National Survey on Drug Use and Health: 2013-2014 State-Specific Tables of Model-Based Estimates (Totals and Percentages), SAMHSA, CBHSQ

150925

UNITED STATES

Table 1 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in the United States, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Numbers in this table are based on national design-based estimates. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	25,779	2,267	7,583	15,928	23,511
Past Year Marijuana Use	34,038	3,304	11,077	19,657	30,734
Past Month Marijuana Use	20,999	1,796	6,736	12,467	19,203
Past Month Use of Illicit Drugs Other Than Marijuana¹	8,692	820	2,293	5,579	7,872
Past Year Cocaine Use	4,368	149	1,573	2,645	4,218
Past Year Nonmedical Pain Reliever Use	10,709	1,161	2,900	6,648	9,548
Perception of Great Risk from Smoking Marijuana Once a Month	72,203	5,857	4,958	61,388	66,345
Average Annual Number of Marijuana Initiates^2,3	2,879	1,233	1,385	261	1,646
ALCOHOL
Past Month Alcohol Use	138,279	2,875	20,777	114,627	135,404
Past Month Binge Alcohol Use⁴	60,505	1,534	13,185	45,786	58,971
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	107,583	9,726	11,630	86,227	97,858
Past Month Alcohol Use (Individuals Aged 12 to 20)	8,656⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	5,325⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	66,885	1,847	12,563	52,476	65,039
Past Month Cigarette Use	55,507	1,305	10,281	43,921	54,202
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	187,424	16,244	23,158	148,022	171,180
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	4,954	467	1,735	2,752	4,486
Illicit Drug Dependence or Abuse¹	6,964	871	2,439	3,654	6,093
Alcohol Dependence	8,031	250	1,955	5,825	7,780
Alcohol Dependence or Abuse	17,147	688	4,407	12,052	16,459
Alcohol or Illicit Drug Dependence or Abuse¹	21,521	1,276	5,855	14,390	20,245
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	6,202	819	2,231	3,152	5,383
Needing But Not Receiving Treatment for Alcohol Use⁸	16,351	653	4,258	11,440	15,698
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	2,739	3,139	12,687	15,826
Serious Mental Illness^3,10	--	--	1,575	8,345	9,919
Any Mental Illness^3,10	--	--	6,884	36,813	43,697
Had Serious Thoughts of Suicide¹¹	--	--	2,595	6,812	9,406

150925

UNITED STATES

Table 2 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in the United States, by Age Group: Percentages, Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: The percentages in this table are based on national design-based estimates. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X₁ + X₂). Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	9.77	9.11	21.75	7.81	9.84
Past Year Marijuana Use	12.90	13.28	31.78	9.63	12.87
Past Month Marijuana Use	7.96	7.22	19.32	6.11	8.04
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.30	3.30	6.58	2.73	3.30
Past Year Cocaine Use	1.66	0.60	4.51	1.30	1.77
Past Year Nonmedical Pain Reliever Use	4.06	4.67	8.32	3.26	4.00
Perception of Great Risk from Smoking Marijuana Once a Month	27.35	23.54	14.22	30.09	27.75
Average Annual Incidence Estimates of First Use of Marijuana^2,3	1.91	5.60	7.68	0.24	1.28
ALCOHOL
Past Month Alcohol Use	52.42	11.55	59.60	56.18	56.68
Past Month Binge Alcohol Use⁴	22.94	6.16	37.82	22.44	24.69
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	40.79	39.09	33.36	42.27	40.96
Past Month Alcohol Use (Individuals Aged 12 to 20)	22.76⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	14.00⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	25.36	7.42	36.04	25.72	27.23
Past Month Cigarette Use	21.05	5.24	29.49	21.53	22.69
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	71.06	65.28	66.43	72.55	71.66
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	1.88	1.88	4.98	1.35	1.88
Illicit Drug Dependence or Abuse¹	2.64	3.50	7.00	1.79	2.55
Alcohol Dependence	3.04	1.01	5.61	2.86	3.26
Alcohol Dependence or Abuse	6.50	2.76	12.64	5.91	6.89
Alcohol or Illicit Drug Dependence or Abuse¹	8.16	5.13	16.80	7.05	8.47
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	2.35	3.29	6.40	1.55	2.25
Needing But Not Receiving Treatment for Alcohol Use⁸	6.20	2.62	12.22	5.61	6.57
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	11.01	9.00	6.22	6.63
Serious Mental Illness^3,10	--	--	4.52	4.09	4.15
Any Mental Illness^3,10	--	--	19.75	18.05	18.29
Had Serious Thoughts of Suicide¹¹	--	--	7.44	3.34	3.94

150925

NORTHEAST REGION

Table 3 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in the Northeast Region, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: The Northeast region includes the following states: Connecticut, Maine, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, and Vermont. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	4,899	386	1,454	3,059	4,513
Past Year Marijuana Use	6,594	583	2,132	3,879	6,011
Past Month Marijuana Use	4,077	320	1,303	2,454	3,757
Past Month Use of Illicit Drugs Other Than Marijuana¹	1,499	120	400	979	1,379
Past Year Cocaine Use	920	25	319	576	894
Past Year Nonmedical Pain Reliever Use	1,733	168	482	1,082	1,564
Perception of Great Risk from Smoking Marijuana Once a Month	12,143	931	733	10,480	11,213
Average Annual Number of Marijuana Initiates^2,3	527	215	261	51	312
ALCOHOL
Past Month Alcohol Use	27,463	550	3,923	22,991	26,913
Past Month Binge Alcohol Use⁴	11,310	291	2,494	8,524	11,019
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	18,659	1,595	1,911	15,154	17,064
Past Month Alcohol Use (Individuals Aged 12 to 20)	1,682⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	1,014⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	11,286	300	2,129	8,857	10,986
Past Month Cigarette Use	9,355	213	1,744	7,399	9,142
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	34,800	2,754	4,191	27,855	32,046
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	992	73	342	577	919
Illicit Drug Dependence or Abuse¹	1,328	136	466	726	1,192
Alcohol Dependence	1,430	42	334	1,054	1,387
Alcohol Dependence or Abuse	3,154	120	807	2,227	3,034
Alcohol or Illicit Drug Dependence or Abuse¹	3,969	207	1,087	2,676	3,763
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	1,157	126	408	622	1,030
Needing But Not Receiving Treatment for Alcohol Use⁸	2,964	114	766	2,084	2,850
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	443	591	2,297	2,888
Serious Mental Illness^3,10	--	--	287	1,414	1,702
Any Mental Illness^3,10	--	--	1,279	6,466	7,746
Had Serious Thoughts of Suicide¹¹	--	--	467	1,185	1,652

150925

NORTHEAST REGION

Table 4 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in the Northeast Region, by Age Group: Percentages, Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: The Northeast region includes the following states: Connecticut, Maine, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, and Vermont. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X₁ + X₂). Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	10.31	9.24	23.65	8.23	10.42
Past Year Marijuana Use	13.88	13.98	34.66	10.43	13.87
Past Month Marijuana Use	8.58	7.68	21.19	6.60	8.67
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.16	2.88	6.50	2.63	3.18
Past Year Cocaine Use	1.94	0.60	5.19	1.55	2.06
Past Year Nonmedical Pain Reliever Use	3.65	4.03	7.84	2.91	3.61
Perception of Great Risk from Smoking Marijuana Once a Month	25.53	22.31	11.92	28.18	25.84
Average Annual Incidence Estimates of First Use of Marijuana^2,3	2.01	5.85	8.40	0.26	1.38
ALCOHOL
Past Month Alcohol Use	57.80	13.19	63.79	61.82	62.10
Past Month Binge Alcohol Use⁴	23.81	6.99	40.56	22.92	25.43
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	39.27	38.23	31.07	40.75	39.37
Past Month Alcohol Use (Individuals Aged 12 to 20)	26.11⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	15.74⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	23.76	7.18	34.61	23.82	25.35
Past Month Cigarette Use	19.69	5.10	28.36	19.89	21.10
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	73.25	66.02	68.15	74.90	73.94
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	2.09	1.76	5.56	1.55	2.12
Illicit Drug Dependence or Abuse¹	2.80	3.26	7.58	1.95	2.75
Alcohol Dependence	3.01	1.02	5.43	2.83	3.20
Alcohol Dependence or Abuse	6.64	2.88	13.12	5.99	7.00
Alcohol or Illicit Drug Dependence or Abuse¹	8.36	4.95	17.68	7.20	8.68
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	2.44	3.03	6.64	1.67	2.38
Needing But Not Receiving Treatment for Alcohol Use⁸	6.24	2.73	12.45	5.60	6.58
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	10.63	9.61	6.18	6.66
Serious Mental Illness^3,10	--	--	4.67	3.80	3.93
Any Mental Illness^3,10	--	--	20.80	17.39	17.87
Had Serious Thoughts of Suicide¹¹	--	--	7.60	3.19	3.81

150925

MIDWEST REGION

Table 5 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in the Midwest Region, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: The Midwest region includes the following states: Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota, and Wisconsin. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	5,150	452	1,592	3,106	4,698
Past Year Marijuana Use	6,986	670	2,383	3,932	6,316
Past Month Marijuana Use	4,228	357	1,426	2,445	3,871
Past Month Use of Illicit Drugs Other Than Marijuana¹	1,710	161	499	1,050	1,549
Past Year Cocaine Use	769	26	283	461	743
Past Year Nonmedical Pain Reliever Use	2,251	241	641	1,369	2,009
Perception of Great Risk from Smoking Marijuana Once a Month	14,097	1,271	912	11,914	12,825
Average Annual Number of Marijuana Initiates^2,3	616	256	307	52	360
ALCOHOL
Past Month Alcohol Use	31,066	609	4,681	25,776	30,457
Past Month Binge Alcohol Use⁴	14,233	332	3,143	10,758	13,901
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	20,811	1,986	2,172	16,653	18,825
Past Month Alcohol Use (Individuals Aged 12 to 20)	1,938⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	1,230⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	16,098	462	3,022	12,614	15,636
Past Month Cigarette Use	13,433	332	2,436	10,665	13,101
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	38,138	3,455	4,655	30,027	34,683
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	1,037	98	369	569	939
Illicit Drug Dependence or Abuse¹	1,434	174	513	748	1,261
Alcohol Dependence	1,725	55	433	1,237	1,670
Alcohol Dependence or Abuse	3,711	146	1,006	2,560	3,566
Alcohol or Illicit Drug Dependence or Abuse¹	4,635	266	1,305	3,064	4,369
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	1,270	164	469	637	1,106
Needing But Not Receiving Treatment for Alcohol Use⁸	3,559	136	958	2,465	3,423
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	582	696	2,776	3,472
Serious Mental Illness^3,10	--	--	365	1,904	2,269
Any Mental Illness^3,10	--	--	1,517	7,964	9,481
Had Serious Thoughts of Suicide¹¹	--	--	581	1,513	2,093

150925

MIDWEST REGION

Table 6 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in the Midwest Region by Age Group: Percentages, Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: The Midwest region includes the following states: Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota, and Wisconsin. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X₁ + X₂). Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	9.14	8.40	21.47	7.13	9.22
Past Year Marijuana Use	12.40	12.45	32.13	9.03	12.39
Past Month Marijuana Use	7.50	6.64	19.23	5.61	7.60
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.03	2.99	6.72	2.41	3.04
Past Year Cocaine Use	1.37	0.48	3.81	1.06	1.46
Past Year Nonmedical Pain Reliever Use	3.99	4.48	8.64	3.14	3.94
Perception of Great Risk from Smoking Marijuana Once a Month	25.00	23.61	12.29	27.37	25.15
Average Annual Incidence Estimates of First Use of Marijuana^2,3	1.95	5.31	8.17	0.23	1.34
ALCOHOL
Past Month Alcohol Use	55.14	11.31	63.11	59.21	59.77
Past Month Binge Alcohol Use⁴	25.26	6.16	42.38	24.71	27.28
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	36.93	36.88	29.28	38.25	36.94
Past Month Alcohol Use (Individuals Aged 12 to 20)	23.73⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	15.06⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	28.57	8.58	40.75	28.97	30.69
Past Month Cigarette Use	23.84	6.16	32.84	24.50	25.71
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	67.70	64.16	62.77	68.97	68.06
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	1.84	1.83	4.98	1.31	1.84
Illicit Drug Dependence or Abuse¹	2.55	3.23	6.91	1.72	2.47
Alcohol Dependence	3.06	1.03	5.83	2.84	3.28
Alcohol Dependence or Abuse	6.59	2.70	13.56	5.88	7.00
Alcohol or Illicit Drug Dependence or Abuse¹	8.23	4.93	17.60	7.04	8.57
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	2.25	3.04	6.32	1.46	2.17
Needing But Not Receiving Treatment for Alcohol Use⁸	6.32	2.53	12.92	5.66	6.72
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	10.81	9.39	6.38	6.81
Serious Mental Illness^3,10	--	--	4.93	4.37	4.45
Any Mental Illness^3,10	--	--	20.45	18.29	18.61
Had Serious Thoughts of Suicide¹¹	--	--	7.83	3.48	4.11

150925

SOUTH REGION

Table 7 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in the South Region, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: The South region includes the following states: Alabama, Arkansas, Delaware, District of Columbia, Florida, Georgia, Kentucky, Louisiana, Maryland, Mississippi, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Virginia, and West Virginia. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	8,422	800	2,531	5,091	7,621
Past Year Marijuana Use	11,034	1,128	3,732	6,175	9,906
Past Month Marijuana Use	6,622	593	2,218	3,811	6,030
Past Month Use of Illicit Drugs Other Than Marijuana¹	3,110	325	823	1,961	2,784
Past Year Cocaine Use	1,426	49	486	890	1,376
Past Year Nonmedical Pain Reliever Use	4,019	456	1,088	2,475	3,563
Perception of Great Risk from Smoking Marijuana Once a Month	30,531	2,451	2,207	25,874	28,081
Average Annual Number of Marijuana Initiates^2,3	1,002	441	473	87	560
ALCOHOL
Past Month Alcohol Use	47,855	1,020	7,320	39,515	46,835
Past Month Binge Alcohol Use⁴	21,107	535	4,460	16,112	20,572
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	42,110	3,836	4,706	33,568	38,274
Past Month Alcohol Use (Individuals Aged 12 to 20)	2,910⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	1,761⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	26,415	710	4,807	20,898	25,705
Past Month Cigarette Use	21,958	489	3,901	17,567	21,468
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	69,020	6,159	8,542	54,319	62,861
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	1,739	176	584	978	1,562
Illicit Drug Dependence or Abuse¹	2,484	322	845	1,317	2,163
Alcohol Dependence	2,868	90	665	2,113	2,778
Alcohol Dependence or Abuse	6,085	249	1,501	4,336	5,837
Alcohol or Illicit Drug Dependence or Abuse¹	7,664	476	2,002	5,186	7,188
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	2,234	306	791	1,137	1,928
Needing But Not Receiving Treatment for Alcohol Use⁸	5,871	236	1,478	4,156	5,635
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	1,011	1,071	4,675	5,746
Serious Mental Illness^3,10	--	--	539	3,164	3,704
Any Mental Illness^3,10	--	--	2,350	13,636	15,986
Had Serious Thoughts of Suicide¹¹	--	--	889	2,526	3,415

150925

SOUTH REGION

Table 8 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in the South Region, by Age Group: Percentages, Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: The South region includes the following states: Alabama, Arkansas, Delaware, District of Columbia, Florida, Georgia, Kentucky, Louisiana, Maryland, Mississippi, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Virginia, and West Virginia. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X₁ + X₂). Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	8.58	8.53	19.62	6.71	8.58
Past Year Marijuana Use	11.24	12.02	28.93	8.14	11.16
Past Month Marijuana Use	6.74	6.31	17.20	5.02	6.79
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.17	3.47	6.38	2.58	3.14
Past Year Cocaine Use	1.45	0.53	3.77	1.17	1.55
Past Year Nonmedical Pain Reliever Use	4.09	4.86	8.44	3.26	4.01
Perception of Great Risk from Smoking Marijuana Once a Month	31.08	26.11	17.11	34.09	31.60
Average Annual Incidence Estimates of First Use of Marijuana^2,3	1.69	5.18	6.77	0.20	1.11
ALCOHOL
Past Month Alcohol Use	48.74	10.87	56.75	52.06	52.74
Past Month Binge Alcohol Use⁴	21.50	5.70	34.58	21.23	23.17
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	42.89	40.88	36.48	44.23	43.10
Past Month Alcohol Use (Individuals Aged 12 to 20)	20.68⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	12.52⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	26.91	7.57	37.26	27.54	28.95
Past Month Cigarette Use	22.37	5.22	30.24	23.15	24.18
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	70.30	65.63	66.22	71.57	70.79
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	1.77	1.88	4.53	1.29	1.76
Illicit Drug Dependence or Abuse¹	2.53	3.43	6.55	1.74	2.44
Alcohol Dependence	2.92	0.96	5.16	2.78	3.13
Alcohol Dependence or Abuse	6.20	2.65	11.63	5.71	6.57
Alcohol or Illicit Drug Dependence or Abuse¹	7.81	5.08	15.52	6.83	8.09
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	2.28	3.26	6.13	1.50	2.17
Needing But Not Receiving Treatment for Alcohol Use⁸	5.98	2.52	11.46	5.48	6.35
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	10.77	8.31	6.16	6.47
Serious Mental Illness^3,10	--	--	4.18	4.17	4.17
Any Mental Illness^3,10	--	--	18.22	17.97	18.01
Had Serious Thoughts of Suicide¹¹	--	--	6.89	3.33	3.84

150925

WEST REGION

Table 9 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in the West Region, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: The West region includes the following states: Alaska, Arizona, California, Colorado, Hawaii, Idaho, Montana, Nevada, New Mexico, Oregon, Utah, Washington, and Wyoming. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	7,309	629	2,006	4,673	6,679
Past Year Marijuana Use	9,424	923	2,831	5,671	8,501
Past Month Marijuana Use	6,072	526	1,788	3,757	5,546
Past Month Use of Illicit Drugs Other Than Marijuana¹	2,373	214	571	1,588	2,160
Past Year Cocaine Use	1,253	49	486	718	1,204
Past Year Nonmedical Pain Reliever Use	2,707	295	689	1,723	2,411
Perception of Great Risk from Smoking Marijuana Once a Month	15,431	1,205	1,106	13,120	14,227
Average Annual Number of Marijuana Initiates^2,3	735	321	344	70	414
ALCOHOL
Past Month Alcohol Use	31,894	696	4,853	26,345	31,198
Past Month Binge Alcohol Use⁴	13,855	376	3,087	10,392	13,479
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	26,003	2,308	2,843	20,852	23,695
Past Month Alcohol Use (Individuals Aged 12 to 20)	2,126⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	1,320⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	13,087	375	2,605	10,107	12,712
Past Month Cigarette Use	10,761	271	2,200	8,291	10,490
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	45,466	3,876	5,770	35,820	41,590
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	1,186	119	440	627	1,066
Illicit Drug Dependence or Abuse¹	1,717	240	615	863	1,478
Alcohol Dependence	2,008	63	523	1,422	1,945
Alcohol Dependence or Abuse	4,196	173	1,094	2,929	4,023
Alcohol or Illicit Drug Dependence or Abuse¹	5,252	328	1,461	3,464	4,925
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	1,541	223	563	756	1,318
Needing But Not Receiving Treatment for Alcohol Use⁸	3,957	167	1,056	2,735	3,790
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	703	781	2,939	3,720
Serious Mental Illness^3,10	--	--	382	1,863	2,245
Any Mental Illness^3,10	--	--	1,738	8,747	10,485
Had Serious Thoughts of Suicide¹¹	--	--	658	1,587	2,245

