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Bipolar Disorder in Aviation Medicine
Aerospace Medicine and Human Performance
|January 8, 2017
Summary
Diagnosing bipolar disorder (BD) in pilots is crucial for aviation safety. This study found a minimum frequency of 0.023% for BD in U.S. general aviation fatalities, highlighting the need for better psychiatric screening.
Area of Science:
- Aviation Medicine
- Psychiatry
- Forensic Science
Background:
- Diagnosing psychiatric disorders in pilots is critical for aviation safety.
- Bipolar disorder (BD) poses significant challenges due to its potential to impair pilot performance and increase accident risk.
- BD is a chronic mental illness with elevated suicide risk, often emerging in early adulthood.
Purpose of the Study:
- To investigate the incidence of bipolar disorder in aviation accidents.
- To assess the importance of psychiatric disorder screening in aviation safety.
Main Methods:
- A systematic literature search was conducted on bipolar disorder and aviation accidents.
- The National Transportation Safety Board database of fatal general aviation accidents (1994-2014) was analyzed.
- One case report and two database reports were identified for review.
Main Results:
- The minimum frequency of bipolar disorder in U.S. general aviation fatalities was determined to be approximately 0.023% (2 out of 8648).
Conclusions:
- The actual incidence of BD in aviation fatalities may be higher than reported due to incomplete medical histories and varying investigation priorities.
- Establishing clear guidelines for psychiatric fitness to fly is essential for enhancing aviation safety.
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