Berlin: The profile that has emerged of Germanwings co-pilot Andreas Lubitz has become more troubling by the day.

In the hours after Flight 9525 crashed in the French Alps two weeks ago, Lubitz was regarded as one of 150 victims in an unexplained disaster. Two days later, he was the prime suspect of an unfathomable act.

By now, French and German prosecutors have little doubt that the 27-year-old intentionally slammed the Airbus A320 into a mountain, killing everyone on board, and there is growing evidence that his actions weren’t just the result of a split-second decision, but of days of planning.

The revelations have raised questions about who knew what, when, and whether he could have been stopped, and have prompted particular soul-searching in Germany. Seventy-two of those killed on-board the flight — travelling from Barcelona to Duesseldorf — were German citizens.

Investigators have pieced together the picture of Lubitz by analysing the voice and flight data recorders found at the crash site, searching his homes in Duesseldorf and Montabaur, and by interviewing friends, relatives, colleagues and doctors.

So far, this is what they have communicated about their findings:

-Medical records show that before he received his pilot’s license, Lubitz suffered from depression, with doctors recording “suicidal tendencies.” It forced him to take a break of several months from his pilot training. Lufthansa has said Lubitz informed the airline’s flight school when he returned in 2009 that he had experienced an episode of “severe depression.” But Germanwings, the Lufthansa subsidiary Lubitz joined in 2013, said it was unaware of this. But both airlines say Lubitz passed all medical tests and was cleared by doctors as fit to fly on the day of the disaster.

-In the months before the crash Lubitz sought help from several doctors, including specialists at Duesseldorf’s University Hospital. The hospital declined to confirm reports that Lubitz was experiencing vision problems, but said he had come in for tests. Duesseldorf prosecutors say there was no evidence the co-pilot had any physical ailments.

-In the week leading up to the crash Lubitz spent time online researching suicide methods and cockpit door security. Safety rules introduced after the September 11, 2001, terror attacks in the US allow someone in the cockpit to deny others entry.

-Shortly after take-off from Barcelona on March 24, Lubitz offered to take over the controls while the pilot went to the toilet. Finding himself unable to enter the cockpit on his return, the pilot pleaded with Lubitz to let him back in. Lubitz ignored him and repeatedly accelerated the plane before it slammed into a mountainside near the village of Le Vernet.

With pilots responsible for the lives of 10 million air travellers worldwide every day, the idea that one might be harbouring a dark desire to harm himself and others has prompted deep unease.

“A technical malfunction, a terrorist act, a natural disaster or human error — none of these would be so troubling,” German weekly Der Spiegel wrote in its latest edition.

In their attempts to explain the crash, German media have evoked the phenomenon of the “Geisterfahrer” — a German term meaning “ghost driver” describing someone who drives the wrong way down the Autobahn, endangering himself and others.

That notion resonated in Spain, which counted 51 of its citizens among the dead.

“Who could have known that he was determined to destroy himself on that day?” said Mercedes Valle, a 54-year-old doctor in Madrid. He added that the content of the black box had confirmed “there was a deranged person with suicidal tendencies left in charge of a plane.”

“In the past I’ve seen the impact such a person can have at the wheel of a school bus or even a car. Fortunately, it’s a very rare occurrence,” he said.

German airlines swiftly mandated that two people have to remain in the cockpit at all times, and changes to patient privacy rules are being debated. Like elsewhere, German doctors are forbidden from divulging patients’ details except in cases of imminent danger.

Medical associations have warned that rash changes to the rules could undermine patients’ confidence in doctors and prevent them from seeking help, doing greater harm than good.

Few commentators have raised the possibility that Lufthansa, a national institution, may have made any avoidable mistakes. Instead, they have pointed to similar incidents that are believed to have taken place in Namibia, the US and Indonesia over the past two decades.

Conservative daily Frankfurter Allgemeine Zeitung concluded that “ultimately Lufthansa’s system failed.” However, given that Lubitz appeared to have gone to great lengths to conceal the extent of his illness, the paper questioned whether any system could ever account for what goes on inside a person’s head.