Aircrew Mental Health: A Case Study

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In the recent history of aviation there were few significant accidents directly connected to pilots mental health: Germanwings Flight 9525, LAM Mozambique Airlines Flight 470 and missing Malaysia Airlines Flight 370 possibly being one of them. Although an intentional crashing of an aircraft in rare and uncommon— according to National Transportation Safety Board (NTSB) data base from 2003-2012 there were 2,758 fatal aviation accidents out of which only 8 were aircraft-assisted suicides (1) — it is impossible to ignore them. Therefore, in the next five years CRM will have to address the issue of aircrew mental health more directly and profoundly than before.

The terminology Adverse Mental State along with Adverse Physiological State were introduced in 2003 by Dr Shappell and Dr Wiegmann in their Human Factors Analysis and Classification System (HFACS) under Level 2: Preconditions for Unsafe Acts, Subdivision: Substandard Conditions of Operators. HFACS framework, based on famous Swiss Cheese model designed by Reason, illustrates well the mental problems that can affect aviation personnel. Authors definition though was quite broad including many mental conditions that could possibly affect the crew performance like stress,
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With their input into CRM sessions it would be much easier for the instructors to introduce the topic of mental health. Medical practitioners, as other attendees, could add valuable insight and knowledge to promote healthy lifestyle and share their experience how to overcome psychological difficulties. In that way, mental problems like major depression or bipolar disorders could be discussed in the neutral, safe environment, where aircrew could benefit tremendously without being directly exposed to the medical

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