INTRODUCTION: Pilots' mental health has received increased attention following Germanwings Flight 9525 in 2015, where the copilot intentionally crashed the aircraft into the French Alps, killing all on board. An investigation of this incident found that the pilot had a depressive disorder.METHODS: This systematic review investigated peer reviewed studies of pilot mental health published since , A cross-sectional study was conducted to investigate the association between lifestyle health behaviors and mental health among airline pilots. This study examined health risk variables: age, sex, ethnicity, body mass, body mass index (BMI), physical activity levels, sleep duration, fruit and vegetable intake, alcohol consumption, smoking , Through a detailed examination of case studies, including a 2023 Horizon Air incident and the 2015 fatal crash of Germanwings Flight 9525, the Foundation illustrates the physical well-being through a comprehensive analysis of factors that can affect a pilot’s mental health. These factors include stress, the impact of a lack of physical , Data from my colleagues and myself support this; a study of 5,170 pilots across the U.S. and Canada showed that 56 percent reported a history of health care avoidance (for example, reporting that , A mental health study of French airline pilots suggests a quarter of them grapple with serious mental health issues, including a few who had attempted suicide. It also found that more than 40% of the 1220 pilots who filled out the anonymous questionnaire had “misused” alcohol. About 3% had suicidal thoughts and three had tried to kill , The Germanwings Flight 9525 crash has brought the sensitive subject of airline pilot mental health to the forefront in aviation. Globally, 350 million people suffer from depression–a common mental disorder. This study provides further information on this important topic regarding mental health especially among female airline pilots. This is the first study to describe airline pilot mental .