2021 NSDUH State Estimates of Substance Use and Mental Disorders

Find preliminary state-level estimates for 35 measures of substance use and mental health from the 2021 National Survey on Drug Use and Health (NSDUH). These estimates are based on small area estimation (SAE) methods in which state-level NSDUH data are combined with other data from smaller geographies. The combined data are used to create modeled state estimates of the civilian, noninstitutionalized population ages 12 and older.

Along with the estimates, the collection includes an overview of the estimation methodology, a review of other state-level substance use and mental health data sources, and a document describing the groups used for mapping. The data are available in several forms: images of national maps and tables both overall and by age. There are also tables of p-values indicating whether differences between particular geographies are statistically significant.

The 35 indicators are:

  Drug use and Perceived Risk

1. Illicit Drug Use in the Past Month
2. Marijuana Use in the Past Year
3. Marijuana Use in the Past Month
4. Perceptions of Great Risk from Smoking Marijuana Once a Month
5. First Use of Marijuana in the Past Year (among those at risk for initiation)
6. Illicit Drug Use Other than Marijuana in the Past Month
7. Cocaine Use in the Past Year
8. Perceptions of Great Risk from using Cocaine Once a Month
9. Heroin Use in the Past Year
10. Perceptions of Great Risk from Trying Heroin Once or Twice
11. Methamphetamine Use in the Past Year
12. Prescription Pain Reliever Misuse in the Past Year
13. Opioid Misuse in the Past Year

  Alcohol

14. Alcohol Use in the Past Month
15. Binge Alcohol Use in the Past Month
16. Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic Beverage Once or Twice a Week
17. Alcohol Use and Binge Alcohol Use in the Past Month (among people aged 12 to 20)

  Tobacco

18. Tobacco Product Use in the Past Month
19. Cigarette Use in the Past Month
20. Perceptions of Great Risk from Smoking One or More Packs of Cigarettes per Day

  Substance Use Disorders

21. Drug Use Disorder in the Past Year
22. Pain Reliever Use Disorder in the Past Year
23. Opioid Use Disorder in the Past Year
24. Alcohol Use Disorder in the Past Year
25. Substance Use Disorder in the Past Year

  Substance Use Treatment

26. Needing But Not Receiving Treatment at a Specialty Facility for Illicit Drug Use in the Past Year
27. Needing But Not Receiving Treatment at a Specialty Facility for Alcohol Use in the Past Year
28. Needing But Not Receiving Treatment at a Specialty Facility for Substance Use in the Past Year

  Mental Illness

29. Any Mental Illness in the Past Year
30. Serious Mental Illness in the Past Year
31. Received Mental Health Services in the Past Year
32. Major Depressive Episode in the Past Year

  Suicidality

33. Had Serious Thoughts of Suicide in the Past Year
34. Made Any Suicide Plans in the Past Year
35. Attempted Suicide in the Past Year