Descriptive analysis of air rage incidents aboard international commercial flights, 2000-2020

Air rage has the potential to threaten the safety of flight crew and passengers. We aimed to describe the occurrence of serious air rage incidents based on a recognised scale of severity, their associated factors and outcomes. A web-based content analysis of written media reports relating to air rage incidents occurring between 2000 and 2020 was conducted. Multiple variables were extracted, including year, flight details, age and nationality of passengers, involvement of flight crew, stage of air journey, flight diversions, presence of intoxication, psychiatric history or fear of flying. A total of 270 passengers were involved in this series of air rage incidents, with 76.2% (n = 204) male. The most frequent age group for unruly passengers was 30-39 years (n = 61). Precipitating factors included alcohol consumption (55.7%, n = 127) and nicotine withdrawal (9.2%, n = 21). Flight diversions were necessitated in 35.5% (n = 81) of cases. The majority (52.6%, n = 120) of air rage incidents were categorised as level 2 on a 4-point scale of severity. The findings of this study will be of interest to the aviation industry and to air passengers and crew. Further research is needed to elucidate the precipitants of air rage. Flight crew training should incorporate early recognition and de-escalation of air rage.