150925

WEST REGION

Table 10 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in the West Region, by Age Group: Percentages, Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: The West region includes the following states: Alaska, Arizona, California, Colorado, Hawaii, Idaho, Montana, Nevada, New Mexico, Oregon, Utah, Washington, and Wyoming. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X₁ + X₂). Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	11.84	10.59	23.90	9.86	11.97
Past Year Marijuana Use	15.27	15.53	33.72	11.97	15.24
Past Month Marijuana Use	9.84	8.85	21.30	7.93	9.94
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.84	3.60	6.81	3.35	3.87
Past Year Cocaine Use	2.03	0.82	5.78	1.52	2.16
Past Year Nonmedical Pain Reliever Use	4.38	4.97	8.20	3.63	4.32
Perception of Great Risk from Smoking Marijuana Once a Month	24.97	20.28	13.18	27.68	25.47
Average Annual Incidence Estimates of First Use of Marijuana^2,3	2.20	6.37	8.27	0.29	1.45
ALCOHOL
Past Month Alcohol Use	51.67	11.71	57.82	55.59	55.92
Past Month Binge Alcohol Use⁴	22.44	6.32	36.78	21.93	24.16
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	42.12	38.84	33.87	44.00	42.47
Past Month Alcohol Use (Individuals Aged 12 to 20)	22.73⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	14.11⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	21.20	6.31	31.04	21.33	22.79
Past Month Cigarette Use	17.43	4.56	26.21	17.50	18.80
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	73.65	65.22	68.74	75.58	74.55
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	1.92	2.01	5.24	1.32	1.91
Illicit Drug Dependence or Abuse¹	2.78	4.04	7.32	1.82	2.65
Alcohol Dependence	3.25	1.05	6.24	3.00	3.49
Alcohol Dependence or Abuse	6.80	2.91	13.03	6.18	7.21
Alcohol or Illicit Drug Dependence or Abuse¹	8.51	5.51	17.40	7.31	8.83
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	2.50	3.74	6.70	1.59	2.36
Needing But Not Receiving Treatment for Alcohol Use⁸	6.41	2.80	12.58	5.77	6.79
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	11.82	9.30	6.20	6.67
Serious Mental Illness^3,10	--	--	4.56	3.93	4.02
Any Mental Illness^3,10	--	--	20.70	18.46	18.79
Had Serious Thoughts of Suicide¹¹	--	--	7.84	3.35	4.02

150925

ALABAMA

Table 11 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Alabama, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	325	30	98	197	296
Past Year Marijuana Use	404	38	145	221	366
Past Month Marijuana Use	225	19	81	126	206
Past Month Use of Illicit Drugs Other Than Marijuana¹	146	14	42	90	133
Past Year Cocaine Use	50	2	17	31	48
Past Year Nonmedical Pain Reliever Use	197	21	59	118	177
Perception of Great Risk from Smoking Marijuana Once a Month	1,455	119	110	1,226	1,336
Average Annual Number of Marijuana Initiates^2,3	38	17	18	3	21
ALCOHOL
Past Month Alcohol Use	1,803	40	275	1,488	1,763
Past Month Binge Alcohol Use⁴	872	23	178	670	849
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	1,758	163	193	1,403	1,596
Past Month Alcohol Use (Individuals Aged 12 to 20)	109⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	73⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	1,275	32	232	1,011	1,243
Past Month Cigarette Use	1,045	22	184	839	1,023
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	2,715	240	334	2,141	2,476
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	78	6	24	47	71
Illicit Drug Dependence or Abuse¹	107	11	32	63	96
Alcohol Dependence	121	4	25	92	117
Alcohol Dependence or Abuse	233	11	57	164	222
Alcohol or Illicit Drug Dependence or Abuse¹	296	20	76	201	276
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	98	11	31	55	87
Needing But Not Receiving Treatment for Alcohol Use⁸	225	10	57	157	215
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	41	44	206	250
Serious Mental Illness^3,10	--	--	23	142	165
Any Mental Illness^3,10	--	--	97	615	712
Had Serious Thoughts of Suicide¹¹	--	--	39	106	145

150925

ALABAMA

Table 12 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Alabama, by Age Group: Percentages, Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X₁ + X₂). Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	8.05	7.75	18.39	6.33	8.08
Past Year Marijuana Use	9.98	9.90	26.99	7.10	9.99
Past Month Marijuana Use	5.57	4.98	15.04	4.03	5.63
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.62	3.59	7.94	2.89	3.63
Past Year Cocaine Use	1.23	0.42	3.09	1.01	1.31
Past Year Nonmedical Pain Reliever Use	4.88	5.37	10.98	3.78	4.83
Perception of Great Risk from Smoking Marijuana Once a Month	36.08	31.14	20.57	39.34	36.59
Average Annual Incidence Estimates of First Use of Marijuana^2,3	1.42	4.46	6.04	0.15	0.95
ALCOHOL
Past Month Alcohol Use	44.72	10.53	51.36	47.74	48.26
Past Month Binge Alcohol Use⁴	21.61	6.04	33.32	21.51	23.22
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	43.60	42.58	36.04	45.01	43.70
Past Month Alcohol Use (Individuals Aged 12 to 20)	19.25⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	12.81⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	31.62	8.43	43.37	32.43	34.02
Past Month Cigarette Use	25.90	5.66	34.32	26.93	28.00
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	67.33	62.76	62.46	68.71	67.80
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	1.92	1.67	4.54	1.51	1.95
Illicit Drug Dependence or Abuse¹	2.64	2.86	6.07	2.03	2.62
Alcohol Dependence	2.99	0.98	4.74	2.94	3.20
Alcohol Dependence or Abuse	5.76	2.84	10.73	5.27	6.06
Alcohol or Illicit Drug Dependence or Abuse¹	7.33	5.13	14.10	6.44	7.55
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	2.42	2.84	5.88	1.78	2.37
Needing But Not Receiving Treatment for Alcohol Use⁸	5.58	2.68	10.72	5.05	5.88
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	10.74	8.24	6.61	6.85
Serious Mental Illness^3,10	--	--	4.30	4.57	4.53
Any Mental Illness^3,10	--	--	18.09	19.75	19.51
Had Serious Thoughts of Suicide¹¹	--	--	7.31	3.41	3.98

150925

ALASKA

Table 13 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Alaska, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	77	6	20	50	71
Past Year Marijuana Use	114	10	30	73	103
Past Month Marijuana Use	69	6	18	45	63
Past Month Use of Illicit Drugs Other Than Marijuana¹	20	2	6	12	19
Past Year Cocaine Use	9	0	3	5	9
Past Year Nonmedical Pain Reliever Use	26	3	8	15	23
Perception of Great Risk from Smoking Marijuana Once a Month	107	10	9	87	96
Average Annual Number of Marijuana Initiates^2,3	7	3	3	1	4
ALCOHOL
Past Month Alcohol Use	313	6	50	257	307
Past Month Binge Alcohol Use⁴	133	3	32	97	130
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	225	21	24	180	204
Past Month Alcohol Use (Individuals Aged 12 to 20)	20⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	12⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	170	6	34	129	163
Past Month Cigarette Use	127	4	28	95	124
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	387	35	51	302	353
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	13	1	5	6	12
Illicit Drug Dependence or Abuse¹	19	2	7	9	17
Alcohol Dependence	19	0	5	13	18
Alcohol Dependence or Abuse	39	1	11	27	38
Alcohol or Illicit Drug Dependence or Abuse¹	53	3	16	35	51
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	16	2	7	8	14
Needing But Not Receiving Treatment for Alcohol Use⁸	37	1	11	25	36
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	6	8	26	34
Serious Mental Illness^3,10	--	--	4	16	20
Any Mental Illness^3,10	--	--	17	77	94
Had Serious Thoughts of Suicide¹¹	--	--	7	15	22

150925

ALASKA

Table 14 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Alaska, by Age Group: Percentages, Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X₁ + X₂). Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	13.23	9.77	24.44	11.58	13.63
Past Year Marijuana Use	19.60	17.30	36.47	16.70	19.86
Past Month Marijuana Use	11.85	9.19	21.30	10.42	12.16
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.50	2.95	7.40	2.83	3.56
Past Year Cocaine Use	1.54	0.51	3.84	1.24	1.65
Past Year Nonmedical Pain Reliever Use	4.43	4.49	9.00	3.55	4.42
Perception of Great Risk from Smoking Marijuana Once a Month	18.40	17.14	10.63	20.09	18.55
Average Annual Incidence Estimates of First Use of Marijuana^2,3	3.01	6.99	9.04	0.52	2.04
ALCOHOL
Past Month Alcohol Use	54.02	9.22	59.65	59.05	59.15
Past Month Binge Alcohol Use⁴	22.93	5.00	38.71	22.38	24.99
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	38.85	35.44	28.88	41.22	39.24
Past Month Alcohol Use (Individuals Aged 12 to 20)	21.47⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	13.02⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	29.30	10.73	41.11	29.59	31.42
Past Month Cigarette Use	22.00	6.15	34.04	21.88	23.81
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	66.89	57.60	60.75	69.32	67.95
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	2.19	1.88	6.53	1.42	2.23
Illicit Drug Dependence or Abuse¹	3.21	3.39	8.73	2.13	3.18
Alcohol Dependence	3.21	0.77	6.19	2.98	3.49
Alcohol Dependence or Abuse	6.72	2.12	12.66	6.22	7.25
Alcohol or Illicit Drug Dependence or Abuse¹	9.23	4.80	19.24	7.93	9.74
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	2.78	3.02	8.08	1.74	2.75
Needing But Not Receiving Treatment for Alcohol Use⁸	6.42	2.01	12.88	5.80	6.93
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	9.92	9.19	6.07	6.57
Serious Mental Illness^3,10	--	--	4.60	3.77	3.90
Any Mental Illness^3,10	--	--	20.33	17.70	18.12
Had Serious Thoughts of Suicide¹¹	--	--	8.30	3.43	4.21

150925

ARIZONA

Table 15 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Arizona, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	614	57	172	385	557
Past Year Marijuana Use	752	82	231	439	670
Past Month Marijuana Use	483	45	147	291	438
Past Month Use of Illicit Drugs Other Than Marijuana¹	222	20	51	151	201
Past Year Cocaine Use	124	5	46	72	118
Past Year Nonmedical Pain Reliever Use	260	28	62	169	231
Perception of Great Risk from Smoking Marijuana Once a Month	1,424	110	99	1,215	1,314
Average Annual Number of Marijuana Initiates^2,3	63	29	28	5	34
ALCOHOL
Past Month Alcohol Use	2,846	65	425	2,357	2,782
Past Month Binge Alcohol Use⁴	1,281	35	271	976	1,247
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	2,230	209	233	1,787	2,020
Past Month Alcohol Use (Individuals Aged 12 to 20)	178⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	106⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	1,217	37	240	940	1,180
Past Month Cigarette Use	1,029	27	203	800	1,002
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	3,858	330	493	3,036	3,529
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	104	11	34	58	92
Illicit Drug Dependence or Abuse¹	177	24	55	97	152
Alcohol Dependence	189	6	42	141	183
Alcohol Dependence or Abuse	418	18	96	304	399
Alcohol or Illicit Drug Dependence or Abuse¹	522	33	132	357	489
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	157	22	51	83	135
Needing But Not Receiving Treatment for Alcohol Use⁸	383	17	91	275	366
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	72	65	297	362
Serious Mental Illness^3,10	--	--	33	170	203
Any Mental Illness^3,10	--	--	137	783	920
Had Serious Thoughts of Suicide¹¹	--	--	52	158	210

150925

ARIZONA

Table 16 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Arizona, by Age Group: Percentages, Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X₁ + X₂). Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	11.17	10.41	23.48	9.13	11.25
Past Year Marijuana Use	13.69	15.12	31.53	10.40	13.53
Past Month Marijuana Use	8.80	8.30	20.04	6.90	8.85
Past Month Use of Illicit Drugs Other Than Marijuana¹	4.03	3.71	6.94	3.57	4.07
Past Year Cocaine Use	2.25	1.01	6.23	1.72	2.38
Past Year Nonmedical Pain Reliever Use	4.73	5.22	8.44	4.02	4.67
Perception of Great Risk from Smoking Marijuana Once a Month	25.90	20.32	13.45	28.81	26.51
Average Annual Incidence Estimates of First Use of Marijuana^2,3	2.16	6.58	8.00	0.26	1.35
ALCOHOL
Past Month Alcohol Use	51.80	11.90	58.02	55.87	56.18
Past Month Binge Alcohol Use⁴	23.32	6.39	36.97	23.13	25.18
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	40.57	38.50	31.84	42.36	40.80
Past Month Alcohol Use (Individuals Aged 12 to 20)	22.01⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	13.20⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	22.14	6.81	32.74	22.28	23.83
Past Month Cigarette Use	18.73	4.95	27.64	18.96	20.24
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	70.22	60.65	67.30	71.96	71.27
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	1.88	2.08	4.67	1.37	1.86
Illicit Drug Dependence or Abuse¹	3.21	4.50	7.49	2.30	3.07
Alcohol Dependence	3.44	1.11	5.68	3.35	3.70
Alcohol Dependence or Abuse	7.60	3.37	13.03	7.20	8.06
Alcohol or Illicit Drug Dependence or Abuse¹	9.49	6.05	18.02	8.45	9.87
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	2.86	4.13	7.01	1.97	2.72
Needing But Not Receiving Treatment for Alcohol Use⁸	6.96	3.06	12.39	6.52	7.39
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	13.23	8.86	7.05	7.32
Serious Mental Illness^3,10	--	--	4.45	4.03	4.09
Any Mental Illness^3,10	--	--	18.76	18.56	18.59
Had Serious Thoughts of Suicide¹¹	--	--	7.04	3.75	4.23

150925

ARKANSAS

Table 17 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Arkansas, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	215	22	60	133	193
Past Year Marijuana Use	277	30	85	162	247
Past Month Marijuana Use	163	15	52	97	149
Past Month Use of Illicit Drugs Other Than Marijuana¹	91	10	20	60	81
Past Year Cocaine Use	23	1	8	14	22
Past Year Nonmedical Pain Reliever Use	111	15	31	66	97
Perception of Great Risk from Smoking Marijuana Once a Month	794	66	56	672	728
Average Annual Number of Marijuana Initiates^2,3	26	12	11	2	14
ALCOHOL
Past Month Alcohol Use	1,035	23	176	836	1,012
Past Month Binge Alcohol Use⁴	506	14	117	375	492
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	956	90	106	760	867
Past Month Alcohol Use (Individuals Aged 12 to 20)	62⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	42⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	868	26	139	703	842
Past Month Cigarette Use	696	17	109	570	679
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	1,593	142	201	1,250	1,451
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	41	5	14	23	36
Illicit Drug Dependence or Abuse¹	58	8	19	31	50
Alcohol Dependence	67	2	16	48	64
Alcohol Dependence or Abuse	128	6	33	89	121
Alcohol or Illicit Drug Dependence or Abuse¹	173	13	46	113	159
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	53	8	19	27	46
Needing But Not Receiving Treatment for Alcohol Use⁸	126	6	33	87	119
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	28	30	131	161
Serious Mental Illness^3,10	--	--	14	101	115
Any Mental Illness^3,10	--	--	64	377	441
Had Serious Thoughts of Suicide¹¹	--	--	21	80	101

150925

ARKANSAS

Table 18 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Arkansas, by Age Group: Percentages, Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X₁ + X₂). Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	8.81	9.31	18.70	7.07	8.76
Past Year Marijuana Use	11.37	12.79	26.53	8.62	11.22
Past Month Marijuana Use	6.70	6.22	16.21	5.15	6.75
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.72	4.16	6.38	3.21	3.67
Past Year Cocaine Use	0.93	0.41	2.54	0.72	0.98
Past Year Nonmedical Pain Reliever Use	4.56	6.15	9.67	3.49	4.39
Perception of Great Risk from Smoking Marijuana Once a Month	32.53	28.08	17.54	35.67	33.01
Average Annual Incidence Estimates of First Use of Marijuana^2,3	1.82	5.78	6.63	0.20	1.13
ALCOHOL
Past Month Alcohol Use	42.45	9.90	55.03	44.40	45.95
Past Month Binge Alcohol Use⁴	20.76	5.95	36.63	19.93	22.35
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	39.20	37.89	33.27	40.38	39.34
Past Month Alcohol Use (Individuals Aged 12 to 20)	18.07⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	12.18⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	35.57	10.89	43.57	37.31	38.22
Past Month Cigarette Use	28.51	7.13	34.10	30.25	30.81
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	65.32	60.06	63.04	66.37	65.89
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	1.68	1.94	4.28	1.20	1.65
Illicit Drug Dependence or Abuse¹	2.39	3.52	5.91	1.65	2.26
Alcohol Dependence	2.73	0.96	5.03	2.57	2.92
Alcohol Dependence or Abuse	5.23	2.63	10.23	4.71	5.51
Alcohol or Illicit Drug Dependence or Abuse¹	7.08	5.67	14.53	6.00	7.23
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	2.19	3.24	5.92	1.43	2.08
Needing But Not Receiving Treatment for Alcohol Use⁸	5.15	2.59	10.30	4.60	5.42
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	11.95	9.52	6.94	7.31
Serious Mental Illness^3,10	--	--	4.49	5.36	5.24
Any Mental Illness^3,10	--	--	19.99	20.00	20.00
Had Serious Thoughts of Suicide¹¹	--	--	6.67	4.23	4.58

150925

CALIFORNIA

Table 19 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in California, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	3,671	320	1,059	2,292	3,351
Past Year Marijuana Use	4,633	463	1,506	2,664	4,170
Past Month Marijuana Use	2,942	269	941	1,733	2,673
Past Month Use of Illicit Drugs Other Than Marijuana¹	1,302	117	307	878	1,185
Past Year Cocaine Use	683	28	273	382	656
Past Year Nonmedical Pain Reliever Use	1,376	150	359	868	1,226
Perception of Great Risk from Smoking Marijuana Once a Month	8,670	618	642	7,410	8,052
Average Annual Number of Marijuana Initiates^2,3	398	165	195	38	233
ALCOHOL
Past Month Alcohol Use	16,204	370	2,577	13,257	15,834
Past Month Binge Alcohol Use⁴	7,173	197	1,637	5,340	6,977
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	14,195	1,228	1,628	11,339	12,967
Past Month Alcohol Use (Individuals Aged 12 to 20)	1,144⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	702⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	5,882	154	1,235	4,493	5,729
Past Month Cigarette Use	4,882	113	1,073	3,696	4,769
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	24,324	2,054	3,183	19,087	22,270
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	627	62	249	316	565
Illicit Drug Dependence or Abuse¹	876	125	336	415	751
Alcohol Dependence	1,062	32	299	731	1,030
Alcohol Dependence or Abuse	2,127	85	582	1,460	2,042
Alcohol or Illicit Drug Dependence or Abuse¹	2,643	167	778	1,697	2,475
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	791	119	303	369	672
Needing But Not Receiving Treatment for Alcohol Use⁸	2,030	84	569	1,377	1,946
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	355	393	1,426	1,819
Serious Mental Illness^3,10	--	--	191	900	1,090
Any Mental Illness^3,10	--	--	883	4,359	5,241
Had Serious Thoughts of Suicide¹¹	--	--	350	744	1,093

