Tourism industry has become the backbone of most countries’ economies. In most countries, it helped and contributed to the growth of the national Gross Domestic Product (GDP). There are many types of tourism businesses that focus on meeting the needs of different types of customers. Trends in the tourism business are always shifting. Nowadays, tourists are attracted to explore something adventurous in nature sites. However, an increase in the number of natural disasters reported in the media lead to uncertainty of the tourism destination. In fact, it has gained the prominence of all agencies, mainly the tourists, especially when it is related to their safety and security issues. Even though outdoor and adventure sports tend to involve risks, many of the tourists still support nature and extreme activities because it is a natural human life that will do something that makes them happy and feel thrilled of extremeness. Thus, the purpose of this paper is to review the relevant literature on how destination image and perceived risk as a mediating role can affect behavioural intention. To prepare the groundwork, for the subsequent literature review, the key terms are explained. This is followed by a comprehensive discussion about the destination image and its elements. This paper concludes that the elements of destination image should be viewed as a set and associated with perceived risk and behavioural intention. The findings provide an all-encompassing understanding of destination image, illustrate the academic evolution of the topic, and point to crucial directions for future research.