Self-Harm in Aviation Medicine—A Complex Challenge During a Pandemic

Vuorio, Alpo; Bor, Robert

doi:10.3389/fpubh.2021.681618

Cited by 6 publications

(5 citation statements)

References 38 publications

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“…While quarantine is essential in high-transmission areas following travel, it is recognized that those required to quarantine in the context of their work, such as air crew, are at higher risk of depression, anxiety, post-traumatic stress, deliberate self-harm, and suicide. The risk of deliberate self-harm and suicide may be elevated due to several stressors related to pandemic (15,16). In the longer-term, PTSD is potentially related to increased risk of aircraft accidents (17).…”

Section: Discussionmentioning

confidence: 99%

Promoting Flight Crew Mental Health Requires International Guidance for Down-Route Quarantine Circumstances

Vuorio

Bekker²,

Suhonen-Malm³

et al. 2022

Front. Public Health

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Section: Discussionmentioning

confidence: 99%

Promoting Flight Crew Mental Health Requires International Guidance for Down-Route Quarantine Circumstances

Vuorio

Bekker²,

Suhonen-Malm³

et al. 2022

Front. Public Health

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“…The EASA recommends when evaluating self-harm that detailed individual-based risk analysis is undertaken and mentions the possibility of conducting a neuropsychological assessment (EASA, 2022). The evaluation of self-harm-related aviation performance risk is complex (Vuorio & Bor, 2021) as self-harm itself increases risk, and self-harm in many cases that may be related to mental disorder may render the pilot's capacity to reflect upon and have insight into his/her fragile mental state. Against this background, it is highly probable that neuropsychological research can provide additional opportunities for higher predictive risk analysis.…”

Section: Neurocognition and Self-harmmentioning

confidence: 99%

European and US Aeromedical Authority Guidance for Neurocognitive Evaluation of Airline Pilots With Mental Disorders

Vuorio,

Suhonen-Malm,

Budowle

et al. 2024

Aviation Psychology and Applied Human Factors

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Commercial airline pilots must exhibit specific neurocognitive skills and aptitudes to perform their safety-critical roles. This review addresses neuropsychological assessment in mental disorders derived from guidance developed by European and US aviation authorities as well as indications in the current literature in relation to major depression and suicidality, self-harm, attention-deficit/hyperactivity disorder, posttraumatic stress disorder, and bipolar disorder in aeromedical evaluations. Several studies show that cognitive functioning may be impaired during major depression. The results of neurocognitive assessments provide useful information about a pilot’s performance. Obstacles to referring crew for neuropsychological testing are the paucity of neuropsychological specialists to undertake assessments and aeromedical examiners’ varied training and experience in assessing mental health problems of pilots in general.

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“…The higher the total score was, the greater the fatigue. The total MFI scores range from 0 to 100 and are interpreted as no fatigue (0-20), minor fatigue (21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39), serious fatigue (40-59), severe fatigue (60-79) and extremely severe fatigue (80-100). This scale has been veri ed by Chinese scholars and can be used to test the fatigue of Chinese aircrew members [21].…”

Section: Scales To Measure Indicators Of Bpcmentioning

confidence: 99%

“…Additionally, this study highlighted the impact of COVID-19 on civil ight crews. The COVID-19 pandemic has had a profound impact on the aviation industry, leading to job loss, furlough, disruption to careers and training trajectories and uncertainties, even leading to self-harm among airline employees [32]. In addition, there is evidence that COVID-19 induces fears, including fear of infection and fear of passing the infection to others due to ineffective prevention and control measures from the government.…”

Section: Cca Of Bpc and Covid-19mentioning

confidence: 99%

Brain Performance Capacity among a Sample of Aviation Crews: A Cross-sectional Survey and Pilot Study

Liu

Chen

Tan

et al. 2023

Preprint

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Background: To assess brain performance capacity (BPC) in relation to sleep quality, fatigue, and mental workload as evaluation indicators with explore the possible correlation with COVID-19. Methods: A cluster sampling method was adopted to randomly select 259 civil air crew members. The measurement of sleep quality, fatigue and mental workload (MWL) were assessed using Pittsburgh Sleep Quality Index (PSQI), Multidimensional Fatigue Inventory (MFI-20) and NASA Task Load Index. The impact of COVID-19 included 7 dimensions scored on a Likert scale. Canonical correlation analysis (CCA) was conducted to examine the relationship between BPC and COVID-19. Results: A total of 259 air crew members participated in the survey. Participants’ average PSQI score was 7.8 (SD = 3.8), with 49.8% reporting prevalence of insomnia, mostly of a minor degree. Participants’ MFI was an average was 56.1 (SD =10.0), with 100% reporting some incidence of fatigue, mainly severe. The weighted mental workload (MWL) score was an average of 43.1 (SD = 17.5), with reports of mostly a mid-level degree. There was a significant relationship between BPC and COVID-19, with a canonical correlation coefficient of 0.507 (P<0.001), an eigenvalue of 0.4 and a contribution rate of 69.1%. All components of BPC variable set: PSQI, MFI and MWL contributed greatly to BPC, with an absolute canonical loading of 0.8, 0.6 and 0.7, respectively; the same was true for the COVID-19 variable set, with absolute canonical loadings ranging from 0.6 to 0.95. Conclusion: CCA demonstrated that sleep, fatigue and mental workload could well evaluated BPC, and there was a medium correlation between BPC and the impact of COVID-19 in civil air crews. Trial registration: This study is registered in the Chinese Clinical Trial Registry, number ChiCTR2100053133.

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Self-Harm in Aviation Medicine—A Complex Challenge During a Pandemic

Cited by 6 publications

References 38 publications

Promoting Flight Crew Mental Health Requires International Guidance for Down-Route Quarantine Circumstances

Promoting Flight Crew Mental Health Requires International Guidance for Down-Route Quarantine Circumstances

European and US Aeromedical Authority Guidance for Neurocognitive Evaluation of Airline Pilots With Mental Disorders

Brain Performance Capacity among a Sample of Aviation Crews: A Cross-sectional Survey and Pilot Study

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