150925

CALIFORNIA

Table 20 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in California, by Age Group: Percentages, Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X₁ + X₂). Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	11.48	10.39	23.70	9.39	11.60
Past Year Marijuana Use	14.49	15.03	33.69	10.91	14.44
Past Month Marijuana Use	9.20	8.74	21.05	7.09	9.25
Past Month Use of Illicit Drugs Other Than Marijuana¹	4.07	3.79	6.87	3.59	4.10
Past Year Cocaine Use	2.14	0.89	6.11	1.57	2.27
Past Year Nonmedical Pain Reliever Use	4.31	4.87	8.03	3.55	4.25
Perception of Great Risk from Smoking Marijuana Once a Month	27.09	20.06	14.37	30.34	27.84
Average Annual Incidence Estimates of First Use of Marijuana^2,3	2.16	6.16	8.56	0.29	1.48
ALCOHOL
Past Month Alcohol Use	50.68	12.01	57.67	54.28	54.81
Past Month Binge Alcohol Use⁴	22.44	6.38	36.62	21.87	24.15
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	44.40	39.88	36.42	46.43	44.88
Past Month Alcohol Use (Individuals Aged 12 to 20)	23.07⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	14.16⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	18.40	5.00	27.64	18.40	19.83
Past Month Cigarette Use	15.27	3.66	24.01	15.14	16.51
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	76.08	66.67	71.23	78.16	77.08
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	1.96	2.03	5.57	1.29	1.96
Illicit Drug Dependence or Abuse¹	2.74	4.06	7.52	1.70	2.60
Alcohol Dependence	3.32	1.03	6.69	2.99	3.57
Alcohol Dependence or Abuse	6.65	2.75	13.01	5.98	7.07
Alcohol or Illicit Drug Dependence or Abuse¹	8.27	5.43	17.41	6.95	8.57
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	2.47	3.85	6.79	1.51	2.33
Needing But Not Receiving Treatment for Alcohol Use⁸	6.35	2.73	12.73	5.64	6.74
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	11.53	8.80	5.84	6.30
Serious Mental Illness^3,10	--	--	4.27	3.68	3.77
Any Mental Illness^3,10	--	--	19.75	17.85	18.14
Had Serious Thoughts of Suicide¹¹	--	--	7.82	3.05	3.78

150925

COLORADO

Table 21 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Colorado, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	737	60	195	483	678
Past Year Marijuana Use	909	85	253	571	824
Past Month Marijuana Use	654	51	180	423	603
Past Month Use of Illicit Drugs Other Than Marijuana¹	184	14	45	125	170
Past Year Cocaine Use	112	4	42	67	109
Past Year Nonmedical Pain Reliever Use	216	23	54	140	193
Perception of Great Risk from Smoking Marijuana Once a Month	790	70	48	672	720
Average Annual Number of Marijuana Initiates^2,3	55	28	22	5	27
ALCOHOL
Past Month Alcohol Use	2,698	58	388	2,251	2,640
Past Month Binge Alcohol Use⁴	1,121	28	239	854	1,092
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	1,600	143	150	1,307	1,457
Past Month Alcohol Use (Individuals Aged 12 to 20)	167⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	98⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	1,128	37	235	856	1,091
Past Month Cigarette Use	866	25	187	655	842
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	3,188	260	384	2,545	2,928
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	84	9	31	44	76
Illicit Drug Dependence or Abuse¹	128	18	45	64	110
Alcohol Dependence	141	5	32	104	137
Alcohol Dependence or Abuse	329	14	81	234	315
Alcohol or Illicit Drug Dependence or Abuse¹	415	26	106	283	389
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	113	17	42	54	96
Needing But Not Receiving Treatment for Alcohol Use⁸	304	13	76	215	291
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	48	48	202	250
Serious Mental Illness^3,10	--	--	25	123	148
Any Mental Illness^3,10	--	--	122	588	710
Had Serious Thoughts of Suicide¹¹	--	--	43	115	158

150925

COLORADO

Table 22 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Colorado, by Age Group: Percentages, Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X₁ + X₂). Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	16.82	14.58	33.84	14.21	17.06
Past Year Marijuana Use	20.74	20.81	43.95	16.80	20.74
Past Month Marijuana Use	14.93	12.56	31.24	12.45	15.17
Past Month Use of Illicit Drugs Other Than Marijuana¹	4.21	3.44	7.84	3.68	4.28
Past Year Cocaine Use	2.57	0.89	7.25	1.97	2.74
Past Year Nonmedical Pain Reliever Use	4.93	5.54	9.34	4.11	4.87
Perception of Great Risk from Smoking Marijuana Once a Month	17.99	17.04	8.39	19.76	18.09
Average Annual Incidence Estimates of First Use of Marijuana^2,3	3.04	9.13	10.19	0.39	1.77
ALCOHOL
Past Month Alcohol Use	61.56	14.25	67.46	66.24	66.42
Past Month Binge Alcohol Use⁴	25.57	6.93	41.46	25.12	27.48
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	36.50	34.90	26.12	38.46	36.66
Past Month Alcohol Use (Individuals Aged 12 to 20)	26.95⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	15.85⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	25.73	8.94	40.85	25.19	27.46
Past Month Cigarette Use	19.77	6.04	32.45	19.27	21.18
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	72.75	63.62	66.63	74.88	73.68
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	1.93	2.19	5.46	1.30	1.90
Illicit Drug Dependence or Abuse¹	2.91	4.42	7.83	1.90	2.76
Alcohol Dependence	3.22	1.15	5.64	3.06	3.44
Alcohol Dependence or Abuse	7.50	3.35	14.13	6.88	7.93
Alcohol or Illicit Drug Dependence or Abuse¹	9.47	6.44	18.41	8.32	9.78
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	2.58	4.11	7.30	1.60	2.42
Needing But Not Receiving Treatment for Alcohol Use⁸	6.94	3.10	13.24	6.33	7.33
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	11.68	8.38	5.93	6.29
Serious Mental Illness^3,10	--	--	4.35	3.62	3.73
Any Mental Illness^3,10	--	--	21.24	17.31	17.87
Had Serious Thoughts of Suicide¹¹	--	--	7.52	3.37	3.97

150925

CONNECTICUT

Table 23 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Connecticut, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	302	27	93	182	275
Past Year Marijuana Use	427	45	148	234	382
Past Month Marijuana Use	259	23	86	151	237
Past Month Use of Illicit Drugs Other Than Marijuana¹	95	8	24	63	87
Past Year Cocaine Use	66	2	25	39	64
Past Year Nonmedical Pain Reliever Use	114	12	33	70	103
Perception of Great Risk from Smoking Marijuana Once a Month	776	62	45	668	713
Average Annual Number of Marijuana Initiates^2,3	39	19	17	3	20
ALCOHOL
Past Month Alcohol Use	1,828	37	250	1,541	1,791
Past Month Binge Alcohol Use⁴	718	18	161	539	700
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	1,235	113	117	1,005	1,122
Past Month Alcohol Use (Individuals Aged 12 to 20)	113⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	70⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	645	20	136	490	626
Past Month Cigarette Use	516	13	113	391	503
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	2,288	194	266	1,827	2,093
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	68	5	28	34	63
Illicit Drug Dependence or Abuse¹	88	9	35	44	78
Alcohol Dependence	89	3	23	64	86
Alcohol Dependence or Abuse	206	8	54	144	198
Alcohol or Illicit Drug Dependence or Abuse¹	257	13	73	171	244
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	75	9	29	37	66
Needing But Not Receiving Treatment for Alcohol Use⁸	199	8	52	139	191
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	28	32	135	167
Serious Mental Illness^3,10	--	--	17	80	97
Any Mental Illness^3,10	--	--	69	386	454
Had Serious Thoughts of Suicide¹¹	--	--	26	66	92

150925

CONNECTICUT

Table 24 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Connecticut, by Age Group: Percentages, Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X₁ + X₂). Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	9.91	9.53	24.25	7.65	9.95
Past Year Marijuana Use	14.00	15.65	38.82	9.83	13.83
Past Month Marijuana Use	8.50	7.91	22.41	6.34	8.56
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.13	2.89	6.36	2.64	3.15
Past Year Cocaine Use	2.17	0.61	6.66	1.64	2.33
Past Year Nonmedical Pain Reliever Use	3.75	4.08	8.55	2.94	3.72
Perception of Great Risk from Smoking Marijuana Once a Month	25.40	21.80	11.72	28.06	25.77
Average Annual Incidence Estimates of First Use of Marijuana^2,3	2.29	7.10	9.01	0.25	1.42
ALCOHOL
Past Month Alcohol Use	59.92	12.77	65.58	64.68	64.80
Past Month Binge Alcohol Use⁴	23.54	6.29	42.22	22.63	25.33
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	40.47	39.44	30.68	42.17	40.58
Past Month Alcohol Use (Individuals Aged 12 to 20)	26.29⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	16.24⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	21.16	6.83	35.61	20.56	22.64
Past Month Cigarette Use	16.91	4.44	29.50	16.40	18.21
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	75.00	67.84	69.80	76.69	75.74
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	2.22	1.78	7.36	1.45	2.26
Illicit Drug Dependence or Abuse¹	2.88	3.29	9.13	1.83	2.84
Alcohol Dependence	2.92	0.94	5.94	2.67	3.12
Alcohol Dependence or Abuse	6.76	2.71	14.15	6.06	7.18
Alcohol or Illicit Drug Dependence or Abuse¹	8.43	4.67	19.17	7.16	8.82
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	2.47	3.13	7.63	1.56	2.40
Needing But Not Receiving Treatment for Alcohol Use⁸	6.53	2.68	13.70	5.84	6.93
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	9.70	8.40	5.65	6.03
Serious Mental Illness^3,10	--	--	4.48	3.37	3.53
Any Mental Illness^3,10	--	--	18.01	16.19	16.44
Had Serious Thoughts of Suicide¹¹	--	--	6.85	2.78	3.34

150925

DELAWARE

Table 25 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Delaware, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	82	7	26	50	76
Past Year Marijuana Use	109	10	39	60	99
Past Month Marijuana Use	64	6	21	37	59
Past Month Use of Illicit Drugs Other Than Marijuana¹	29	2	9	18	27
Past Year Cocaine Use	14	0	5	9	14
Past Year Nonmedical Pain Reliever Use	34	3	10	21	31
Perception of Great Risk from Smoking Marijuana Once a Month	206	16	12	179	191
Average Annual Number of Marijuana Initiates^2,3	8	4	4	1	5
ALCOHOL
Past Month Alcohol Use	441	7	64	370	434
Past Month Binge Alcohol Use⁴	179	4	41	134	175
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	305	27	33	245	278
Past Month Alcohol Use (Individuals Aged 12 to 20)	24⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	15⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	222	6	41	175	217
Past Month Cigarette Use	185	4	35	146	181
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	564	44	71	449	520
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	21	1	8	12	20
Illicit Drug Dependence or Abuse¹	27	2	10	15	25
Alcohol Dependence	22	1	5	16	21
Alcohol Dependence or Abuse	48	2	14	32	46
Alcohol or Illicit Drug Dependence or Abuse¹	65	3	20	42	62
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	20	2	8	11	18
Needing But Not Receiving Treatment for Alcohol Use⁸	46	2	14	30	44
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	7	9	39	49
Serious Mental Illness^3,10	--	--	5	23	28
Any Mental Illness^3,10	--	--	20	115	136
Had Serious Thoughts of Suicide¹¹	--	--	7	20	27

150925

DELAWARE

Table 26 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Delaware, by Age Group: Percentages, Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X₁ + X₂). Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	10.59	10.24	25.63	8.13	10.62
Past Year Marijuana Use	13.98	15.14	38.56	9.77	13.87
Past Month Marijuana Use	8.23	8.22	21.11	6.09	8.23
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.75	3.16	9.02	2.94	3.80
Past Year Cocaine Use	1.85	0.49	5.21	1.44	1.98
Past Year Nonmedical Pain Reliever Use	4.34	4.66	9.52	3.44	4.31
Perception of Great Risk from Smoking Marijuana Once a Month	26.47	23.02	11.96	29.29	26.80
Average Annual Incidence Estimates of First Use of Marijuana^2,3	2.13	6.44	9.00	0.25	1.40
ALCOHOL
Past Month Alcohol Use	56.59	10.61	63.46	60.58	60.99
Past Month Binge Alcohol Use⁴	23.00	5.55	40.64	22.02	24.67
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	39.14	39.87	32.40	40.19	39.07
Past Month Alcohol Use (Individuals Aged 12 to 20)	23.14⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	14.46⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	28.51	8.15	40.67	28.76	30.45
Past Month Cigarette Use	23.73	5.80	34.83	23.88	25.44
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	72.34	64.81	69.76	73.60	73.05
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	2.70	1.97	7.97	1.91	2.77
Illicit Drug Dependence or Abuse¹	3.44	3.38	9.47	2.45	3.44
Alcohol Dependence	2.79	0.85	5.19	2.61	2.97
Alcohol Dependence or Abuse	6.18	2.53	14.10	5.27	6.53
Alcohol or Illicit Drug Dependence or Abuse¹	8.35	4.63	19.50	6.91	8.70
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	2.62	2.96	7.42	1.78	2.58
Needing But Not Receiving Treatment for Alcohol Use⁸	5.89	2.43	13.69	4.98	6.22
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	10.44	9.33	6.43	6.85
Serious Mental Illness^3,10	--	--	4.77	3.78	3.92
Any Mental Illness^3,10	--	--	19.94	18.92	19.06
Had Serious Thoughts of Suicide¹¹	--	--	7.27	3.21	3.79

150925

DISTRICT OF COLUMBIA

Table 27 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in the District of Columbia, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	85	4	24	57	81
Past Year Marijuana Use	121	6	38	77	115
Past Month Marijuana Use	71	3	23	44	67
Past Month Use of Illicit Drugs Other Than Marijuana¹	28	1	5	21	26
Past Year Cocaine Use	19	0	5	14	19
Past Year Nonmedical Pain Reliever Use	23	1	7	15	22
Perception of Great Risk from Smoking Marijuana Once a Month	100	5	8	87	95
Average Annual Number of Marijuana Initiates^2,3	7	2	4	1	5
ALCOHOL
Past Month Alcohol Use	381	4	68	309	377
Past Month Binge Alcohol Use⁴	190	2	46	143	188
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	227	14	31	182	213
Past Month Alcohol Use (Individuals Aged 12 to 20)	15⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	9⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	152	2	31	119	150
Past Month Cigarette Use	127	1	26	100	125
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	422	18	68	336	404
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	16	1	5	10	15
Illicit Drug Dependence or Abuse¹	20	1	7	11	19
Alcohol Dependence	24	0	6	18	24
Alcohol Dependence or Abuse	55	1	14	40	54
Alcohol or Illicit Drug Dependence or Abuse¹	68	2	18	48	66
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	18	1	7	10	17
Needing But Not Receiving Treatment for Alcohol Use⁸	52	1	14	38	51
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	3	7	29	37
Serious Mental Illness^3,10	--	--	4	17	21
Any Mental Illness^3,10	--	--	17	86	102
Had Serious Thoughts of Suicide¹¹	--	--	6	15	21

150925

DISTRICT OF COLUMBIA

Table 28 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in the District of Columbia, by Age Group: Percentages, Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X₁ + X₂). Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	15.19	13.69	25.22	13.13	15.27
Past Year Marijuana Use	21.70	19.41	41.07	17.69	21.83
Past Month Marijuana Use	12.60	10.56	24.72	10.14	12.72
Past Month Use of Illicit Drugs Other Than Marijuana¹	4.92	4.78	5.84	4.73	4.93
Past Year Cocaine Use	3.47	0.39	5.44	3.26	3.64
Past Year Nonmedical Pain Reliever Use	4.19	4.59	7.22	3.51	4.17
Perception of Great Risk from Smoking Marijuana Once a Month	17.84	15.72	8.89	19.94	17.95
Average Annual Incidence Estimates of First Use of Marijuana^2,3	3.16	9.11	10.62	0.55	2.43
ALCOHOL
Past Month Alcohol Use	68.03	12.63	72.88	70.87	71.23
Past Month Binge Alcohol Use⁴	33.98	5.91	48.73	32.78	35.60
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	40.59	46.68	33.47	41.69	40.23
Past Month Alcohol Use (Individuals Aged 12 to 20)	28.32⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	16.19⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	27.11	6.28	32.98	27.32	28.31
Past Month Cigarette Use	22.62	4.15	27.41	22.90	23.68
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	75.39	58.12	72.60	77.20	76.39
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	2.86	2.05	5.37	2.37	2.90
Illicit Drug Dependence or Abuse¹	3.53	4.18	7.75	2.58	3.50
Alcohol Dependence	4.35	0.87	6.39	4.15	4.55
Alcohol Dependence or Abuse	9.78	2.51	14.90	9.19	10.20
Alcohol or Illicit Drug Dependence or Abuse¹	12.14	5.63	19.50	11.01	12.51
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	3.25	3.88	7.54	2.29	3.21
Needing But Not Receiving Treatment for Alcohol Use⁸	9.25	2.36	14.47	8.62	9.65
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	8.69	7.88	6.73	6.93
Serious Mental Illness^3,10	--	--	3.84	3.93	3.92
Any Mental Illness^3,10	--	--	17.76	19.66	19.32
Had Serious Thoughts of Suicide¹¹	--	--	6.17	3.43	3.91

150925

FLORIDA

Table 29 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Florida, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	1,552	127	460	964	1,425
Past Year Marijuana Use	1,990	196	666	1,128	1,794
Past Month Marijuana Use	1,270	104	402	764	1,166
Past Month Use of Illicit Drugs Other Than Marijuana¹	520	41	151	327	479
Past Year Cocaine Use	331	10	110	211	321
Past Year Nonmedical Pain Reliever Use	568	61	144	363	507
Perception of Great Risk from Smoking Marijuana Once a Month	5,238	353	309	4,575	4,884
Average Annual Number of Marijuana Initiates^2,3	165	73	76	16	92
ALCOHOL
Past Month Alcohol Use	8,917	170	1,155	7,592	8,747
Past Month Binge Alcohol Use⁴	3,506	78	665	2,763	3,428
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	7,326	576	736	6,014	6,750
Past Month Alcohol Use (Individuals Aged 12 to 20)	460⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	246⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	4,063	92	653	3,318	3,971
Past Month Cigarette Use	3,465	61	534	2,869	3,404
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	12,486	996	1,400	10,090	11,490
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	291	32	103	156	259
Illicit Drug Dependence or Abuse¹	410	58	136	216	352
Alcohol Dependence	464	13	90	361	451
Alcohol Dependence or Abuse	1,008	39	214	755	969
Alcohol or Illicit Drug Dependence or Abuse¹	1,308	80	293	934	1,227
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	369	56	125	189	314
Needing But Not Receiving Treatment for Alcohol Use⁸	976	38	216	723	939
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	146	157	736	894
Serious Mental Illness^3,10	--	--	81	495	576
Any Mental Illness^3,10	--	--	343	2,120	2,463
Had Serious Thoughts of Suicide¹¹	--	--	138	390	529

