2023 National Survey on Drug Use and Health (NSDUH) Releases
Conducted annually, the National Survey on Drug Use and Health (NSDUH) provides nationally representative data on the use of tobacco, alcohol, and drugs; substance use disorders; mental health issues; and receipt of substance use and mental health treatment among the civilian, noninstitutionalized population aged 12 or older in the United States. NSDUH estimates allow researchers, clinicians, policymakers, and the general public to better understand and improve the nation’s behavioral health. These reports and detailed tables present national estimates from the 2023 National Survey on Drug Use and Health (NSDUH).
Jump to: HighlightsAnnual National ReportDetailed Tables Methodology
Companion Infographic Reports
For the 2023 NSDUH release, two companion infographic reports are provided. Both offer user-friendly, visual representations of findings.
- First, a NSDUH report on key national indicators (PDF) that compares outcomes from 2021, 2022, and 2023.
- Second, a report on important indicators broken out by race and ethnicity (PDF). The report uses the combined data from the 2021 through 2023 NSDUH to increase precision for smaller groups.
They cover selected indicators of substance use, substance use disorders, mental health issues, suicidality, and recovery from substance use problems or mental health issues among the civilian, noninstitutionalized U.S. population aged 12 or older.
2023 NSDUH Frequently Asked Questions
General Questions
1. Are NSDUH data from 2023 able to be compared with data from 2021 and 2022?
2. Why does SAMHSA not use the term “trends” to compare estimates from 2021 to 2023 in the 2023 Companion Infographic Report?
3. Is it appropriate to combine 2023 data with previous years’ data?
4. Is SAMHSA planning to release state-level and substate-level estimates using 2023 data?
What's New/What's Changed
This section lists notable changes for the 2023 NSDUH. A full list of questionnaire changes is available as part of the 2023 NSDUH Questionnaire. Also, see the 2023 Methodological Summary and Definitions report for more information about methods for the 2023 NSDUH.
1. Front-End Demographics
2. Sexual Attraction and Identity
3. Medication-Assisted Treatment
4. Modes of Marijuana Use
2023 NSDUH Highlights
Overall Highlights for 2023 NSDUH (PDF)
Highlights for 2023 NSDUH by Race and Ethnicity (PDF)
Annual National Report
Key Substance Use and Mental Health Indicators in the United States
NSDUH’s latest annual report shows indicators of substance use and mental health in the United States based on 2023 NSDUH data. All reported indicators meet rigorous criteria for statistical precision. The 2023 Key Substance Use and Mental Health Indicators report summarizes the following:
- Substance use (tobacco, alcohol, vaping, marijuana and other illicit drug use, as well as the use and misuse of prescription drugs)
- Initiation of substance use by type
- Substance use disorders (SUDs)
- Major depressive episode (MDE), any mental illness, and serious mental illness
- Mental illness and MDE co-occurring with substance use and SUDs
- Suicidal thoughts, plans, and attempts
- Substance use treatment and mental health treatment
Estimates are presented by age group and by race/ethnicity for selected measures.
Also view slides based on the figures in the Annual National Report: Key Substance Use and Mental Health Indicators in the United States (PDF | PPT).
Detailed Tables
The 2023 NSDUH Detailed Tables present national estimates of substance use, mental health, and treatment in the United States. They present indicators for youths aged 12 to 17 and adults aged 18 or older (separately or combined) on drug, alcohol, and tobacco use, risk and availability of substance use, substance initiation, substance use disorder (SUD), mental illness and major depressive episode, suicidality, and treatment, along with some other miscellaneous health topics. The tables include estimates from 2022 and 2023 where appropriate, including statistical tests of differences between the two years. Please refer to the Methodological Summary and Definitions report for more information on the NSDUH survey.
Sections of the 2023 Detailed Tables:
Please refer to the related README file for instructions on how to use the Table of Contents and download files for faster viewing.
- Clickable Table of Contents
- Section 1: Illicit Drug Use/Misuse Tables - 1.1 to 1.134
- Section 2: Tobacco Product Use, Nicotine Vaping, and Alcohol Use Tables - 2.1 to 2.47
- Section 3: Risk and Protective Factor Tables - 3.1 to 3.18
- Section 4: Incidence Tables - 4.1 to 4.11
- Section 5: Substance Use Disorder and Treatment Tables - 5.1 to 5.35
- Section 6: Adult Mental Health Tables - 6.1 to 6.87
- Section 7: Youth Mental Health Tables - 7.1 to 7.40
- Section 8: Miscellaneous Tables - 8.1 to 8.43
- Section 9: Sample Size and Population Tables - 9.1 to 9.8
- Appendix A: Glossary
- Appendix B: List of Tables
- Appendix C: List of Contributors
Methodology
The 2023 Methodological Summary and Definitions report summarizes the information users need to properly interpret NSDUH estimates related to substance use and mental health. This report accompanies the annual detailed tables and National Report and provides information on overall methodology, key definitions for measures and terms used in 2023 NSDUH reports and tables, along with some analysis of these measures and of the survey as a whole. The report is organized into four chapters:
- Chapter 1 is an introduction to the report.
- Chapter 2 describes the survey, including information about the sample design; data collection procedures and questionnaire changes; and key aspects of data processing, such as development of analysis weights.
- Chapter 3 presents technical details on the statistical methods and measurement, such as suppression criteria for unreliable estimates, statistical testing procedures, and measurement issues for selected substance use and mental health measures.
- Chapter 4 covers special methodological topics related to prescription psychotherapeutic drugs.
Additional methodological reports and materials are available from the 2023 Methodological Resource Book.