National Survey on Drug Use and Health: 2014-2015 State-Specific Tables of Model-Based Estimates (Totals and Percentages), SAMHSA, CBHSQ

161004

UNITED STATES

Table 1 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in the United States, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Numbers in this table are based on national design-based estimates. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	35,584	3,200	11,200	21,185	32,385
Past Month Marijuana Use	22,207	1,791	6,879	13,537	20,416
Past Year Cocaine Use	4,690	160	1,740	2,791	4,530
Past Year Heroin Use	871	25	242	604	846
First Use of Marijuana^2,3	2,958	1,193	1,414	351	1,764
ALCOHOL
Past Month Alcohol Use	139,003	2,632	20,591	115,780	136,371
Past Month Alcohol Use (Individuals Aged 12 to 20)	8,180⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	65,427	1,617	11,880	51,930	63,809
Past Month Cigarette Use	53,594	1,126	9,617	42,851	52,468
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	7,916	238	1,808	5,871	7,679
Alcohol Use Disorder	16,365	651	4,053	11,662	15,715
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	2,969	3,420	12,615	16,035
Serious Mental Illness^3,8	--	--	1,718	8,075	9,793
Any Mental Illness^3,8	--	--	7,294	36,192	43,486
Had Serious Thoughts of Suicide⁹	--	--	2,753	6,900	9,653

161004

UNITED STATES

Table 2 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in the United States, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: The percentages in this table are based on national design-based estimates. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	13.36	12.86	32.07	10.25	13.41
Past Month Marijuana Use	8.34	7.20	19.70	6.55	8.45
Past Year Cocaine Use	1.76	0.64	4.98	1.35	1.88
Past Year Heroin Use	0.33	0.10	0.69	0.29	0.35
First Use of Marijuana^2,3	1.95	5.41	7.88	0.31	1.36
ALCOHOL
Past Month Alcohol Use	52.18	10.58	58.96	56.04	56.46
Past Month Alcohol Use (Individuals Aged 12 to 20)	21.57⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	24.56	6.50	34.02	25.14	26.42
Past Month Cigarette Use	20.12	4.53	27.54	20.74	21.72
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	2.97	0.95	5.18	2.84	3.18
Alcohol Use Disorder	6.14	2.62	11.61	5.64	6.51
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	11.93	9.79	6.11	6.64
Serious Mental Illness^3,8	--	--	4.92	3.91	4.05
Any Mental Illness^3,8	--	--	20.89	17.52	18.01
Had Serious Thoughts of Suicide⁹	--	--	7.88	3.34	3.99

161004

NORTHEAST REGION

Table 3 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in the Northeast Region, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). NOTE: The Northeast region includes the following states: Connecticut, Maine, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, and Vermont. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	6,996	560	2,236	4,201	6,436
Past Month Marijuana Use	4,430	320	1,389	2,721	4,110
Past Year Cocaine Use	1,039	27	372	640	1,011
Past Year Heroin Use	260	5	60	194	254
First Use of Marijuana^2,3	530	201	263	66	330
ALCOHOL
Past Month Alcohol Use	27,037	520	3,936	22,581	26,517
Past Month Alcohol Use (Individuals Aged 12 to 20)	1,683⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	11,119	257	2,017	8,844	10,861
Past Month Cigarette Use	9,126	181	1,649	7,296	8,945
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	1,477	39	322	1,115	1,438
Alcohol Use Disorder	3,047	113	755	2,179	2,934
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	484	647	2,324	2,971
Serious Mental Illness^3,8	--	--	316	1,399	1,715
Any Mental Illness^3,8	--	--	1,349	6,392	7,741
Had Serious Thoughts of Suicide⁹	--	--	500	1,213	1,714

161004

NORTHEAST REGION

Table 4 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in the Northeast Region, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	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 In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	14.66	13.51	36.45	11.22	14.77
Past Month Marijuana Use	9.28	7.73	22.64	7.27	9.43
Past Year Cocaine Use	2.18	0.66	6.06	1.71	2.32
Past Year Heroin Use	0.54	0.13	0.98	0.52	0.58
First Use of Marijuana^2,3	2.04	5.55	8.67	0.34	1.47
ALCOHOL
Past Month Alcohol Use	56.66	12.57	64.17	60.30	60.85
Past Month Alcohol Use (Individuals Aged 12 to 20)	25.98⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	23.30	6.22	32.89	23.62	24.92
Past Month Cigarette Use	19.13	4.37	26.89	19.48	20.53
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	3.09	0.94	5.25	2.98	3.30
Alcohol Use Disorder	6.39	2.72	12.31	5.82	6.73
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	11.68	10.56	6.21	6.82
Serious Mental Illness^3,8	--	--	5.15	3.74	3.94
Any Mental Illness^3,8	--	--	22.00	17.07	17.76
Had Serious Thoughts of Suicide⁹	--	--	8.15	3.24	3.93

161004

MIDWEST REGION

Table 5 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in the Midwest Region, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). NOTE: The Midwest region includes the following states: Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota, and Wisconsin. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	7,216	661	2,390	4,165	6,555
Past Month Marijuana Use	4,477	365	1,432	2,681	4,113
Past Year Cocaine Use	811	29	313	469	782
Past Year Heroin Use	176	6	55	115	170
First Use of Marijuana^2,3	620	247	307	67	373
ALCOHOL
Past Month Alcohol Use	30,747	552	4,592	25,602	30,194
Past Month Alcohol Use (Individuals Aged 12 to 20)	1,777⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	15,493	412	2,866	12,216	15,081
Past Month Cigarette Use	12,728	298	2,272	10,159	12,431
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	1,617	50	393	1,175	1,568
Alcohol Use Disorder	3,536	135	924	2,478	3,401
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	650	759	2,761	3,520
Serious Mental Illness^3,8	--	--	396	1,835	2,231
Any Mental Illness^3,8	--	--	1,590	7,799	9,390
Had Serious Thoughts of Suicide⁹	--	--	599	1,522	2,121

161004

MIDWEST REGION

Table 6 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in the Midwest Region, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	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 In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	12.76	12.33	32.20	9.51	12.80
Past Month Marijuana Use	7.92	6.80	19.29	6.12	8.03
Past Year Cocaine Use	1.43	0.54	4.22	1.07	1.53
Past Year Heroin Use	0.31	0.10	0.74	0.26	0.33
First Use of Marijuana^2,3	1.96	5.12	8.14	0.29	1.39
ALCOHOL
Past Month Alcohol Use	54.36	10.30	61.88	58.48	58.97
Past Month Alcohol Use (Individuals Aged 12 to 20)	22.00⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	27.39	7.68	38.61	27.90	29.46
Past Month Cigarette Use	22.50	5.55	30.61	23.20	24.28
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	2.86	0.93	5.30	2.68	3.06
Alcohol Use Disorder	6.25	2.52	12.45	5.66	6.64
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	12.12	10.23	6.31	6.87
Serious Mental Illness^3,8	--	--	5.33	4.19	4.36
Any Mental Illness^3,8	--	--	21.43	17.81	18.34
Had Serious Thoughts of Suicide⁹	--	--	8.08	3.48	4.14

161004

SOUTH REGION

Table 7 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in the South Region, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). 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 In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	11,589	1,123	3,781	6,685	10,466
Past Month Marijuana Use	6,990	613	2,304	4,073	6,377
Past Year Cocaine Use	1,556	53	560	943	1,502
Past Year Heroin Use	255	7	72	176	248
First Use of Marijuana^2,3	1,053	441	496	115	612
ALCOHOL
Past Month Alcohol Use	48,617	920	7,273	40,424	47,697
Past Month Alcohol Use (Individuals Aged 12 to 20)	2,799⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	26,109	630	4,575	20,903	25,478
Past Month Cigarette Use	21,307	425	3,700	17,182	20,882
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	2,712	87	603	2,022	2,626
Alcohol Use Disorder	5,728	238	1,374	4,116	5,490
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	1,088	1,177	4,700	5,876
Serious Mental Illness^3,8	--	--	588	3,016	3,603
Any Mental Illness^3,8	--	--	2,501	13,549	16,049
Had Serious Thoughts of Suicide⁹	--	--	959	2,521	3,480

161004

SOUTH REGION

Table 8 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in the South Region, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	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 In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	11.64	11.88	29.20	8.67	11.62
Past Month Marijuana Use	7.02	6.49	17.79	5.28	7.08
Past Year Cocaine Use	1.56	0.57	4.32	1.22	1.67
Past Year Heroin Use	0.26	0.08	0.56	0.23	0.28
First Use of Marijuana^2,3	1.75	5.13	7.12	0.26	1.20
ALCOHOL
Past Month Alcohol Use	48.85	9.74	56.16	52.42	52.95
Past Month Alcohol Use (Individuals Aged 12 to 20)	19.66⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	26.24	6.67	35.33	27.11	28.29
Past Month Cigarette Use	21.41	4.50	28.57	22.28	23.19
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	2.73	0.92	4.66	2.62	2.92
Alcohol Use Disorder	5.76	2.52	10.61	5.34	6.09
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	11.51	9.09	6.09	6.52
Serious Mental Illness^3,8	--	--	4.54	3.91	4.00
Any Mental Illness^3,8	--	--	19.31	17.57	17.82
Had Serious Thoughts of Suicide⁹	--	--	7.40	3.27	3.86

161004

WEST REGION

Table 9 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in the West Region, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). NOTE: The West region includes the following states: Alaska, Arizona, California, Colorado, Hawaii, Idaho, Montana, Nevada, New Mexico, Oregon, Utah, Washington, and Wyoming. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	9,783	856	2,793	6,134	8,926
Past Month Marijuana Use	6,310	493	1,754	4,062	5,817
Past Year Cocaine Use	1,285	50	495	740	1,235
Past Year Heroin Use	181	7	54	120	174
First Use of Marijuana^2,3	754	304	348	103	450
ALCOHOL
Past Month Alcohol Use	32,602	639	4,789	27,174	31,963
Past Month Alcohol Use (Individuals Aged 12 to 20)	1,922⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	12,706	317	2,422	9,967	12,388
Past Month Cigarette Use	10,433	222	1,996	8,214	10,210
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	2,110	62	490	1,558	2,048
Alcohol Use Disorder	4,054	165	1,000	2,889	3,889
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	747	836	2,831	3,667
Serious Mental Illness^3,8	--	--	419	1,825	2,244
Any Mental Illness^3,8	--	--	1,854	8,452	10,305
Had Serious Thoughts of Suicide⁹	--	--	694	1,644	2,338

161004

WEST REGION

Table 10 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in the West Region, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	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 In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	15.62	14.43	33.19	12.71	15.75
Past Month Marijuana Use	10.08	8.31	20.85	8.42	10.26
Past Year Cocaine Use	2.05	0.85	5.88	1.53	2.18
Past Year Heroin Use	0.29	0.11	0.65	0.25	0.31
First Use of Marijuana^2,3	2.21	6.02	8.32	0.41	1.54
ALCOHOL
Past Month Alcohol Use	52.07	10.76	56.92	56.30	56.39
Past Month Alcohol Use (Individuals Aged 12 to 20)	21.01⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	20.29	5.35	28.78	20.65	21.86
Past Month Cigarette Use	16.66	3.75	23.72	17.02	18.01
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	3.37	1.05	5.82	3.23	3.61
Alcohol Use Disorder	6.47	2.78	11.88	5.99	6.86
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	12.59	9.94	5.87	6.47
Serious Mental Illness^3,8	--	--	4.98	3.78	3.96
Any Mental Illness^3,8	--	--	22.03	17.51	18.18
Had Serious Thoughts of Suicide⁹	--	--	8.25	3.41	4.12

161004

ALABAMA

Table 11 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Alabama, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	389	37	139	214	352
Past Month Marijuana Use	217	20	76	121	197
Past Year Cocaine Use	50	2	17	31	48
Past Year Heroin Use	11	0	3	7	11
First Use of Marijuana^2,3	40	16	20	4	24
ALCOHOL
Past Month Alcohol Use	1,779	33	276	1,470	1,745
Past Month Alcohol Use (Individuals Aged 12 to 20)	107⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	1,233	30	224	979	1,204
Past Month Cigarette Use	982	20	180	781	961
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	95	3	20	71	92
Alcohol Use Disorder	188	8	51	129	180
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	42	46	204	250
Serious Mental Illness^3,8	--	--	26	144	170
Any Mental Illness^3,8	--	--	100	592	691
Had Serious Thoughts of Suicide⁹	--	--	41	107	148

