2025-05-152024/25:SfU20 · p.22SfUMigration & social insurance

Sick Leave for Mental Illness

Measures against sick leave due to mental ill health

What's at stake: Mental ill health is a common cause of sick leave and disproportionately affects women; how the issue is handled affects access to rehabilitation, how early signs are detected, and how suicide risk is handled within the sickness insurance system.

Case texts and AI reasoning are AI-translated from the Swedish originals; the Swedish text is authoritative.

What the vote decides

The question is whether the government should take new steps to strengthen rehabilitation, knowledge, and suicide prevention for sick leave due to mental ill health, with particular focus on women's mental health, or whether current efforts are sufficient.

Yes Yes — the committee proposal

The committee rejects the motions calling for new measures on sick leave due to mental ill health and sees no reason to reach a different assessment on the matter than before.

No No — the reservations

Reservation 46 (SD)

The reservation wants the government to increase knowledge about effective rehabilitation measures for mental ill health, with particular focus on women's mental health since women are on sick leave at nearly twice the rate of men, develop knowledge-raising initiatives for early signs, introduce a suicide-prevention focus in sickness-insurance work, and consider requiring medical suicide-risk assessments in the medical decision-support system.

Summarised from the committee report. Party labels in the summary come from the report, not from the vote.

VSMPCLKDMSD
YesNoAbstainAbsent

What do the votes mean here?

Yes The committee proposal: rejecting the motions (keeping things as they are).

No Backing the counter-proposal: reservation 46 by SD.

Abstain The party marks a position of its own that is not one of the two final alternatives.

The decision would have held

Explicit commitments that contradicted the vote: CCenterpartiet

Ja 234–63Ja 214–83

Counterfactual: the parties above are moved to the position their own documents explicitly point at, carrying their whole contingent present. Every other party keeps its real figures, including dissenters and absentees.

What each plan points to — and how the party voted

For each party: the vote its own election manifesto and party programme point to in this case, next to how the party actually voted. A plan can only point to Yes or No; a party can also abstain.

PlanVoteConfidenceEvidence
VNoYes 19/0/0/5departs from the planconfidence: highderived
SNoYes 92/0/0/14departs from the planconfidence: mediumnot addressed
MPNoYes 15/0/0/3departs from the planconfidence: mediumderived
CNoYes 20/0/0/4departs from the planagainst own programmeconfidence: highexplicit
LNoYes 12/0/0/4departs from the planconfidence: mediumnot addressed
KDNoYes 16/0/0/3departs from the planconfidence: mediumnot addressed
MNoYes 59/0/0/9departs from the planconfidence: mediumnot addressed
SDown reservationNoNo 0/62/0/10follows the planconfidence: highexplicit

Committee proposal

The Riksdag rejects the motions 2024/25:1403 by Clara Aranda et al. (SD) motions 10-18 and 21 and 2024/25:1973 by Ann-Sofie Alm (M) motion 2.

Original (Swedish)

Riksdagen avslår motionerna 2024/25:1403 av Clara Aranda m.fl. (SD) yrkandena 10-18 och 21 samt 2024/25:1973 av Ann-Sofie Alm (M) yrkande 2.

Riksdag decision: The Government has in a letter to the Riksdag accounted for its assessment and the measures it intends to take based on the National Audit Office's report on the Swedish Social Insurance Agency's use of the exception provision on overriding reasons at 180 days of sick leave. The Riksdag welcomes the audit of how the Swedish Social Insurance Agency applies the use of the exception provision and shares the Government's assessment regarding the National Audit Office's recommendations. The Riksdag filed the letter with the records, which means the matter was closed. The Riksdag also said no to approximately 200 proposals in motions regarding social insurance issues submitted during the general motion period 2024. The motions deal with, among other things, a review of the exception provision discussed in the National Audit Office's report, security systems for entrepreneurs and students, sick insurance and rehabilitation, sickness and activity benefits as well as work injury insurance. The Riksdag refers, among other things, to work already being conducted in areas that the motions address.

Counter-proposals

Plan vs actual vote

Every party, in chamber order: what its own plan pointed to, how it voted, and the reasoning behind both. Highlighted rows are where the two differ — but a vote that follows the plan is a result too, so the reasoning is there for every party.

