A private doctor recommended that the German pilot who crashed a Germanwings jet into the Alps last year should be treated in a psychiatric hospital two weeks before the disaster, French investigators have said.

Prosecutors believe co-pilot Andreas Lubitz, who had a history of severe depression, barricaded himself into the cockpit and deliberately propelled his Airbus jet into a mountainside on March 24, killing all 150 people on board.

France's BEA air accident investigation office said in its final report on Sunday that Lubitz had begun to show symptoms that could be consistent with a psychotic depressive episode in December 2014 and consulted several doctors over the following months, none of whom alerted aviation authorities or his employer.

Prosecutors have found evidence that the co-pilot, who also had eyesight problems and may have feared losing his job, had researched suicide methods and concealed his illness from his employer, sparking a debate on supervision and medical secrecy.

Al Jazeera's Paul Brennan, reporting from London, said the results of the investigation will be far-reaching.

"One of the recommendations of the report is that there should be Europe-wide parity of when doctors should be able to break their Hippocratic Oath," he said.

Brennan said other recommendations included more regular check-ups for pilots who had been diagnosed as having a mental health issue.

The BEA said Lubitz's mental state had not generated any concerns reported by the pilots who flew with him.

However it cited a "lack of clear guidelines in German regulations" on when a threat to public safety outweighs the requirements of medical confidentiality.

Lubitz had been flying on a medical certificate that contained a waiver because of a severe depressive episode from August 2008 to July 2009. The waiver stated that the certificate would become invalid if there was a relapse into depression.

The BEA urged European authorities to carry out more research on the incapacitation of pilots, particularly where psychiatric issues are involved, and to tighten the rules for follow-up checks when pilots with a history of psychiatric problems are declared fit to fly.