Evidence map›Paper›PMID 30424489›Full record

ArticleInternational journal of environmental research and public health2018

Aircraft-Assisted Pilot Suicides in the General Aviation Increased for One-Year Period after 11 September 2001 Attack in the United States.

Alpo Vuorio, Tanja Laukkala, Ilkka Junttila, Robert Bor, Bruce Budowle, Eero Pukkala, Pooshan Navathe, Antti Sajantila

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.4field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
  2. Black Swan Pandemic and the Risk of Pilot Suicide.Frontiers in public health · 2020
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 3 countries.

Alpo VuorioMehiläinen Airport Health Centre, 01530 Vantaa, Finland. alpo.vuorio@gmail.com.
Tanja LaukkalaMehiläinen Kielotie Health Centre, 01300 Vantaa, Finland. tanja.laukkala@duodecim.fi.ORCID 0000-0002-7361-0964
Ilkka JunttilaFaculty of Medicine and Life Sciences, University of Tampere, Finland and Fimlab Laboratories, 33014 Tampere, Finland. ilkka.junttila@uta.fi.
Robert BorRoyal Free Hospital, Pond Street, London NW3 2QG, UK. robertbor@hotmail.com.
Bruce BudowleCenter for Human Identification, University of North Texas Health Science Center, 3500 Camp, Bowie Blvd, Fort Worth, TX 76107, USA. bruce.budowle@unthsc.edu.
Eero PukkalaFaculty of Social Sciences, University of Tampere, 33014 Tampere, Finland. Eero.Pukkala@cancer.fi.
Pooshan NavatheThe Maitland Hospital, Maitland 2320, Australia. Pooshan.Navathe@hnehealth.nsw.gov.au.
Antti SajantilaDepartment of Forensic Medicine, University of Helsinki, 00014 Helsinki, Finland. antti.sajantila@helsinki.fi.
University of Helsinki · FITampere University · FITampere University · FIThe Royal Free Hospital · GBUniversity of North Texas · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pilot aircraft-assisted suicides (AAS) are rare, and there is limited understanding of copycat phenomenon among aviators. The aim of this study was to evaluate the possible effect the 11 September 2001, terrorist attacks had on pilot AASs in the U.S. Fatal aviation accidents in the National Transportation Safety Board (NTSB) database were searched using the following search words: "suicide", "murder-suicide" and "homicide-suicide". The timeline between 11 September 1996, and 11 September 2004, was analyzed. Only those accidents in which NTSB judged that the cause of the accident was suicide were included in the final analysis. The relative risk (RR) of the pilot AASs in all fatal accidents in the U.S. was calculated in order to compare the one, two, and three-year periods after the September 11 terrorist attacks with five years preceding the event. The RR of a fatal general aviation aircraft accident being due to pilot suicide was 3.68-fold (95% confidence interval 1.04⁻12.98) during the first year after 11 September 2001, but there was not a statistically significant increase in the later years. This study showed an association, albeit not determinate causal effect, of a very specific series of simultaneous terrorist murder-suicides with subsequent pilot AASs.

Indexed as

Accidents, AviationAdultFemaleHumansMaleMiddle AgedPilotsRisk FactorsSuicide, AssistedTerrorismUnited Statescopycat effectpilot aircraft-assisted suicideSeptember 11 terrorist attacks

Identifiers

PMID30424489
PMCPMC6266333
OpenAlexW2901343531

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.