A second-in-command pilot left the cockpit and either jumped or fell out of an open rear cargo door of a CASA 212 aircraft flying over North Carolina. Digging into the details reveals he was self-medicating for anxiety and he may have been overcome by agitation during flight.

In this 2022 event, the main landing gear was damaged when the plane that was supporting sky diving tried to land. The crew diverted to a larger airport for a second landing attempt. During that diversion, the second in command was visibly upset. He left the cockpit and either intentionally or accidentally left the aircraft, falling to his death.

During the investigation, the NTSB found that this pilot was known to be a perfectionist who was hard on himself regarding his performance as a pilot. 

The toxicological tests indicated that the pilot who died has mitragynine in his system, which is associated with the drug Kratom. The Food and Drug Administration has not approved Kratom for any use, and the Drug Enforcement Agency has identified Kratom as a drug of concern. Internal FAA policy considers its use disqualifying for pilots. 

The probable cause for this event does not say anything about the role of Kratom or mental health issues. Addressing mental health in aviation is part of a larger societal problem that should be addressed. Aviation professionals don't have the incentive to get treatment for mental health issues because coming forward could end their career.

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