150925

FLORIDA

Table 30 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Florida, by Age Group: Percentages, Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X₁ + X₂). Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	9.26	9.14	23.23	7.20	9.27
Past Year Marijuana Use	11.87	14.09	33.64	8.42	11.67
Past Month Marijuana Use	7.58	7.51	20.32	5.70	7.59
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.10	2.97	7.64	2.45	3.12
Past Year Cocaine Use	1.98	0.73	5.53	1.58	2.09
Past Year Nonmedical Pain Reliever Use	3.39	4.40	7.28	2.71	3.30
Perception of Great Risk from Smoking Marijuana Once a Month	31.23	25.43	15.62	34.17	31.76
Average Annual Incidence Estimates of First Use of Marijuana^2,3	1.66	5.95	7.48	0.20	1.05
ALCOHOL
Past Month Alcohol Use	53.21	12.26	58.29	56.71	56.91
Past Month Binge Alcohol Use⁴	20.92	5.63	33.58	20.64	22.30
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	43.72	41.47	37.15	44.92	43.92
Past Month Alcohol Use (Individuals Aged 12 to 20)	22.08⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	11.81⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	24.25	6.62	32.96	24.78	25.85
Past Month Cigarette Use	20.68	4.42	26.97	21.43	22.16
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	74.51	71.65	70.70	75.37	74.76
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	1.74	2.30	5.21	1.17	1.69
Illicit Drug Dependence or Abuse¹	2.45	4.19	6.88	1.61	2.29
Alcohol Dependence	2.77	0.93	4.57	2.69	2.94
Alcohol Dependence or Abuse	6.01	2.79	10.80	5.64	6.31
Alcohol or Illicit Drug Dependence or Abuse¹	7.80	5.77	14.81	6.98	7.99
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	2.21	4.00	6.29	1.41	2.04
Needing But Not Receiving Treatment for Alcohol Use⁸	5.83	2.72	10.89	5.40	6.11
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	10.50	7.95	5.50	5.82
Serious Mental Illness^3,10	--	--	4.10	3.70	3.75
Any Mental Illness^3,10	--	--	17.33	15.84	16.03
Had Serious Thoughts of Suicide¹¹	--	--	6.98	2.92	3.44

150925

GEORGIA

Table 31 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Georgia, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	794	70	218	506	724
Past Year Marijuana Use	963	94	308	561	869
Past Month Marijuana Use	636	51	195	390	585
Past Month Use of Illicit Drugs Other Than Marijuana¹	284	31	60	194	253
Past Year Cocaine Use	118	4	33	81	114
Past Year Nonmedical Pain Reliever Use	353	44	88	221	309
Perception of Great Risk from Smoking Marijuana Once a Month	2,587	222	193	2,171	2,365
Average Annual Number of Marijuana Initiates^2,3	84	38	39	7	46
ALCOHOL
Past Month Alcohol Use	3,980	89	596	3,295	3,891
Past Month Binge Alcohol Use⁴	1,709	45	359	1,304	1,663
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	3,716	370	427	2,918	3,346
Past Month Alcohol Use (Individuals Aged 12 to 20)	253⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	151⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	2,103	58	398	1,647	2,045
Past Month Cigarette Use	1,689	36	302	1,352	1,653
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	5,944	559	757	4,628	5,385
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	165	16	53	96	149
Illicit Drug Dependence or Abuse¹	238	28	80	131	211
Alcohol Dependence	253	8	65	180	245
Alcohol Dependence or Abuse	506	20	131	355	486
Alcohol or Illicit Drug Dependence or Abuse¹	629	40	169	420	589
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	208	27	72	109	181
Needing But Not Receiving Treatment for Alcohol Use⁸	482	18	121	343	464
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	82	92	400	491
Serious Mental Illness^3,10	--	--	45	262	306
Any Mental Illness^3,10	--	--	206	1,159	1,365
Had Serious Thoughts of Suicide¹¹	--	--	75	218	293

150925

GEORGIA

Table 32 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Georgia, by Age Group: Percentages, Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X₁ + X₂). Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	9.70	8.37	19.70	8.10	9.85
Past Year Marijuana Use	11.75	11.19	27.78	8.99	11.82
Past Month Marijuana Use	7.76	6.06	17.64	6.24	7.96
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.47	3.67	5.37	3.10	3.44
Past Year Cocaine Use	1.44	0.47	2.96	1.30	1.55
Past Year Nonmedical Pain Reliever Use	4.31	5.24	7.94	3.55	4.21
Perception of Great Risk from Smoking Marijuana Once a Month	31.58	26.54	17.44	34.79	32.16
Average Annual Incidence Estimates of First Use of Marijuana^2,3	1.74	4.95	6.52	0.20	1.15
ALCOHOL
Past Month Alcohol Use	48.62	10.60	53.79	52.80	52.95
Past Month Binge Alcohol Use⁴	20.87	5.40	32.39	20.90	22.63
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	45.39	44.19	38.55	46.76	45.52
Past Month Alcohol Use (Individuals Aged 12 to 20)	20.25⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	12.06⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	25.69	6.94	35.94	26.39	27.82
Past Month Cigarette Use	20.63	4.27	27.22	21.66	22.49
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	72.61	66.67	68.34	74.16	73.28
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	2.01	1.89	4.75	1.54	2.03
Illicit Drug Dependence or Abuse¹	2.91	3.29	7.19	2.10	2.86
Alcohol Dependence	3.09	0.95	5.88	2.88	3.33
Alcohol Dependence or Abuse	6.17	2.33	11.80	5.69	6.61
Alcohol or Illicit Drug Dependence or Abuse¹	7.68	4.76	15.24	6.73	8.01
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	2.54	3.27	6.48	1.75	2.46
Needing But Not Receiving Treatment for Alcohol Use⁸	5.89	2.17	10.94	5.49	6.31
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	9.80	8.28	6.40	6.68
Serious Mental Illness^3,10	--	--	4.02	4.19	4.17
Any Mental Illness^3,10	--	--	18.55	18.58	18.57
Had Serious Thoughts of Suicide¹¹	--	--	6.78	3.49	3.99

150925

HAWAII

Table 33 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Hawaii, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	110	9	26	75	101
Past Year Marijuana Use	144	13	38	92	130
Past Month Marijuana Use	90	7	22	60	83
Past Month Use of Illicit Drugs Other Than Marijuana¹	34	3	7	23	31
Past Year Cocaine Use	18	0	6	11	17
Past Year Nonmedical Pain Reliever Use	48	5	11	33	43
Perception of Great Risk from Smoking Marijuana Once a Month	303	21	19	264	283
Average Annual Number of Marijuana Initiates^2,3	11	5	5	2	7
ALCOHOL
Past Month Alcohol Use	566	11	83	472	556
Past Month Binge Alcohol Use⁴	279	6	59	215	273
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	462	38	47	377	424
Past Month Alcohol Use (Individuals Aged 12 to 20)	31⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	19⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	235	6	43	185	229
Past Month Cigarette Use	195	4	37	154	191
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	826	61	97	668	765
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	20	2	7	12	18
Illicit Drug Dependence or Abuse¹	26	3	9	14	24
Alcohol Dependence	40	1	9	29	39
Alcohol Dependence or Abuse	78	2	18	57	75
Alcohol or Illicit Drug Dependence or Abuse¹	94	5	24	65	89
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	25	3	9	14	23
Needing But Not Receiving Treatment for Alcohol Use⁸	73	2	18	52	70
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	9	12	49	61
Serious Mental Illness^3,10	--	--	6	32	38
Any Mental Illness^3,10	--	--	29	149	178
Had Serious Thoughts of Suicide¹¹	--	--	10	33	43

150925

HAWAII

Table 34 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Hawaii, by Age Group: Percentages, Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X₁ + X₂). Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	9.67	9.51	18.44	8.31	9.68
Past Year Marijuana Use	12.58	13.90	27.32	10.13	12.46
Past Month Marijuana Use	7.90	7.65	15.87	6.68	7.92
Past Month Use of Illicit Drugs Other Than Marijuana¹	2.99	3.47	5.23	2.59	2.95
Past Year Cocaine Use	1.55	0.49	4.24	1.24	1.65
Past Year Nonmedical Pain Reliever Use	4.24	5.06	7.49	3.64	4.16
Perception of Great Risk from Smoking Marijuana Once a Month	26.52	21.38	13.21	29.19	27.00
Average Annual Incidence Estimates of First Use of Marijuana^2,3	1.93	6.51	6.43	0.43	1.24
ALCOHOL
Past Month Alcohol Use	49.57	11.20	59.13	52.20	53.13
Past Month Binge Alcohol Use⁴	24.43	5.90	41.76	23.71	26.15
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	40.39	39.08	33.14	41.66	40.51
Past Month Alcohol Use (Individuals Aged 12 to 20)	21.07⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	13.24⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	20.60	6.65	30.91	20.48	21.89
Past Month Cigarette Use	17.07	4.51	26.30	16.97	18.24
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	72.29	63.10	69.02	73.79	73.14
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	1.72	1.60	4.63	1.28	1.73
Illicit Drug Dependence or Abuse¹	2.32	3.03	6.59	1.58	2.26
Alcohol Dependence	3.47	0.84	6.69	3.25	3.71
Alcohol Dependence or Abuse	6.79	2.49	12.75	6.32	7.19
Alcohol or Illicit Drug Dependence or Abuse¹	8.21	4.97	16.73	7.22	8.51
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	2.22	2.82	6.38	1.51	2.17
Needing But Not Receiving Treatment for Alcohol Use⁸	6.37	2.36	13.09	5.75	6.74
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	9.32	8.55	5.40	5.83
Serious Mental Illness^3,10	--	--	4.22	3.57	3.66
Any Mental Illness^3,10	--	--	20.75	16.45	17.04
Had Serious Thoughts of Suicide¹¹	--	--	7.41	3.60	4.11

150925

IDAHO

Table 35 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Idaho, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	102	12	28	62	90
Past Year Marijuana Use	152	20	47	85	132
Past Month Marijuana Use	83	9	25	50	74
Past Month Use of Illicit Drugs Other Than Marijuana¹	35	4	9	22	31
Past Year Cocaine Use	13	1	5	7	12
Past Year Nonmedical Pain Reliever Use	51	7	14	30	44
Perception of Great Risk from Smoking Marijuana Once a Month	355	37	25	293	318
Average Annual Number of Marijuana Initiates^2,3	16	8	7	1	8
ALCOHOL
Past Month Alcohol Use	620	15	87	518	605
Past Month Binge Alcohol Use⁴	264	9	57	198	255
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	531	52	56	424	480
Past Month Alcohol Use (Individuals Aged 12 to 20)	41⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	26⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	325	12	61	252	314
Past Month Cigarette Use	270	9	49	212	261
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	909	91	113	705	818
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	20	3	7	11	18
Illicit Drug Dependence or Abuse¹	31	5	10	16	26
Alcohol Dependence	41	2	10	30	40
Alcohol Dependence or Abuse	88	5	22	61	83
Alcohol or Illicit Drug Dependence or Abuse¹	109	8	25	76	101
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	28	5	9	14	23
Needing But Not Receiving Treatment for Alcohol Use⁸	83	5	20	59	78
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	17	18	68	86
Serious Mental Illness^3,10	--	--	9	50	59
Any Mental Illness^3,10	--	--	38	206	244
Had Serious Thoughts of Suicide¹¹	--	--	13	40	53

150925

IDAHO

Table 36 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Idaho, by Age Group: Percentages, Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X₁ + X₂). Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	7.77	8.36	16.20	6.23	7.70
Past Year Marijuana Use	11.58	14.14	26.98	8.55	11.27
Past Month Marijuana Use	6.34	6.39	14.28	4.96	6.34
Past Month Use of Illicit Drugs Other Than Marijuana¹	2.66	2.79	5.29	2.19	2.65
Past Year Cocaine Use	0.96	0.44	3.11	0.66	1.02
Past Year Nonmedical Pain Reliever Use	3.87	4.72	8.23	2.99	3.76
Perception of Great Risk from Smoking Marijuana Once a Month	26.96	26.17	14.31	29.30	27.06
Average Annual Incidence Estimates of First Use of Marijuana^2,3	1.92	6.15	6.57	0.20	1.13
ALCOHOL
Past Month Alcohol Use	47.12	10.79	50.04	51.80	51.54
Past Month Binge Alcohol Use⁴	20.03	6.10	32.89	19.79	21.72
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	40.39	36.03	32.16	42.43	40.91
Past Month Alcohol Use (Individuals Aged 12 to 20)	19.38⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	12.24⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	24.73	8.27	35.33	25.25	26.74
Past Month Cigarette Use	20.52	6.03	28.44	21.21	22.28
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	69.10	63.86	64.93	70.56	69.73
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	1.55	1.76	3.93	1.11	1.52
Illicit Drug Dependence or Abuse¹	2.38	3.70	5.74	1.61	2.22
Alcohol Dependence	3.15	1.15	5.69	3.00	3.39
Alcohol Dependence or Abuse	6.67	3.45	12.46	6.13	7.07
Alcohol or Illicit Drug Dependence or Abuse¹	8.29	5.59	14.66	7.57	8.61
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	2.10	3.32	5.38	1.36	1.95
Needing But Not Receiving Treatment for Alcohol Use⁸	6.31	3.20	11.41	5.87	6.69
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	11.55	10.56	6.76	7.32
Serious Mental Illness^3,10	--	--	5.25	5.00	5.03
Any Mental Illness^3,10	--	--	22.19	20.57	20.81
Had Serious Thoughts of Suicide¹¹	--	--	7.30	4.01	4.50

150925

ILLINOIS

Table 37 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Illinois, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	1,024	88	314	622	935
Past Year Marijuana Use	1,305	125	434	746	1,180
Past Month Marijuana Use	819	70	274	476	750
Past Month Use of Illicit Drugs Other Than Marijuana¹	322	28	95	199	294
Past Year Cocaine Use	184	6	63	116	179
Past Year Nonmedical Pain Reliever Use	381	40	106	236	342
Perception of Great Risk from Smoking Marijuana Once a Month	2,901	239	190	2,471	2,661
Average Annual Number of Marijuana Initiates^2,3	114	45	58	10	69
ALCOHOL
Past Month Alcohol Use	5,959	114	857	4,988	5,846
Past Month Binge Alcohol Use⁴	2,831	57	571	2,202	2,774
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	4,155	398	437	3,320	3,757
Past Month Alcohol Use (Individuals Aged 12 to 20)	355⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	221⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	2,718	69	513	2,136	2,649
Past Month Cigarette Use	2,358	51	441	1,866	2,307
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	7,509	666	892	5,951	6,843
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	190	18	69	103	172
Illicit Drug Dependence or Abuse¹	267	35	98	134	232
Alcohol Dependence	318	10	84	224	308
Alcohol Dependence or Abuse	661	23	183	454	637
Alcohol or Illicit Drug Dependence or Abuse¹	820	49	240	531	771
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	246	35	90	122	212
Needing But Not Receiving Treatment for Alcohol Use⁸	636	23	174	439	613
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	105	119	455	574
Serious Mental Illness^3,10	--	--	59	304	363
Any Mental Illness^3,10	--	--	264	1,323	1,587
Had Serious Thoughts of Suicide¹¹	--	--	101	254	355

150925

ILLINOIS

Table 38 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Illinois, by Age Group: Percentages, Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X₁ + X₂). Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	9.55	8.54	22.50	7.49	9.65
Past Year Marijuana Use	12.16	12.07	31.12	8.99	12.17
Past Month Marijuana Use	7.64	6.75	19.62	5.74	7.73
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.01	2.75	6.80	2.40	3.03
Past Year Cocaine Use	1.72	0.54	4.51	1.40	1.85
Past Year Nonmedical Pain Reliever Use	3.56	3.85	7.58	2.84	3.52
Perception of Great Risk from Smoking Marijuana Once a Month	27.02	23.16	13.62	29.78	27.43
Average Annual Incidence Estimates of First Use of Marijuana^2,3	1.83	4.88	7.86	0.23	1.29
ALCOHOL
Past Month Alcohol Use	55.55	10.98	61.47	60.12	60.31
Past Month Binge Alcohol Use⁴	26.39	5.54	40.96	26.54	28.62
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	38.74	38.52	31.31	40.02	38.76
Past Month Alcohol Use (Individuals Aged 12 to 20)	22.65⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	14.08⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	25.34	6.66	36.80	25.74	27.33
Past Month Cigarette Use	21.99	4.96	31.63	22.49	23.81
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	70.01	64.44	63.93	71.72	70.60
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	1.77	1.73	4.94	1.24	1.78
Illicit Drug Dependence or Abuse¹	2.49	3.41	6.99	1.62	2.39
Alcohol Dependence	2.96	0.94	6.02	2.70	3.18
Alcohol Dependence or Abuse	6.16	2.25	13.15	5.47	6.58
Alcohol or Illicit Drug Dependence or Abuse¹	7.64	4.73	17.20	6.40	7.95
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	2.30	3.37	6.42	1.47	2.18
Needing But Not Receiving Treatment for Alcohol Use⁸	5.93	2.20	12.44	5.29	6.32
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	10.17	8.55	5.48	5.92
Serious Mental Illness^3,10	--	--	4.26	3.66	3.75
Any Mental Illness^3,10	--	--	18.94	15.94	16.37
Had Serious Thoughts of Suicide¹¹	--	--	7.22	3.06	3.66

150925

INDIANA

Table 39 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Indiana, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	497	46	166	285	451
Past Year Marijuana Use	700	68	264	369	632
Past Month Marijuana Use	410	35	150	224	375
Past Month Use of Illicit Drugs Other Than Marijuana¹	171	16	50	104	154
Past Year Cocaine Use	66	2	28	35	63
Past Year Nonmedical Pain Reliever Use	240	27	71	142	213
Perception of Great Risk from Smoking Marijuana Once a Month	1,418	136	90	1,192	1,281
Average Annual Number of Marijuana Initiates^2,3	65	26	34	5	39
ALCOHOL
Past Month Alcohol Use	2,782	62	457	2,263	2,720
Past Month Binge Alcohol Use⁴	1,184	34	292	858	1,150
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	2,085	205	216	1,664	1,880
Past Month Alcohol Use (Individuals Aged 12 to 20)	183⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	113⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	1,620	49	320	1,252	1,572
Past Month Cigarette Use	1,351	36	257	1,059	1,315
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	3,748	347	478	2,924	3,401
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	109	10	43	55	98
Illicit Drug Dependence or Abuse¹	155	16	61	77	138
Alcohol Dependence	177	6	46	125	171
Alcohol Dependence or Abuse	364	16	98	250	348
Alcohol or Illicit Drug Dependence or Abuse¹	464	28	137	299	436
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	132	16	54	62	117
Needing But Not Receiving Treatment for Alcohol Use⁸	347	14	91	242	333
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	66	79	301	380
Serious Mental Illness^3,10	--	--	40	197	237
Any Mental Illness^3,10	--	--	167	827	993
Had Serious Thoughts of Suicide¹¹	--	--	61	142	203

