibilities of the prevention of aviation-related suicides were analyzed. In addition, some recent aircraft assisted suicides carried out using commercial aircraft during scheduled services and causing many casualties are discussed.
1956年至2012年期间，通过文献检索和事故案例分析，对美国、英国、德国和芬兰的飞机辅助自杀情况进行了研究。根据我们的研究，不同研究之间的频率略有差异。总体而言，美国在20年期间（1993年至2012年）飞机辅助自杀的新估计发生率为0.33%（95%置信区间0.21 - 0.49）（24/7244）。在详细的事故案例分析中，发现美国八起案例中有五起，在飞机辅助导致死亡之前有人知晓先前的自杀意念。讨论了在疑似飞机辅助自杀调查中标准法医学尸检和事故调查方法的局限性。建议对所有此类案例进行心理解剖。此外，还分析了预防航空相关自杀的社会背景和可能性。另外，还讨论了一些近期在定期航班服务期间使用商业飞机实施的、造成多人伤亡的飞机辅助自杀事件。
