Citation

Sen A, Akin A, Canfield DV, Chaturvedi AK. Aviat. Space Environ. Med. 2007; 78(11): 1055-1059.

Affiliation

Bioaeronautical Sciences Research Laboratory, Aerospace Medical Research Division, Civil Aerospace Medical Institute, Federal Aviation Administration, U.S. Department of Transportation, Oklahoma City, OK 73125-5066, USA.

Copyright

(Copyright © 2007, Aerospace Medical Association)

DOI

unavailable

PMID

18018438

Abstract

INTRODUCTION: Selective serotonin reuptake inhibitor (SSRI) antidepressants are popularly prescribed, but these drugs are not currently approved for use by U.S. civilian aviators. In a 2003 study, the presence of 4 SSRIs--citalopram, fluoxetine, paroxetine, and sertraline-was reported in 61 pilot fatalities of civil aviation accidents that occurred during 1990-2001. However, it was not known whether these pilots had disqualifying psychological conditions, including depression, and had properly reported the use of the antidepressants. METHODS: The aeromedical history of the pilots was retrieved from the Federal Aviation Administration's (FAA's) Aerospace Medical Certification Database; additional pilot medical information and the cause/factor of the accidents were obtained from the National Transportation Safety Board's (NTSB's) Aviation Accident Database. RESULTS: There were 59 pilots who had medical records in the FAA's Certification Database. Disqualifying psychological conditions were self-reported in the past examinations of only 7 (12%) of the 59 pilots, and the use of an SSRI was reported by 3 of the 7 pilots. In later examinations, 6 of the 7 indicated that they were free from the conditions and not taking SSRIs; thus, they were reissued medical certificates. Such conditions and/or drug use were not self-reported in the aeromedical records of the remaining 52 (88%) pilots. Nevertheless, the NTSB investigations revealed that 12 (20%) of the 61 pilots had a history of a psychological condition and/or an SSRI use, as suggested by their personal medical records. CONCLUSIONS: These findings reconfirm that SSRIs were used by the aviators but were not reported in their last aeromedical examinations.

Language: en