In Northern Ireland, in the early 1990s, as part of the Provisional IRA campaign 1969-1997, the IRA used the tactic it called the the "proxy bomb" -a sort of involuntary suicide bomb, where a victim was kidnapped and forced to drive a car bomb into its target. In one infamous operation in Derry in 1990, the PIRA chained a Catholic civilian to a car laden with explosives, held his family hostage and forced him to drive to a British Army checkpoint as a "human bomb" where the bomb exploded, killing himself and five soldiers. This practice was stopped due to the revulsion its caused among the Irish nationalist community.
I would think that would be much worse