Factors impacting non-attendance rates at perinatal mental health services

Background/Aims Specialist perinatal mental health services are broadly offered across the UK, but factors influencing non-attendance are not well researched. This study examines demographic and diagnostic predictors of non-attendance in a specialist perinatal mental health service. Methods Data from 5363 scheduled appointments were analysed, examining associations between non-attendance, demographics and mental health diagnoses. Results Women diagnosed with mood disorders were more likely not to attend appointments ( P =0.008), while woman with anxiety disorders were more likely to attend ( P =0.018). Younger women (16–25 years old) had higher non-attendance rates than those who were older (≥26 years old) ( P ≤0.001). No major differences were observed by deprivation level or ethnicity. Conclusions This study highlights the importance of identifying groups at higher risk of non-attendance at specialist perinatal mental health services. The findings suggest that younger women and those with mood disorders may require more tailored engagement strategies to support attendance. Implications for practice Service providers could consider flexible appointment options, targeted reminders and proactive follow up to improve engagement and reduce missed appointments. Using routinely collected service data in this way can support service planning and improve the efficiency and accessibility of perinatal mental health care.