Exploring generational perspectives on mental health-related work absences: A qualitative interview study in the contemporary workplace

Abstract

Workplace mental health-related absences have risen sharply, with recent data showing Millennials as the most affected generation in 2024. This qualitative study explores how employees from four generations—Baby Boomers, Generation X, Millennials, and Generation Z—perceive, experience, and respond to mental health challenges at work. Semi-structured interviews were conducted with 24 participants from diverse sectors and roles. Thematic analysis revealed distinct generational differences in stigma, expectations, communication, and preferences for organizational support. Millennials and Gen Z reported greater openness and demand for mental health resources, while older generations highlighted stigma and reluctance to disclose issues. Intergenerational misunderstandings and cultural gaps were common, but examples of cross-generational learning and innovative support practices emerged. Findings suggest that tailored, inclusive strategies and improved intergenerational dialogue are essential to reduce mental health-related absences and foster healthier workplaces. Organizations should prioritize generationally sensitive policies, visible leadership engagement, and flexible support mechanisms to effectively address the diverse mental health needs of a multigenerational workforce.