Objective:

Identify changes in the annual trend (CTA) of Depression according to the Psychiatrics sick leave of the National Health Fund in the Ñuble Region, Chile 2008-2017

Materials and methods:

Descriptive and trend study that included 34,467 of these medical licenses registered in the Commission for Preventive Medicine and Disability of the Ministerial Secretary of Health of the Ñuble Region and issued in 10 years, according to characteristics in number of licenses, type of license, type of ICD-10 diagnosis, and subsidy paying entity. The results were presented in absolute numbers and percentages. For the CTA, a Joinpoint regression model was constructed, and the Joinpoint Regression Program, Version 4.7.0.0 software was used.

Results:

The number of medical leave for depression increased 152.3% from 2008 to 2017, according to Type of Leave 99.7% was due to common illness or accident, by Type of ICD-10 Diagnosis 50.7% was due to nonspecific depressive episode (F32 .9), 71.6% per compensation fund subsidy payer.The Joinpoint model did not identify a CTA in depression according to the number of medical licenses, rather there was a constant increase estimated at 166 licenses (p = 0.122) for each year, and the depression diagnoses according to ICD-10 had different CTAs.

Conclusions:

Depression is constantly increasing in the Ñuble Region, and with the appearance of covid -19 the mental health of the population worsens, increase investment in mental health, train health personnel in these matters and that decisionmakers reconsider the implementation of the new National Mental Health Plan 2017-2025 is urgent so that these efforts are reflected in the control of this pathology and in the reduction of this type of psychiatrics sick leave.