161004

ALABAMA

Table 12 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Alabama, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	9.60	9.71	26.13	6.81	9.59
Past Month Marijuana Use	5.35	5.16	14.33	3.86	5.37
Past Year Cocaine Use	1.22	0.41	3.20	0.99	1.31
Past Year Heroin Use	0.27	0.08	0.64	0.23	0.29
First Use of Marijuana^2,3	1.49	4.36	6.39	0.20	1.05
ALCOHOL
Past Month Alcohol Use	43.94	8.76	51.99	46.83	47.57
Past Month Alcohol Use (Individuals Aged 12 to 20)	18.19⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	30.46	7.78	42.27	31.21	32.80
Past Month Cigarette Use	24.25	5.34	34.00	24.89	26.20
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	2.34	0.80	3.86	2.27	2.50
Alcohol Use Disorder	4.64	2.17	9.65	4.10	4.90
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	10.97	8.61	6.51	6.81
Serious Mental Illness^3,8	--	--	4.97	4.59	4.64
Any Mental Illness^3,8	--	--	18.78	18.86	18.85
Had Serious Thoughts of Suicide⁹	--	--	7.76	3.40	4.02

161004

ALASKA

Table 13 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Alaska, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	127	11	34	82	116
Past Month Marijuana Use	83	6	21	56	77
Past Year Cocaine Use	12	0	4	7	11
Past Year Heroin Use	7	0	1	6	7
First Use of Marijuana^2,3	8	3	4	1	5
ALCOHOL
Past Month Alcohol Use	319	7	52	261	313
Past Month Alcohol Use (Individuals Aged 12 to 20)	22⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	183	6	35	142	177
Past Month Cigarette Use	143	4	29	110	140
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	21	1	5	16	21
Alcohol Use Disorder	43	2	10	31	42
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	7	10	25	35
Serious Mental Illness^3,8	--	--	5	16	21
Any Mental Illness^3,8	--	--	21	74	94
Had Serious Thoughts of Suicide⁹	--	--	8	16	24

161004

ALASKA

Table 14 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Alaska, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	21.92	18.44	40.69	18.76	22.31
Past Month Marijuana Use	14.38	10.64	25.02	12.83	14.80
Past Year Cocaine Use	2.00	0.65	4.79	1.64	2.15
Past Year Heroin Use	1.23	0.08	0.91	1.45	1.36
First Use of Marijuana^2,3	3.54	7.52	10.69	0.74	2.52
ALCOHOL
Past Month Alcohol Use	54.98	11.04	62.57	59.45	59.95
Past Month Alcohol Use (Individuals Aged 12 to 20)	23.91⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	31.51	9.87	42.61	32.30	33.96
Past Month Cigarette Use	24.64	6.02	35.38	25.09	26.74
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	3.67	0.87	6.23	3.55	3.99
Alcohol Use Disorder	7.43	2.55	12.30	7.16	7.99
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	12.40	11.68	5.77	6.73
Serious Mental Illness^3,8	--	--	5.75	3.69	4.02
Any Mental Illness^3,8	--	--	24.93	16.80	18.11
Had Serious Thoughts of Suicide⁹	--	--	9.97	3.66	4.68

161004

ARIZONA

Table 15 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Arizona, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	734	74	231	430	661
Past Month Marijuana Use	476	42	140	294	434
Past Year Cocaine Use	128	5	51	72	123
Past Year Heroin Use	31	1	7	23	30
First Use of Marijuana^2,3	67	29	30	8	38
ALCOHOL
Past Month Alcohol Use	2,865	57	418	2,390	2,808
Past Month Alcohol Use (Individuals Aged 12 to 20)	150⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	1,260	34	232	995	1,226
Past Month Cigarette Use	1,076	23	188	866	1,054
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	203	6	44	153	197
Alcohol Use Disorder	373	16	92	265	357
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	72	63	279	342
Serious Mental Illness^3,8	--	--	38	181	219
Any Mental Illness^3,8	--	--	145	780	925
Had Serious Thoughts of Suicide⁹	--	--	60	159	219

161004

ARIZONA

Table 16 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Arizona, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	13.12	13.45	31.15	9.97	13.08
Past Month Marijuana Use	8.51	7.71	18.92	6.81	8.59
Past Year Cocaine Use	2.29	0.85	6.92	1.67	2.44
Past Year Heroin Use	0.55	0.20	0.90	0.54	0.59
First Use of Marijuana^2,3	2.15	6.09	8.36	0.35	1.44
ALCOHOL
Past Month Alcohol Use	51.19	10.45	56.38	55.47	55.60
Past Month Alcohol Use (Individuals Aged 12 to 20)	19.25⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	22.51	6.18	31.23	23.09	24.28
Past Month Cigarette Use	19.23	4.15	25.33	20.10	20.87
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	3.62	1.10	5.92	3.55	3.89
Alcohol Use Disorder	6.66	2.90	12.36	6.15	7.06
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	13.20	8.46	6.48	6.77
Serious Mental Illness^3,8	--	--	5.06	4.21	4.33
Any Mental Illness^3,8	--	--	19.58	18.10	18.32
Had Serious Thoughts of Suicide⁹	--	--	8.06	3.70	4.34

161004

ARKANSAS

Table 17 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Arkansas, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	284	29	86	169	256
Past Month Marijuana Use	176	15	54	107	161
Past Year Cocaine Use	26	1	9	16	25
Past Year Heroin Use	4	0	1	3	4
First Use of Marijuana^2,3	26	11	12	3	15
ALCOHOL
Past Month Alcohol Use	1,024	22	165	838	1,002
Past Month Alcohol Use (Individuals Aged 12 to 20)	58⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	834	23	132	679	811
Past Month Cigarette Use	681	15	103	563	666
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	59	2	14	43	57
Alcohol Use Disorder	120	7	31	82	113
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	30	33	140	172
Serious Mental Illness^3,8	--	--	16	100	117
Any Mental Illness^3,8	--	--	69	369	438
Had Serious Thoughts of Suicide⁹	--	--	24	74	98

161004

ARKANSAS

Table 18 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Arkansas, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	11.59	12.14	27.06	8.93	11.54
Past Month Marijuana Use	7.17	6.46	16.93	5.62	7.25
Past Year Cocaine Use	1.07	0.48	2.89	0.84	1.13
Past Year Heroin Use	0.17	0.07	0.42	0.13	0.18
First Use of Marijuana^2,3	1.84	5.37	7.08	0.26	1.23
ALCOHOL
Past Month Alcohol Use	41.81	9.34	51.60	44.20	45.26
Past Month Alcohol Use (Individuals Aged 12 to 20)	16.65⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	34.05	9.67	41.50	35.83	36.64
Past Month Cigarette Use	27.81	6.35	32.28	29.73	30.10
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	2.42	0.96	4.30	2.28	2.57
Alcohol Use Disorder	4.88	2.76	9.64	4.34	5.11
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	12.72	10.27	7.36	7.78
Serious Mental Illness^3,8	--	--	5.16	5.29	5.27
Any Mental Illness^3,8	--	--	21.50	19.48	19.77
Had Serious Thoughts of Suicide⁹	--	--	7.43	3.90	4.41

161004

CALIFORNIA

Table 19 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in California, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	4,936	431	1,459	3,046	4,505
Past Month Marijuana Use	3,133	254	915	1,964	2,878
Past Year Cocaine Use	699	29	263	407	670
Past Year Heroin Use	64	3	24	37	62
First Use of Marijuana^2,3	394	153	184	57	241
ALCOHOL
Past Month Alcohol Use	16,688	334	2,534	13,820	16,354
Past Month Alcohol Use (Individuals Aged 12 to 20)	1,022⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	5,809	131	1,152	4,526	5,678
Past Month Cigarette Use	4,801	94	976	3,730	4,706
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	1,128	33	268	827	1,095
Alcohol Use Disorder	2,122	83	528	1,510	2,038
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	375	427	1,304	1,731
Serious Mental Illness^3,8	--	--	199	836	1,035
Any Mental Illness^3,8	--	--	923	4,074	4,997
Had Serious Thoughts of Suicide⁹	--	--	342	773	1,115

161004

CALIFORNIA

Table 20 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in California, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	15.25	14.11	32.72	12.25	15.36
Past Month Marijuana Use	9.67	8.32	20.52	7.90	9.82
Past Year Cocaine Use	2.16	0.94	5.91	1.63	2.28
Past Year Heroin Use	0.20	0.09	0.55	0.15	0.21
First Use of Marijuana^2,3	2.16	5.89	8.17	0.42	1.53
ALCOHOL
Past Month Alcohol Use	51.54	10.92	56.85	55.58	55.77
Past Month Alcohol Use (Individuals Aged 12 to 20)	21.21⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	17.94	4.29	25.84	18.20	19.36
Past Month Cigarette Use	14.82	3.09	21.90	15.00	16.05
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	3.48	1.07	6.02	3.32	3.73
Alcohol Use Disorder	6.55	2.73	11.85	6.07	6.95
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	12.28	9.57	5.24	5.90
Serious Mental Illness^3,8	--	--	4.47	3.36	3.53
Any Mental Illness^3,8	--	--	20.70	16.38	17.04
Had Serious Thoughts of Suicide⁹	--	--	7.68	3.11	3.80

161004

COLORADO

Table 21 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Colorado, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	1,033	76	266	691	957
Past Month Marijuana Use	742	46	186	509	695
Past Year Cocaine Use	123	4	51	69	119
Past Year Heroin Use	17	1	6	11	17
First Use of Marijuana^2,3	62	27	27	8	35
ALCOHOL
Past Month Alcohol Use	2,651	52	397	2,202	2,599
Past Month Alcohol Use (Individuals Aged 12 to 20)	157⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	1,116	29	214	873	1,086
Past Month Cigarette Use	882	20	174	688	862
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	167	5	34	128	162
Alcohol Use Disorder	335	13	74	248	321
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	57	61	233	294
Serious Mental Illness^3,8	--	--	31	142	173
Any Mental Illness^3,8	--	--	143	651	794
Had Serious Thoughts of Suicide⁹	--	--	50	131	182

161004

COLORADO

Table 22 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Colorado, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	23.09	18.35	45.24	19.91	23.57
Past Month Marijuana Use	16.57	11.13	31.75	14.65	17.12
Past Year Cocaine Use	2.75	0.98	8.62	1.97	2.93
Past Year Heroin Use	0.38	0.13	0.95	0.32	0.41
First Use of Marijuana^2,3	3.18	8.16	12.05	0.53	2.13
ALCOHOL
Past Month Alcohol Use	59.22	12.55	67.56	63.39	63.99
Past Month Alcohol Use (Individuals Aged 12 to 20)	24.83⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	24.92	7.02	36.39	25.12	26.75
Past Month Cigarette Use	19.71	4.84	29.65	19.80	21.23
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	3.72	1.11	5.80	3.68	3.99
Alcohol Use Disorder	7.47	3.20	12.56	7.13	7.91
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	13.73	10.47	6.71	7.25
Serious Mental Illness^3,8	--	--	5.27	4.10	4.27
Any Mental Illness^3,8	--	--	24.26	18.75	19.55
Had Serious Thoughts of Suicide⁹	--	--	8.56	3.78	4.47

161004

CONNECTICUT

Table 23 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Connecticut, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	479	44	162	272	435
Past Month Marijuana Use	293	24	96	173	270
Past Year Cocaine Use	74	2	29	43	72
Past Year Heroin Use	27	0	4	22	26
First Use of Marijuana^2,3	37	16	17	4	22
ALCOHOL
Past Month Alcohol Use	1,844	39	259	1,546	1,805
Past Month Alcohol Use (Individuals Aged 12 to 20)	124⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	669	18	138	513	651
Past Month Cigarette Use	537	13	117	407	524
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	97	3	23	71	94
Alcohol Use Disorder	211	8	50	153	203
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	33	40	148	188
Serious Mental Illness^3,8	--	--	19	77	96
Any Mental Illness^3,8	--	--	82	401	483
Had Serious Thoughts of Suicide⁹	--	--	29	67	97

161004

CONNECTICUT

Table 24 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Connecticut, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	15.67	15.63	42.10	11.41	15.68
Past Month Marijuana Use	9.59	8.34	24.99	7.25	9.72
Past Year Cocaine Use	2.43	0.67	7.60	1.80	2.60
Past Year Heroin Use	0.87	0.10	1.07	0.93	0.95
First Use of Marijuana^2,3	2.42	6.61	9.80	0.37	1.63
ALCOHOL
Past Month Alcohol Use	60.33	13.61	67.18	64.76	65.09
Past Month Alcohol Use (Individuals Aged 12 to 20)	27.67⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	21.88	6.39	35.71	21.47	23.46
Past Month Cigarette Use	17.56	4.50	30.39	17.03	18.89
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	3.16	0.92	6.02	2.96	3.39
Alcohol Use Disorder	6.90	2.74	13.00	6.40	7.32
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	11.49	10.28	6.21	6.77
Serious Mental Illness^3,8	--	--	5.01	3.21	3.46
Any Mental Illness^3,8	--	--	21.34	16.78	17.42
Had Serious Thoughts of Suicide⁹	--	--	7.59	2.82	3.49

