1. Sick leave among young adult psychiatric outpatients
Katerina Trantou, MD and specialist in psychiatry,
Sahlgrenska University Hospital, Sweden

2. Steinn Steingrimsson, MD, PhD and specialist in psychiatry,
Sahlgrenska University Hospital, Sweden
Christina Andersson, Med.dr., occupational therapist,
Katarina Harring, occupational therapist,

3. Swedish health care system for young adults Sickness benefit
Unemployment benefits
Income support
Parental
leave benefit
Activity
compensation
Student benefits and allowances
Work-
disability
Extended schooling

4. Background
↑ total number of young adults with activity compensation (AC) in Sweden during the last years
85% of AC is because of the psychiatric diagnoses
60% of young adults with AC for extended schooling continue on with AC for workdisability
↑ risk for young adults with AC to continue with disability pension
There is only a few studies specifically for the young adults and their sickness absence in relation to their psychiatric diagnoses

5. Objectives
To examine occupational status or sickness absence related to
the primary psychiatric diagnoses as well as
treatment measures

6. Methods A cross sectional retrospective chart review 1092 patients
19-29 years old
Study period: 2014/03/01–2015/02/29
2 outpatient clinics serving 3 districts in Gothenburg as well as 3 municipalities around Gothenburg
Included diagnoses : mood disorders, anxiety disorders, personality disorders, neuropsychiatric diagnoses, eating disorders
Excluding primary diagnoses of bipolar type 1 or 2, substance use or schizophrenic disorders

7. Parameter Age Number of visits: Gender at the emergency clinic
Primary diagnosis
Secondary diagnosis
Care plan
Subgroup of workability
or sickness absence
Number of visits:
at the emergency clinic
at inpatient units
at outpatient clonics:
to the doctor
to the nurse
to the psychologist
to the occupational therapist
to the physiotherapist
to the medical social worker

8. Sickness absence Workability Subgroups Working Sickness benefit
Studies at college/university
Jobseeker
Parental leave
Sickness absence
Sickness benefit
Activity compensation

9. large variation among
inhabitants backgrounds

10. Community data Community/area Inhabitants Unemployment
Foreign background
Angered
50000
15%
50%
East Gothenberg
45000
12%
45%
Örgryte/Härlanda
58000 3%
14%
Härryda
37000
Mölndal
63000
20%
Partille 4%
Total
290000 7%
26%

11. Demographics
1092 patients
439 men / 653 women

12. Demographics

15. Workability/sickness absence and gender

16. 85 patients with sickness benefit
Most had sickness benefit for more than 365 days
7 part-time sickness benefit

17. Sickness benefit and diagnoses

18. Activity compensation and diagnoses

19. Results- Workability and diagnoses
86% ADHD/ADD

21. Conclusions Most young adult patients are expected to have workability
Sickness absence more common among young women than among young men

22. Conclusions
Multiple diagnoses can be a risk factor for sickness absence among young adults with psychiatric disorders
The neuropsychiatric diagnoses are overrepresented among young adults with activity compensation
Mood disorders and personality disorders are more frequent among young adults with sickness benefit

23. Thank you!