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aviation mental health

Anna Donnla O'Hagan, Johann Issartel, Alan Nevill, Giles Warrington
A growing body of evidence suggests long work hours adversely affect mental health across a variety of domains. Mental health issues have been found to negatively affect work performance. This finding was highlighted in the aviation industry by the 2015 Germanwings incident in which 150 people died. Further investigation into work hours and their associated factors (e.g., demographic characteristics and experiences of sleep and fatigue in the cockpit) contributing to mental health issues among pilots is warranted...
August 30, 2016: Workplace Health & Safety
Catherine Abbo, Elialilia S Okello, Wilson Muhwezi, Grace Akello, Emilio Ovuga
AIMS: 1) To determine the nature and extent of alcohol and substance use and 2) To describe the relationship between alcohol use and psychosocial competence among secondary school youths in Northern and Central Uganda. STUDY DESIGN: This was a cross-sectional study. PLACE AND DURATION OF STUDY: Departments of Mental Health, Gulu University (Northern Uganda) and Department of Psychiatry, Makerere University College of Health Sciences (Central Uganda) between September 2011 and April 2012...
2016: International Neuropsychiatric Disease Journal
(no author information available yet)
In September 2012, the Aerospace Medical Association published and distributed recommendations from its Pilot Mental Health Working Group to improve awareness and identification of pilot mental health issues during the aeromedical assessment of pilots. Following the crash of Germanwings Flight 9525 in March 2015 with pilot suicide as the probable cause, the Pilot Mental Health Working Group reconvened to review their recommendations. As a result, the working group revised the recommendations which are provided here and which were distributed worldwide...
May 2016: Aerospace Medicine and Human Performance
Bastien Boussat, Thierry Bougerol, Olivier Detante, Arnaud Seigneurin, Patrice François
BACKGROUND: A management tool, called the Experience Feedback Committee, has been applied for patient safety and successfully used in medical departments. The purpose of this study was to analyse the functioning of an Experience Feedback Committee in a psychiatric department and to explore its contribution to the particular issues of patient safety in mental health. METHODS: We conducted a descriptive study based on all the written documents produced by the Experience Feedback Committee between March 2010 and January 2013...
2015: Annals of General Psychiatry
Daniel Danczyk, Steven I Altchuler, Lawrence Steinkraus
The recent crash of an airliner in the French Alps drew attention to the critical importance of the mental health of pilots and the key role physicians play in determining whether a pilot is fit to fly. This article reviews Federal Aviation Administration regulations and guidelines for making that determination and discusses the role of both the aviation medical examiner and the community physician in caring for pilots. It also offers community physicians tips for building solid relationships with pilot-patients so as to ensure they receive the best care possible...
June 2015: Minnesota Medicine
Lisa Lewandowski-Romps, Christopher Peterson, Patricia A Berglund, Stacey Collins, Kenneth Cox, Keith Hauret, Bruce Jones, Ronald C Kessler, Colter Mitchell, Nansook Park, Michael Schoenbaum, Murray B Stein, Robert J Ursano, Steven G Heeringa
BACKGROUND: Accidents are one of the leading causes of death among U.S. active-duty Army soldiers. Evidence-based approaches to injury prevention could be strengthened by adding person-level characteristics (e.g., demographics) to risk models tested on diverse soldier samples studied over time. PURPOSE: To identify person-level risk indicators of accident deaths in Regular Army soldiers during a time frame of intense military operations, and to discriminate risk of not-line-of-duty from line-of-duty accident deaths...
December 2014: American Journal of Preventive Medicine
Anthony P Tvaryanas, Genny M Maupin
BACKGROUND: This study investigated whether Critical Care Air Transport Team (CCATT) members are at increased risk for incident post-deployment mental health conditions. METHODS: We conducted a retrospective cohort study of 604 U.S. Air Force medical personnel without preexisting mental health conditions who had at least one deployment as a CCATT member during 2003-2012 as compared to a control group of 604 medical personnel, frequency matched based on job role, with at least one deployment during the same period, but without CCATT experience...