161004

DELAWARE

Table 25 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Delaware, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	103	9	37	57	94
Past Month Marijuana Use	64	5	21	37	58
Past Year Cocaine Use	17	0	6	11	17
Past Year Heroin Use	8	0	1	7	8
First Use of Marijuana^2,3	8	3	4	1	5
ALCOHOL
Past Month Alcohol Use	425	7	62	356	418
Past Month Alcohol Use (Individuals Aged 12 to 20)	25⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	208	5	37	166	203
Past Month Cigarette Use	177	3	31	143	174
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	22	1	5	16	21
Alcohol Use Disorder	46	2	12	32	45
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	8	10	36	46
Serious Mental Illness^3,8	--	--	5	22	27
Any Mental Illness^3,8	--	--	21	113	133
Had Serious Thoughts of Suicide⁹	--	--	8	21	29

161004

DELAWARE

Table 26 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Delaware, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	13.06	13.04	37.32	9.17	13.06
Past Month Marijuana Use	8.05	7.42	21.19	6.01	8.11
Past Year Cocaine Use	2.21	0.56	6.36	1.73	2.37
Past Year Heroin Use	1.05	0.15	1.29	1.11	1.13
First Use of Marijuana^2,3	1.83	5.29	7.73	0.29	1.26
ALCOHOL
Past Month Alcohol Use	53.85	10.36	62.37	57.29	57.99
Past Month Alcohol Use (Individuals Aged 12 to 20)	23.46⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	26.35	6.77	37.20	26.76	28.21
Past Month Cigarette Use	22.46	4.85	31.48	22.95	24.13
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	2.74	0.92	5.26	2.54	2.92
Alcohol Use Disorder	5.88	2.42	12.46	5.20	6.21
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	11.47	9.88	5.83	6.39
Serious Mental Illness^3,8	--	--	5.03	3.55	3.75
Any Mental Illness^3,8	--	--	20.97	18.11	18.51
Had Serious Thoughts of Suicide⁹	--	--	8.33	3.34	4.03

161004

DISTRICT OF COLUMBIA

Table 27 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in the District of Columbia, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	134	5	41	88	129
Past Month Marijuana Use	68	3	25	41	65
Past Year Cocaine Use	18	0	5	13	18
Past Year Heroin Use	3	0	0	3	3
First Use of Marijuana^2,3	7	2	4	1	6
ALCOHOL
Past Month Alcohol Use	393	4	70	320	389
Past Month Alcohol Use (Individuals Aged 12 to 20)	17⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	141	2	29	111	140
Past Month Cigarette Use	113	1	22	90	112
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	23	0	6	17	22
Alcohol Use Disorder	47	1	12	34	46
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	3	9	26	36
Serious Mental Illness^3,8	--	--	4	15	20
Any Mental Illness^3,8	--	--	18	79	97
Had Serious Thoughts of Suicide⁹	--	--	7	16	23

161004

DISTRICT OF COLUMBIA

Table 28 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in the District of Columbia, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	23.51	16.55	43.78	19.71	23.90
Past Month Marijuana Use	11.93	8.85	26.19	9.14	12.10
Past Year Cocaine Use	3.19	0.34	5.60	2.88	3.35
Past Year Heroin Use	0.61	0.04	0.23	0.73	0.65
First Use of Marijuana^2,3	3.60	8.26	12.98	0.78	2.99
ALCOHOL
Past Month Alcohol Use	69.07	13.18	74.21	71.86	72.27
Past Month Alcohol Use (Individuals Aged 12 to 20)	31.34⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	24.77	5.01	30.75	24.88	25.89
Past Month Cigarette Use	19.87	3.02	23.86	20.21	20.83
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	3.97	0.84	6.15	3.72	4.14
Alcohol Use Disorder	8.22	2.44	12.85	7.65	8.55
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	9.96	9.92	5.91	6.60
Serious Mental Illness^3,8	--	--	4.70	3.41	3.63
Any Mental Illness^3,8	--	--	19.31	17.67	17.95
Had Serious Thoughts of Suicide⁹	--	--	7.26	3.54	4.18

161004

FLORIDA

Table 29 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Florida, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	2,152	189	652	1,311	1,964
Past Month Marijuana Use	1,330	95	412	823	1,235
Past Year Cocaine Use	325	9	117	199	316
Past Year Heroin Use	38	1	12	25	37
First Use of Marijuana^2,3	167	69	76	22	98
ALCOHOL
Past Month Alcohol Use	9,369	150	1,168	8,051	9,219
Past Month Alcohol Use (Individuals Aged 12 to 20)	446⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	3,869	72	590	3,206	3,796
Past Month Cigarette Use	3,226	50	470	2,707	3,176
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	444	12	88	344	432
Alcohol Use Disorder	1,009	38	204	767	972
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	166	175	758	933
Serious Mental Illness^3,8	--	--	86	481	567
Any Mental Illness^3,8	--	--	377	2,253	2,630
Had Serious Thoughts of Suicide⁹	--	--	145	417	563

161004

FLORIDA

Table 30 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Florida, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	12.59	13.49	32.88	9.57	12.51
Past Month Marijuana Use	7.78	6.78	20.74	6.01	7.87
Past Year Cocaine Use	1.90	0.65	5.91	1.45	2.02
Past Year Heroin Use	0.22	0.07	0.60	0.18	0.24
First Use of Marijuana^2,3	1.67	5.57	7.39	0.28	1.11
ALCOHOL
Past Month Alcohol Use	54.83	10.72	58.85	58.76	58.77
Past Month Alcohol Use (Individuals Aged 12 to 20)	21.20⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	22.65	5.17	29.75	23.40	24.21
Past Month Cigarette Use	18.89	3.56	23.66	19.75	20.26
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	2.60	0.86	4.43	2.51	2.75
Alcohol Use Disorder	5.91	2.69	10.30	5.60	6.19
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	11.88	8.84	5.53	5.95
Serious Mental Illness^3,8	--	--	4.33	3.51	3.61
Any Mental Illness^3,8	--	--	19.01	16.44	16.77
Had Serious Thoughts of Suicide⁹	--	--	7.33	3.04	3.59

161004

GEORGIA

Table 31 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Georgia, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	1,052	99	327	625	953
Past Month Marijuana Use	646	59	207	381	588
Past Year Cocaine Use	143	4	43	95	138
Past Year Heroin Use	12	0	4	8	12
First Use of Marijuana^2,3	93	39	44	9	54
ALCOHOL
Past Month Alcohol Use	4,058	76	614	3,369	3,983
Past Month Alcohol Use (Individuals Aged 12 to 20)	223⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	2,160	52	393	1,716	2,108
Past Month Cigarette Use	1,691	32	297	1,363	1,659
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	216	7	50	158	209
Alcohol Use Disorder	455	18	118	319	437
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	85	101	378	479
Serious Mental Illness^3,8	--	--	46	251	297
Any Mental Illness^3,8	--	--	222	1,077	1,299
Had Serious Thoughts of Suicide⁹	--	--	77	224	301

161004

GEORGIA

Table 32 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Georgia, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	12.67	11.68	29.38	9.87	12.79
Past Month Marijuana Use	7.79	6.92	18.59	6.00	7.89
Past Year Cocaine Use	1.72	0.51	3.85	1.51	1.86
Past Year Heroin Use	0.15	0.06	0.38	0.12	0.16
First Use of Marijuana^2,3	1.94	5.17	7.58	0.28	1.34
ALCOHOL
Past Month Alcohol Use	48.90	8.93	55.06	53.15	53.43
Past Month Alcohol Use (Individuals Aged 12 to 20)	18.12⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	26.02	6.10	35.21	27.07	28.28
Past Month Cigarette Use	20.37	3.76	26.61	21.50	22.26
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	2.60	0.84	4.52	2.50	2.80
Alcohol Use Disorder	5.48	2.18	10.55	5.03	5.86
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	10.08	9.10	5.96	6.43
Serious Mental Illness^3,8	--	--	4.12	3.96	3.99
Any Mental Illness^3,8	--	--	19.90	16.99	17.42
Had Serious Thoughts of Suicide⁹	--	--	6.92	3.53	4.03

161004

HAWAII

Table 33 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Hawaii, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	147	13	38	95	133
Past Month Marijuana Use	92	6	23	63	86
Past Year Cocaine Use	22	1	7	14	21
Past Year Heroin Use	3	0	1	2	2
First Use of Marijuana^2,3	12	5	5	3	8
ALCOHOL
Past Month Alcohol Use	538	10	78	450	527
Past Month Alcohol Use (Individuals Aged 12 to 20)	30⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	222	5	40	177	217
Past Month Cigarette Use	191	3	34	154	188
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	31	1	7	23	30
Alcohol Use Disorder	62	2	15	45	60
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	10	12	48	60
Serious Mental Illness^3,8	--	--	6	32	38
Any Mental Illness^3,8	--	--	28	140	168
Had Serious Thoughts of Suicide⁹	--	--	11	30	41

161004

HAWAII

Table 34 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Hawaii, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	12.72	13.77	27.21	10.37	12.62
Past Month Marijuana Use	7.95	6.15	16.09	6.88	8.11
Past Year Cocaine Use	1.89	0.76	5.21	1.50	1.99
Past Year Heroin Use	0.22	0.10	0.42	0.20	0.23
First Use of Marijuana^2,3	2.04	6.31	6.99	0.59	1.42
ALCOHOL
Past Month Alcohol Use	46.60	10.55	55.52	49.04	49.91
Past Month Alcohol Use (Individuals Aged 12 to 20)	20.57⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	19.21	5.09	28.22	19.31	20.50
Past Month Cigarette Use	16.53	3.13	23.98	16.79	17.76
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	2.69	0.84	5.32	2.47	2.85
Alcohol Use Disorder	5.37	2.48	10.67	4.86	5.64
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	9.87	8.31	5.24	5.65
Serious Mental Illness^3,8	--	--	4.34	3.48	3.59
Any Mental Illness^3,8	--	--	20.03	15.28	15.91
Had Serious Thoughts of Suicide⁹	--	--	7.96	3.25	3.88

161004

IDAHO

Table 35 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Idaho, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	152	19	45	88	133
Past Month Marijuana Use	85	9	24	51	75
Past Year Cocaine Use	14	1	6	7	13
Past Year Heroin Use	4	0	1	2	3
First Use of Marijuana^2,3	16	7	7	2	8
ALCOHOL
Past Month Alcohol Use	595	15	83	498	581
Past Month Alcohol Use (Individuals Aged 12 to 20)	36⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	294	10	55	229	284
Past Month Cigarette Use	237	7	42	188	230
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	40	1	9	30	39
Alcohol Use Disorder	81	4	21	56	77
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	19	19	66	85
Serious Mental Illness^3,8	--	--	10	45	54
Any Mental Illness^3,8	--	--	42	202	243
Had Serious Thoughts of Suicide⁹	--	--	14	38	52

161004

IDAHO

Table 36 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Idaho, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	11.40	13.31	25.66	8.68	11.17
Past Month Marijuana Use	6.34	6.51	13.69	5.06	6.32
Past Year Cocaine Use	1.04	0.57	3.59	0.67	1.09
Past Year Heroin Use	0.27	0.10	0.61	0.24	0.29
First Use of Marijuana^2,3	1.82	5.50	6.13	0.25	1.12
ALCOHOL
Past Month Alcohol Use	44.54	10.25	47.50	48.93	48.72
Past Month Alcohol Use (Individuals Aged 12 to 20)	16.80⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	22.03	7.15	31.66	22.50	23.84
Past Month Cigarette Use	17.71	5.04	23.99	18.45	19.26
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	3.02	0.92	5.37	2.92	3.28
Alcohol Use Disorder	6.05	2.98	11.89	5.48	6.42
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	13.03	10.94	6.49	7.14
Serious Mental Illness^3,8	--	--	5.64	4.38	4.57
Any Mental Illness^3,8	--	--	23.90	19.82	20.41
Had Serious Thoughts of Suicide⁹	--	--	8.05	3.76	4.39

161004

ILLINOIS

Table 37 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Illinois, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	1,339	118	444	777	1,221
Past Month Marijuana Use	850	67	273	510	783
Past Year Cocaine Use	194	6	67	121	187
Past Year Heroin Use	36	1	9	25	35
First Use of Marijuana^2,3	111	42	56	12	68
ALCOHOL
Past Month Alcohol Use	5,826	101	840	4,884	5,725
Past Month Alcohol Use (Individuals Aged 12 to 20)	334⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	2,570	61	476	2,034	2,510
Past Month Cigarette Use	2,195	45	400	1,751	2,150
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	303	9	77	217	294
Alcohol Use Disorder	649	25	168	457	624
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	115	126	455	581
Serious Mental Illness^3,8	--	--	63	281	343
Any Mental Illness^3,8	--	--	264	1,306	1,570
Had Serious Thoughts of Suicide⁹	--	--	105	273	378

