School Absence and Mental Health in a Help-Seeking Sample From Child and Adolescent Psychiatry

ObjectiveProblematic school absence (PSA) can severely impact children's mental health. Research on the prevalence of PSA in child and adolescent psychiatry is still limited. This study explores the prevalence and severity of PSA in Dutch and German young people with mental health problems.MethodsThis study included 354 patients aged 6-20 years (<i>M</i> = 13.0; <i>SD</i> = 3.5) from three psychiatric clinics in the Netherlands and Germany (151 Dutch and 203 German children), recruited between March and June 2019. Parents completed the Strengths and Difficulties Questionnaire and the School-Non-Attendance-ChecKlist. The study analysed PSA and associated factors.ResultsSchool absence occurred in 66.9% of the sample. Any PSA was significantly associated with inpatient treatment, conduct problems and comorbidity, while attention-deficit/hyperactivity disorder, and other behavioural disorders were negatively associated. Severe PSA (missing 8 or more of 20 school days) was associated with higher age, inpatient treatment, and phobic anxiety disorders.ConclusionThis study showed a high prevalence of PSA among children with mental health problems in an international sample. Given its impact on children's development and future prospects, addressing PSA should be a priority for mental health professionals working with young people with mental health problems.