重新审视中国青少年因病请假离校问题
本文针对中国青少年因心理健康问题请假离校现象进行反思。2024年报告显示，82.3%的抑郁或焦虑青少年曾至少请假一次，53.85%曾短期离校。作者指出，将缺勤单纯归因于心理疾病可能掩盖其他潜在问题，需全面评估。
要点
- 青少年心理疾病诊断率上升，伴随因病离校增加。
- 教育部门允许凭诊断证明请病假，可能加剧短期离校。
- 缺勤不应仅归因于心理疾病，需探究深层原因。
核心结论
- 将青少年缺勤单纯归因于心理疾病可能掩盖其他潜在问题，应重新审视。
研究设计与样本
- 本文为评论性文章，引用2024年中国青少年心理健康报告数据。
主要发现
- 2024年报告显示，82.3%的抑郁或焦虑青少年曾至少请假一次，53.85%曾短期离校。
临床怎么用
- 儿科医生在评估青少年缺勤时，应综合考虑心理、家庭、学校等多方面因素，避免仅凭诊断开具病假证明。
局限性
- 未提供具体研究设计、样本量或统计检验数据。
以上解读依据论文摘要（全文未开放获取或许可不允许翻译转载）。
原文
The diagnostic rates of mental disorders among adolescents have been increasing in China over the past few years, corresponding to a rise in school absences due to mental illness. A 2024 report on the mental health of Chinese adolescents revealed that 82.3% of adolescents with depression or anxiety had requested at least one leave of absence, and 53.85% of them had taken a temporary absence from school. 1 At the same time, education authorities and schools in China began allowing students with documentation of a diagnosis to take ‘medical’ leave from school. This change has led to an influx of students requesting mental health diagnoses from their psychiatrists to support their short-term ‘medical’ leave, and to a potentially steep increase in adolescents taking short-term medical leave from school due to mental disorders. However, attributing school absenteeism solely to mental illness may obscure other underlying issues. We should move...
引用
- Archives of Disease in Childhood：Rethinking temporary absence from school in Chinese adolescents
供执业医师工作参考，不替代临床判断；数值与分级以指南原文为准。