January 2014: Aviation, Space, and Environmental Medicine
(no author information available yet)
Following a March 27, 2012, incident in which a pilot of a major commercial airline experienced a serious disturbance in his mental health, the Aerospace Medical Association formed an Ad Hoc Working Group on Pilot Mental Health. The working group met several times and analyzed current medical standards for evaluating pilot mental health. The result of the working group was a letter sent to the FAA and other organizations worldwide interested in medical standards. The Committee found that it is neither productive nor cost effective to perform extensive psychiatric evaluations as part of the routine pilot aeromedical assessment...
December 2012: Aviation, Space, and Environmental Medicine
Robin F Griffiths, David M C Powell
In order to perform safety-critical roles in emergency situations, flight attendants should meet minimum health standards and not be impaired by factors such as fatigue. In addition, the unique occupational and environmental characteristics of flight attendant employment may have consequential occupational health and safety implications, including radiation exposure, cancer, mental ill-health, musculoskeletal injury, reproductive disorders, and symptoms from cabin air contamination. The respective roles of governments and employers in managing these are controversial...
May 2012: Aviation, Space, and Environmental Medicine
Denise Feijó, Ronir Raggio Luiz, Volney Magalhães Camara
INTRODUCTION: The purpose of this study was to estimate the prevalence of suspected cases of common mental disorders (CMD) on Brazilian civil aviation pilots and to investigate associations between CMD, demographics, and labor variables. METHODS: A quantitative cross-sectional study was conducted on 807 working pilots between October 2009 and October 2010 using a self-administered questionnaire to obtain sociodemographic data and information about workload. CMD prevalence was estimated with the Self-Reporting Questionnaire-20 items (SRQ-20)...
May 2012: Aviation, Space, and Environmental Medicine
P J Pisula, C H Lewis, R S Bridger
Methods and results are reported from a study of ships companies' exposure to low-frequency motions on three vessels of the Royal Navy. The aim of the study was to investigate relationships between deck accelerations and the incidence of problems such as difficulties with physical tasks, cognitive activities, motion sickness, and work effort. Ship motions were recorded continuously during sea patrols of 10-14 days. The data collected from the three vessels comprised 105 days of ship motions over 12 patrols, with 779 associated daily diaries from 78 participants...
2012: Ergonomics
Edgard Martins, Marcelo Soares, Lia Augusto, Laura Laura
The creation of meaning in communication is a trading activity, resulting from the construction that is born of the interaction between subjects. That is, the meaning is not inherent to the relationship between words, signs and symbols that arise from negotiating a necessary and unavoidable. As the concepts of sense as discrete and static representations imply a notion of classical computing and design of a cognitive system corresponding conceptions of meaning construction as located and shared among agents implies notions of different computing and cognition...
2012: Work: a Journal of Prevention, Assessment, and Rehabilitation
Sally Evans, Sally-Ann Radcliffe
INTRODUCTION: Scant data are available on the annual incapacitation rate of aircrew. This study analyzes all incapacitations occurring among UK commercial pilots, in flight and off duty, in 2004 to derive a baseline minimum annual incapacitation rate for the UK commercial pilot population. METHOD: The study cohort was all professional pilots holding a valid UK/JAR (Joint Aviation Requirements) Class 1 medical certificate and license in 2004. Three data sources were used to identify episodes of incapacitation: the statutory notification of prolonged illness, personal injury, or pregnancy to the UK Civil Aviation Authority; Mandatory Occurrence Reports (MORs) for in-flight medical incidents; and death certificates...
January 2012: Aviation, Space, and Environmental Medicine
Alexander R Carbo, Anjala V Tess, Christopher Roy, Saul N Weingart
OBJECTIVES: Effective teamwork and communication can prevent error and mitigate harm. High-performance team training was developed in the aviation industry for flight crews and is being incorporated in health care settings, such as emergency departments, operating rooms, and labor and delivery suites. We translated and adapted high-performance teamwork and communication principles from other industries and other disciplines to an inpatient internal medicine environment. METHODS: We selected key principles from aviation and anesthesia crew training programs in 2004 and organized them into the ABC'S of teamwork...
