Since the seventies, the safety of car occupants has greatly improved, expressed in both the number of road crash fatalities and in mortality risk. Since 2011, however, the number of road deaths among car occupants has not decreased.

In 2009-2018, an annual average of 51 young drivers and passengers (aged 18-24) were killed in traffic. For young drivers, fatal crash risk is 4,5 times higher than for more experienced drivers. Crash risk is highest during the first year after acquisition of the driving licence, and subsequently decreases fast as young drivers gain more experience

In the Netherlands, on average, more than 50 people die every year in a submerged vehicle crash. More than two thirds die from drowning. The casualties are mainly car occupants, while cyclist and mobility scooter fatalities are also numerous. Casualties are mostly male and aged 18-24. Despite the large number of casualties, not much is known about possible causes of crashes in which vehicles end up in the water. Foreign studies show that alcohol and drug use, and/or speeding are often involved.

It will probably take at least several decades for completely self-driving vehicles to become commercially available, if they ever will. Yet, vehicles in which part of the driving task is automated, for example automated braking, accelerating and steering, are already available.