By Melissa Healy
December 15, 2016

Behind the self-confident gait, the friendly greeting and the air of superb competence, as many as 13% of the nation’s commercial airline pilots may be suffering from depression, and roughly 4 in 100 report they’ve had suicidal thoughts in the last two weeks, new research says.

But the authors of the first study to ask a large sample of airline pilots about their mental health suggest that depressed pilots are reluctant to seek treatment for their depression for fear of being grounded or damaging their careers.