161004

ILLINOIS

Table 38 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Illinois, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	12.47	11.53	31.96	9.33	12.56
Past Month Marijuana Use	7.91	6.55	19.63	6.13	8.06
Past Year Cocaine Use	1.80	0.60	4.81	1.45	1.93
Past Year Heroin Use	0.33	0.11	0.68	0.31	0.36
First Use of Marijuana^2,3	1.81	4.59	7.97	0.29	1.33
ALCOHOL
Past Month Alcohol Use	54.25	9.88	60.53	58.66	58.93
Past Month Alcohol Use (Individuals Aged 12 to 20)	21.46⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	23.94	5.93	34.27	24.43	25.84
Past Month Cigarette Use	20.44	4.40	28.80	21.02	22.14
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	2.82	0.91	5.53	2.61	3.02
Alcohol Use Disorder	6.05	2.42	12.07	5.49	6.43
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	11.20	9.06	5.46	5.98
Serious Mental Illness^3,8	--	--	4.50	3.37	3.53
Any Mental Illness^3,8	--	--	19.03	15.68	16.16
Had Serious Thoughts of Suicide⁹	--	--	7.58	3.27	3.89

161004

INDIANA

Table 39 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Indiana, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	760	75	249	436	685
Past Month Marijuana Use	477	44	154	280	433
Past Year Cocaine Use	68	3	29	36	65
Past Year Heroin Use	15	1	6	9	15
First Use of Marijuana^2,3	67	27	32	7	39
ALCOHOL
Past Month Alcohol Use	2,761	54	444	2,263	2,707
Past Month Alcohol Use (Individuals Aged 12 to 20)	168⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	1,688	49	317	1,322	1,639
Past Month Cigarette Use	1,418	36	261	1,121	1,382
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	173	5	45	123	168
Alcohol Use Disorder	325	14	93	218	311
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	79	89	300	389
Serious Mental Illness^3,8	--	--	42	195	237
Any Mental Illness^3,8	--	--	181	834	1,014
Had Serious Thoughts of Suicide⁹	--	--	60	146	206

161004

INDIANA

Table 40 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Indiana, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	13.88	13.83	33.55	10.40	13.89
Past Month Marijuana Use	8.72	8.08	20.71	6.67	8.79
Past Year Cocaine Use	1.24	0.51	3.91	0.86	1.32
Past Year Heroin Use	0.28	0.11	0.78	0.21	0.30
First Use of Marijuana^2,3	2.30	5.97	8.97	0.33	1.59
ALCOHOL
Past Month Alcohol Use	50.44	10.06	59.71	54.01	54.87
Past Month Alcohol Use (Individuals Aged 12 to 20)	20.97⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	30.83	9.05	42.65	31.55	33.22
Past Month Cigarette Use	25.91	6.74	35.13	26.75	28.01
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	3.16	0.98	6.00	2.94	3.40
Alcohol Use Disorder	5.94	2.65	12.48	5.21	6.30
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	14.64	12.01	7.16	7.89
Serious Mental Illness^3,8	--	--	5.71	4.65	4.81
Any Mental Illness^3,8	--	--	24.31	19.90	20.56
Had Serious Thoughts of Suicide⁹	--	--	8.03	3.49	4.17

161004

IOWA

Table 41 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Iowa, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	235	23	98	114	212
Past Month Marijuana Use	124	13	45	66	111
Past Year Cocaine Use	27	1	13	13	26
Past Year Heroin Use	3	0	2	2	3
First Use of Marijuana^2,3	30	11	16	3	19
ALCOHOL
Past Month Alcohol Use	1,451	25	237	1,189	1,426
Past Month Alcohol Use (Individuals Aged 12 to 20)	92⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	699	22	133	543	676
Past Month Cigarette Use	551	15	103	434	536
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	67	2	17	48	65
Alcohol Use Disorder	165	6	46	112	158
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	29	32	119	151
Serious Mental Illness^3,8	--	--	19	79	97
Any Mental Illness^3,8	--	--	69	333	402
Had Serious Thoughts of Suicide⁹	--	--	29	63	92

161004

IOWA

Table 42 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Iowa, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	9.05	9.46	27.32	5.73	9.01
Past Month Marijuana Use	4.78	5.30	12.67	3.30	4.72
Past Year Cocaine Use	1.06	0.47	3.63	0.67	1.12
Past Year Heroin Use	0.13	0.06	0.42	0.08	0.13
First Use of Marijuana^2,3	1.66	4.31	7.90	0.21	1.25
ALCOHOL
Past Month Alcohol Use	56.01	10.16	66.44	59.73	60.75
Past Month Alcohol Use (Individuals Aged 12 to 20)	24.57⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	26.97	9.12	37.25	27.30	28.81
Past Month Cigarette Use	21.27	5.99	28.75	21.79	22.85
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	2.59	0.94	4.81	2.39	2.76
Alcohol Use Disorder	6.36	2.57	13.00	5.63	6.75
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	11.87	8.95	5.96	6.41
Serious Mental Illness^3,8	--	--	5.25	3.96	4.15
Any Mental Illness^3,8	--	--	19.27	16.72	17.10
Had Serious Thoughts of Suicide⁹	--	--	8.13	3.18	3.93

161004

KANSAS

Table 43 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Kansas, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	292	30	96	167	263
Past Month Marijuana Use	172	15	52	105	157
Past Year Cocaine Use	28	1	12	15	26
Past Year Heroin Use	3	0	1	2	3
First Use of Marijuana^2,3	28	12	13	3	17
ALCOHOL
Past Month Alcohol Use	1,241	25	195	1,021	1,216
Past Month Alcohol Use (Individuals Aged 12 to 20)	76⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	584	18	114	451	565
Past Month Cigarette Use	447	11	81	355	436
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	59	2	16	41	57
Alcohol Use Disorder	141	6	41	95	135
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	27	32	117	149
Serious Mental Illness^3,8	--	--	16	70	87
Any Mental Illness^3,8	--	--	63	309	372
Had Serious Thoughts of Suicide⁹	--	--	26	62	88

161004

KANSAS

Table 44 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Kansas, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	12.38	12.45	29.27	9.27	12.37
Past Month Marijuana Use	7.28	6.43	15.73	5.85	7.38
Past Year Cocaine Use	1.18	0.61	3.59	0.82	1.24
Past Year Heroin Use	0.14	0.07	0.45	0.10	0.15
First Use of Marijuana^2,3	1.85	5.01	7.28	0.26	1.29
ALCOHOL
Past Month Alcohol Use	52.55	10.45	59.33	56.88	57.26
Past Month Alcohol Use (Individuals Aged 12 to 20)	21.41⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	24.70	7.75	34.60	25.14	26.60
Past Month Cigarette Use	18.93	4.77	24.75	19.75	20.52
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	2.50	0.94	4.82	2.28	2.67
Alcohol Use Disorder	5.98	2.51	12.38	5.27	6.37
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	11.18	9.83	6.49	7.01
Serious Mental Illness^3,8	--	--	4.97	3.91	4.08
Any Mental Illness^3,8	--	--	19.19	17.22	17.52
Had Serious Thoughts of Suicide⁹	--	--	7.91	3.45	4.14

161004

KENTUCKY

Table 45 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Kentucky, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	449	40	136	274	410
Past Month Marijuana Use	258	22	79	158	237
Past Year Cocaine Use	58	2	22	34	56
Past Year Heroin Use	20	1	5	15	19
First Use of Marijuana^2,3	36	15	17	4	21
ALCOHOL
Past Month Alcohol Use	1,560	28	240	1,293	1,532
Past Month Alcohol Use (Individuals Aged 12 to 20)	92⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	1,262	35	211	1,015	1,226
Past Month Cigarette Use	1,054	26	176	851	1,027
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	104	3	20	81	102
Alcohol Use Disorder	206	8	48	150	197
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	38	49	204	252
Serious Mental Illness^3,8	--	--	23	146	169
Any Mental Illness^3,8	--	--	94	614	707
Had Serious Thoughts of Suicide⁹	--	--	37	117	155

161004

KENTUCKY

Table 46 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Kentucky, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	12.28	11.68	28.68	9.62	12.34
Past Month Marijuana Use	7.06	6.36	16.72	5.54	7.13
Past Year Cocaine Use	1.59	0.56	4.74	1.19	1.69
Past Year Heroin Use	0.55	0.17	0.97	0.52	0.59
First Use of Marijuana^2,3	1.63	4.62	6.48	0.23	1.12
ALCOHOL
Past Month Alcohol Use	42.63	8.24	50.69	45.39	46.14
Past Month Alcohol Use (Individuals Aged 12 to 20)	17.91⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	34.47	10.40	44.58	35.66	36.93
Past Month Cigarette Use	28.79	7.77	37.23	29.89	30.94
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	2.85	0.82	4.24	2.86	3.06
Alcohol Use Disorder	5.61	2.36	10.14	5.25	5.95
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	11.05	10.31	7.15	7.60
Serious Mental Illness^3,8	--	--	4.93	5.11	5.08
Any Mental Illness^3,8	--	--	19.78	21.55	21.30
Had Serious Thoughts of Suicide⁹	--	--	7.89	4.12	4.66

161004

LOUISIANA

Table 47 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Louisiana, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	427	37	142	249	391
Past Month Marijuana Use	241	20	83	138	221
Past Year Cocaine Use	66	2	19	46	65
Past Year Heroin Use	6	0	2	4	6
First Use of Marijuana^2,3	42	16	22	4	27
ALCOHOL
Past Month Alcohol Use	1,906	40	297	1,569	1,866
Past Month Alcohol Use (Individuals Aged 12 to 20)	139⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	1,183	29	205	949	1,154
Past Month Cigarette Use	1,007	21	173	813	986
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	136	3	31	102	133
Alcohol Use Disorder	251	9	54	188	242
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	40	43	192	235
Serious Mental Illness^3,8	--	--	24	132	156
Any Mental Illness^3,8	--	--	89	545	634
Had Serious Thoughts of Suicide⁹	--	--	38	106	144

161004

LOUISIANA

Table 48 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Louisiana, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	11.22	10.04	27.56	8.50	11.35
Past Month Marijuana Use	6.32	5.33	16.22	4.71	6.43
Past Year Cocaine Use	1.74	0.44	3.61	1.57	1.88
Past Year Heroin Use	0.16	0.05	0.33	0.14	0.17
First Use of Marijuana^2,3	1.74	4.46	7.80	0.24	1.29
ALCOHOL
Past Month Alcohol Use	50.03	10.75	57.93	53.57	54.22
Past Month Alcohol Use (Individuals Aged 12 to 20)	23.73⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	31.06	7.92	39.93	32.41	33.53
Past Month Cigarette Use	26.44	5.82	33.60	27.78	28.65
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	3.57	0.85	5.98	3.49	3.86
Alcohol Use Disorder	6.59	2.43	10.54	6.42	7.04
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	11.00	8.42	6.55	6.83
Serious Mental Illness^3,8	--	--	4.60	4.51	4.53
Any Mental Illness^3,8	--	--	17.30	18.62	18.42
Had Serious Thoughts of Suicide⁹	--	--	7.37	3.63	4.19

161004

MAINE

Table 49 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Maine, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	227	16	53	158	210
Past Month Marijuana Use	157	9	37	110	148
Past Year Cocaine Use	21	1	8	12	20
Past Year Heroin Use	7	0	2	5	7
First Use of Marijuana^2,3	12	6	5	1	7
ALCOHOL
Past Month Alcohol Use	696	12	84	601	684
Past Month Alcohol Use (Individuals Aged 12 to 20)	37⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	282	8	48	226	274
Past Month Cigarette Use	238	6	37	195	233
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	26	1	5	21	26
Alcohol Use Disorder	61	2	15	44	59
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	12	15	68	83
Serious Mental Illness^3,8	--	--	7	47	54
Any Mental Illness^3,8	--	--	29	174	203
Had Serious Thoughts of Suicide⁹	--	--	10	33	43