150925

INDIANA

Table 40 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Indiana, by Age Group: Percentages, Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X₁ + X₂). Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	9.12	8.48	22.37	6.85	9.19
Past Year Marijuana Use	12.86	12.56	35.62	8.85	12.90
Past Month Marijuana Use	7.53	6.52	20.31	5.38	7.64
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.13	2.98	6.77	2.51	3.15
Past Year Cocaine Use	1.21	0.46	3.81	0.84	1.29
Past Year Nonmedical Pain Reliever Use	4.40	4.97	9.53	3.42	4.34
Perception of Great Risk from Smoking Marijuana Once a Month	26.01	25.18	12.13	28.62	26.10
Average Annual Incidence Estimates of First Use of Marijuana^2,3	2.18	5.53	9.27	0.23	1.54
ALCOHOL
Past Month Alcohol Use	51.08	11.44	61.73	54.34	55.45
Past Month Binge Alcohol Use⁴	21.75	6.27	39.46	20.61	23.45
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	38.28	37.91	29.17	39.96	38.32
Past Month Alcohol Use (Individuals Aged 12 to 20)	22.76⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	14.07⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	29.75	9.00	43.26	30.05	32.05
Past Month Cigarette Use	24.80	6.59	34.67	25.42	26.81
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	68.83	64.06	64.51	70.21	69.35
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	2.00	1.92	5.82	1.33	2.01
Illicit Drug Dependence or Abuse¹	2.84	3.01	8.25	1.86	2.82
Alcohol Dependence	3.26	1.20	6.25	2.99	3.48
Alcohol Dependence or Abuse	6.69	3.04	13.27	6.00	7.10
Alcohol or Illicit Drug Dependence or Abuse¹	8.52	5.09	18.49	7.19	8.90
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	2.43	2.92	7.30	1.50	2.38
Needing But Not Receiving Treatment for Alcohol Use⁸	6.38	2.63	12.34	5.81	6.79
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	12.19	10.62	7.23	7.74
Serious Mental Illness^3,10	--	--	5.39	4.74	4.84
Any Mental Illness^3,10	--	--	22.52	19.85	20.25
Had Serious Thoughts of Suicide¹¹	--	--	8.24	3.40	4.13

150925

IOWA

Table 41 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Iowa, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	162	15	56	91	146
Past Year Marijuana Use	251	24	103	124	227
Past Month Marijuana Use	129	13	49	67	117
Past Month Use of Illicit Drugs Other Than Marijuana¹	69	7	21	42	62
Past Year Cocaine Use	33	1	14	18	32
Past Year Nonmedical Pain Reliever Use	94	10	26	58	84
Perception of Great Risk from Smoking Marijuana Once a Month	722	64	51	607	658
Average Annual Number of Marijuana Initiates^2,3	28	11	15	3	18
ALCOHOL
Past Month Alcohol Use	1,445	26	241	1,178	1,419
Past Month Binge Alcohol Use⁴	653	16	166	472	638
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	918	87	97	734	831
Past Month Alcohol Use (Individuals Aged 12 to 20)	104⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	70⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	709	23	144	542	686
Past Month Cigarette Use	586	16	116	454	570
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	1,733	158	221	1,353	1,574
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	40	4	15	21	36
Illicit Drug Dependence or Abuse¹	56	7	22	27	49
Alcohol Dependence	74	3	19	52	71
Alcohol Dependence or Abuse	160	6	49	105	154
Alcohol or Illicit Drug Dependence or Abuse¹	200	11	61	128	189
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	52	7	21	25	45
Needing But Not Receiving Treatment for Alcohol Use⁸	154	6	46	102	148
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	25	32	127	158
Serious Mental Illness^3,10	--	--	17	90	107
Any Mental Illness^3,10	--	--	65	327	392
Had Serious Thoughts of Suicide¹¹	--	--	27	67	94

150925

IOWA

Table 42 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Iowa, by Age Group: Percentages, Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X₁ + X₂). Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	6.27	6.31	15.84	4.57	6.27
Past Year Marijuana Use	9.74	10.06	29.18	6.25	9.71
Past Month Marijuana Use	5.02	5.17	14.01	3.40	5.00
Past Month Use of Illicit Drugs Other Than Marijuana¹	2.69	2.81	5.95	2.10	2.68
Past Year Cocaine Use	1.28	0.50	3.86	0.91	1.36
Past Year Nonmedical Pain Reliever Use	3.65	4.31	7.37	2.91	3.58
Perception of Great Risk from Smoking Marijuana Once a Month	28.01	26.20	14.48	30.66	28.19
Average Annual Incidence Estimates of First Use of Marijuana^2,3	1.63	4.24	8.03	0.18	1.22
ALCOHOL
Past Month Alcohol Use	56.15	10.81	68.29	59.52	60.84
Past Month Binge Alcohol Use⁴	25.36	6.40	47.04	23.83	27.32
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	35.65	35.83	27.60	37.06	35.63
Past Month Alcohol Use (Individuals Aged 12 to 20)	26.90⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	18.13⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	27.52	9.41	40.75	27.38	29.39
Past Month Cigarette Use	22.75	6.48	32.87	22.95	24.44
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	67.29	65.36	62.77	68.33	67.49
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	1.55	1.70	4.20	1.07	1.54
Illicit Drug Dependence or Abuse¹	2.17	2.94	6.24	1.36	2.09
Alcohol Dependence	2.86	1.08	5.49	2.61	3.05
Alcohol Dependence or Abuse	6.22	2.62	13.81	5.31	6.59
Alcohol or Illicit Drug Dependence or Abuse¹	7.76	4.50	17.37	6.45	8.10
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	2.02	2.71	5.84	1.26	1.95
Needing But Not Receiving Treatment for Alcohol Use⁸	5.97	2.46	13.14	5.13	6.34
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	10.35	8.99	6.40	6.79
Serious Mental Illness^3,10	--	--	4.85	4.54	4.59
Any Mental Illness^3,10	--	--	18.49	16.53	16.83
Had Serious Thoughts of Suicide¹¹	--	--	7.78	3.38	4.05

150925

KANSAS

Table 43 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Kansas, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	188	18	57	113	170
Past Year Marijuana Use	259	28	93	138	231
Past Month Marijuana Use	149	14	49	86	135
Past Month Use of Illicit Drugs Other Than Marijuana¹	77	8	22	48	70
Past Year Cocaine Use	32	2	12	18	31
Past Year Nonmedical Pain Reliever Use	101	11	28	62	90
Perception of Great Risk from Smoking Marijuana Once a Month	564	53	39	471	511
Average Annual Number of Marijuana Initiates^2,3	27	11	13	2	15
ALCOHOL
Past Month Alcohol Use	1,264	27	200	1,038	1,237
Past Month Binge Alcohol Use⁴	560	16	132	413	545
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	861	83	87	691	778
Past Month Alcohol Use (Individuals Aged 12 to 20)	78⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	51⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	644	21	134	489	623
Past Month Cigarette Use	518	13	97	408	505
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	1,591	148	203	1,240	1,443
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	37	4	13	21	33
Illicit Drug Dependence or Abuse¹	55	8	19	28	47
Alcohol Dependence	78	3	18	57	76
Alcohol Dependence or Abuse	174	7	45	122	167
Alcohol or Illicit Drug Dependence or Abuse¹	207	12	56	138	194
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	49	7	18	23	42
Needing But Not Receiving Treatment for Alcohol Use⁸	166	6	43	117	159
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	27	27	118	145
Serious Mental Illness^3,10	--	--	14	73	87
Any Mental Illness^3,10	--	--	57	314	371
Had Serious Thoughts of Suicide¹¹	--	--	21	60	81

150925

KANSAS

Table 44 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Kansas, by Age Group: Percentages, Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X₁ + X₂). Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	8.00	7.61	17.54	6.31	8.04
Past Year Marijuana Use	11.01	11.71	28.46	7.74	10.93
Past Month Marijuana Use	6.34	5.85	15.11	4.81	6.39
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.29	3.20	6.77	2.67	3.30
Past Year Cocaine Use	1.38	0.64	3.80	1.04	1.46
Past Year Nonmedical Pain Reliever Use	4.28	4.45	8.51	3.49	4.26
Perception of Great Risk from Smoking Marijuana Once a Month	23.98	22.47	12.02	26.39	24.15
Average Annual Incidence Estimates of First Use of Marijuana^2,3	1.85	5.00	7.54	0.21	1.28
ALCOHOL
Past Month Alcohol Use	53.78	11.18	61.27	58.07	58.57
Past Month Binge Alcohol Use⁴	23.84	6.55	40.45	23.11	25.79
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	36.64	34.80	26.72	38.69	36.84
Past Month Alcohol Use (Individuals Aged 12 to 20)	22.23⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	14.55⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	27.41	8.85	41.19	27.37	29.50
Past Month Cigarette Use	22.04	5.60	29.63	22.85	23.89
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	67.72	62.36	62.26	69.42	68.31
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	1.58	1.64	3.90	1.15	1.58
Illicit Drug Dependence or Abuse¹	2.35	3.44	5.88	1.57	2.23
Alcohol Dependence	3.34	1.08	5.65	3.21	3.59
Alcohol Dependence or Abuse	7.41	2.87	13.78	6.86	7.92
Alcohol or Illicit Drug Dependence or Abuse¹	8.79	5.25	17.21	7.73	9.19
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	2.09	3.15	5.64	1.30	1.97
Needing But Not Receiving Treatment for Alcohol Use⁸	7.05	2.71	13.09	6.52	7.53
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	11.34	8.20	6.63	6.87
Serious Mental Illness^3,10	--	--	4.17	4.09	4.10
Any Mental Illness^3,10	--	--	17.56	17.57	17.56
Had Serious Thoughts of Suicide¹¹	--	--	6.51	3.34	3.83

150925

KENTUCKY

Table 45 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Kentucky, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	306	24	90	191	281
Past Year Marijuana Use	398	35	132	231	363
Past Month Marijuana Use	246	19	82	144	227
Past Month Use of Illicit Drugs Other Than Marijuana¹	115	9	33	73	106
Past Year Cocaine Use	57	2	20	35	55
Past Year Nonmedical Pain Reliever Use	151	15	43	94	137
Perception of Great Risk from Smoking Marijuana Once a Month	1,092	96	73	923	996
Average Annual Number of Marijuana Initiates^2,3	33	14	16	3	19
ALCOHOL
Past Month Alcohol Use	1,548	31	259	1,258	1,518
Past Month Binge Alcohol Use⁴	715	17	162	535	697
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	1,478	129	155	1,194	1,350
Past Month Alcohol Use (Individuals Aged 12 to 20)	102⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	67⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	1,242	37	214	990	1,205
Past Month Cigarette Use	1,049	28	175	846	1,021
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	2,277	207	269	1,801	2,069
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	72	6	22	44	66
Illicit Drug Dependence or Abuse¹	96	10	31	55	87
Alcohol Dependence	93	3	22	68	90
Alcohol Dependence or Abuse	202	8	56	138	193
Alcohol or Illicit Drug Dependence or Abuse¹	269	15	76	178	254
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	82	9	27	46	73
Needing But Not Receiving Treatment for Alcohol Use⁸	200	8	55	137	192
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	32	43	180	224
Serious Mental Illness^3,10	--	--	23	145	168
Any Mental Illness^3,10	--	--	95	568	663
Had Serious Thoughts of Suicide¹¹	--	--	35	107	143

150925

KENTUCKY

Table 46 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Kentucky, by Age Group: Percentages, Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X₁ + X₂). Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	8.39	7.16	19.12	6.75	8.52
Past Year Marijuana Use	10.93	10.34	28.05	8.15	10.99
Past Month Marijuana Use	6.75	5.63	17.49	5.09	6.86
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.16	2.61	7.02	2.58	3.21
Past Year Cocaine Use	1.57	0.56	4.23	1.25	1.67
Past Year Nonmedical Pain Reliever Use	4.16	4.32	9.05	3.32	4.14
Perception of Great Risk from Smoking Marijuana Once a Month	29.95	28.20	15.60	32.58	30.13
Average Annual Incidence Estimates of First Use of Marijuana^2,3	1.47	4.18	6.21	0.18	1.02
ALCOHOL
Past Month Alcohol Use	42.49	9.02	55.07	44.42	45.94
Past Month Binge Alcohol Use⁴	19.62	5.13	34.42	18.90	21.12
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	40.58	37.88	32.97	42.17	40.85
Past Month Alcohol Use (Individuals Aged 12 to 20)	19.59⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	12.80⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	34.08	10.87	45.48	34.97	36.47
Past Month Cigarette Use	28.80	8.11	37.17	29.89	30.93
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	62.49	60.99	57.05	63.58	62.65
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	1.97	1.67	4.75	1.55	2.00
Illicit Drug Dependence or Abuse¹	2.65	2.87	6.63	1.96	2.62
Alcohol Dependence	2.56	0.95	4.64	2.40	2.72
Alcohol Dependence or Abuse	5.54	2.42	11.82	4.86	5.86
Alcohol or Illicit Drug Dependence or Abuse¹	7.38	4.28	16.14	6.30	7.70
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	2.26	2.67	5.74	1.63	2.22
Needing But Not Receiving Treatment for Alcohol Use⁸	5.48	2.38	11.58	4.84	5.80
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	9.34	9.21	6.37	6.77
Serious Mental Illness^3,10	--	--	4.92	5.13	5.10
Any Mental Illness^3,10	--	--	20.16	20.07	20.08
Had Serious Thoughts of Suicide¹¹	--	--	7.45	3.79	4.31

150925

LOUISIANA

Table 47 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Louisiana, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	324	31	93	199	293
Past Year Marijuana Use	425	43	143	239	382
Past Month Marijuana Use	231	20	83	128	211
Past Month Use of Illicit Drugs Other Than Marijuana¹	138	14	34	90	124
Past Year Cocaine Use	62	2	16	44	60
Past Year Nonmedical Pain Reliever Use	178	19	46	112	158
Perception of Great Risk from Smoking Marijuana Once a Month	1,222	104	94	1,023	1,117
Average Annual Number of Marijuana Initiates^2,3	43	18	21	4	24
ALCOHOL
Past Month Alcohol Use	1,860	45	291	1,524	1,815
Past Month Binge Alcohol Use⁴	902	25	176	701	877
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	1,625	149	198	1,277	1,475
Past Month Alcohol Use (Individuals Aged 12 to 20)	133⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	85⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	1,123	36	212	876	1,087
Past Month Cigarette Use	939	26	178	735	913
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	2,630	233	338	2,059	2,397
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	71	7	23	42	65
Illicit Drug Dependence or Abuse¹	112	13	36	63	98
Alcohol Dependence	120	3	29	88	117
Alcohol Dependence or Abuse	228	10	53	166	219
Alcohol or Illicit Drug Dependence or Abuse¹	309	20	77	212	289
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	96	12	34	50	85
Needing But Not Receiving Treatment for Alcohol Use⁸	222	8	55	159	214
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	37	41	169	210
Serious Mental Illness^3,10	--	--	21	133	154
Any Mental Illness^3,10	--	--	93	585	678
Had Serious Thoughts of Suicide¹¹	--	--	37	108	144

150925

LOUISIANA

Table 48 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Louisiana, by Age Group: Percentages, Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X₁ + X₂). Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	8.55	8.48	17.97	6.88	8.56
Past Year Marijuana Use	11.23	11.64	27.64	8.24	11.19
Past Month Marijuana Use	6.11	5.55	15.99	4.42	6.17
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.65	3.88	6.48	3.11	3.63
Past Year Cocaine Use	1.62	0.48	3.03	1.52	1.75
Past Year Nonmedical Pain Reliever Use	4.69	5.29	8.79	3.88	4.63
Perception of Great Risk from Smoking Marijuana Once a Month	32.24	28.40	18.09	35.29	32.65
Average Annual Incidence Estimates of First Use of Marijuana^2,3	1.66	4.99	6.90	0.18	1.13
ALCOHOL
Past Month Alcohol Use	49.13	12.35	55.97	52.57	53.09
Past Month Binge Alcohol Use⁴	23.83	6.81	33.87	24.19	25.66
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	42.90	40.53	38.23	44.04	43.15
Past Month Alcohol Use (Individuals Aged 12 to 20)	22.72⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	14.51⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	29.66	9.71	40.79	30.20	31.81
Past Month Cigarette Use	24.79	7.13	34.23	25.34	26.69
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	69.46	63.36	65.08	71.02	70.11
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	1.89	1.83	4.34	1.46	1.89
Illicit Drug Dependence or Abuse¹	2.95	3.61	6.85	2.17	2.88
Alcohol Dependence	3.17	0.84	5.55	3.03	3.42
Alcohol Dependence or Abuse	6.03	2.62	10.13	5.73	6.40
Alcohol or Illicit Drug Dependence or Abuse¹	8.16	5.56	14.81	7.30	8.44
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	2.55	3.23	6.60	1.73	2.47
Needing But Not Receiving Treatment for Alcohol Use⁸	5.86	2.31	10.54	5.48	6.25
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	10.06	7.97	5.82	6.15
Serious Mental Illness^3,10	--	--	4.10	4.59	4.51
Any Mental Illness^3,10	--	--	17.92	20.17	19.83
Had Serious Thoughts of Suicide¹¹	--	--	7.04	3.71	4.21

150925

MAINE

Table 49 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Maine, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	155	10	37	108	145
Past Year Marijuana Use	224	16	54	155	208
Past Month Marijuana Use	145	9	36	100	136
Past Month Use of Illicit Drugs Other Than Marijuana¹	33	3	9	21	30
Past Year Cocaine Use	16	0	6	10	16
Past Year Nonmedical Pain Reliever Use	36	4	9	23	32
Perception of Great Risk from Smoking Marijuana Once a Month	219	19	10	190	200
Average Annual Number of Marijuana Initiates^2,3	13	5	7	1	8
ALCOHOL
Past Month Alcohol Use	679	11	85	583	668
Past Month Binge Alcohol Use⁴	261	6	54	200	255
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	402	33	35	334	368
Past Month Alcohol Use (Individuals Aged 12 to 20)	36⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	22⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	301	8	52	241	292
Past Month Cigarette Use	254	6	39	209	248
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	784	60	82	642	723
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	21	2	8	12	20
Illicit Drug Dependence or Abuse¹	30	3	10	17	27
Alcohol Dependence	31	1	6	24	30
Alcohol Dependence or Abuse	65	3	17	46	63
Alcohol or Illicit Drug Dependence or Abuse¹	88	5	23	61	83
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	26	3	9	14	23
Needing But Not Receiving Treatment for Alcohol Use⁸	64	2	16	46	62
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	11	14	73	87
Serious Mental Illness^3,10	--	--	6	50	56
Any Mental Illness^3,10	--	--	28	189	217
Had Serious Thoughts of Suicide¹¹	--	--	10	35	45

