In September 2012, the Aerospace Medical Association distributed the Pilot Mental Health Working Group's recommendations for improving the awareness and identification of pilot mental health issues during the aeromedical assessment of pilots (Atch 1) and published the working group's recommendations in its scientific journal later that year (Atch 2). Following the tragic Germanwings Flight 9525 accident in the French Alps in March 2015, the Aerospace Medical Association Pilot Mental Health Working Group reconvened to review the recommendations. As a result, the working group updated the recommendations and these are attached for your awareness and use (Atch 3).