VVänsterpartietNoYesdeparts from the planderived

The plan explicitly states that psychological ill-health is increasing particularly among women without leading to expanded care, and requires a humane sickness insurance with quick help also for burnout.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The plan explicitly states that psychological ill-health is increasing particularly among women without leading to expanded care, and requires a humane sickness insurance with quick help also for burnout. The counter-proposal's requirement for more knowledge about rehabilitation, early signs and suicide prevention with a focus on women's health is in line with that commitment. The committee's assessment that nothing is needed goes against the plan's problem picture.

Original (Swedish)

Planen konstaterar uttryckligen att den psykiska ohälsan ökar särskilt bland kvinnor utan att det leder till utbyggd vård, och kräver en mänsklig sjukförsäkring med snabb hjälp också vid utbrändhet. Motförslagets krav på mer kunskap om rehabilitering, tidiga tecken och suicidprevention med fokus på kvinnors hälsa ligger i linje med det åtagandet. Utskottets bedömning att inget behövs går tvärtemot planens problembild.

  • psychological ill-health requires expanded caredecisive»Stressrelaterade sjukdomar blir allt vanligare och psykisk ohälsa ökar särskilt bland kvinnor och hos unga utan att det leder till utbyggd vård eller förändrad arbetsmiljö.« (2022 manifesto ↗)“Stress-related illnesses are becoming increasingly common and psychological ill-health is increasing particularly among women and young people without leading to expanded care or changed working environment.”
  • humane sickness insurance»Vänsterpartiet vill se en mänsklig sjukförsäkring och ett slut på utförsäkrandet av sjuka.« (2022 manifesto ↗)“The Left Party wants to see a humane sickness insurance and an end to people being taken off insurance.”
  • quick help even for burnout»Du ska ha rätt till hjälp snabbt oavsett om du har brutit benet eller blivit utbränd.« (2022 manifesto ↗)“You shall have the right to help quickly regardless of whether you have broken a bone or become burnt out.”
  • strong social insurance»Vi vill se starka försäkringar som skapar trygghet för var och en under« (party programme ↗)“We want to see strong insurance that creates security for everyone”

The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.

SSocialdemokraternaNoYesdeparts from the plannot addressed

The election manifesto establishes that in case of illness greater economic security is needed and that anyone too ill to work shall be able to rely on sickness insurance.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The election manifesto establishes that in case of illness greater economic security is needed and that anyone too ill to work shall be able to rely on sickness insurance. Increased knowledge about rehabilitation, early signs and suicide prevention strengthens exactly that confidence. To specifically raise women's mental health follows the party programme's feminist basic stance. The plan therefore supports the counter-proposal's requirement.

Original (Swedish)

Valmanifestet slår fast att det vid sjukdom behövs större ekonomisk trygghet och att den som är för sjuk för att arbeta ska kunna lita på sjukförsäkringen. Ökad kunskap om rehabilitering, tidiga tecken och suicidprevention stärker just den tilliten. Att särskilt lyfta kvinnors psykiska hälsa följer partiprogrammets feministiska grundsyn. Planen stöder därför motförslagets krav.

  • economic security in illnessdecisive»Också vid sjukdom är det nödvändigt med större ekonomisk trygghet.« (2022 manifesto ↗)“Also in case of illness is greater economic security necessary.”
  • trust in sickness insurance»vi slår vakt om principen att den som är för sjuk för att arbeta ska kunna lita på sjukförsäkringen« (2022 manifesto ↗)“we guard the principle that anyone too ill to work shall be able to rely on sickness insurance”
  • improved sickness benefits»Vi ska säkra rätten till personlig assistans och arbeta vidare med förslagen om att förbättra sjukersättningen.« (2022 manifesto ↗)“We shall secure the right to personal assistance and continue work on proposals to improve sickness benefits.”
  • feminist basic stance»Med denna grundsyn är socialdemokratin ett feministiskt parti.« (party programme ↗)“With this basic stance, the social democrats are a feminist party.”

The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.

MPMiljöpartietNoYesdeparts from the planderived

The plan wants to invest in primary care and increase access to mental health care and change sickness insurance so that it provides better security during sick leave.

