INTRODUCTIONTransportation accidents on land, in the air, or at sea form an important class of technological disasters [1,2]. Air disasters in particular can produce a greater number of victims at one time than other forms of transportation. Because air disasters often have a high mortality rate, there are few systemic studies on the psychosocial consequences of air disaster survival on passengers, in contrast to rescue workers [3][4][5] or community residents [6,7]. One of the most systematic surveys of surviving passengers was conducted after the Kegworth air disaster, in which 47 people died. Gregg et al. [8] assessed 68 of the 79 survivors at a clinical interview within one year after the disaster. Twenty-seven survivors had posttraumatic stress disorder (PTSD) in the first year, and 9 of this group also met DSM-III-R criteria for major depression. Those who saw injured or dead people at the scene, sustained less severe injuries, or were under 35 years of age were significantly more likely to develop PTSD. Sloan [9] followed-up 30 survivors of a nonfatal airplane crash and found high levels of stress in the following months.The Garuda Indonesia air disaster in Japan occurred in 1996. Three passengers died and 108 were injured. A mental health care service team was organized after the disaster in cooperation with mental health experts (i.e., psychiatrists, clinical psychologist, nurses, and social workers) of Fukuoka Prefecture and the Department of Psychiatry at Kurume University. We planned a prospective study of general health and psychological symptoms related to the disaster among the survivors. This study was carried out at six months (first examination) and one year (second examination) after the disaster. Members of the study team visited the homes or offices of survivors, and interviews were conducted in an outreach setting. This was the first psychological intervention study of the survivors of an air accident in Japan. Initially we assumed that psychological effects would decrease at one year after the disaster. However, there was no improvement in symptoms, such as vehicle phobias or mental health, at the time of the second examination. A retrospective follow-up study was conducted ten years after the disaster, consisting of a mail survey on general health and psychological symptoms that was almost identical to the one used in the first examina- Kurume Medical Journal, 55, 1-6, 2008 Original Contribution Summary: We examined the general health and psychological symptoms among survivors of the 1996 Garuda Indonesia air disaster in Japan. We conducted a prospective study 6 months and 1 year (Study 1) after the disaster. A retrospective follow-up study was performed ten years after the disaster (Study 2). The mean score on the 28-Item General Health Questionnaire was 6.5 (SD=6.9) 1 year after the disaster. Those who witnessed the death of an acquaintance in the disaster were classified into the high risk group. In Study 2, more than one-third of respondents complained of a flying phobia. These fi...