161004

MAINE

Table 50 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Maine, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	19.69	17.51	41.80	16.91	19.88
Past Month Marijuana Use	13.66	10.01	29.72	11.84	13.98
Past Year Cocaine Use	1.79	0.65	6.41	1.27	1.88
Past Year Heroin Use	0.58	0.17	1.21	0.54	0.62
First Use of Marijuana^2,3	2.50	7.45	10.31	0.42	1.61
ALCOHOL
Past Month Alcohol Use	60.41	12.47	66.34	64.39	64.62
Past Month Alcohol Use (Individuals Aged 12 to 20)	25.68⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	24.47	8.43	38.26	24.18	25.87
Past Month Cigarette Use	20.71	6.12	29.53	20.95	21.99
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	2.29	0.86	3.86	2.22	2.42
Alcohol Use Disorder	5.33	2.52	12.07	4.69	5.57
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	12.51	12.13	7.30	7.88
Serious Mental Illness^3,8	--	--	5.39	5.01	5.06
Any Mental Illness^3,8	--	--	23.21	18.61	19.16
Had Serious Thoughts of Suicide⁹	--	--	8.02	3.57	4.10

161004

MARYLAND

Table 51 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Maryland, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	757	66	244	447	692
Past Month Marijuana Use	481	42	156	284	440
Past Year Cocaine Use	75	2	23	50	73
Past Year Heroin Use	44	1	7	36	43
First Use of Marijuana^2,3	56	22	27	6	33
ALCOHOL
Past Month Alcohol Use	2,921	55	392	2,474	2,866
Past Month Alcohol Use (Individuals Aged 12 to 20)	162⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	1,190	28	213	950	1,163
Past Month Cigarette Use	954	18	161	775	936
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	147	4	31	113	144
Alcohol Use Disorder	329	12	70	247	317
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	50	64	210	274
Serious Mental Illness^3,8	--	--	29	109	139
Any Mental Illness^3,8	--	--	132	624	756
Had Serious Thoughts of Suicide⁹	--	--	48	118	166

161004

MARYLAND

Table 52 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Maryland, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	15.13	14.45	39.01	11.41	15.20
Past Month Marijuana Use	9.62	9.20	24.87	7.24	9.66
Past Year Cocaine Use	1.51	0.46	3.66	1.28	1.61
Past Year Heroin Use	0.88	0.16	1.10	0.93	0.95
First Use of Marijuana^2,3	2.33	6.12	9.86	0.38	1.62
ALCOHOL
Past Month Alcohol Use	58.38	12.09	62.62	63.07	63.01
Past Month Alcohol Use (Individuals Aged 12 to 20)	23.50⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	23.79	6.05	33.98	24.21	25.56
Past Month Cigarette Use	19.07	3.93	25.71	19.76	20.58
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	2.94	0.79	4.95	2.87	3.16
Alcohol Use Disorder	6.57	2.56	11.25	6.28	6.97
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	11.03	10.21	5.36	6.02
Serious Mental Illness^3,8	--	--	4.66	2.79	3.05
Any Mental Illness^3,8	--	--	21.14	15.89	16.62
Had Serious Thoughts of Suicide⁹	--	--	7.74	3.00	3.65

161004

MASSACHUSETTS

Table 53 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Massachusetts, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	1,058	78	333	648	980
Past Month Marijuana Use	677	45	216	416	632
Past Year Cocaine Use	142	3	57	81	139
Past Year Heroin Use	13	0	5	8	13
First Use of Marijuana^2,3	70	27	35	8	43
ALCOHOL
Past Month Alcohol Use	3,357	60	545	2,752	3,297
Past Month Alcohol Use (Individuals Aged 12 to 20)	240⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	1,203	29	253	921	1,174
Past Month Cigarette Use	966	20	204	741	946
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	179	4	44	131	175
Alcohol Use Disorder	388	15	99	274	374
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	60	89	298	387
Serious Mental Illness^3,8	--	--	40	165	205
Any Mental Illness^3,8	--	--	172	836	1,008
Had Serious Thoughts of Suicide⁹	--	--	60	146	206

161004

MASSACHUSETTS

Table 54 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Massachusetts, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	18.26	15.91	42.21	14.33	18.47
Past Month Marijuana Use	11.68	9.22	27.39	9.21	11.91
Past Year Cocaine Use	2.45	0.71	7.28	1.79	2.61
Past Year Heroin Use	0.23	0.08	0.65	0.18	0.25
First Use of Marijuana^2,3	2.56	6.82	10.16	0.43	1.83
ALCOHOL
Past Month Alcohol Use	57.91	12.21	69.15	60.89	62.11
Past Month Alcohol Use (Individuals Aged 12 to 20)	29.63⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	20.76	5.98	32.06	20.38	22.12
Past Month Cigarette Use	16.66	4.11	25.91	16.40	17.81
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	3.09	0.91	5.52	2.90	3.29
Alcohol Use Disorder	6.70	2.98	12.58	6.07	7.04
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	12.37	11.29	6.59	7.29
Serious Mental Illness^3,8	--	--	5.09	3.64	3.86
Any Mental Illness^3,8	--	--	21.81	18.50	18.99
Had Serious Thoughts of Suicide⁹	--	--	7.62	3.23	3.88

161004

MICHIGAN

Table 55 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Michigan, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	1,266	111	372	783	1,155
Past Month Marijuana Use	845	64	254	528	781
Past Year Cocaine Use	104	3	40	61	101
Past Year Heroin Use	31	1	9	21	30
First Use of Marijuana^2,3	96	40	45	11	56
ALCOHOL
Past Month Alcohol Use	4,517	84	677	3,756	4,433
Past Month Alcohol Use (Individuals Aged 12 to 20)	250⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	2,279	60	422	1,798	2,220
Past Month Cigarette Use	1,870	41	321	1,508	1,829
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	221	7	56	158	214
Alcohol Use Disorder	474	21	128	325	453
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	93	116	383	499
Serious Mental Illness^3,8	--	--	60	269	329
Any Mental Illness^3,8	--	--	246	1,126	1,373
Had Serious Thoughts of Suicide⁹	--	--	93	221	314

161004

MICHIGAN

Table 56 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Michigan, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	15.10	14.04	33.41	12.08	15.21
Past Month Marijuana Use	10.08	8.06	22.78	8.14	10.29
Past Year Cocaine Use	1.24	0.44	3.56	0.94	1.33
Past Year Heroin Use	0.37	0.12	0.78	0.33	0.39
First Use of Marijuana^2,3	2.23	5.79	8.17	0.35	1.54
ALCOHOL
Past Month Alcohol Use	53.89	10.69	60.77	57.96	58.37
Past Month Alcohol Use (Individuals Aged 12 to 20)	21.21⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	27.19	7.57	37.86	27.74	29.23
Past Month Cigarette Use	22.31	5.17	28.83	23.27	24.09
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	2.64	0.95	5.01	2.43	2.81
Alcohol Use Disorder	5.66	2.63	11.49	5.02	5.97
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	11.80	10.37	5.92	6.57
Serious Mental Illness^3,8	--	--	5.39	4.15	4.33
Any Mental Illness^3,8	--	--	22.10	17.38	18.07
Had Serious Thoughts of Suicide⁹	--	--	8.35	3.41	4.14

161004

MINNESOTA

Table 57 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Minnesota, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	579	49	203	327	530
Past Month Marijuana Use	346	26	110	209	320
Past Year Cocaine Use	69	2	28	39	67
Past Year Heroin Use	16	0	5	11	15
First Use of Marijuana^2,3	46	18	23	5	28
ALCOHOL
Past Month Alcohol Use	2,709	46	375	2,288	2,663
Past Month Alcohol Use (Individuals Aged 12 to 20)	146⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	1,153	28	203	921	1,124
Past Month Cigarette Use	889	20	153	716	869
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	126	4	29	93	122
Alcohol Use Disorder	289	9	76	203	279
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	53	56	248	304
Serious Mental Illness^3,8	--	--	31	148	179
Any Mental Illness^3,8	--	--	129	647	777
Had Serious Thoughts of Suicide⁹	--	--	47	121	168

161004

MINNESOTA

Table 58 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Minnesota, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	12.69	11.43	35.56	9.17	12.82
Past Month Marijuana Use	7.60	6.21	19.30	5.88	7.74
Past Year Cocaine Use	1.52	0.57	4.85	1.10	1.62
Past Year Heroin Use	0.35	0.11	0.84	0.30	0.37
First Use of Marijuana^2,3	1.84	4.39	8.36	0.29	1.37
ALCOHOL
Past Month Alcohol Use	59.40	10.71	65.64	64.23	64.42
Past Month Alcohol Use (Individuals Aged 12 to 20)	23.01⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	25.28	6.68	35.55	25.86	27.20
Past Month Cigarette Use	19.50	4.69	26.81	20.09	21.02
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	2.75	0.85	5.01	2.62	2.95
Alcohol Use Disorder	6.33	2.20	13.33	5.70	6.75
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	12.55	9.83	6.97	7.36
Serious Mental Illness^3,8	--	--	5.45	4.15	4.33
Any Mental Illness^3,8	--	--	22.58	18.17	18.78
Had Serious Thoughts of Suicide⁹	--	--	8.21	3.41	4.07

161004

MISSISSIPPI

Table 59 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Mississippi, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	212	23	73	115	188
Past Month Marijuana Use	131	13	47	71	118
Past Year Cocaine Use	25	1	6	17	24
Past Year Heroin Use	4	0	1	2	3
First Use of Marijuana^2,3	26	11	12	2	15
ALCOHOL
Past Month Alcohol Use	965	21	158	785	943
Past Month Alcohol Use (Individuals Aged 12 to 20)	66⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	776	22	130	624	754
Past Month Cigarette Use	619	14	105	500	605
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	60	2	13	45	58
Alcohol Use Disorder	126	5	30	90	120
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	27	27	102	129
Serious Mental Illness^3,8	--	--	13	78	91
Any Mental Illness^3,8	--	--	55	339	394
Had Serious Thoughts of Suicide⁹	--	--	24	67	91

161004

MISSISSIPPI

Table 60 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Mississippi, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	8.67	9.54	21.69	6.19	8.57
Past Month Marijuana Use	5.35	5.29	13.91	3.81	5.36
Past Year Cocaine Use	1.00	0.36	1.83	0.94	1.08
Past Year Heroin Use	0.15	0.05	0.33	0.13	0.16
First Use of Marijuana^2,3	1.48	4.41	5.92	0.18	1.02
ALCOHOL
Past Month Alcohol Use	39.52	8.78	46.93	42.22	42.94
Past Month Alcohol Use (Individuals Aged 12 to 20)	17.73⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	31.79	8.92	38.62	33.56	34.33
Past Month Cigarette Use	25.34	5.59	31.20	26.88	27.54
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	2.46	0.85	4.00	2.40	2.64
Alcohol Use Disorder	5.15	2.17	8.90	4.86	5.48
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	11.08	8.02	5.49	5.88
Serious Mental Illness^3,8	--	--	3.92	4.17	4.14
Any Mental Illness^3,8	--	--	16.41	18.23	17.95
Had Serious Thoughts of Suicide⁹	--	--	6.97	3.62	4.13

161004

MISSOURI

Table 61 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Missouri, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	683	61	215	407	622
Past Month Marijuana Use	405	31	128	246	374
Past Year Cocaine Use	68	2	27	39	66
Past Year Heroin Use	12	0	4	8	12
First Use of Marijuana^2,3	57	23	29	6	34
ALCOHOL
Past Month Alcohol Use	2,562	46	390	2,127	2,516
Past Month Alcohol Use (Individuals Aged 12 to 20)	142⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	1,554	44	290	1,220	1,511
Past Month Cigarette Use	1,266	33	234	999	1,233
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	133	4	32	97	129
Alcohol Use Disorder	310	11	83	217	299
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	54	63	239	303
Serious Mental Illness^3,8	--	--	36	178	214
Any Mental Illness^3,8	--	--	138	685	823
Had Serious Thoughts of Suicide⁹	--	--	50	129	179

161004

MISSOURI

Table 62 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Missouri, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	13.53	12.94	32.67	10.39	13.59
Past Month Marijuana Use	8.02	6.56	19.46	6.28	8.17
Past Year Cocaine Use	1.35	0.49	4.12	0.98	1.43
Past Year Heroin Use	0.24	0.08	0.64	0.20	0.26
First Use of Marijuana^2,3	2.08	5.62	9.06	0.28	1.46
ALCOHOL
Past Month Alcohol Use	50.78	9.83	59.32	54.27	54.99
Past Month Alcohol Use (Individuals Aged 12 to 20)	20.22⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	30.80	9.28	44.22	31.14	33.01
Past Month Cigarette Use	25.09	6.95	35.67	25.49	26.96
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	2.63	0.83	4.91	2.47	2.82
Alcohol Use Disorder	6.14	2.28	12.57	5.53	6.54
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	11.49	9.67	6.11	6.62
Serious Mental Illness^3,8	--	--	5.56	4.53	4.68
Any Mental Illness^3,8	--	--	20.97	17.49	17.99
Had Serious Thoughts of Suicide⁹	--	--	7.67	3.29	3.92