Plan documents: 2022 manifesto · party programme

Reasoning and quotes

The plan wants to invest in primary care and increase access to mental health care and change sickness insurance so that it provides better security during sick leave. The party programme also establishes that equal care regardless of sex should be self-evident. The counter-proposal's requirement for increased knowledge about rehabilitation, women's mental health and suicide prevention follows from these commitments.

Original (Swedish)

Planen vill satsa på primärvården och öka tillgången till vård för psykisk ohälsa samt förändra sjukförsäkringen så att den ger bättre trygghet vid sjukskrivning. Partiprogrammet slår dessutom fast att likvärdig vård oberoende av kön borde vara en självklarhet. Motförslagets krav på ökad kunskap om rehabilitering, kvinnors psykiska hälsa och suicidprevention följer av dessa åtaganden.

  • care for mental healthdecisive»satsa på primärvården och öka tillgången till vård för psykisk ohälsa.« (2022 manifesto ↗)“invest in primary care and increase access to mental health care.”
  • safer sickness insurance»förändra sjukförsäkringen så den ger bättre trygghet vid sjukskrivning och se till att människor inte bollas mellan myndigheter när de behöver samhällets stöd.« (2022 manifesto ↗)“change sickness insurance so that it provides better security during sick leave and ensure that people are not passed between agencies when they need society's support.”
  • mental health prioritised»Den psykiska ohälsan växer, och leder till stort lidande.« (party programme ↗)“Mental health problems are increasing, and lead to great suffering.”
  • equal care regardless of sex»Likvärdig vård oberoende av kön och socioekonomiska faktorer borde vara en självklarhet.« (party programme ↗)“Equal care regardless of sex and socioeconomic factors should be self-evident.”

The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.

CCenterpartietNoYesdeparts from the planexplicit

The election manifesto explicitly commits to doing more to prevent, counter and rehabilitate stress-related mental illness and to make sick leave more flexible.

Plan documents: 2022 manifesto

Reasoning and quotes

The election manifesto explicitly commits to doing more to prevent, counter and rehabilitate stress-related mental illness and to make sick leave more flexible. The party also wants to invest in research on stress-related mental illness and strengthen gender medicine expertise, with the goal that women and men receive equally good care. The counter-proposal's requirement for increased knowledge about rehabilitation with particular focus on women's mental health is directly in line with these commitments.

Original (Swedish)

Valmanifestet åtar sig uttryckligen att göra mer för att förebygga, motverka och rehabilitera stressrelaterad psykisk ohälsa och att göra sjukskrivningen mer flexibel. Partiet vill dessutom satsa på forskning om den stressrelaterade psykiska ohälsan och stärka den genusmedicinska kompetensen, med målet att kvinnor och män ska få lika bra vård. Motförslagets krav på ökad kunskap om rehabilitering med särskilt fokus på kvinnors psykiska hälsa ligger direkt i linje med dessa åtaganden.

  • better rehabilitation for mental illnessdecisive»Gör mer för att förebygga, motverka och rehabilitera stressrelaterad psykisk ohälsa. Vi vill göra sjukskrivningen mer flexibel och förbättra rehabiliteringen.« (2022 manifesto ↗)“Do more to prevent, counter and rehabilitate stress-related mental illness. We want to make sick leave more flexible and improve rehabilitation.”
  • research on women's health»Vi vill satsa på forskning om kvinnosjukdomar, den stressrelaterade psykiska ohälsan och stärka den genusmedicinska kompetensen inom vården.« (2022 manifesto ↗)“We want to invest in research on women's diseases, stress-related mental illness, and strengthen gender medicine expertise in healthcare.”
  • equal care»Kvinnor och män ska få lika bra vård. Det borde vara en självklarhet.« (2022 manifesto ↗)“Women and men shall receive equally good care. This should be self-evident.”
  • strengthened support for mental illness»Stödet för personer med psykisk ohälsa måste förbättras, inte minst för unga.« (2022 manifesto ↗)“Support for people with mental illness must be improved, not least for young people.”

