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      Copycats in Pilot Aircraft-Assisted Suicides after the Germanwings Incident

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          Abstract

          Aircraft-assisted pilot suicide is a rare but serious phenomenon. The aim of this study was to evaluate changes in pilot aircraft-assisted suicide risks, i.e., a copycat effect, in the U.S. and Germany after the Germanwings 2015 incident in the French Alps. Aircraft-assisted pilot suicides were searched in the U.S. National Transportation Safety Board (NTSB) accident investigation database and in the German Bundestelle für Flugunfalluntersuchung (BFU) Reports of Investigation database five years before and two years after the deliberate crash of the Germanwings flight into the French Alps in 2015. The relative risk (RR) of the aircraft-assisted pilot suicides was calculated. Two years after the incident, three out of 454 (0.66%) fatal incidents were aircraft-assisted suicides compared with six out of 1292 (0.46%) in the prior five years in the NTSB database. There were no aircraft-assisted pilot suicides in the German database during the two years after or five years prior to the Germanwings crash. The relative aircraft-assisted pilot suicide risk for the U.S. was 1.4 (95% CI 0.3–4.2) which was not statistically significant. Six of the pilots who died by suicide had told someone of their suicidal intentions. We consider changes in the rate to be within a normal variation. Responsible media coverage of aircraft incidents is important due to the large amount of publicity that these events attract.

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          Most cited references44

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          Social media and suicide prevention: a systematic review.

          Social media platforms are commonly used for the expression of suicidal thoughts and feelings, particularly by young people. Despite this, little is known about the ways in which social media can be used for suicide prevention. The aim of this study was to conduct a systematic review to identify current evidence pertaining to the ways in which social media are currently used as a tool for suicide prevention.
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            Media Roles in Suicide Prevention: A Systematic Review

            The aim of the current systematic review was to monitor and provide an overview of the research performed about the roles of media in suicide prevention in order to find out possible effects media reporting on suicidal behaviours might have on actual suicidality (completed suicides, attempted suicides, suicidal ideation). The systematic review was performed following the principles of the PRISMA statement and includes 56 articles. Most of the studies support the idea that media reporting and suicidality are associated. However, there is a risk of reporting bias. More research is available about how irresponsible media reports can provoke suicidal behaviours (the ‘Werther effect’) and less about protective effect media can have (the ‘Papageno effect’). Strong modelling effect of media coverage on suicide is based on age and gender. Media reports are not representative of official suicide data and tend to exaggerate sensational suicides, for example dramatic and highly lethal suicide methods, which are rare in real life. Future studies have to encounter the challenges the global medium Internet will offer in terms of research methods, as it is difficult to define the circulation of news in the Internet either spatially or in time. However, online media can provide valuable innovative qualitative research material.
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              Suicide in the media: a quantitative review of studies based on non-fictional stories.

              Research on the effect of suicide stories in the media on suicide in the real world has been marked by much debate and inconsistent findings. Recent narrative reviews have suggested that research based on nonfictional models is more apt to uncover imitative effects than research based on fictional models. There is, however, substantial variation in media effects within the research restricted to nonfictional accounts of suicide. The present analysis provides some explanations of the variation in findings in the work on nonfictional media. Logistic regression techniques applied to 419 findings from 55 studies determined that: (1) studies measuring the presence of either an entertainment or political celebrity were 5.27 times more likely to find a copycat effect, (2) studies focusing on stories that stressed negative definitions of suicide were 99% less likely to report a copycat effect, (3) research based on television stories (which receive less coverage than print stories) were 79% less likely to find a copycat effect, and (4) studies focusing on female suicide were 4.89 times more likely to report a copycat effect than other studies. The full logistic regression model correctly classified 77.3% of the findings from the 55 studies. Methodological differences among studies are associated with discrepancies in their results.
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                Author and article information

                Journal
                Int J Environ Res Public Health
                Int J Environ Res Public Health
                ijerph
                International Journal of Environmental Research and Public Health
                MDPI
                1661-7827
                1660-4601
                11 March 2018
                March 2018
                : 15
                : 3
                : 491
                Affiliations
                [1 ]Mehiläinen Kielotie Health Centre, Vantaa 01300, Finland; tanja.laukkala@ 123456kela.fi
                [2 ]Department of Forensic Medicine, University of Helsinki and Mehiläinen Airport Health Centre, Lentäjäntie 1 E, 01530 Vantaa, Finland
                [3 ]Royal Free Hospital, Pond Street, London NW3 2QG, UK; robertbor@ 123456hotmail.com
                [4 ]Centre for Aviation Psychology, London NW3 1ND, UK
                [5 ]Center for Human Identification, University of North Texas Health Science Center, 3500 Camp Bowie Blvd., Fort Worth, TX 76107, USA; bruce.budowle@ 123456unthsc.edu
                [6 ]Center of Excellence in Genomic Medicine Research (CEGMR), King Abdulaziz University, Jeddah 21577, Saudi Arabia
                [7 ]The Maitland Hospital, Maitland 2320, Australia; pooshan.navathe@ 123456hnehealth.nsw.gov.au
                [8 ]Faculty of Social Sciences, University of Tampere, 33100 Tampere, Finland; eero.pukkala@ 123456cancer.fi
                [9 ]Department of Forensic Medicine, University of Helsinki, 00014 Helsinki, Finland; Antti.sajantila@ 123456helsinki.fi
                Author notes
                [* ]Correspondence: alpo.vuorio@ 123456gmail.com ; Tel.: +358-50-500-4507; Fax: +358-010-414-2799
                [†]

                These authors contribute equally to this work

                Author information
                https://orcid.org/0000-0002-7361-0964
                Article
                ijerph-15-00491
                10.3390/ijerph15030491
                5877036
                29534475
                d7d6aeeb-5356-45f1-a27b-b48a917b03c2
                © 2018 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 18 January 2018
                : 08 March 2018
                Categories
                Article

                Public health
                aircraft-assisted pilot suicide,copycat phenomenon,werther effect,aviation safety

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