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Schleswig-Holstein’s Sick Leave Crisis Deepens as Mental Health Drives Absenteeism

Why are workers in northern Germany calling in sick more than ever? A troubling trend reveals mental health struggles—and a call for systemic change.

The image shows an old map of the city of Schleswig-Holstein, Germany, with a few buildings and...
The image shows an old map of the city of Schleswig-Holstein, Germany, with a few buildings and text written on it. The map is detailed, showing the streets, buildings, and other features of the town.

DAK: Sickness absence in Schleswig-Holstein stable - Schleswig-Holstein’s Sick Leave Crisis Deepens as Mental Health Drives Absenteeism

Schleswig-Holstein faced notably higher sick leave rates in 2025, exceeding the national average by 2.4%. Employees in the region took an average of 20 days off due to illness, with mental health issues leading the causes. The figures have prompted calls for action from health insurers and employers alike.

Mental health conditions were the primary reason for absences, accounting for 415 lost workdays per 100 insured individuals. Respiratory infections and musculoskeletal disorders also contributed significantly to the region’s sick leave figures.

DAK, one of Germany’s largest health insurers, highlighted the need for deeper research into why northern Germany experiences such elevated rates. Cord-Eric Lubinski, the insurer’s regional director for Schleswig-Holstein, stressed that improving working conditions and fostering a supportive corporate culture could help reduce absenteeism. The insurer proposed a joint effort between employers, trade unions, medical professionals, and insurers to develop fresh solutions. Their goal is to create healthier work environments and address the root causes behind the high number of sick days.

The 2025 data shows no change in Schleswig-Holstein’s overall sick leave rate, which remains steady at 20 days per employee. With mental health and workplace conditions identified as key factors, DAK’s recommendations focus on collaboration and targeted research. The aim is to bring the region’s figures closer to the German average in the coming years.

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