# DE Mental Health Indicators

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## 🎯 BEST ESTIMATE

| Metric | Value | Confidence | Last Updated |
|--------|-------|------------|--------------|
| **Work disengagement (Gallup 2023)** | **85% not/actively disengaged** | 90% | 2023 |
| **Engaged at work (Gallup 2023)** | **15%** | 90% | 2023 |
| **Suicides 2022** | **10,119** | 99% | 2022 |

**One-liner:** Only 15% of Germans engaged at work; 10,119 suicides in 2022.

**Caveat:** Gallup measures work engagement, not general meaning; Eurostat EHIS surveys are conducted only every 5+ years.

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## Quick Context

Germany's Gallup Engagement Index shows chronic disengagement: 15% actively engaged, 70% going through the motions, 15% actively disengaged. Mental illness has risen from rank 4 to rank 1–2 of all sick-day causes since 2010 (DAK/TK annual reports). Suicide counts (Destatis) provide the hard endpoint; engagement and sick-day data are the upstream signals.

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## Datasets

### gallup-engagement.csv
Annual Gallup Engagement Index for Germany (2001–2023).
- **engaged_pct**: Active emotional investment in work
- **not_engaged_pct**: "Dienst nach Vorschrift" — going through the motions
- **actively_disengaged_pct**: Actively undermining workplace
- **meaning_deficit_pct**: Sum of not_engaged + actively_disengaged

**No API available.** Data sourced from Gallup annual reports.
Source: https://www.gallup.com/de/engagement-index-deutschland.aspx

### suicide-statistics.csv
Annual suicide counts by sex (Destatis, ICD-10 X60-X84).
Source: Statistisches Bundesamt, Table 23211-0001.
Genesis API (requires free account): https://www-genesis.destatis.de/genesis/online

### eurostat-mental-health.csv
Eurostat EHIS-based mental health indicators for DE (sparse — EHIS conducted ~every 5 years).

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## Note on DAK/TK AU-Tage (Sick Days) Data

The most impactful metric — **AU-Tage wegen psychischer Erkrankungen** (sick days due to mental illness) — is published annually by health insurance funds (DAK, TK, AOK, Barmer) but has **no public API**. Data is in annual Gesundheitsreport PDFs:
- DAK: https://www.dak.de/dak/gesundheitsreport/
- TK: https://www.tk.de/presse/themen/praevention-und-gesundheit/gesundheitsstudien/gesundheitsreport/

Key finding (from published reports): Mental illness rose from rank 4 to rank 1-2 of all sick days since 2010.

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## Substrate Connection

- **Problems:** PR-00001 (Meaning Crisis), PR-00003 (Performance Society Exhaustion)
- **Proxy cluster:** Mental Health & Work Meaning
- **Argument:** AR-00004

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## Changelog

| Date | Change | Reason |
|------|--------|--------|
| 2026-04-22 | Initial dataset created | PR-00001 evidence expansion |