161004

MONTANA

Table 63 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Montana, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	133	11	37	84	122
Past Month Marijuana Use	96	6	26	64	89
Past Year Cocaine Use	13	0	5	7	12
Past Year Heroin Use	1	0	1	1	1
First Use of Marijuana^2,3	9	4	4	1	6
ALCOHOL
Past Month Alcohol Use	499	7	69	423	492
Past Month Alcohol Use (Individuals Aged 12 to 20)	25⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	236	7	45	183	229
Past Month Cigarette Use	169	5	32	133	165
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	29	1	7	22	28
Alcohol Use Disorder	60	2	16	42	58
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	8	10	44	54
Serious Mental Illness^3,8	--	--	6	34	41
Any Mental Illness^3,8	--	--	27	130	157
Had Serious Thoughts of Suicide⁹	--	--	10	29	39

161004

MONTANA

Table 64 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Montana, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	15.38	14.62	33.33	12.49	15.45
Past Month Marijuana Use	11.09	8.71	22.88	9.41	11.32
Past Year Cocaine Use	1.49	0.62	4.65	1.06	1.57
Past Year Heroin Use	0.17	0.07	0.56	0.12	0.18
First Use of Marijuana^2,3	2.30	6.19	8.67	0.38	1.58
ALCOHOL
Past Month Alcohol Use	57.93	9.90	61.56	62.62	62.47
Past Month Alcohol Use (Individuals Aged 12 to 20)	21.31⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	27.37	9.50	40.70	27.14	29.06
Past Month Cigarette Use	19.65	6.29	28.78	19.61	20.92
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	3.38	0.94	6.06	3.21	3.61
Alcohol Use Disorder	6.95	2.60	14.09	6.25	7.37
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	11.42	9.29	6.53	6.92
Serious Mental Illness^3,8	--	--	5.73	5.10	5.19
Any Mental Illness^3,8	--	--	24.13	19.28	19.97
Had Serious Thoughts of Suicide⁹	--	--	8.96	4.29	4.95

161004

NEBRASKA

Table 65 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Nebraska, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	166	15	64	86	150
Past Month Marijuana Use	97	8	36	53	89
Past Year Cocaine Use	21	1	8	12	20
Past Year Heroin Use	3	0	1	2	3
First Use of Marijuana^2,3	16	6	8	2	10
ALCOHOL
Past Month Alcohol Use	886	13	133	739	872
Past Month Alcohol Use (Individuals Aged 12 to 20)	50⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	421	11	80	330	410
Past Month Cigarette Use	339	8	59	272	331
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	49	1	14	34	48
Alcohol Use Disorder	106	4	28	74	102
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	19	23	77	100
Serious Mental Illness^3,8	--	--	12	50	62
Any Mental Illness^3,8	--	--	42	211	253
Had Serious Thoughts of Suicide⁹	--	--	18	41	58

161004

NEBRASKA

Table 66 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Nebraska, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	10.75	10.24	30.47	7.28	10.81
Past Month Marijuana Use	6.29	5.26	16.83	4.53	6.40
Past Year Cocaine Use	1.37	0.56	3.99	1.00	1.46
Past Year Heroin Use	0.21	0.08	0.61	0.16	0.22
First Use of Marijuana^2,3	1.52	3.51	7.13	0.22	1.19
ALCOHOL
Past Month Alcohol Use	57.43	8.88	62.82	62.68	62.70
Past Month Alcohol Use (Individuals Aged 12 to 20)	21.63⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	27.29	7.47	37.69	27.97	29.45
Past Month Cigarette Use	21.95	5.10	27.92	23.04	23.78
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	3.18	0.92	6.42	2.89	3.43
Alcohol Use Disorder	6.85	2.33	13.25	6.28	7.34
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	12.25	10.84	6.56	7.21
Serious Mental Illness^3,8	--	--	5.69	4.21	4.43
Any Mental Illness^3,8	--	--	20.00	17.87	18.19
Had Serious Thoughts of Suicide⁹	--	--	8.27	3.45	4.18

161004

NEVADA

Table 67 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Nevada, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	309	30	88	191	279
Past Month Marijuana Use	186	16	49	120	170
Past Year Cocaine Use	35	2	12	21	33
Past Year Heroin Use	8	0	2	6	8
First Use of Marijuana^2,3	28	12	13	4	17
ALCOHOL
Past Month Alcohol Use	1,259	30	164	1,065	1,229
Past Month Alcohol Use (Individuals Aged 12 to 20)	79⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	590	15	94	480	575
Past Month Cigarette Use	507	10	79	417	497
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	75	2	16	57	73
Alcohol Use Disorder	149	7	34	108	142
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	31	28	122	150
Serious Mental Illness^3,8	--	--	16	80	95
Any Mental Illness^3,8	--	--	60	327	387
Had Serious Thoughts of Suicide⁹	--	--	25	71	96

161004

NEVADA

Table 68 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Nevada, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	12.95	13.50	30.46	10.19	12.89
Past Month Marijuana Use	7.81	7.39	17.05	6.43	7.85
Past Year Cocaine Use	1.46	0.72	4.16	1.14	1.54
Past Year Heroin Use	0.33	0.14	0.70	0.30	0.35
First Use of Marijuana^2,3	2.26	6.28	9.85	0.39	1.56
ALCOHOL
Past Month Alcohol Use	52.81	13.67	56.81	56.85	56.84
Past Month Alcohol Use (Individuals Aged 12 to 20)	23.67⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	24.76	6.94	32.72	25.65	26.60
Past Month Cigarette Use	21.25	4.40	27.51	22.29	22.99
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	3.15	1.04	5.54	3.03	3.37
Alcohol Use Disorder	6.25	3.02	11.71	5.79	6.58
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	13.94	9.65	6.51	6.93
Serious Mental Illness^3,8	--	--	5.38	4.26	4.41
Any Mental Illness^3,8	--	--	20.74	17.48	17.91
Had Serious Thoughts of Suicide⁹	--	--	8.56	3.82	4.45

161004

NEW HAMPSHIRE

Table 69 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in New Hampshire, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	199	16	60	123	183
Past Month Marijuana Use	138	9	41	87	129
Past Year Cocaine Use	35	1	15	19	34
Past Year Heroin Use	7	0	3	4	7
First Use of Marijuana^2,3	13	5	7	2	8
ALCOHOL
Past Month Alcohol Use	729	13	98	618	716
Past Month Alcohol Use (Individuals Aged 12 to 20)	42⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	286	8	56	221	278
Past Month Cigarette Use	226	6	43	177	220
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	40	1	8	31	40
Alcohol Use Disorder	82	3	20	60	80
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	13	19	72	91
Serious Mental Illness^3,8	--	--	11	46	57
Any Mental Illness^3,8	--	--	40	187	227
Had Serious Thoughts of Suicide⁹	--	--	15	37	52

161004

NEW HAMPSHIRE

Table 70 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in New Hampshire, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	17.35	16.41	41.98	13.57	17.44
Past Month Marijuana Use	12.06	9.44	29.12	9.65	12.31
Past Year Cocaine Use	3.07	0.83	10.54	2.13	3.28
Past Year Heroin Use	0.62	0.22	1.90	0.46	0.66
First Use of Marijuana^2,3	2.84	6.82	10.88	0.47	2.00
ALCOHOL
Past Month Alcohol Use	63.63	13.12	68.92	68.27	68.36
Past Month Alcohol Use (Individuals Aged 12 to 20)	27.78⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	24.94	8.40	39.58	24.42	26.49
Past Month Cigarette Use	19.70	5.92	30.47	19.49	20.99
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	3.52	0.88	5.85	3.44	3.77
Alcohol Use Disorder	7.20	2.68	14.12	6.59	7.62
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	13.43	13.21	8.00	8.71
Serious Mental Illness^3,8	--	--	7.55	5.08	5.42
Any Mental Illness^3,8	--	--	28.01	20.68	21.67
Had Serious Thoughts of Suicide⁹	--	--	10.56	4.06	4.94

161004

NEW JERSEY

Table 71 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in New Jersey, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	894	87	293	515	808
Past Month Marijuana Use	528	47	170	311	480
Past Year Cocaine Use	129	4	41	84	125
Past Year Heroin Use	51	1	12	39	50
First Use of Marijuana^2,3	81	32	38	10	49
ALCOHOL
Past Month Alcohol Use	4,271	97	570	3,605	4,175
Past Month Alcohol Use (Individuals Aged 12 to 20)	275⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	1,563	37	277	1,249	1,525
Past Month Cigarette Use	1,258	25	221	1,012	1,233
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	188	6	43	139	182
Alcohol Use Disorder	431	23	102	306	408
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	72	91	351	443
Serious Mental Illness^3,8	--	--	49	198	247
Any Mental Illness^3,8	--	--	184	923	1,107
Had Serious Thoughts of Suicide⁹	--	--	72	186	259

161004

NEW JERSEY

Table 72 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in New Jersey, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	11.86	12.41	32.75	8.66	11.81
Past Month Marijuana Use	7.01	6.81	18.96	5.23	7.03
Past Year Cocaine Use	1.72	0.60	4.55	1.42	1.83
Past Year Heroin Use	0.68	0.16	1.30	0.65	0.73
First Use of Marijuana^2,3	1.74	4.99	7.83	0.30	1.22
ALCOHOL
Past Month Alcohol Use	56.67	13.88	63.69	60.63	61.03
Past Month Alcohol Use (Individuals Aged 12 to 20)	25.97⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	20.74	5.33	30.95	21.00	22.31
Past Month Cigarette Use	16.69	3.51	24.71	17.02	18.03
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	2.50	0.91	4.83	2.33	2.66
Alcohol Use Disorder	5.72	3.24	11.42	5.15	5.97
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	10.32	10.18	5.91	6.47
Serious Mental Illness^3,8	--	--	5.49	3.34	3.62
Any Mental Illness^3,8	--	--	20.62	15.52	16.19
Had Serious Thoughts of Suicide⁹	--	--	8.10	3.13	3.78

161004

NEW MEXICO

Table 73 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in New Mexico, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	253	25	71	157	228
Past Month Marijuana Use	174	14	47	113	160
Past Year Cocaine Use	33	1	13	18	32
Past Year Heroin Use	3	0	1	2	3
First Use of Marijuana^2,3	18	9	7	2	10
ALCOHOL
Past Month Alcohol Use	807	16	127	665	791
Past Month Alcohol Use (Individuals Aged 12 to 20)	48⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	414	10	81	324	404
Past Month Cigarette Use	349	7	68	274	342
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	69	2	14	53	67
Alcohol Use Disorder	117	4	27	85	113
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	19	20	83	102
Serious Mental Illness^3,8	--	--	10	59	69
Any Mental Illness^3,8	--	--	48	261	309
Had Serious Thoughts of Suicide⁹	--	--	18	45	63

161004

NEW MEXICO

Table 74 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in New Mexico, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	14.72	15.15	31.08	11.87	14.67
Past Month Marijuana Use	10.14	8.53	20.61	8.55	10.31
Past Year Cocaine Use	1.92	0.82	5.93	1.38	2.04
Past Year Heroin Use	0.18	0.08	0.40	0.16	0.20
First Use of Marijuana^2,3	2.01	6.71	6.90	0.36	1.21
ALCOHOL
Past Month Alcohol Use	47.02	9.40	55.79	50.25	51.06
Past Month Alcohol Use (Individuals Aged 12 to 20)	19.40⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	24.15	6.26	35.47	24.46	26.07
Past Month Cigarette Use	20.32	4.11	30.09	20.68	22.05
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	4.02	1.23	6.36	3.98	4.32
Alcohol Use Disorder	6.82	2.59	12.05	6.46	7.28
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	11.50	8.59	6.25	6.59
Serious Mental Illness^3,8	--	--	4.46	4.47	4.47
Any Mental Illness^3,8	--	--	21.26	19.70	19.93
Had Serious Thoughts of Suicide⁹	--	--	7.93	3.42	4.08

161004

NEW YORK

Table 75 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in New York, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	2,519	188	801	1,530	2,331
Past Month Marijuana Use	1,601	108	506	987	1,493
Past Year Cocaine Use	425	10	140	274	414
Past Year Heroin Use	87	2	17	68	86
First Use of Marijuana^2,3	195	69	100	26	126
ALCOHOL
Past Month Alcohol Use	9,144	179	1,371	7,594	8,965
Past Month Alcohol Use (Individuals Aged 12 to 20)	548⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	3,880	81	657	3,142	3,799
Past Month Cigarette Use	3,274	59	562	2,653	3,215
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	558	15	121	423	544
Alcohol Use Disorder	1,073	36	258	779	1,038
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	170	225	773	999
Serious Mental Illness^3,8	--	--	106	492	598
Any Mental Illness^3,8	--	--	497	2,141	2,638
Had Serious Thoughts of Suicide⁹	--	--	178	413	591

