Embodiments of the present application disclose driving state monitoring methods and apparatuses, driver monitoring systems, and vehicles. The driving state monitoring method includes: performing driver state detection on a driver image; and performing at least one of: outputting a driving state monitoring result of a driver or performing intelligent driving control based on a result of the driver state detection. The embodiments of the present application can implement real-time monitoring of the driving state of a driver, so as to take corresponding measures in time when the driving state of the driver is poor, to ensure safe driving and avoid road traffic accidents.