150925

MAINE

Table 50 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Maine, by Age Group: Percentages, Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X₁ + X₂). Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	13.50	10.82	29.11	11.60	13.74
Past Year Marijuana Use	19.55	17.11	42.03	16.68	19.76
Past Month Marijuana Use	12.67	9.90	28.38	10.77	12.91
Past Month Use of Illicit Drugs Other Than Marijuana¹	2.86	2.70	6.96	2.30	2.87
Past Year Cocaine Use	1.41	0.51	4.79	1.03	1.49
Past Year Nonmedical Pain Reliever Use	3.16	4.12	7.13	2.52	3.08
Perception of Great Risk from Smoking Marijuana Once a Month	19.01	19.76	7.84	20.50	18.94
Average Annual Incidence Estimates of First Use of Marijuana^2,3	2.45	6.94	12.53	0.28	1.67
ALCOHOL
Past Month Alcohol Use	59.07	11.86	66.39	62.82	63.25
Past Month Binge Alcohol Use⁴	22.74	6.78	42.62	21.60	24.15
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	34.93	35.33	27.23	35.96	34.89
Past Month Alcohol Use (Individuals Aged 12 to 20)	24.89⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	15.37⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	26.19	8.89	40.67	25.92	27.73
Past Month Cigarette Use	22.10	6.26	30.87	22.47	23.50
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	68.19	64.39	64.27	69.12	68.52
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	1.87	1.86	5.96	1.30	1.87
Illicit Drug Dependence or Abuse¹	2.62	3.16	8.04	1.82	2.58
Alcohol Dependence	2.67	1.03	4.69	2.55	2.81
Alcohol Dependence or Abuse	5.71	2.74	13.39	4.94	5.97
Alcohol or Illicit Drug Dependence or Abuse¹	7.67	4.88	17.69	6.56	7.92
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	2.26	2.89	7.24	1.50	2.20
Needing But Not Receiving Treatment for Alcohol Use⁸	5.62	2.57	12.89	4.91	5.89
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	12.04	10.80	7.85	8.21
Serious Mental Illness^3,10	--	--	4.91	5.39	5.33
Any Mental Illness^3,10	--	--	21.88	20.36	20.55
Had Serious Thoughts of Suicide¹¹	--	--	7.66	3.82	4.29

150925

MARYLAND

Table 51 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Maryland, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	535	49	161	325	485
Past Year Marijuana Use	670	68	229	372	601
Past Month Marijuana Use	425	37	148	241	388
Past Month Use of Illicit Drugs Other Than Marijuana¹	175	17	39	118	157
Past Year Cocaine Use	67	2	23	42	65
Past Year Nonmedical Pain Reliever Use	223	21	58	145	203
Perception of Great Risk from Smoking Marijuana Once a Month	1,332	108	85	1,139	1,224
Average Annual Number of Marijuana Initiates^2,3	55	25	26	5	31
ALCOHOL
Past Month Alcohol Use	2,883	57	399	2,427	2,826
Past Month Binge Alcohol Use⁴	1,122	28	221	872	1,094
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	2,077	195	238	1,643	1,881
Past Month Alcohol Use (Individuals Aged 12 to 20)	151⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	84⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	1,086	27	206	853	1,059
Past Month Cigarette Use	907	19	164	724	888
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	3,647	309	425	2,912	3,338
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	103	10	36	57	93
Illicit Drug Dependence or Abuse¹	140	17	52	71	122
Alcohol Dependence	151	4	33	115	148
Alcohol Dependence or Abuse	331	12	75	243	319
Alcohol or Illicit Drug Dependence or Abuse¹	423	26	112	286	398
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	123	16	47	60	107
Needing But Not Receiving Treatment for Alcohol Use⁸	311	12	75	224	299
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	52	63	217	281
Serious Mental Illness^3,10	--	--	28	119	147
Any Mental Illness^3,10	--	--	124	611	735
Had Serious Thoughts of Suicide¹¹	--	--	47	110	157

150925

MARYLAND

Table 52 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Maryland, by Age Group: Percentages, Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X₁ + X₂). Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	10.76	10.79	25.52	8.37	10.76
Past Year Marijuana Use	13.48	14.96	36.43	9.58	13.33
Past Month Marijuana Use	8.55	8.05	23.42	6.20	8.61
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.52	3.78	6.22	3.05	3.49
Past Year Cocaine Use	1.35	0.40	3.60	1.09	1.44
Past Year Nonmedical Pain Reliever Use	4.50	4.57	9.13	3.74	4.49
Perception of Great Risk from Smoking Marijuana Once a Month	26.78	23.63	13.50	29.33	27.10
Average Annual Incidence Estimates of First Use of Marijuana^2,3	2.24	6.57	8.78	0.26	1.45
ALCOHOL
Past Month Alcohol Use	58.04	12.54	63.41	62.51	62.64
Past Month Binge Alcohol Use⁴	22.59	6.25	35.16	22.47	24.24
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	41.80	42.90	37.82	42.32	41.69
Past Month Alcohol Use (Individuals Aged 12 to 20)	22.60⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	12.62⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	21.86	5.97	32.66	21.97	23.47
Past Month Cigarette Use	18.27	4.18	26.08	18.65	19.69
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	73.41	67.82	67.55	75.02	73.97
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	2.06	2.12	5.64	1.48	2.06
Illicit Drug Dependence or Abuse¹	2.81	3.79	8.22	1.82	2.71
Alcohol Dependence	3.05	0.85	5.16	2.97	3.27
Alcohol Dependence or Abuse	6.66	2.68	11.92	6.27	7.06
Alcohol or Illicit Drug Dependence or Abuse¹	8.52	5.61	17.75	7.37	8.82
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	2.48	3.57	7.40	1.55	2.37
Needing But Not Receiving Treatment for Alcohol Use⁸	6.26	2.59	11.86	5.78	6.63
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	11.33	10.07	5.59	6.22
Serious Mental Illness^3,10	--	--	4.41	3.06	3.25
Any Mental Illness^3,10	--	--	19.72	15.75	16.30
Had Serious Thoughts of Suicide¹¹	--	--	7.44	2.84	3.48

150925

MASSACHUSETTS

Table 53 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Massachusetts, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	759	47	243	469	712
Past Year Marijuana Use	989	76	334	579	913
Past Month Marijuana Use	674	43	225	406	631
Past Month Use of Illicit Drugs Other Than Marijuana¹	160	12	48	99	147
Past Year Cocaine Use	134	3	49	82	131
Past Year Nonmedical Pain Reliever Use	201	18	59	123	183
Perception of Great Risk from Smoking Marijuana Once a Month	1,133	98	66	968	1,034
Average Annual Number of Marijuana Initiates^2,3	70	27	37	6	43
ALCOHOL
Past Month Alcohol Use	3,566	65	549	2,952	3,501
Past Month Binge Alcohol Use⁴	1,390	34	343	1,012	1,355
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	2,200	177	218	1,805	2,023
Past Month Alcohol Use (Individuals Aged 12 to 20)	241⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	140⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	1,233	32	269	931	1,200
Past Month Cigarette Use	1,001	23	215	763	979
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	4,190	325	534	3,330	3,865
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	122	9	46	67	113
Illicit Drug Dependence or Abuse¹	173	18	65	90	156
Alcohol Dependence	160	5	41	114	156
Alcohol Dependence or Abuse	383	15	112	255	368
Alcohol or Illicit Drug Dependence or Abuse¹	496	25	152	319	471
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	156	17	59	80	139
Needing But Not Receiving Treatment for Alcohol Use⁸	361	15	107	239	346
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	54	82	312	394
Serious Mental Illness^3,10	--	--	38	184	222
Any Mental Illness^3,10	--	--	168	888	1,056
Had Serious Thoughts of Suicide¹¹	--	--	57	151	208

150925

MASSACHUSETTS

Table 54 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Massachusetts, by Age Group: Percentages, Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X₁ + X₂). Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	13.23	9.69	31.09	10.49	13.56
Past Year Marijuana Use	17.23	15.56	42.72	12.95	17.38
Past Month Marijuana Use	11.75	8.88	28.74	9.08	12.01
Past Month Use of Illicit Drugs Other Than Marijuana¹	2.79	2.55	6.16	2.22	2.81
Past Year Cocaine Use	2.34	0.65	6.27	1.84	2.50
Past Year Nonmedical Pain Reliever Use	3.50	3.77	7.60	2.76	3.48
Perception of Great Risk from Smoking Marijuana Once a Month	19.71	20.10	8.48	21.66	19.67
Average Annual Incidence Estimates of First Use of Marijuana^2,3	2.52	6.52	11.16	0.32	1.82
ALCOHOL
Past Month Alcohol Use	62.11	13.30	70.15	66.05	66.66
Past Month Binge Alcohol Use⁴	24.21	7.00	43.85	22.65	25.81
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	38.33	36.26	27.92	40.38	38.52
Past Month Alcohol Use (Individuals Aged 12 to 20)	30.44⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	17.69⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	21.47	6.60	34.43	20.83	22.86
Past Month Cigarette Use	17.44	4.62	27.52	17.08	18.63
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	72.98	66.45	68.34	74.51	73.59
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	2.13	1.90	5.87	1.50	2.15
Illicit Drug Dependence or Abuse¹	3.02	3.60	8.34	2.02	2.96
Alcohol Dependence	2.80	0.96	5.29	2.56	2.97
Alcohol Dependence or Abuse	6.66	3.02	14.37	5.71	7.00
Alcohol or Illicit Drug Dependence or Abuse¹	8.64	5.13	19.43	7.13	8.96
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	2.71	3.43	7.50	1.79	2.64
Needing But Not Receiving Treatment for Alcohol Use⁸	6.28	2.98	13.68	5.35	6.59
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	11.11	10.48	6.98	7.50
Serious Mental Illness^3,10	--	--	4.85	4.12	4.23
Any Mental Illness^3,10	--	--	21.53	19.87	20.11
Had Serious Thoughts of Suicide¹¹	--	--	7.34	3.37	3.96

150925

MICHIGAN

Table 55 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Michigan, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	975	78	278	619	897
Past Year Marijuana Use	1,304	120	391	793	1,183
Past Month Marijuana Use	851	64	258	528	787
Past Month Use of Illicit Drugs Other Than Marijuana¹	263	24	76	163	239
Past Year Cocaine Use	87	3	35	49	85
Past Year Nonmedical Pain Reliever Use	333	37	103	193	296
Perception of Great Risk from Smoking Marijuana Once a Month	1,926	170	119	1,637	1,756
Average Annual Number of Marijuana Initiates^2,3	102	46	48	8	56
ALCOHOL
Past Month Alcohol Use	4,558	92	703	3,763	4,466
Past Month Binge Alcohol Use⁴	2,054	49	464	1,542	2,005
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	3,196	283	351	2,563	2,914
Past Month Alcohol Use (Individuals Aged 12 to 20)	290⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	175⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	2,386	65	440	1,881	2,321
Past Month Cigarette Use	2,027	45	355	1,627	1,981
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	5,618	507	689	4,422	5,111
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	144	14	45	84	130
Illicit Drug Dependence or Abuse¹	205	26	67	112	179
Alcohol Dependence	253	8	67	179	246
Alcohol Dependence or Abuse	510	19	142	349	491
Alcohol or Illicit Drug Dependence or Abuse¹	647	38	182	427	609
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	181	24	64	93	157
Needing But Not Receiving Treatment for Alcohol Use⁸	497	19	138	339	478
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	84	105	396	501
Serious Mental Illness^3,10	--	--	57	280	336
Any Mental Illness^3,10	--	--	245	1,196	1,441
Had Serious Thoughts of Suicide¹¹	--	--	94	246	340

150925

MICHIGAN

Table 56 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Michigan, by Age Group: Percentages, Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X₁ + X₂). Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	11.67	9.83	24.90	9.60	11.86
Past Year Marijuana Use	15.60	15.10	35.05	12.29	15.65
Past Month Marijuana Use	10.18	8.09	23.17	8.20	10.40
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.15	2.97	6.81	2.53	3.16
Past Year Cocaine Use	1.04	0.33	3.16	0.77	1.12
Past Year Nonmedical Pain Reliever Use	3.98	4.63	9.24	2.99	3.91
Perception of Great Risk from Smoking Marijuana Once a Month	23.02	21.37	10.64	25.39	23.19
Average Annual Incidence Estimates of First Use of Marijuana^2,3	2.39	6.55	8.91	0.27	1.57
ALCOHOL
Past Month Alcohol Use	54.52	11.56	63.02	58.37	59.06
Past Month Binge Alcohol Use⁴	24.58	6.15	41.58	23.92	26.52
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	38.23	35.44	31.45	39.76	38.53
Past Month Alcohol Use (Individuals Aged 12 to 20)	23.93⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	14.47⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	28.54	8.17	39.45	29.18	30.69
Past Month Cigarette Use	24.24	5.68	31.84	25.23	26.20
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	67.20	63.52	61.79	68.59	67.59
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	1.72	1.79	4.08	1.31	1.71
Illicit Drug Dependence or Abuse¹	2.46	3.27	6.00	1.74	2.37
Alcohol Dependence	3.03	0.96	6.02	2.77	3.25
Alcohol Dependence or Abuse	6.11	2.44	12.77	5.41	6.49
Alcohol or Illicit Drug Dependence or Abuse¹	7.74	4.70	16.36	6.62	8.06
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	2.17	3.06	5.71	1.45	2.07
Needing But Not Receiving Treatment for Alcohol Use⁸	5.94	2.35	12.42	5.26	6.32
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	10.55	9.40	6.14	6.62
Serious Mental Illness^3,10	--	--	5.11	4.34	4.45
Any Mental Illness^3,10	--	--	21.95	18.55	19.05
Had Serious Thoughts of Suicide¹¹	--	--	8.41	3.82	4.50

150925

MINNESOTA

Table 57 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Minnesota, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	403	33	127	244	371
Past Year Marijuana Use	553	50	188	315	504
Past Month Marijuana Use	330	29	113	188	301
Past Month Use of Illicit Drugs Other Than Marijuana¹	127	12	37	78	116
Past Year Cocaine Use	56	2	21	33	54
Past Year Nonmedical Pain Reliever Use	161	17	48	96	144
Perception of Great Risk from Smoking Marijuana Once a Month	1,008	96	63	849	913
Average Annual Number of Marijuana Initiates^2,3	42	18	20	4	24
ALCOHOL
Past Month Alcohol Use	2,660	45	370	2,245	2,615
Past Month Binge Alcohol Use⁴	1,090	22	242	826	1,068
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	1,583	156	143	1,284	1,427
Past Month Alcohol Use (Individuals Aged 12 to 20)	153⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	93⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	1,196	32	228	937	1,164
Past Month Cigarette Use	938	23	178	737	915
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	3,140	270	368	2,501	2,869
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	76	7	24	45	70
Illicit Drug Dependence or Abuse¹	107	12	38	57	95
Alcohol Dependence	121	4	29	88	117
Alcohol Dependence or Abuse	286	10	77	198	276
Alcohol or Illicit Drug Dependence or Abuse¹	360	18	102	241	343
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	97	11	34	52	87
Needing But Not Receiving Treatment for Alcohol Use⁸	274	10	74	190	264
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	47	58	241	299
Serious Mental Illness^3,10	--	--	28	156	185
Any Mental Illness^3,10	--	--	122	684	806
Had Serious Thoughts of Suicide¹¹	--	--	42	131	173

150925

MINNESOTA

Table 58 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Minnesota, by Age Group: Percentages, Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X₁ + X₂). Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	8.91	7.72	22.14	6.91	9.04
Past Year Marijuana Use	12.22	11.64	32.91	8.93	12.28
Past Month Marijuana Use	7.28	6.75	19.74	5.32	7.34
Past Month Use of Illicit Drugs Other Than Marijuana¹	2.82	2.78	6.54	2.22	2.82
Past Year Cocaine Use	1.23	0.46	3.60	0.94	1.31
Past Year Nonmedical Pain Reliever Use	3.56	3.96	8.38	2.73	3.52
Perception of Great Risk from Smoking Marijuana Once a Month	22.25	22.51	11.09	24.06	22.22
Average Annual Incidence Estimates of First Use of Marijuana^2,3	1.78	4.68	7.47	0.25	1.24
ALCOHOL
Past Month Alcohol Use	58.77	10.67	64.72	63.60	63.75
Past Month Binge Alcohol Use⁴	24.07	5.14	42.31	23.40	26.04
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	34.96	36.70	25.04	36.36	34.78
Past Month Alcohol Use (Individuals Aged 12 to 20)	24.07⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	14.53⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	26.43	7.53	39.80	26.54	28.39
Past Month Cigarette Use	20.72	5.50	31.14	20.87	22.30
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	69.36	63.59	64.41	70.85	69.95
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	1.68	1.54	4.26	1.28	1.70
Illicit Drug Dependence or Abuse¹	2.37	2.93	6.60	1.61	2.31
Alcohol Dependence	2.68	0.90	5.11	2.50	2.86
Alcohol Dependence or Abuse	6.31	2.38	13.54	5.62	6.72
Alcohol or Illicit Drug Dependence or Abuse¹	7.96	4.17	17.83	6.82	8.35
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	2.15	2.55	6.03	1.48	2.11
Needing But Not Receiving Treatment for Alcohol Use⁸	6.05	2.28	12.98	5.38	6.44
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	10.98	10.08	6.83	7.28
Serious Mental Illness^3,10	--	--	4.96	4.43	4.50
Any Mental Illness^3,10	--	--	21.27	19.39	19.65
Had Serious Thoughts of Suicide¹¹	--	--	7.42	3.70	4.22

150925

MISSISSIPPI

Table 59 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Mississippi, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	207	23	64	121	184
Past Year Marijuana Use	229	26	86	117	203
Past Month Marijuana Use	142	14	56	73	129
Past Month Use of Illicit Drugs Other Than Marijuana¹	95	12	22	62	83
Past Year Cocaine Use	24	1	6	17	23
Past Year Nonmedical Pain Reliever Use	104	14	30	60	90
Perception of Great Risk from Smoking Marijuana Once a Month	918	70	77	771	848
Average Annual Number of Marijuana Initiates^2,3	23	11	11	2	13
ALCOHOL
Past Month Alcohol Use	1,025	24	178	822	1,001
Past Month Binge Alcohol Use⁴	482	12	107	363	470
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	1,142	104	142	896	1,038
Past Month Alcohol Use (Individuals Aged 12 to 20)	75⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	45⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	822	25	149	647	796
Past Month Cigarette Use	669	17	123	529	652
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	1,613	143	208	1,261	1,469
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	46	5	15	26	41
Illicit Drug Dependence or Abuse¹	65	8	22	36	58
Alcohol Dependence	74	2	18	54	72
Alcohol Dependence or Abuse	141	6	34	101	135
Alcohol or Illicit Drug Dependence or Abuse¹	187	12	48	127	175
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	59	7	20	31	51
Needing But Not Receiving Treatment for Alcohol Use⁸	138	5	33	100	133
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	26	27	127	155
Serious Mental Illness^3,10	--	--	14	95	109
Any Mental Illness^3,10	--	--	55	367	422
Had Serious Thoughts of Suicide¹¹	--	--	22	66	88