161004

NEW YORK

Table 76 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in New York, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	15.04	13.17	35.95	11.68	15.21
Past Month Marijuana Use	9.56	7.55	22.69	7.54	9.75
Past Year Cocaine Use	2.54	0.73	6.29	2.10	2.71
Past Year Heroin Use	0.52	0.11	0.79	0.52	0.56
First Use of Marijuana^2,3	2.02	5.43	8.63	0.36	1.50
ALCOHOL
Past Month Alcohol Use	54.60	12.57	61.51	58.01	58.51
Past Month Alcohol Use (Individuals Aged 12 to 20)	24.72⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	23.17	5.70	29.47	24.00	24.80
Past Month Cigarette Use	19.55	4.13	25.24	20.26	20.99
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	3.33	1.02	5.43	3.23	3.55
Alcohol Use Disorder	6.41	2.51	11.59	5.95	6.77
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	11.92	10.12	5.91	6.52
Serious Mental Illness^3,8	--	--	4.75	3.76	3.90
Any Mental Illness^3,8	--	--	22.30	16.36	17.22
Had Serious Thoughts of Suicide⁹	--	--	8.00	3.15	3.85

161004

NORTH CAROLINA

Table 77 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in North Carolina, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	975	89	332	554	886
Past Month Marijuana Use	603	46	202	354	557
Past Year Cocaine Use	148	4	54	90	144
Past Year Heroin Use	16	0	6	10	16
First Use of Marijuana^2,3	91	38	43	9	52
ALCOHOL
Past Month Alcohol Use	3,790	64	593	3,134	3,726
Past Month Alcohol Use (Individuals Aged 12 to 20)	196⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	2,127	46	380	1,701	2,081
Past Month Cigarette Use	1,750	34	312	1,404	1,717
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	232	6	50	176	226
Alcohol Use Disorder	437	16	116	306	421
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	96	102	458	560
Serious Mental Illness^3,8	--	--	48	302	350
Any Mental Illness^3,8	--	--	222	1,237	1,459
Had Serious Thoughts of Suicide⁹	--	--	77	237	315

161004

NORTH CAROLINA

Table 78 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in North Carolina, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	11.79	11.44	31.25	8.61	11.82
Past Month Marijuana Use	7.29	5.97	19.04	5.51	7.43
Past Year Cocaine Use	1.80	0.53	5.12	1.40	1.93
Past Year Heroin Use	0.20	0.06	0.52	0.16	0.21
First Use of Marijuana^2,3	1.88	5.35	7.81	0.27	1.28
ALCOHOL
Past Month Alcohol Use	45.84	8.19	55.77	48.75	49.74
Past Month Alcohol Use (Individuals Aged 12 to 20)	16.96⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	25.73	5.96	35.77	26.46	27.78
Past Month Cigarette Use	21.17	4.35	29.37	21.85	22.92
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	2.81	0.81	4.69	2.74	3.01
Alcohol Use Disorder	5.29	2.08	10.89	4.75	5.62
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	12.35	9.62	7.12	7.47
Serious Mental Illness^3,8	--	--	4.49	4.70	4.67
Any Mental Illness^3,8	--	--	20.92	19.24	19.48
Had Serious Thoughts of Suicide⁹	--	--	7.28	3.69	4.20

161004

NORTH DAKOTA

Table 79 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in North Dakota, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	61	6	28	27	55
Past Month Marijuana Use	36	3	15	18	33
Past Year Cocaine Use	7	0	4	3	7
Past Year Heroin Use	1	0	0	1	1
First Use of Marijuana^2,3	7	2	4	1	5
ALCOHOL
Past Month Alcohol Use	360	6	73	281	354
Past Month Alcohol Use (Individuals Aged 12 to 20)	29⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	186	5	44	137	181
Past Month Cigarette Use	147	4	32	111	143
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	18	0	6	11	17
Alcohol Use Disorder	43	2	14	28	42
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	5	10	26	36
Serious Mental Illness^3,8	--	--	5	17	22
Any Mental Illness^3,8	--	--	23	72	94
Had Serious Thoughts of Suicide⁹	--	--	8	14	22

161004

NORTH DAKOTA

Table 80 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in North Dakota, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	9.90	11.79	26.65	5.90	9.72
Past Month Marijuana Use	5.95	6.21	14.77	3.93	5.92
Past Year Cocaine Use	1.18	0.56	3.45	0.74	1.24
Past Year Heroin Use	0.21	0.08	0.42	0.18	0.22
First Use of Marijuana^2,3	1.83	4.91	6.68	0.26	1.38
ALCOHOL
Past Month Alcohol Use	58.79	11.85	70.20	61.51	63.11
Past Month Alcohol Use (Individuals Aged 12 to 20)	31.34⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	30.36	9.83	42.38	29.98	32.24
Past Month Cigarette Use	23.93	7.31	31.27	24.17	25.46
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	2.90	0.97	6.05	2.41	3.08
Alcohol Use Disorder	7.06	2.96	13.19	6.15	7.44
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	10.47	9.47	5.68	6.37
Serious Mental Illness^3,8	--	--	5.18	3.61	3.90
Any Mental Illness^3,8	--	--	21.85	15.65	16.78
Had Serious Thoughts of Suicide⁹	--	--	8.01	3.04	3.95

161004

OHIO

Table 81 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Ohio, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	1,179	104	394	681	1,075
Past Month Marijuana Use	744	56	240	448	688
Past Year Cocaine Use	140	5	52	84	136
Past Year Heroin Use	37	1	11	25	36
First Use of Marijuana^2,3	99	40	49	10	59
ALCOHOL
Past Month Alcohol Use	5,109	95	752	4,262	5,014
Past Month Alcohol Use (Individuals Aged 12 to 20)	307⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	2,937	72	523	2,342	2,865
Past Month Cigarette Use	2,455	55	414	1,986	2,400
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	307	9	61	237	298
Alcohol Use Disorder	629	22	143	463	606
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	109	137	544	682
Serious Mental Illness^3,8	--	--	73	386	459
Any Mental Illness^3,8	--	--	276	1,501	1,778
Had Serious Thoughts of Suicide⁹	--	--	105	304	408

161004

OHIO

Table 82 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Ohio, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	12.13	11.35	32.04	9.00	12.21
Past Month Marijuana Use	7.65	6.05	19.55	5.91	7.82
Past Year Cocaine Use	1.45	0.50	4.24	1.11	1.54
Past Year Heroin Use	0.38	0.11	0.92	0.32	0.41
First Use of Marijuana^2,3	1.86	4.90	7.92	0.27	1.31
ALCOHOL
Past Month Alcohol Use	52.56	10.33	61.18	56.28	56.97
Past Month Alcohol Use (Individuals Aged 12 to 20)	22.09⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	30.22	7.86	42.54	30.93	32.55
Past Month Cigarette Use	25.26	5.98	33.72	26.22	27.27
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	3.15	0.95	4.97	3.13	3.38
Alcohol Use Disorder	6.47	2.45	11.66	6.11	6.89
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	11.85	11.18	7.19	7.74
Serious Mental Illness^3,8	--	--	5.94	5.10	5.22
Any Mental Illness^3,8	--	--	22.49	19.82	20.20
Had Serious Thoughts of Suicide⁹	--	--	8.52	4.01	4.64

161004

OKLAHOMA

Table 83 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Oklahoma, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	358	37	119	202	321
Past Month Marijuana Use	198	17	64	117	181
Past Year Cocaine Use	35	2	15	18	34
Past Year Heroin Use	7	0	2	4	7
First Use of Marijuana^2,3	35	17	15	4	19
ALCOHOL
Past Month Alcohol Use	1,460	32	249	1,179	1,428
Past Month Alcohol Use (Individuals Aged 12 to 20)	92⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	1,018	32	184	802	987
Past Month Cigarette Use	809	19	147	643	789
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	90	3	22	66	88
Alcohol Use Disorder	196	7	48	142	189
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	39	41	154	195
Serious Mental Illness^3,8	--	--	22	102	124
Any Mental Illness^3,8	--	--	89	460	548
Had Serious Thoughts of Suicide⁹	--	--	33	80	114

161004

OKLAHOMA

Table 84 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Oklahoma, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	11.28	11.74	27.59	8.32	11.23
Past Month Marijuana Use	6.24	5.42	14.87	4.82	6.33
Past Year Cocaine Use	1.11	0.50	3.58	0.75	1.17
Past Year Heroin Use	0.21	0.08	0.50	0.18	0.23
First Use of Marijuana^2,3	1.80	5.62	6.03	0.27	1.14
ALCOHOL
Past Month Alcohol Use	46.04	10.22	57.68	48.58	49.95
Past Month Alcohol Use (Individuals Aged 12 to 20)	19.63⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	32.12	10.22	42.71	33.06	34.51
Past Month Cigarette Use	25.50	6.18	34.03	26.48	27.61
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	2.85	0.84	5.11	2.70	3.07
Alcohol Use Disorder	6.18	2.11	11.04	5.84	6.63
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	12.57	9.45	6.36	6.83
Serious Mental Illness^3,8	--	--	5.02	4.20	4.33
Any Mental Illness^3,8	--	--	20.58	18.93	19.18
Had Serious Thoughts of Suicide⁹	--	--	7.74	3.31	3.97

161004

OREGON

Table 85 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Oregon, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	659	51	165	443	608
Past Month Marijuana Use	432	27	109	295	404
Past Year Cocaine Use	73	2	28	42	70
Past Year Heroin Use	12	0	4	8	11
First Use of Marijuana^2,3	40	16	18	6	24
ALCOHOL
Past Month Alcohol Use	1,997	34	261	1,701	1,962
Past Month Alcohol Use (Individuals Aged 12 to 20)	103⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	764	20	142	602	744
Past Month Cigarette Use	611	15	112	483	595
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	120	3	23	94	117
Alcohol Use Disorder	235	9	52	174	226
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	42	48	185	233
Serious Mental Illness^3,8	--	--	28	118	147
Any Mental Illness^3,8	--	--	113	553	666
Had Serious Thoughts of Suicide⁹	--	--	42	94	136

161004

OREGON

Table 86 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Oregon, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	19.42	17.56	39.83	16.47	19.59
Past Month Marijuana Use	12.73	9.42	26.29	10.99	13.04
Past Year Cocaine Use	2.14	0.80	6.81	1.57	2.27
Past Year Heroin Use	0.35	0.13	0.85	0.29	0.37
First Use of Marijuana^2,3	2.48	6.85	9.74	0.45	1.69
ALCOHOL
Past Month Alcohol Use	58.85	11.68	63.02	63.31	63.28
Past Month Alcohol Use (Individuals Aged 12 to 20)	23.57⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	22.53	7.01	34.16	22.41	23.99
Past Month Cigarette Use	18.00	5.25	26.99	17.99	19.20
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	3.54	1.06	5.66	3.48	3.77
Alcohol Use Disorder	6.92	3.05	12.48	6.49	7.29
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	14.33	11.61	6.88	7.51
Serious Mental Illness^3,8	--	--	6.81	4.40	4.73
Any Mental Illness^3,8	--	--	27.21	20.59	21.47
Had Serious Thoughts of Suicide⁹	--	--	10.09	3.49	4.37

161004

PENNSYLVANIA

Table 87 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Pennsylvania, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	1,339	111	442	786	1,228
Past Month Marijuana Use	838	65	259	514	773
Past Year Cocaine Use	175	5	64	106	170
Past Year Heroin Use	59	1	15	43	58
First Use of Marijuana^2,3	104	39	52	13	65
ALCOHOL
Past Month Alcohol Use	6,130	106	873	5,152	6,024
Past Month Alcohol Use (Individuals Aged 12 to 20)	361⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	2,876	68	512	2,296	2,808
Past Month Cigarette Use	2,335	47	404	1,885	2,288
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	336	8	65	262	327
Alcohol Use Disorder	699	24	181	494	675
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	109	148	535	683
Serious Mental Illness^3,8	--	--	74	324	397
Any Mental Illness^3,8	--	--	299	1,504	1,803
Had Serious Thoughts of Suicide⁹	--	--	118	289	407

161004

PENNSYLVANIA

Table 88 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Pennsylvania, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	12.35	11.88	32.36	9.21	12.40
Past Month Marijuana Use	7.73	6.98	18.97	6.02	7.80
Past Year Cocaine Use	1.62	0.54	4.71	1.24	1.72
Past Year Heroin Use	0.55	0.15	1.13	0.50	0.59
First Use of Marijuana^2,3	1.76	4.74	7.65	0.29	1.28
ALCOHOL
Past Month Alcohol Use	56.56	11.34	63.95	60.32	60.82
Past Month Alcohol Use (Individuals Aged 12 to 20)	24.79⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	26.54	7.24	37.54	26.89	28.36
Past Month Cigarette Use	21.55	5.03	29.58	22.07	23.11
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	3.10	0.88	4.78	3.07	3.31
Alcohol Use Disorder	6.45	2.53	13.26	5.79	6.82
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	11.64	10.83	6.26	6.89
Serious Mental Illness^3,8	--	--	5.39	3.79	4.01
Any Mental Illness^3,8	--	--	21.89	17.62	18.21
Had Serious Thoughts of Suicide⁹	--	--	8.64	3.38	4.10

