Murder in the air from the perpetrator’s mind: On board Flight 9525 Germanwings
Abstract Mental health is a fundamental component of human well-being, but when this component is affected in the life of an individual who has the responsibility of other people's lives, no one is exempt from suffering the consequences of such instability. Mayday Air Catastrophes: Flight 9525 Germanwings - Murder in the Air (2016) recounts the events surrounding the co-pilot responsible for the catastrophe, while it takes us into the mind of the perpetrator, placing us in the context in which it developed and allowing us to understand in retrospect the fundamental points that could have served as alarm signals and invites us to reflect on the prevention routes that could potentially have been implemented. Although the organic conditions of the co-pilot showed to be healthy, a combination of anxiety and depression detonated by the workload and the lack of belonging could be addressed from preventive medicine and lifestyle medicine.Pilots and co-pilots make up a guild of professionals exposed to lifestyles that can affect their stability and mental health and that is why the importance of the implementation of preventive measures is highlighted, which could be applied to avoid the tragedy of the Germanwings 9525 It took off from Barcelona Airport with a hundred and fifty passengers on board, but never reached its destination. In this article, we discuss the importance of addressing the health of pilots and co-pilots using the multilevel models in the Germanwings case, from the perspective of the preventive medicine.
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Rippe JM. Lifestyle medicine. 1st ed. Malden, Ma: Blackwell Science; 1999.
Sgreccia, E. Persona humana y personalismo. Cuad bioet. 2013; 24(1):115-23. Disponible en: http://www.redalyc.org/pdf/875/87527461012.pdf
Wu AC, Donnelly-McLay D, Weisskopf MG, McNeely E, Betancourt TS, Allen JG. Airplane pilot mental health and suicidal thoughts: a cross-sectional descriptive study via anonymous web-based survey. Environ Health. 2016;15(1):121. Disponible en: https://ehjournal.biomedcentral.com/track/pdf/10.1186/s12940-016-0200-6 - https://doi.org/10.1186/s12940-016-0200-6
Belmaker RH, Agam G. Major Depressive Disorder. N Engl J Med. 2008; 358 (1): 55-68. - https://doi.org/10.1056/NEJMra073096
Berling I, Isbister GK. Mirtazapine overdose is unlikely to cause major toxicity. Clin Toxicol (Phila). 2014;52(1):20-4. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3894718/pdf/CTX-52-20.pdf - https://doi.org/10.3109/15563650.2013.859264
Botto A, Acuña J, Jiménez JP. La depresión como un diagnóstico complejo: Implicancias para el desarrollo de recomendaciones clínicas. Rev. méd. Chile, 2014, 142(10): 1297-305. Disponible en: https://scielo.conicyt.cl/pdf/rmc/v142n10/art10.pdf - https://doi.org/10.4067/S0034-98872014001000010
Bousoño M, Baca E, Álvarez E, Eguiluz I, Martín M, Roca M, et al. Complicaciones de la depresión a largo plazo. Actas Esp Psiquiatr. 2008; 36 (Suppl. 2):44-52. Disponible en: file:///C:/Users/pc/Downloads/depresion_largo_plazo__109__.pdf
Centro de prensa/Notas descriptivas. Organización Mundial de la Salud. [Internet]. Depresión. 22 de marzo de 2018. [citado el 13 de agosto de 2018]. Disponible en: http://www.who.int/es/news-room/fact-sheets/detail/depression.
Donovan RJ, Anwar-McHenry J. Act-Belong-Commit: Lifestyle Medicine for Keeping Mentally Healthy. Am J Lifestyle Med. 2014;10(3):193-99. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6124955/pdf/10.1177_1559827614536846.pdf - https://doi.org/10.1177/1559827614536846
FSTD qualification certificate: suspension and limitation. En European Aviation Safety Agency, editor. Acceptable Means of Compliance (AMC)and Guidance Material (GM) Part-ARA; 2016. Disponible en: https://www.easa.europa.eu/sites/default/files/dfu/Annex%20to%20ED%20Decision%202012-006-R.pdf
Instituto Nacional de la Salud Mental de los Estados Unidos. Depresión. 2009; 09 (3561): p. 2-6. Disponible en: https://www.nimh.nih.gov/health/publications/espanol/depresion/depresion_38791.pdf
Kenedi C, Friedman SH, Watson D, Preitner C. Suicide and murder-suicide involving aircraft. Aerosp Med Hum Perform. 2016; 87(4):388-96. - https://doi.org/10.3357/AMHP.4474.2016
Londoño C, Peñate W, González M. Síntomas de depresión en hombres. Universitas Psychologica [Internet]. 2017, 16(4). Disponible en: http://revistas.javeriana.edu.co/files-articulos/UPSY/16-4%20(2017)/64753569015/64753569015_visor_jats.pdf - https://doi.org/10.11144/Javeriana.upsy16-4.sdeh
Mechanick, J. I., & Kushner, R. F. (2016). Why lifestyle medicine? En Mechanick JL, Kushner RF, editors. Lifestyle Medicine: A Manual for Clinical Practice. New York: Springer; 2016. p. 1-8 - https://doi.org/10.1007/978-3-319-24687-1
Müller E. (2016) La fiscalía francesa detalla los problemas mentales del piloto Lubitz: El alemán, que estrelló un avión de la compañía Germanwings con 149 personas a bordo, casi no dormía. El país 7 de marzo de 2018. [citado el 24 de septiembre de 2018]. Disponible en: https://elpais.com/internacional/2016/03/05/actualidad/1457184990_419453.html
National Institute for Health and Clinical Excellence. (2009). Depression in Adults: Recognition and Management. Clinical guideline [CG90]. Published date: October 2009 Updated: April 2018.
Disponible en: https://www.nice.org.uk/guidance/cg90
Rippe JM. Lifestyle medicine. 1st ed. Malden, Ma: Blackwell Science; 1999.
Sgreccia, E. Persona humana y personalismo. Cuad bioet. 2013; 24(1):115-23. Disponible en: http://www.redalyc.org/pdf/875/87527461012.pdf
Wu AC, Donnelly-McLay D, Weisskopf MG, McNeely E, Betancourt TS, Allen JG. Airplane pilot mental health and suicidal thoughts: a cross-sectional descriptive study via anonymous web-based survey. Environ Health. 2016;15(1):121. Disponible en: https://ehjournal.biomedcentral.com/track/pdf/10.1186/s12940-016-0200-6 - https://doi.org/10.1186/s12940-016-0200-6
Aldecua Tejero, M., Garcia Mezo, C. A., Inurreta Díaz, M., Lizama Rubio, L., Velasco Bonilla, C. D., & Méndez Domínguez, N. I. (2019). Murder in the air from the perpetrator’s mind: On board Flight 9525 Germanwings. Journal of Medicine and Movies, 15(3), 147–152. https://doi.org/10.14201/rmc2019153147152
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