Air medical journal · 2025
Common Mental Health Symptoms in Personnel Working in Helicopter Emergency Medical Services: A Systematic Review.
СтатьяСистематический обзорНазвание и аннотация: Перевод пока не подготовлен
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Damsgaard Karina, Melander-Nyboe Pernille, Pihl-Thingvad Jesper, Steinmetz Jacob, Gehrt Tine Bennedsen
Аннотация
BACKGROUND: Helicopter emergency medical service (HEMS) personnel regularly respond to severe and life-threatening situations, often involving critically ill or injured patients. Yet limited research exists on their mental health outcomes compared with ground-based emergency medical services (EMS). This systematic review synthesizes empirical evidence on mental health symptoms among HEMS personnel, focusing on prevalence rates and key psychological outcomes.
METHODS: A systematic search of PubMed, PsycINFO, and Scopus identified original, quantitative studies in English or Scandinavian languages. Studies were included if they reported on at least 1 mental health outcome of interest in HEMS personnel. Study quality was rated using criteria adapted from the National Institute of Health's Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies.
RESULTS: From 987 identified articles, 33 full texts were screened, and 9 studies were included, comprising 1 longitudinal and 8 cross-sectional designs. Six studies were rated as being fair quality, 2 as good, and 1 as poor. Outcomes evaluated included depression (5 studies), stress (5 studies), post-traumatic stress disorder/symptoms (PTSD; 3 studies), burnout (3 studies), anxiety (2 studies), secondary traumatic stress (1 study), and compassion fatigue (1 study). Across all studies, HEMS personnel reported low prevalence rates for mental health symptoms. However, burnout and depression were more frequently highlighted as concerns than PTSD.
CONCLUSION: Despite regular exposure to traumatic stressors, HEMS personnel report low levels of stress, PTSD, anxiety, and secondary traumatic stress, whereas burnout and depression had slightly higher levels, suggesting the need for targeted preventive interventions and support mechanisms within HEMS environments.
METHODS: A systematic search of PubMed, PsycINFO, and Scopus identified original, quantitative studies in English or Scandinavian languages. Studies were included if they reported on at least 1 mental health outcome of interest in HEMS personnel. Study quality was rated using criteria adapted from the National Institute of Health's Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies.
RESULTS: From 987 identified articles, 33 full texts were screened, and 9 studies were included, comprising 1 longitudinal and 8 cross-sectional designs. Six studies were rated as being fair quality, 2 as good, and 1 as poor. Outcomes evaluated included depression (5 studies), stress (5 studies), post-traumatic stress disorder/symptoms (PTSD; 3 studies), burnout (3 studies), anxiety (2 studies), secondary traumatic stress (1 study), and compassion fatigue (1 study). Across all studies, HEMS personnel reported low prevalence rates for mental health symptoms. However, burnout and depression were more frequently highlighted as concerns than PTSD.
CONCLUSION: Despite regular exposure to traumatic stressors, HEMS personnel report low levels of stress, PTSD, anxiety, and secondary traumatic stress, whereas burnout and depression had slightly higher levels, suggesting the need for targeted preventive interventions and support mechanisms within HEMS environments.