150925

MISSISSIPPI

Table 60 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Mississippi, by Age Group: Percentages, Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X₁ + X₂). Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	8.52	9.38	18.76	6.53	8.42
Past Year Marijuana Use	9.40	10.56	25.30	6.33	9.27
Past Month Marijuana Use	5.85	5.60	16.39	3.95	5.87
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.90	4.85	6.35	3.33	3.79
Past Year Cocaine Use	0.98	0.33	1.90	0.89	1.05
Past Year Nonmedical Pain Reliever Use	4.28	5.64	8.83	3.27	4.13
Perception of Great Risk from Smoking Marijuana Once a Month	37.70	28.47	22.76	41.70	38.74
Average Annual Incidence Estimates of First Use of Marijuana^2,3	1.45	4.61	5.40	0.15	0.93
ALCOHOL
Past Month Alcohol Use	42.10	9.81	52.67	44.46	45.73
Past Month Binge Alcohol Use⁴	19.79	4.90	31.48	19.62	21.46
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	46.90	42.31	41.96	48.42	47.42
Past Month Alcohol Use (Individuals Aged 12 to 20)	20.13⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	12.02⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	33.76	10.34	44.10	34.98	36.39
Past Month Cigarette Use	27.47	6.79	36.27	28.61	29.79
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	66.26	58.38	61.51	68.17	67.14
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	1.87	1.89	4.40	1.41	1.87
Illicit Drug Dependence or Abuse¹	2.68	3.13	6.38	1.94	2.63
Alcohol Dependence	3.06	0.90	5.37	2.92	3.30
Alcohol Dependence or Abuse	5.79	2.27	10.15	5.46	6.19
Alcohol or Illicit Drug Dependence or Abuse¹	7.68	4.93	14.09	6.88	7.99
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	2.40	3.05	5.87	1.68	2.33
Needing But Not Receiving Treatment for Alcohol Use⁸	5.67	2.06	9.74	5.41	6.08
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	10.59	8.09	6.89	7.08
Serious Mental Illness^3,10	--	--	4.16	5.11	4.97
Any Mental Illness^3,10	--	--	16.29	19.84	19.29
Had Serious Thoughts of Suicide¹¹	--	--	6.64	3.55	4.03

150925

MISSOURI

Table 61 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Missouri, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	465	37	153	275	428
Past Year Marijuana Use	639	59	219	362	580
Past Month Marijuana Use	401	30	142	228	370
Past Month Use of Illicit Drugs Other Than Marijuana¹	146	13	47	86	133
Past Year Cocaine Use	57	2	22	33	55
Past Year Nonmedical Pain Reliever Use	202	21	61	120	181
Perception of Great Risk from Smoking Marijuana Once a Month	1,293	112	78	1,102	1,180
Average Annual Number of Marijuana Initiates^2,3	55	23	27	5	32
ALCOHOL
Past Month Alcohol Use	2,554	51	394	2,108	2,502
Past Month Binge Alcohol Use⁴	1,261	32	271	958	1,229
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	1,768	174	199	1,394	1,593
Past Month Alcohol Use (Individuals Aged 12 to 20)	154⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	103⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	1,665	50	304	1,311	1,615
Past Month Cigarette Use	1,411	38	256	1,117	1,373
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	3,215	282	386	2,547	2,934
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	101	9	40	51	91
Illicit Drug Dependence or Abuse¹	129	14	50	65	115
Alcohol Dependence	141	5	34	102	136
Alcohol Dependence or Abuse	320	13	85	222	307
Alcohol or Illicit Drug Dependence or Abuse¹	399	23	112	263	376
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	112	13	45	54	99
Needing But Not Receiving Treatment for Alcohol Use⁸	310	12	82	217	298
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	51	58	254	312
Serious Mental Illness^3,10	--	--	34	196	230
Any Mental Illness^3,10	--	--	138	725	862
Had Serious Thoughts of Suicide¹¹	--	--	52	139	191

150925

MISSOURI

Table 62 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Missouri, by Age Group: Percentages, Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X₁ + X₂). Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	9.27	7.93	23.35	7.06	9.41
Past Year Marijuana Use	12.73	12.48	33.32	9.28	12.75
Past Month Marijuana Use	7.98	6.45	21.68	5.85	8.14
Past Month Use of Illicit Drugs Other Than Marijuana¹	2.91	2.83	7.12	2.21	2.92
Past Year Cocaine Use	1.14	0.40	3.35	0.85	1.21
Past Year Nonmedical Pain Reliever Use	4.02	4.38	9.30	3.08	3.98
Perception of Great Risk from Smoking Marijuana Once a Month	25.71	23.86	11.90	28.30	25.91
Average Annual Incidence Estimates of First Use of Marijuana^2,3	1.99	5.55	8.88	0.22	1.36
ALCOHOL
Past Month Alcohol Use	50.85	10.91	60.04	54.13	54.98
Past Month Binge Alcohol Use⁴	25.10	6.70	41.27	24.60	27.01
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	35.19	37.05	30.25	35.81	35.00
Past Month Alcohol Use (Individuals Aged 12 to 20)	21.84⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	14.61⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	33.16	10.56	46.33	33.67	35.50
Past Month Cigarette Use	28.10	8.08	38.96	28.69	30.17
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	64.03	59.81	58.86	65.41	64.46
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	2.01	1.97	6.10	1.32	2.01
Illicit Drug Dependence or Abuse¹	2.57	3.05	7.63	1.66	2.53
Alcohol Dependence	2.81	0.98	5.21	2.63	3.00
Alcohol Dependence or Abuse	6.37	2.68	13.02	5.70	6.75
Alcohol or Illicit Drug Dependence or Abuse¹	7.94	4.87	17.11	6.77	8.26
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	2.23	2.82	6.87	1.38	2.17
Needing But Not Receiving Treatment for Alcohol Use⁸	6.17	2.45	12.44	5.57	6.56
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	10.78	8.77	6.53	6.86
Serious Mental Illness^3,10	--	--	5.23	5.02	5.05
Any Mental Illness^3,10	--	--	20.97	18.61	18.95
Had Serious Thoughts of Suicide¹¹	--	--	7.94	3.57	4.20

150925

MONTANA

Table 63 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Montana, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	95	7	25	63	87
Past Year Marijuana Use	120	10	33	77	110
Past Month Marijuana Use	86	6	23	57	80
Past Month Use of Illicit Drugs Other Than Marijuana¹	20	2	6	11	18
Past Year Cocaine Use	10	0	4	6	10
Past Year Nonmedical Pain Reliever Use	28	3	8	17	25
Perception of Great Risk from Smoking Marijuana Once a Month	200	17	11	173	184
Average Annual Number of Marijuana Initiates^2,3	8	3	4	1	4
ALCOHOL
Past Month Alcohol Use	499	8	72	418	490
Past Month Binge Alcohol Use⁴	207	5	47	155	202
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	297	28	28	242	270
Past Month Alcohol Use (Individuals Aged 12 to 20)	28⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	19⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	244	7	46	191	237
Past Month Cigarette Use	185	5	34	146	180
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	599	48	69	482	551
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	14	1	5	7	12
Illicit Drug Dependence or Abuse¹	18	2	7	9	16
Alcohol Dependence	30	1	7	21	29
Alcohol Dependence or Abuse	65	3	17	45	63
Alcohol or Illicit Drug Dependence or Abuse¹	78	4	21	53	74
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	17	2	7	8	15
Needing But Not Receiving Treatment for Alcohol Use⁸	59	2	16	41	57
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	8	10	42	51
Serious Mental Illness^3,10	--	--	5	31	36
Any Mental Illness^3,10	--	--	24	130	154
Had Serious Thoughts of Suicide¹¹	--	--	9	26	36

150925

MONTANA

Table 64 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Montana, by Age Group: Percentages, Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X₁ + X₂). Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	11.09	10.00	22.34	9.35	11.19
Past Year Marijuana Use	14.07	13.38	30.03	11.51	14.13
Past Month Marijuana Use	10.04	8.30	20.57	8.49	10.20
Past Month Use of Illicit Drugs Other Than Marijuana¹	2.29	2.58	5.58	1.72	2.26
Past Year Cocaine Use	1.22	0.49	3.53	0.92	1.29
Past Year Nonmedical Pain Reliever Use	3.24	3.98	7.02	2.53	3.17
Perception of Great Risk from Smoking Marijuana Once a Month	23.43	22.63	9.53	25.85	23.51
Average Annual Incidence Estimates of First Use of Marijuana^2,3	1.75	5.24	6.69	0.25	1.16
ALCOHOL
Past Month Alcohol Use	58.39	11.19	65.01	62.51	62.86
Past Month Binge Alcohol Use⁴	24.26	6.53	42.68	23.18	25.94
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	34.82	37.10	25.20	36.16	34.60
Past Month Alcohol Use (Individuals Aged 12 to 20)	24.43⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	16.23⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	28.57	9.44	41.88	28.48	30.38
Past Month Cigarette Use	21.68	6.35	30.79	21.87	23.13
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	70.11	64.91	62.54	71.93	70.60
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	1.61	1.81	4.47	1.12	1.59
Illicit Drug Dependence or Abuse¹	2.14	3.16	6.34	1.34	2.04
Alcohol Dependence	3.48	1.17	6.76	3.19	3.69
Alcohol Dependence or Abuse	7.65	3.50	15.72	6.77	8.04
Alcohol or Illicit Drug Dependence or Abuse¹	9.16	5.61	19.29	7.87	9.49
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	1.97	2.79	6.08	1.19	1.89
Needing But Not Receiving Treatment for Alcohol Use⁸	6.94	3.01	14.63	6.11	7.32
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	10.21	8.63	6.22	6.57
Serious Mental Illness^3,10	--	--	4.95	4.61	4.65
Any Mental Illness^3,10	--	--	22.06	19.38	19.76
Had Serious Thoughts of Suicide¹¹	--	--	8.53	3.90	4.56

150925

NEBRASKA

Table 65 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Nebraska, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	105	11	37	57	95
Past Year Marijuana Use	158	17	61	80	141
Past Month Marijuana Use	89	8	34	46	80
Past Month Use of Illicit Drugs Other Than Marijuana¹	35	4	10	21	31
Past Year Cocaine Use	18	1	7	10	17
Past Year Nonmedical Pain Reliever Use	56	6	17	33	49
Perception of Great Risk from Smoking Marijuana Once a Month	412	37	29	347	376
Average Annual Number of Marijuana Initiates^2,3	15	6	7	1	9
ALCOHOL
Past Month Alcohol Use	875	16	136	724	860
Past Month Binge Alcohol Use⁴	369	9	91	269	359
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	588	56	61	471	532
Past Month Alcohol Use (Individuals Aged 12 to 20)	51⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	35⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	428	13	88	327	415
Past Month Cigarette Use	350	9	65	276	340
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	1,001	97	128	776	904
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	26	3	11	13	24
Illicit Drug Dependence or Abuse¹	37	5	14	18	32
Alcohol Dependence	53	2	15	37	51
Alcohol Dependence or Abuse	115	4	33	78	111
Alcohol or Illicit Drug Dependence or Abuse¹	140	8	40	92	132
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	33	5	12	16	28
Needing But Not Receiving Treatment for Alcohol Use⁸	110	4	31	75	106
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	16	20	78	98
Serious Mental Illness^3,10	--	--	11	50	61
Any Mental Illness^3,10	--	--	41	210	251
Had Serious Thoughts of Suicide¹¹	--	--	17	39	56

150925

NEBRASKA

Table 66 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Nebraska, by Age Group: Percentages, Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X₁ + X₂). Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	6.87	7.14	17.72	4.91	6.84
Past Year Marijuana Use	10.35	11.40	29.18	6.86	10.23
Past Month Marijuana Use	5.79	5.54	16.19	3.97	5.81
Past Month Use of Illicit Drugs Other Than Marijuana¹	2.30	2.53	4.96	1.80	2.28
Past Year Cocaine Use	1.16	0.45	3.45	0.84	1.23
Past Year Nonmedical Pain Reliever Use	3.63	4.26	7.98	2.78	3.56
Perception of Great Risk from Smoking Marijuana Once a Month	26.94	24.60	13.67	29.63	27.19
Average Annual Incidence Estimates of First Use of Marijuana^2,3	1.53	4.24	6.41	0.20	1.08
ALCOHOL
Past Month Alcohol Use	57.23	10.53	64.70	61.82	62.25
Past Month Binge Alcohol Use⁴	24.08	6.32	43.23	22.92	25.99
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	38.42	37.70	28.90	40.20	38.49
Past Month Alcohol Use (Individuals Aged 12 to 20)	22.42⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	15.42⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	28.00	9.04	41.84	27.94	30.04
Past Month Cigarette Use	22.84	6.30	30.79	23.53	24.62
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	65.42	65.04	61.21	66.22	65.46
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	1.73	1.93	5.05	1.11	1.71
Illicit Drug Dependence or Abuse¹	2.45	3.63	6.61	1.56	2.32
Alcohol Dependence	3.45	1.03	6.92	3.14	3.71
Alcohol Dependence or Abuse	7.52	2.79	15.82	6.64	8.03
Alcohol or Illicit Drug Dependence or Abuse¹	9.17	5.51	19.27	7.83	9.56
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	2.16	3.35	5.93	1.33	2.03
Needing But Not Receiving Treatment for Alcohol Use⁸	7.19	2.51	14.70	6.44	7.69
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	10.97	9.49	6.69	7.11
Serious Mental Illness^3,10	--	--	5.11	4.25	4.38
Any Mental Illness^3,10	--	--	19.52	17.96	18.20
Had Serious Thoughts of Suicide¹¹	--	--	8.31	3.30	4.05

150925

NEVADA

Table 67 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Nevada, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	223	21	57	144	202
Past Year Marijuana Use	304	32	90	182	272
Past Month Marijuana Use	181	18	52	112	164
Past Month Use of Illicit Drugs Other Than Marijuana¹	74	8	17	48	66
Past Year Cocaine Use	37	2	12	24	36
Past Year Nonmedical Pain Reliever Use	104	12	25	68	92
Perception of Great Risk from Smoking Marijuana Once a Month	622	43	40	539	579
Average Annual Number of Marijuana Initiates^2,3	26	11	12	3	15
ALCOHOL
Past Month Alcohol Use	1,277	30	168	1,079	1,246
Past Month Binge Alcohol Use⁴	570	15	107	448	555
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	996	85	103	807	910
Past Month Alcohol Use (Individuals Aged 12 to 20)	81⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	49⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	619	17	100	502	602
Past Month Cigarette Use	538	12	87	439	526
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	1,637	137	189	1,311	1,500
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	43	5	15	24	39
Illicit Drug Dependence or Abuse¹	62	9	20	33	53
Alcohol Dependence	76	2	17	56	74
Alcohol Dependence or Abuse	158	7	36	116	152
Alcohol or Illicit Drug Dependence or Abuse¹	199	12	49	138	187
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	55	8	19	29	47
Needing But Not Receiving Treatment for Alcohol Use⁸	150	7	35	108	143
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	26	26	107	132
Serious Mental Illness^3,10	--	--	14	77	91
Any Mental Illness^3,10	--	--	58	333	392
Had Serious Thoughts of Suicide¹¹	--	--	24	68	92

150925

NEVADA

Table 68 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in Nevada, by Age Group: Percentages, Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X₁ + X₂). Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	9.55	9.63	20.00	7.90	9.54
Past Year Marijuana Use	13.01	14.42	31.16	9.98	12.86
Past Month Marijuana Use	7.76	7.97	18.01	6.13	7.74
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.16	3.66	5.97	2.65	3.10
Past Year Cocaine Use	1.60	0.69	4.18	1.31	1.70
Past Year Nonmedical Pain Reliever Use	4.46	5.39	8.56	3.70	4.36
Perception of Great Risk from Smoking Marijuana Once a Month	26.60	19.34	13.99	29.49	27.36
Average Annual Incidence Estimates of First Use of Marijuana^2,3	2.16	6.14	8.84	0.29	1.43
ALCOHOL
Past Month Alcohol Use	54.64	13.59	58.31	59.05	58.95
Past Month Binge Alcohol Use⁴	24.39	6.62	37.17	24.54	26.25
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	42.61	38.38	35.81	44.20	43.05
Past Month Alcohol Use (Individuals Aged 12 to 20)	23.94⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	14.49⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	26.50	7.61	34.78	27.49	28.49
Past Month Cigarette Use	23.04	5.34	30.40	24.02	24.90
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	70.07	61.85	65.86	71.73	70.93
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	1.86	2.13	5.07	1.32	1.83
Illicit Drug Dependence or Abuse¹	2.65	3.94	6.99	1.81	2.52
Alcohol Dependence	3.25	1.06	6.08	3.07	3.48
Alcohol Dependence or Abuse	6.78	3.10	12.52	6.33	7.17
Alcohol or Illicit Drug Dependence or Abuse¹	8.53	5.39	17.21	7.55	8.86
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	2.36	3.52	6.54	1.56	2.24
Needing But Not Receiving Treatment for Alcohol Use⁸	6.43	3.05	12.34	5.91	6.78
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	11.64	8.98	5.83	6.26
Serious Mental Illness^3,10	--	--	4.86	4.21	4.30
Any Mental Illness^3,10	--	--	20.30	18.24	18.52
Had Serious Thoughts of Suicide¹¹	--	--	8.32	3.75	4.37

150925

NEW HAMPSHIRE

Table 69 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in New Hampshire, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	144	11	45	88	133
Past Year Marijuana Use	194	18	63	113	176
Past Month Marijuana Use	131	10	42	79	122
Past Month Use of Illicit Drugs Other Than Marijuana¹	42	3	16	23	39
Past Year Cocaine Use	28	1	12	15	27
Past Year Nonmedical Pain Reliever Use	48	5	14	30	43
Perception of Great Risk from Smoking Marijuana Once a Month	176	19	8	148	157
Average Annual Number of Marijuana Initiates^2,3	14	6	7	1	8
ALCOHOL
Past Month Alcohol Use	734	15	100	620	720
Past Month Binge Alcohol Use⁴	282	7	65	210	275
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	391	33	31	326	357
Past Month Alcohol Use (Individuals Aged 12 to 20)	49⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	31⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	278	9	59	210	269
Past Month Cigarette Use	223	7	46	170	216
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	829	67	94	669	762
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	22	2	8	12	20
Illicit Drug Dependence or Abuse¹	32	4	12	16	28
Alcohol Dependence	40	1	10	29	39
Alcohol Dependence or Abuse	87	4	24	59	83
Alcohol or Illicit Drug Dependence or Abuse¹	109	6	30	73	102
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	27	4	10	13	24
Needing But Not Receiving Treatment for Alcohol Use⁸	83	3	23	56	79
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	12	17	66	82
Serious Mental Illness^3,10	--	--	9	40	49
Any Mental Illness^3,10	--	--	37	180	217
Had Serious Thoughts of Suicide¹¹	--	--	15	28	43

