Air travel by passengers with mental disorder

Gordon, Harvey; Kingham, Mike; Goodwin, Tony

doi:10.1192/pb.28.8.295

Cited by 6 publications

(2 citation statements)

References 18 publications

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“…54 , 69 , 74 Of special note is a reminder not to attempt transport for substance abuse patients until individuals are adequately recovered from the initial detoxification. 69 , 71 , 73 …”

Section: Resultsmentioning

confidence: 99%

Considerations for Acute and Emergent Deployed Mental Health Patient Management and Theater Transports: A Scoping Review

et al. 2021

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Background Although combat stress and psychiatric casualties of war have consistently contributed to the need for deployed patient transport to higher echelons of care, little is known regarding specific evidence-based strategies for providing psychological support and optimal transport interventions for warriors. Study Objective The purpose of this scoping review is to map existing literature related to considerations for deployed mental health patient transport. The review’s primary aims are to identify the existing scientific research evidence, determine research and training gaps, and recommend critical areas for future military research. Methods We used Arksey and O’Malley’s six-stage scoping review methodological framework (identify the research question, identify relevant studies, select studies, chart data, report results, and consultation). Using a systematic search strategy, we evaluated peer-reviewed literature from five databases (PubMed, CINAHL, PsycINFO, Web of Science, and Embase) and gray literature from the Defense Technical Information Center. All publications were independently screened for eligibility by two researchers during three review rounds (title, abstract, and full text). Results We identified 1,384 publications, 61 of which met our inclusion criteria. Most publications and technical reports were level IV evidence and below, primarily retrospective cohort studies and epidemiologic surveillance reports. Few rigorously designed studies were identified. Eight research themes and a variety of research and critical training gaps were derived from the reviewed literature. Themes included (1) characterizing mental health patients aeromedically evacuated from theater; (2) in-flight sedation medications; (3) need for aeromedical evacuation (AE) in-theater education, training, and guidelines for staff; (4) epidemiological surveillance of AE from theater; (5) mental health management in deployed settings; (6) suicide-related event management; (7) transport issues for mental health patients; and (8) psychological stressors of AE. Research is needed to establish clinical practice guidelines for mental health condition management in theater and throughout the continuum of en route care.

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“…54 , 69 , 74 Of special note is a reminder not to attempt transport for substance abuse patients until individuals are adequately recovered from the initial detoxification. 69 , 71 , 73 …”

Section: Resultsmentioning

confidence: 99%

Considerations for Acute and Emergent Deployed Mental Health Patient Management and Theater Transports: A Scoping Review

et al. 2021

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“…These stressors in combination with individual factors (e.g. anxiety, intoxication and mental illness) can lead to disruptive behaviour and jeopardise safety-a phenomenon known as Disruptive Airline Passenger Behaviour (DAPB), unruly Passenger Behaviour (UPB) or more generally (and especially if aggression is involved) as "air-rage" or "cabin-rage" (Felkai & Kurimay, 2017;Gordon, Kingham & Goodwin, 2004;International Air Transport Association, 2019;Rhoden, Ralston & Ineson, 2008;Vivian, 2000). DAPB includes: refusing to comply with safety instructions, verbal/physical/sexual abuse directed towards cabin crew and other passengers, assault, damage to the aircraft, and damage to employee property (Barron, 2002).…”

Section: Introductionmentioning

confidence: 99%

“Air rage”: A systematic review of research on disruptive airline passenger behaviour 1985-2020

McLinton

Drury

Masocha

et al. 2020

J. airl. airpt. manag.

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Purpose: Disruptive airline passenger behaviour (DAPB), i.e. “air rage”, has an adverse impact on crew and passenger well-being and is costly to manage and prevent. Given recent changes in airport management, aircraft design, air traffic volume and behavioural norms this review summaries research findings 1985-2020.Methodology: A systematic review of the research literature containing qualitative or quantitative data examining DAPB. Findings: Nineteen articles satisfied the criteria for inclusion. Most studies involved surveys of cabin crew members and to a lesser extent pilots, airline representatives, passengers and business customers. Content primarily focussed on the frequency and characteristics of DAPB, whilst consequences for staff and evaluation of training to manage DAPB was less represented. A paucity of current research was noted which is not in keeping with the changes over the last decade in the aviation industry and the increase in DAPB events.Originality: This study presents a summary of current findings on DAPB.Practical Implications: A better understanding of the environmental, social and psychological factors underlying DAPB and the effectiveness of staff training and interventions that promote a safe travel environment are required.Social Implications: The current industry trend toward sustainability and better management of security challenges must extend its focus to DAPB, in order to reverse the recent trend of social irresponsibility in air travellers.

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Travel with Chronic Medical Conditions

Sullivan¹,

Jong²

2008

The Travel and Tropical Medicine Manual

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Air travel by passengers with mental disorder

Cited by 6 publications

References 18 publications

Considerations for Acute and Emergent Deployed Mental Health Patient Management and Theater Transports: A Scoping Review

Considerations for Acute and Emergent Deployed Mental Health Patient Management and Theater Transports: A Scoping Review

“Air rage”: A systematic review of research on disruptive airline passenger behaviour 1985-2020

Travel with Chronic Medical Conditions

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