The stance rests on the quoted commitment in the party's own documents; the actual vote deviated. Click the quote to verify it in the document.

LLiberalernaNoYesdeparts from the plannot addressed

The plan establishes that the right to care and treatment is equally self-evident for mental as for physical illness and that treatment and rehabilitation shall be provided on scientific grounds.

Plan documents: party programme

Reasoning and quotes

The plan establishes that the right to care and treatment is equally self-evident for mental as for physical illness and that treatment and rehabilitation shall be provided on scientific grounds. It also wants the gender equality perspective to be developed in healthcare. Increased knowledge about effective rehabilitation, women's mental health and suicide prevention in sickness insurance work thus follows from the plan's commitments.

Original (Swedish)

Planen slår fast att rätten till vård och behandling är lika självklar vid psykisk som vid fysisk sjukdom och att behandling och rehabilitering ska ges på vetenskaplig grund. Den vill också att jämställdhetsperspektivet utvecklas i vården. Ökad kunskap om effektiv rehabilitering, kvinnors psykiska hälsa och suicidprevention i sjukförsäkringsarbetet följer därmed av planens åtaganden.

  • mental care equateddecisive»Rätten till vård och behandling är lika självklar för både fysiska och psykiska sjukdomar.« (party programme ↗)“The right to care and treatment is equally self-evident for both physical and mental illnesses.”
  • evidence-based rehabilitation»Vård, behandling och rehabilitering av fysiska och psykiska sjukdomar ska ges på vetenskaplig« (party programme ↗)“Care, treatment and rehabilitation of physical and mental illnesses shall be provided on scientific”
  • equal healthcare»Jämställdhetsperspektivet ska utvecklas i hälso- och sjukvården.« (party programme ↗)“The gender equality perspective shall be developed in healthcare.”
  • security in illness»Sjukförsäkringen ska ge ekonomisk trygghet vid både kortvarig och kronisk sjukdom« (party programme ↗)“Sickness insurance shall provide economic security for both short-term and chronic illness”

The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.

KDKristdemokraternaNoYesdeparts from the plannot addressed

The plan binds social insurance to actively support return to working life and requires that healthcare consciously addresses differences between women and men.

Plan documents: party programme

Reasoning and quotes

The plan binds social insurance to actively support return to working life and requires that healthcare consciously addresses differences between women and men. The counter-proposal's requirement for knowledge of effective rehabilitation measures, especially regarding women's mental health, aligns with both of these commitments. That the right to life is the foundation for other rights furthermore speaks to a suicide prevention focus.

Original (Swedish)

Planen binder socialförsäkringen till att aktivt stödja återgång till arbetslivet och kräver att vården medvetet beaktar skillnader mellan kvinnor och män. Motförslagets krav på kunskap om effektiva rehabiliteringsinsatser, särskilt kring kvinnors psykiska hälsa, ligger i linje med båda dessa åtaganden. Att rätten till liv är grunden för övriga rättigheter talar dessutom för ett suicidpreventivt fokus.

  • rehabilitation to workdecisive»Nivåerna på ersättningarna ska utformas så att den enskilde stimuleras att delta i åtgärder som leder till så god hälsa som möjligt och återgång till arbetslivet.« (party programme ↗)“The levels of compensation shall be designed so that the individual is encouraged to participate in measures that lead to the best possible health and return to working life.”
  • gender differences in healthcare»Vården måste medvetet beakta skillnader mellan kvinnor och män.« (party programme ↗)“Healthcare must consciously address differences between women and men.”
  • accessible psychiatric care»Psykiatrisk vård och omsorg ska präglas av tillgänglighet och flexibilitet utifrån patientens behov.« (party programme ↗)“Psychiatric care and support shall be characterized by accessibility and flexibility based on the patient's needs.”
  • the inviolability of life»Rätten till liv är den grundläggande förutsättningen för övriga mänskliga rättigheter.« (party programme ↗)“The right to life is the fundamental prerequisite for other human rights.”

The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.

MModeraternaNoYesdeparts from the plannot addressed

The plan promises a national strategy against suicide and particularly points out that women are on sick leave at higher rates than men.