150925

NEW HAMPSHIRE

Table 70 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in New Hampshire, by Age Group: Percentages, Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X₁ + X₂). Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	12.60	11.10	32.01	9.74	12.75
Past Year Marijuana Use	16.95	17.99	44.38	12.55	16.85
Past Month Marijuana Use	11.51	9.83	30.09	8.78	11.66
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.69	2.90	11.43	2.57	3.77
Past Year Cocaine Use	2.48	0.84	8.49	1.72	2.64
Past Year Nonmedical Pain Reliever Use	4.21	4.71	9.76	3.28	4.16
Perception of Great Risk from Smoking Marijuana Once a Month	15.43	19.48	5.97	16.48	15.04
Average Annual Incidence Estimates of First Use of Marijuana^2,3	2.89	7.69	11.93	0.34	1.93
ALCOHOL
Past Month Alcohol Use	64.36	14.63	70.97	68.82	69.11
Past Month Binge Alcohol Use⁴	24.72	7.36	45.77	23.35	26.38
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	34.26	33.59	22.20	36.22	34.32
Past Month Alcohol Use (Individuals Aged 12 to 20)	30.94⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	19.55⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	24.33	8.99	41.88	23.28	25.80
Past Month Cigarette Use	19.51	6.59	32.79	18.86	20.74
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	72.66	67.15	66.25	74.27	73.18
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	1.94	2.01	5.77	1.34	1.93
Illicit Drug Dependence or Abuse¹	2.78	4.01	8.22	1.79	2.66
Alcohol Dependence	3.51	1.17	7.01	3.22	3.73
Alcohol Dependence or Abuse	7.60	3.64	17.17	6.54	7.98
Alcohol or Illicit Drug Dependence or Abuse¹	9.53	6.34	21.15	8.06	9.83
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	2.39	3.57	7.23	1.50	2.27
Needing But Not Receiving Treatment for Alcohol Use⁸	7.25	3.39	16.58	6.21	7.61
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	12.00	11.78	7.29	7.90
Serious Mental Illness^3,10	--	--	6.43	4.47	4.73
Any Mental Illness^3,10	--	--	26.49	19.98	20.86
Had Serious Thoughts of Suicide¹¹	--	--	10.29	3.16	4.12

150925

NEW JERSEY

Table 71 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in New Jersey, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	597	56	171	370	541
Past Year Marijuana Use	844	90	268	485	754
Past Month Marijuana Use	472	45	148	280	428
Past Month Use of Illicit Drugs Other Than Marijuana¹	205	18	56	131	187
Past Year Cocaine Use	99	3	36	60	96
Past Year Nonmedical Pain Reliever Use	263	27	70	167	236
Perception of Great Risk from Smoking Marijuana Once a Month	2,143	161	120	1,862	1,982
Average Annual Number of Marijuana Initiates^2,3	79	35	37	8	44
ALCOHOL
Past Month Alcohol Use	4,272	100	541	3,630	4,171
Past Month Binge Alcohol Use⁴	1,692	56	341	1,295	1,635
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	3,099	266	304	2,528	2,833
Past Month Alcohol Use (Individuals Aged 12 to 20)	260⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	161⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	1,613	50	280	1,283	1,563
Past Month Cigarette Use	1,336	34	230	1,073	1,302
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	5,652	467	628	4,557	5,185
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	131	11	44	77	121
Illicit Drug Dependence or Abuse¹	178	22	64	92	156
Alcohol Dependence	210	7	43	160	203
Alcohol Dependence or Abuse	486	23	106	357	463
Alcohol or Illicit Drug Dependence or Abuse¹	580	36	147	397	544
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	160	21	58	82	139
Needing But Not Receiving Treatment for Alcohol Use⁸	459	23	105	332	436
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	72	86	354	440
Serious Mental Illness^3,10	--	--	43	199	242
Any Mental Illness^3,10	--	--	183	923	1,106
Had Serious Thoughts of Suicide¹¹	--	--	71	174	245

150925

NEW JERSEY

Table 72 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in New Jersey, by Age Group: Percentages, Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X₁ + X₂). Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	7.96	7.95	19.19	6.27	7.96
Past Year Marijuana Use	11.25	12.86	30.10	8.22	11.08
Past Month Marijuana Use	6.30	6.36	16.60	4.74	6.29
Past Month Use of Illicit Drugs Other Than Marijuana¹	2.73	2.61	6.27	2.22	2.75
Past Year Cocaine Use	1.32	0.47	4.03	1.02	1.41
Past Year Nonmedical Pain Reliever Use	3.51	3.80	7.83	2.82	3.48
Perception of Great Risk from Smoking Marijuana Once a Month	28.55	22.93	13.44	31.52	29.13
Average Annual Incidence Estimates of First Use of Marijuana^2,3	1.79	5.48	7.48	0.23	1.17
ALCOHOL
Past Month Alcohol Use	56.95	14.31	60.74	61.45	61.36
Past Month Binge Alcohol Use⁴	22.56	8.01	38.26	21.92	24.06
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	41.31	37.93	34.14	42.80	41.66
Past Month Alcohol Use (Individuals Aged 12 to 20)	24.91⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	15.35⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	21.51	7.17	31.38	21.72	23.00
Past Month Cigarette Use	17.82	4.80	25.77	18.16	19.16
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	75.37	66.60	70.47	77.15	76.27
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	1.75	1.55	4.91	1.30	1.77
Illicit Drug Dependence or Abuse¹	2.37	3.11	7.15	1.56	2.29
Alcohol Dependence	2.80	1.00	4.79	2.71	2.99
Alcohol Dependence or Abuse	6.48	3.28	11.92	6.04	6.82
Alcohol or Illicit Drug Dependence or Abuse¹	7.74	5.14	16.50	6.72	8.01
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	2.13	2.93	6.46	1.39	2.05
Needing But Not Receiving Treatment for Alcohol Use⁸	6.12	3.23	11.76	5.61	6.42
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	10.22	9.66	5.99	6.47
Serious Mental Illness^3,10	--	--	4.84	3.37	3.56
Any Mental Illness^3,10	--	--	20.53	15.62	16.27
Had Serious Thoughts of Suicide¹¹	--	--	7.98	2.94	3.60

150925

NEW MEXICO

Table 73 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in New Mexico, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	189	17	49	122	172
Past Year Marijuana Use	267	27	72	168	240
Past Month Marijuana Use	163	13	44	106	150
Past Month Use of Illicit Drugs Other Than Marijuana¹	59	6	14	39	54
Past Year Cocaine Use	37	1	14	22	36
Past Year Nonmedical Pain Reliever Use	76	9	18	49	67
Perception of Great Risk from Smoking Marijuana Once a Month	462	36	34	391	425
Average Annual Number of Marijuana Initiates^2,3	18	9	7	2	8
ALCOHOL
Past Month Alcohol Use	830	16	128	686	814
Past Month Binge Alcohol Use⁴	417	10	85	321	407
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	766	66	90	610	700
Past Month Alcohol Use (Individuals Aged 12 to 20)	48⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	33⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	450	13	91	346	437
Past Month Cigarette Use	376	9	78	289	367
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	1,201	99	145	957	1,103
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	32	3	9	20	29
Illicit Drug Dependence or Abuse¹	51	7	14	31	45
Alcohol Dependence	58	2	13	43	57
Alcohol Dependence or Abuse	118	4	30	84	114
Alcohol or Illicit Drug Dependence or Abuse¹	149	9	37	104	141
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	44	6	13	25	38
Needing But Not Receiving Treatment for Alcohol Use⁸	113	4	28	80	109
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	16	20	77	96
Serious Mental Illness^3,10	--	--	10	57	67
Any Mental Illness^3,10	--	--	47	262	309
Had Serious Thoughts of Suicide¹¹	--	--	16	45	61

150925

NEW MEXICO

Table 74 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in New Mexico, by Age Group: Percentages, Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X₁ + X₂). Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	11.02	10.12	21.60	9.30	11.12
Past Year Marijuana Use	15.61	15.92	31.64	12.78	15.57
Past Month Marijuana Use	9.56	7.98	19.32	8.06	9.73
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.46	3.31	6.22	3.00	3.47
Past Year Cocaine Use	2.16	0.84	5.97	1.67	2.30
Past Year Nonmedical Pain Reliever Use	4.43	5.14	7.86	3.74	4.35
Perception of Great Risk from Smoking Marijuana Once a Month	26.97	21.83	14.92	29.75	27.52
Average Annual Incidence Estimates of First Use of Marijuana^2,3	2.00	6.94	6.57	0.28	1.12
ALCOHOL
Past Month Alcohol Use	48.54	9.71	55.85	52.18	52.72
Past Month Binge Alcohol Use⁴	24.37	6.12	37.38	24.42	26.34
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	44.82	39.62	39.39	46.42	45.38
Past Month Alcohol Use (Individuals Aged 12 to 20)	19.04⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	13.08⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	26.31	7.86	39.77	26.31	28.30
Past Month Cigarette Use	22.01	5.69	34.11	21.98	23.77
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	70.24	59.12	63.48	72.82	71.44
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	1.89	1.78	4.14	1.52	1.91
Illicit Drug Dependence or Abuse¹	3.01	3.99	6.22	2.33	2.91
Alcohol Dependence	3.41	1.08	5.88	3.28	3.67
Alcohol Dependence or Abuse	6.91	2.64	13.06	6.38	7.37
Alcohol or Illicit Drug Dependence or Abuse¹	8.74	5.27	16.26	7.87	9.12
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	2.55	3.48	5.66	1.90	2.45
Needing But Not Receiving Treatment for Alcohol Use⁸	6.59	2.49	12.32	6.11	7.03
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	9.79	8.69	5.82	6.25
Serious Mental Illness^3,10	--	--	4.45	4.32	4.34
Any Mental Illness^3,10	--	--	20.45	19.94	20.01
Had Serious Thoughts of Suicide¹¹	--	--	6.88	3.45	3.96

150925

NEW YORK

Table 75 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in New York, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	1,737	136	494	1,108	1,601
Past Year Marijuana Use	2,372	201	728	1,443	2,172
Past Month Marijuana Use	1,420	112	438	870	1,309
Past Month Use of Illicit Drugs Other Than Marijuana¹	566	43	138	385	523
Past Year Cocaine Use	380	10	120	250	370
Past Year Nonmedical Pain Reliever Use	590	56	161	374	534
Perception of Great Risk from Smoking Marijuana Once a Month	4,538	307	288	3,943	4,231
Average Annual Number of Marijuana Initiates^2,3	186	72	93	21	114
ALCOHOL
Past Month Alcohol Use	9,353	185	1,369	7,799	9,168
Past Month Binge Alcohol Use⁴	3,971	97	851	3,023	3,874
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	6,825	576	770	5,479	6,249
Past Month Alcohol Use (Individuals Aged 12 to 20)	535⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	307⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	3,901	85	698	3,118	3,816
Past Month Cigarette Use	3,292	63	588	2,642	3,230
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	12,512	967	1,577	9,968	11,545
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	375	24	119	232	351
Illicit Drug Dependence or Abuse¹	483	47	159	278	436
Alcohol Dependence	546	15	125	406	531
Alcohol Dependence or Abuse	1,101	39	267	795	1,062
Alcohol or Illicit Drug Dependence or Abuse¹	1,402	71	367	964	1,331
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	420	44	140	237	376
Needing But Not Receiving Treatment for Alcohol Use⁸	1,014	36	252	726	978
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	151	206	757	963
Serious Mental Illness^3,10	--	--	97	476	573
Any Mental Illness^3,10	--	--	466	2,219	2,684
Had Serious Thoughts of Suicide¹¹	--	--	161	404	565

150925

NEW YORK

Table 76 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in New York, by Age Group: Percentages, Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X₁ + X₂). Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	10.42	9.41	22.04	8.53	10.52
Past Year Marijuana Use	14.24	13.94	32.52	11.11	14.26
Past Month Marijuana Use	8.52	7.75	19.57	6.70	8.60
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.40	2.99	6.18	2.96	3.44
Past Year Cocaine Use	2.28	0.71	5.35	1.93	2.43
Past Year Nonmedical Pain Reliever Use	3.54	3.87	7.17	2.88	3.51
Perception of Great Risk from Smoking Marijuana Once a Month	27.20	21.31	12.84	30.36	27.76
Average Annual Incidence Estimates of First Use of Marijuana^2,3	1.95	5.66	7.63	0.28	1.37
ALCOHOL
Past Month Alcohol Use	56.11	12.86	61.14	60.04	60.21
Past Month Binge Alcohol Use⁴	23.83	6.75	38.00	23.28	25.44
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	40.94	39.97	34.40	42.18	41.03
Past Month Alcohol Use (Individuals Aged 12 to 20)	24.36⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	13.98⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	23.40	5.90	31.18	24.00	25.06
Past Month Cigarette Use	19.75	4.34	26.25	20.34	21.21
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	75.07	67.15	70.41	76.75	75.81
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	2.25	1.70	5.30	1.79	2.30
Illicit Drug Dependence or Abuse¹	2.90	3.28	7.08	2.14	2.86
Alcohol Dependence	3.28	1.06	5.58	3.12	3.49
Alcohol Dependence or Abuse	6.61	2.74	11.92	6.12	6.97
Alcohol or Illicit Drug Dependence or Abuse¹	8.41	4.90	16.38	7.42	8.74
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	2.52	3.03	6.24	1.82	2.47
Needing But Not Receiving Treatment for Alcohol Use⁸	6.08	2.50	11.26	5.59	6.42
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	10.46	9.20	5.83	6.32
Serious Mental Illness^3,10	--	--	4.33	3.66	3.76
Any Mental Illness^3,10	--	--	20.79	17.08	17.63
Had Serious Thoughts of Suicide¹¹	--	--	7.20	3.11	3.71

150925

NORTH CAROLINA

Table 77 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in North Carolina, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	704	67	202	435	637
Past Year Marijuana Use	986	98	307	580	888
Past Month Marijuana Use	547	50	171	326	497
Past Month Use of Illicit Drugs Other Than Marijuana¹	276	27	77	172	249
Past Year Cocaine Use	117	4	42	71	113
Past Year Nonmedical Pain Reliever Use	349	37	94	218	312
Perception of Great Risk from Smoking Marijuana Once a Month	2,365	179	156	2,031	2,186
Average Annual Number of Marijuana Initiates^2,3	82	37	38	7	45
ALCOHOL
Past Month Alcohol Use	3,840	78	582	3,179	3,761
Past Month Binge Alcohol Use⁴	1,657	43	346	1,268	1,614
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	3,429	311	383	2,734	3,117
Past Month Alcohol Use (Individuals Aged 12 to 20)	203⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	128⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	2,087	57	377	1,653	2,030
Past Month Cigarette Use	1,755	43	304	1,408	1,712
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	5,689	503	676	4,510	5,187
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	143	14	46	83	129
Illicit Drug Dependence or Abuse¹	229	28	75	126	202
Alcohol Dependence	237	7	51	178	230
Alcohol Dependence or Abuse	501	20	129	352	481
Alcohol or Illicit Drug Dependence or Abuse¹	663	40	178	445	623
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	201	26	71	105	175
Needing But Not Receiving Treatment for Alcohol Use⁸	476	18	126	332	458
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	88	94	448	542
Serious Mental Illness^3,10	--	--	48	314	361
Any Mental Illness^3,10	--	--	198	1,231	1,429
Had Serious Thoughts of Suicide¹¹	--	--	76	254	330

150925

NORTH CAROLINA

Table 78 – Selected Drug Use, Perceptions of Great Risk, Average Annual Incidence Estimates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in North Carolina, by Age Group: Percentages, Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual initiation of marijuana (%) = 100 × {[X₁ ÷ (0.5 × X₁ + X₂)] ÷ 2}, where X₁ is the number of marijuana initiates in the past 24 months and X₂ is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X₁ + X₂). Both of the computation components, X₁ and X₂, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS
Past Month Illicit Drug Use¹	8.62	8.67	19.15	6.86	8.61
Past Year Marijuana Use	12.07	12.72	29.14	9.15	12.01
Past Month Marijuana Use	6.70	6.51	16.19	5.15	6.72
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.38	3.51	7.29	2.72	3.37
Past Year Cocaine Use	1.44	0.51	4.03	1.12	1.53
Past Year Nonmedical Pain Reliever Use	4.27	4.86	8.87	3.44	4.21
Perception of Great Risk from Smoking Marijuana Once a Month	28.94	23.19	14.78	32.03	29.54
Average Annual Incidence Estimates of First Use of Marijuana^2,3	1.78	5.47	6.86	0.20	1.14
ALCOHOL
Past Month Alcohol Use	47.02	10.17	55.22	50.15	50.87
Past Month Binge Alcohol Use⁴	20.29	5.56	32.83	20.00	21.83
Perception of Great Risk from Drinking Five or More Drinks Once or Twice a Week	41.99	40.36	36.32	43.13	42.15
Past Month Alcohol Use (Individuals Aged 12 to 20)	17.90⁵	--	--	--	--
Past Month Binge Alcohol Use (Individuals Aged 12 to 20)⁴	11.29⁵	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁶	25.56	7.33	35.73	26.08	27.46
Past Month Cigarette Use	21.49	5.54	28.83	22.21	23.16
Perception of Great Risk from Smoking One or More Packs of Cigarettes per Day	69.68	65.18	64.13	71.15	70.15
PAST YEAR DEPENDENCE, ABUSE, AND TREATMENT⁷
Illicit Drug Dependence¹	1.75	1.80	4.33	1.32	1.75
Illicit Drug Dependence or Abuse¹	2.81	3.61	7.13	1.99	2.73
Alcohol Dependence	2.90	0.89	4.88	2.81	3.11
Alcohol Dependence or Abuse	6.13	2.53	12.20	5.56	6.51
Alcohol or Illicit Drug Dependence or Abuse¹	8.12	5.20	16.87	7.01	8.42
Needing But Not Receiving Treatment for Illicit Drug Use^1,8	2.47	3.37	6.69	1.65	2.37
Needing But Not Receiving Treatment for Alcohol Use⁸	5.83	2.37	11.94	5.24	6.19
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,9	--	11.44	8.92	7.07	7.33
Serious Mental Illness^3,10	--	--	4.51	4.95	4.89
Any Mental Illness^3,10	--	--	18.76	19.42	19.33
Had Serious Thoughts of Suicide¹¹	--	--	7.17	4.01	4.46

150925

NORTH DAKOTA

Table 79 – Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Past Year Mental Health Measures in North Dakota, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2013-2014 NSDUHs
Measure	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but do not include new methamphetamine items added in 2005 and 2006. ² Average annual number of marijuana initiates = X₁ ÷ 2, where X₁ is the number of marijuana initiates in the past 24 months. ³ For details, see Section B of the "2011-2012 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ⁴ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁵ Underage drinking is defined for individuals aged 12 to 20; therefore, the "12+" estimate reflects that age group and not individuals aged 12 or older. ⁶ Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁷ Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁸ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs (or alcohol), but not receiving treatment for an illicit drug (or alcohol) problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], or mental health centers). ⁹ Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older. ¹⁰ Mental Illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Three categories of mental illness severity are defined based on the level of functional impairment: mild mental illness, moderate mental illness, and serious mental illness (SMI). Any mental illness (AMI) includes individuals in any of the three categories. ¹¹ Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014.
ILLICIT DRUGS