title: Preventing plane-assisted suicides through the lessons of research on homicide and suicide-homicide.
abstract: OBJECTIVE
  The Germanwings 9525 incident drew significant attention to the 'plane-assisted suicide' construct, yet little scientific literature exists on this topic. This paper reviews the available literature and applies lessons from the suicide-homicide and men's mental health literature to better understand this construct from a scientific perspective.
  
  
  METHODS
  A systematic review of the relevant clinical literature was undertaken.
  
  
  RESULTS
  Multiple lines of evidence suggests the applicability and relevance of suicide-homicide research and men's mental health to the plane-assisted suicide phenomenon. Plane-assisted suicides occur within an overwhelmingly male, middle aged population who, in addition to suicide, commit large scale acts of murder. Issues of divorce, separation, and threats to masculinity appear integral to an effective prevention program.
  
  
  CONCLUSIONS
  Further research in the understanding of plane-assisted suicide as a product of neuropsychiatric disorder may advance such prevention efforts and have the opportunity to reduce the loss of life in future tragedies.
authors.affiliation: Department of Psychiatry,The Icahn School of Medicine at Mount Sinai,New York, NY,USA.
authors.forename: Timothy R
authors.identifier: http://orcid.org/0000-0002-2044-1538
authors.initials: TR
authors.lastname: Rice
authors.affiliation: Department of Psychiatry,The Icahn School of Medicine at Mount Sinai,New York, NY,USA.
authors.forename: Leo
authors.initials: L
authors.lastname: Sher
mesh_terms: D000401:Aircraft; D006708:Homicide / Q000517:prevention & control*; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000523:psychology*; D008875:Middle Aged; D000070356:Pilots / Q000523:psychology*; D012107:Research Design; D012307:Risk Factors; D016896:Treatment Outcome; D000092864:Suicide Prevention
keywords: homicide; homicide–suicide; plane-assisted suicide; prevention; suicide