Plan documents: 2022 manifesto

Reasoning and quotes

The plan promises a national strategy against suicide and particularly points out that women are on sick leave at higher rates than men. It also wants to strengthen research on diseases affecting women and improve early diagnosis using digital decision support. The counter-proposal's demands for a suicide-prevention focus, knowledge of early signs and special focus on women's mental health therefore align with the plan's commitments.

Original (Swedish)

Planen lovar en nationell strategi mot självmord och pekar särskilt ut att kvinnor är sjukskrivna i högre utsträckning än män. Den vill också stärka forskningen om sjukdomar som drabbar kvinnor och förbättra tidiga diagnoser med hjälp av digitala beslutsstöd. Motförslagets krav på suicidpreventivt fokus, kunskap om tidiga tecken och särskilt fokus på kvinnors psykiska hälsa ligger därför i linje med planens åtaganden.

  • national suicide prevention strategydecisive»Ta fram en nationell strategi mot självmord, med särskilt fokus på barn och unga« (2022 manifesto ↗)“Draw up a national strategy against suicide, with particular focus on children and young people”
  • knowledge about women's health»Stärka forskningen gällande sjukdomar som drabbar kvinnor« (2022 manifesto ↗)“Strengthen research on diseases affecting women”
  • women's high sick leave rates»Kvinnor i Sverige förvärvsarbetar fortfarande i lägre utsträckning än män och är sjukskrivna i högre utsträckning.« (2022 manifesto ↗)“Women in Sweden still participate in the workforce at lower rates than men and are on sick leave at higher rates.”
  • early diagnosis through decision support»Förbättra möjligheterna att ställa tidigare diagnoser, bland annat med hjälp av digitala beslutsstöd och strukturerade arbetssätt med till exempel riskprofilering« (2022 manifesto ↗)“Improve opportunities for earlier diagnosis, among other things with the help of digital decision support and structured working methods such as risk profiling”

The plan takes no explicit position on what the committee actually decided — often because the committee's reason was procedural. The stance is derived and fully cited, but it does not show the party broke a commitment.

SDSverigedemokraternaNoNofollows the planexplicit

The election manifesto explicitly requires that sickness and work injury insurance be better adapted for those with mental health problems and that more resources be allocated to preventive work and rehabilitation.

Plan documents: 2022 manifesto

Reasoning and quotes

The election manifesto explicitly requires that sickness and work injury insurance be better adapted for those with mental health problems and that more resources be allocated to preventive work and rehabilitation. The party also wants to appoint a national coordinator for suicide prevention and see standardized follow-up of those at risk of suicide. The counter-proposal's demands for knowledge about rehabilitation and a suicide preventive focus are thus in line with the plan.

Original (Swedish)

Valmanifestet kräver uttryckligen att sjuk- och arbetsskadeförsäkringen bättre anpassas för dem med psykisk ohälsa och att mer resurser läggs på förebyggande arbete och rehabilitering. Partiet vill dessutom tillsätta en nationell samordnare för suicidprevention och se standardiserad uppföljning av självmordsnära. Motförslagets krav på kunskap om rehabilitering och ett suicidpreventivt fokus ligger därmed i linje med planen.

  • adapted insurance for mental healthdecisive»Bättre anpassa sjuk och arbetsskadeförsäkring för dem med psykisk ohälsa« (2022 manifesto ↗)“Better adapt sickness and work injury insurance for those with mental health problems”
  • more rehabilitation»Se ökat fokus och mer resurser på förebyggande arbete samt rehabilitering« (2022 manifesto ↗)“See increased focus and more resources on preventive work and rehabilitation”
  • suicide prevention»Tillsätta en nationell samordnare med ansvar för suicidprevention« (2022 manifesto ↗)“Appoint a national coordinator responsible for suicide prevention”
  • knowledge and decision support»Likaså måste regelverket inom sjukförsäkringen bättre anpassas både vad gäller kunskap och beslutsstöd när det kommer till psykisk ohälsa och komplexa diagnoser.« (2022 manifesto ↗)“Likewise, the regulations within sickness insurance must be better adapted both in terms of knowledge and decision support when it comes to mental health and complex diagnoses.”

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Sources and documents

Documents under consideration

Source: The Swedish Parliament