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

The Role of Self-Study in Addressing Competency Decline Among Airline Pilots During the COVID-19 Pandemic

OBJECTIVE

This study aimed to investigate the self-study methods used by pilots while grounded and their perception of competence decline and confidence upon their return to flying.

BACKGROUND

Previously, long absences from flying were managed on a case-by-case basis. Thousands of pilots returning to flying as the pandemic eases have burdened airline training systems. Limited research has been conducted on the decline in skills of airline pilots while operationally absent from the cockpit. Few studies have considered this topic in the context of a pandemic.

METHOD

A questionnaire study was conducted with 234 airline pilots who were grounded during the COVID-19 pandemic.

RESULTS

Uncertainty regarding sudden and indefinite periods of grounding made it challenging to maintain motivation to self-study. This matter was aggravated by the additional financial and personal stress caused by the state of the airline industry and the outcomes of the pandemic. The participants anticipated a decline in manual flying skills as the worst outcome after being absent from the flight deck. However, these pilots proved quick to recover these skills when they resumed flying. It took significantly more time for pilots to regain proficiency in applying knowledge, procedures and compliance with regulations, situation awareness and workload management.

CONCLUSION

The study proposes recommendations for pilots and airlines to harness essential self-study practices in competency areas identified to have significantly declined.

APPLICATION

The outcome of this paper guides airlines, pilots and regulators in better understanding how grounded pilots observe skill decline in a broader range of competencies.

Commercial Aircraft-Assisted Suicide Accident Investigations Re-Visited—Agreeing to Disagree?

Background: The number of aircraft-assisted suicides can only be considered a rough estimate because it is difficult and, at times, impossible to identify all cases of suicide. Methods: Four recent reports of accidents occurring in 1997 in Indonesia, 1999 in Massachusetts in the United States, 2013 in Namibia, and 2015 in France related to commercial aircraft-assisted suicides were analyzed. This analysis relied on data extracted from the accident reports that supported aircraft-assisted suicide from the: (a) cockpit voice recorder (CVR) and flight data recorder (FDR), (b) medical history, (c) psychosocial history, (d) toxicology, (e) autopsy, and (f) any methodology that utilized aviation medicine. There are some limitations in this study. Although all analyzed accident investigations followed ICAO Annex 13 guidelines, there is variability in their accident investigations and reporting. In addition, accident investigation reports represent accidents from 1997 to 2015, and during this time, there has been a change in the way accidents are reported. The nature of this analysis is explorative. The aim was to identify how the various aircraft accident investigators concluded that the accidents were due to suicidal acts. Results: In all four accident reports, FDR data were available. CVR data were also available, except for one accident where CVR data were only partially available. Comprehensive medical and psychosocial histories were available in only one of four of the accident reports. Conclusion: To prevent accidents involving commercial aircraft, it is necessary to identify the causes of these accidents to be able to provide meaningful safety recommendations. A detailed psychological autopsy of pilots can and likely will assist in investigations, as well as generate recommendations that will substantially contribute to mitigating accidents due to pilot suicide. Airborne image recording may be a useful tool to provide additional information about events leading up to a crash and thus assist in accident investigations.