June 2011: Journal of Patient Safety
Bradford D Winters, Monica S Aswani, Peter J Pronovost
Diagnostic errors are a widespread problem, although the true magnitude is unknown because they cannot currently be measured validly. These errors have received relatively little attention despite alarming estimates of associated harm and death. One promising intervention to reduce preventable harm is the checklist. This intervention has proven successful in aviation, in which situations are linear and deterministic (one alarm goes off and a checklist guides the flight crew to evaluate the cause). In health care, problems are multifactorial and complex...
March 2011: Academic Medicine: Journal of the Association of American Medical Colleges
Gregory G Homish, Bonita S Frazer, Daniel P McCartan, Anthony J Billittier
Emergency mental health (EMH), a field that is often not well represented when considering emergency preparedness, is nonetheless a vital component to any disaster response. Emergency mental health issues must be considered not only for victims of disasters and their families, friends, and coworkers but also for both on-scene and off-scene responders and members of the community who may have witnessed the disaster. This article describes the EMH preparation for and response to the crash of Continental Airlines flight 3407 in western New York on February 12, 2009, killing all 49 crew and passengers on board and 1 person on the ground...
December 2010: Disaster Medicine and Public Health Preparedness
Sigridur Bjork Thormar, Berthold Paul Rudolf Gersons, Barbara Juen, Adelheid Marschang, Maria Nelden Djakababa, Miranda Olff
This article reviews the literature on mental health of volunteers after working in disasters. When mobilized they often are a community's major source for rescue and recovery. PsychINFO, PubMED, and Web of Science were searched for relevant articles published until October 2009. Of 448 articles screened, only 9 articles fulfilled our inclusion criteria. They examined the aftermath of earthquakes (4 articles), terrorist bombings (1), explosions (1), aviation disasters (1), tsunami (1), and a bus accident (1)...
August 2010: Journal of Nervous and Mental Disease
Sarah Jane Mackenzie Ross, Chris Ray Brewin, Helen Valerie Curran, Clement Eugene Furlong, Kelly Michelle Abraham-Smith, Virginia Harrison
The study aim was to determine whether low level exposure to organophosphate pesticides (OPs) causes neuropsychological or psychiatric impairment. Methodological weaknesses of earlier studies were addressed by: recruiting participants who had retired on ill health grounds; excluding participants with a history of acute poisoning, medical or psychiatric conditions that might account for ill health; and exploring factors which may render some individuals more vulnerable to the effects of OPs than others. Performance on tests of cognition and mood of 127 exposed sheep farmers (67 working, 60 retired) was compared with 78 unexposed controls (38 working, 40 retired) and published test norms derived from a cross section of several thousand adults in the general population...
July 2010: Neurotoxicology and Teratology
Simon Hatcher
OBJECTIVE: Risk management in mental health focuses on risks in patients and fails to predict rare but catastrophic events such as suicide. Commercial aviation has a similar task in preventing rare but catastrophic accidents. This article describes the systems in place in commercial aviation that allows that industry to prevent disasters and contrasts this with the situation in mental health. CONCLUSIONS: In mental health we should learn from commercial aviation by having: national policies to promote patient safety; a national body responsible for implementing this policy which maintains a database of safety occurrences, sets targets and investigates adverse outcomes; legislation in place which encourages clinicians to report safety occurrences; and a common method and language for investigating safety occurrences...
February 2010: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
Justin S Campbell, Jeffrey L Moore, Norman G Poythress, Carrie H Kennedy
BACKGROUND: The Five Factor Model (FFM) of normal personality provides a compelling framework for investigating personality subtypes in large military populations. The FFM was used to determine whether a sample of clinically referred military aviators exhibited commonly occurring personality clusters. METHODS: The Revised NEO Personality Inventory (NEO-PI-R) was used to evaluate 956 clinically referred U.S. Naval aviators and flight officers on the domains of neuroticism (N), extroversion (E), openness (O), agreeableness (A), and conscientiousness (C)...
December 2009: Aviation, Space, and Environmental Medicine
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