161004

RHODE ISLAND

Table 89 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Rhode Island, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	170	12	57	101	158
Past Month Marijuana Use	118	8	37	73	110
Past Year Cocaine Use	23	1	10	12	22
Past Year Heroin Use	4	0	1	2	4
First Use of Marijuana^2,3	10	4	5	1	6
ALCOHOL
Past Month Alcohol Use	536	10	84	442	526
Past Month Alcohol Use (Individuals Aged 12 to 20)	35⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	212	4	45	163	207
Past Month Cigarette Use	173	3	35	135	170
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	32	1	8	23	31
Alcohol Use Disorder	63	2	18	43	61
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	10	13	46	59
Serious Mental Illness^3,8	--	--	7	31	37
Any Mental Illness^3,8	--	--	29	141	170
Had Serious Thoughts of Suicide⁹	--	--	11	25	37

161004

RHODE ISLAND

Table 90 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Rhode Island, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	18.81	16.28	43.84	14.44	19.04
Past Month Marijuana Use	13.02	10.19	28.89	10.39	13.28
Past Year Cocaine Use	2.52	0.74	7.64	1.77	2.68
Past Year Heroin Use	0.41	0.14	0.97	0.33	0.43
First Use of Marijuana^2,3	2.50	6.71	10.32	0.39	1.78
ALCOHOL
Past Month Alcohol Use	59.37	13.23	65.22	63.25	63.56
Past Month Alcohol Use (Individuals Aged 12 to 20)	28.02⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	23.45	5.86	34.58	23.29	25.05
Past Month Cigarette Use	19.18	4.38	27.31	19.27	20.52
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	3.53	0.96	6.22	3.31	3.77
Alcohol Use Disorder	6.98	2.86	13.83	6.16	7.36
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	13.03	9.81	6.57	7.08
Serious Mental Illness^3,8	--	--	5.13	4.39	4.51
Any Mental Illness^3,8	--	--	22.01	20.22	20.50
Had Serious Thoughts of Suicide⁹	--	--	8.62	3.65	4.42

161004

SOUTH CAROLINA

Table 91 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in South Carolina, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	507	44	166	298	464
Past Month Marijuana Use	328	24	110	194	304
Past Year Cocaine Use	66	2	23	41	64
Past Year Heroin Use	11	0	3	8	11
First Use of Marijuana^2,3	45	19	21	5	26
ALCOHOL
Past Month Alcohol Use	1,865	32	305	1,528	1,833
Past Month Alcohol Use (Individuals Aged 12 to 20)	107⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	1,151	26	211	914	1,125
Past Month Cigarette Use	946	17	177	752	929
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	117	3	26	88	114
Alcohol Use Disorder	240	9	55	176	230
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	40	45	193	238
Serious Mental Illness^3,8	--	--	24	126	150
Any Mental Illness^3,8	--	--	98	546	644
Had Serious Thoughts of Suicide⁹	--	--	36	101	137

161004

SOUTH CAROLINA

Table 92 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in South Carolina, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	12.56	12.02	31.90	9.43	12.61
Past Month Marijuana Use	8.11	6.57	21.07	6.16	8.27
Past Year Cocaine Use	1.63	0.50	4.42	1.30	1.74
Past Year Heroin Use	0.28	0.08	0.56	0.25	0.30
First Use of Marijuana^2,3	1.91	5.82	8.06	0.26	1.28
ALCOHOL
Past Month Alcohol Use	46.17	8.87	58.59	48.44	49.88
Past Month Alcohol Use (Individuals Aged 12 to 20)	19.39⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	28.49	7.11	40.56	28.98	30.62
Past Month Cigarette Use	23.42	4.69	34.05	23.83	25.28
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	2.89	0.81	4.93	2.79	3.09
Alcohol Use Disorder	5.94	2.56	10.50	5.57	6.27
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	10.96	8.67	6.12	6.48
Serious Mental Illness^3,8	--	--	4.68	3.98	4.08
Any Mental Illness^3,8	--	--	18.89	17.29	17.52
Had Serious Thoughts of Suicide⁹	--	--	6.87	3.21	3.73

161004

SOUTH DAKOTA

Table 93 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in South Dakota, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	75	7	26	41	67
Past Month Marijuana Use	48	4	16	28	44
Past Year Cocaine Use	7	0	3	4	7
Past Year Heroin Use	2	0	1	1	2
First Use of Marijuana^2,3	7	3	4	1	5
ALCOHOL
Past Month Alcohol Use	403	7	63	333	396
Past Month Alcohol Use (Individuals Aged 12 to 20)	27⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	195	6	39	150	188
Past Month Cigarette Use	154	4	31	119	149
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	23	1	6	17	22
Alcohol Use Disorder	51	2	14	36	50
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	7	9	30	38
Serious Mental Illness^3,8	--	--	5	21	26
Any Mental Illness^3,8	--	--	20	91	110
Had Serious Thoughts of Suicide⁹	--	--	7	16	23

161004

SOUTH DAKOTA

Table 94 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in South Dakota, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	10.77	10.86	27.84	7.76	10.76
Past Month Marijuana Use	6.93	6.43	17.05	5.22	6.99
Past Year Cocaine Use	1.02	0.49	3.15	0.71	1.08
Past Year Heroin Use	0.27	0.09	0.59	0.23	0.29
First Use of Marijuana^2,3	1.66	4.45	7.17	0.24	1.20
ALCOHOL
Past Month Alcohol Use	58.02	10.38	67.10	62.30	63.02
Past Month Alcohol Use (Individuals Aged 12 to 20)	25.57⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	28.05	9.20	41.55	28.00	30.02
Past Month Cigarette Use	22.16	6.63	32.69	22.23	23.79
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	3.30	0.95	5.98	3.12	3.55
Alcohol Use Disorder	7.39	2.63	14.55	6.72	7.89
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	9.90	9.25	5.56	6.11
Serious Mental Illness^3,8	--	--	4.83	4.00	4.13
Any Mental Illness^3,8	--	--	20.90	16.99	17.57
Had Serious Thoughts of Suicide⁹	--	--	7.33	3.02	3.66

161004

TENNESSEE

Table 95 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Tennessee, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	606	57	189	360	549
Past Month Marijuana Use	347	30	112	205	317
Past Year Cocaine Use	83	3	30	51	81
Past Year Heroin Use	14	0	4	9	14
First Use of Marijuana^2,3	56	22	27	7	34
ALCOHOL
Past Month Alcohol Use	2,382	41	359	1,981	2,340
Past Month Alcohol Use (Individuals Aged 12 to 20)	139⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	1,572	40	279	1,252	1,532
Past Month Cigarette Use	1,247	27	213	1,007	1,220
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	134	4	28	102	130
Alcohol Use Disorder	290	11	73	206	279
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	55	67	279	347
Serious Mental Illness^3,8	--	--	34	183	217
Any Mental Illness^3,8	--	--	143	844	988
Had Serious Thoughts of Suicide⁹	--	--	53	159	212

161004

TENNESSEE

Table 96 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Tennessee, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	11.05	11.21	26.95	8.41	11.03
Past Month Marijuana Use	6.34	5.90	15.95	4.81	6.38
Past Year Cocaine Use	1.52	0.54	4.22	1.19	1.62
Past Year Heroin Use	0.26	0.09	0.61	0.22	0.27
First Use of Marijuana^2,3	1.55	4.46	6.71	0.22	1.09
ALCOHOL
Past Month Alcohol Use	43.44	8.17	51.08	46.37	47.04
Past Month Alcohol Use (Individuals Aged 12 to 20)	17.66⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	28.66	7.85	39.75	29.31	30.79
Past Month Cigarette Use	22.75	5.32	30.33	23.57	24.53
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	2.45	0.79	3.99	2.40	2.62
Alcohol Use Disorder	5.29	2.18	10.43	4.81	5.61
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	10.92	9.58	6.54	6.97
Serious Mental Illness^3,8	--	--	4.82	4.29	4.36
Any Mental Illness^3,8	--	--	20.40	19.76	19.85
Had Serious Thoughts of Suicide⁹	--	--	7.59	3.72	4.26

161004

TEXAS

Table 97 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Texas, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	2,213	276	771	1,166	1,937
Past Month Marijuana Use	1,336	162	461	713	1,174
Past Year Cocaine Use	310	16	128	166	294
Past Year Heroin Use	25	1	12	12	24
First Use of Marijuana^2,3	234	105	106	23	129
ALCOHOL
Past Month Alcohol Use	10,499	235	1,678	8,587	10,264
Past Month Alcohol Use (Individuals Aged 12 to 20)	692⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	5,070	136	952	3,982	4,935
Past Month Cigarette Use	4,196	92	805	3,298	4,103
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	591	27	145	419	564
Alcohol Use Disorder	1,305	70	327	907	1,234
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	272	249	863	1,112
Serious Mental Illness^3,8	--	--	129	525	654
Any Mental Illness^3,8	--	--	548	2,579	3,127
Had Serious Thoughts of Suicide⁹	--	--	223	455	678

161004

TEXAS

Table 98 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Texas, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	10.10	11.70	25.21	7.07	9.90
Past Month Marijuana Use	6.10	6.86	15.08	4.32	6.00
Past Year Cocaine Use	1.41	0.70	4.19	1.00	1.50
Past Year Heroin Use	0.11	0.05	0.39	0.07	0.12
First Use of Marijuana^2,3	1.65	4.87	6.08	0.23	1.08
ALCOHOL
Past Month Alcohol Use	47.90	9.96	54.86	52.03	52.48
Past Month Alcohol Use (Individuals Aged 12 to 20)	19.49⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	23.12	5.74	31.14	24.13	25.22
Past Month Cigarette Use	19.13	3.91	26.34	19.99	20.97
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	2.70	1.16	4.73	2.54	2.88
Alcohol Use Disorder	5.95	2.98	10.70	5.50	6.31
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	11.53	8.15	5.23	5.68
Serious Mental Illness^3,8	--	--	4.22	3.18	3.34
Any Mental Illness^3,8	--	--	17.92	15.63	15.98
Had Serious Thoughts of Suicide⁹	--	--	7.28	2.76	3.46

161004

UTAH

Table 99 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Utah, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	211	26	81	104	185
Past Month Marijuana Use	117	13	42	62	104
Past Year Cocaine Use	20	1	10	9	19
Past Year Heroin Use	5	0	2	3	5
First Use of Marijuana^2,3	25	10	13	2	15
ALCOHOL
Past Month Alcohol Use	728	16	132	581	713
Past Month Alcohol Use (Individuals Aged 12 to 20)	45⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	358	11	74	273	348
Past Month Cigarette Use	313	10	64	239	304
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	55	3	18	34	52
Alcohol Use Disorder	111	7	37	68	105
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	35	39	104	143
Serious Mental Illness^3,8	--	--	23	69	93
Any Mental Illness^3,8	--	--	91	326	417
Had Serious Thoughts of Suicide⁹	--	--	38	69	107

161004

UTAH

Table 100 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Utah, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	9.07	9.00	21.44	6.25	9.09
Past Month Marijuana Use	5.04	4.54	11.07	3.75	5.11
Past Year Cocaine Use	0.87	0.40	2.73	0.53	0.94
Past Year Heroin Use	0.22	0.09	0.45	0.19	0.24
First Use of Marijuana^2,3	1.38	3.05	4.93	0.18	1.05
ALCOHOL
Past Month Alcohol Use	31.31	5.44	34.77	35.04	34.99
Past Month Alcohol Use (Individuals Aged 12 to 20)	10.75⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	15.39	3.70	19.63	16.49	17.06
Past Month Cigarette Use	13.44	3.34	16.99	14.43	14.88
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	2.36	0.95	4.66	2.08	2.56
Alcohol Use Disorder	4.79	2.26	9.85	4.08	5.15
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	11.97	10.21	6.29	7.02
Serious Mental Illness^3,8	--	--	6.12	4.19	4.55
Any Mental Illness^3,8	--	--	24.06	19.66	20.48
Had Serious Thoughts of Suicide⁹	--	--	9.95	4.18	5.25

161004

VERMONT

Table 101 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Vermont, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	111	7	36	68	104
Past Month Marijuana Use	80	5	26	49	75
Past Year Cocaine Use	15	0	7	7	14
Past Year Heroin Use	4	0	1	3	4
First Use of Marijuana^2,3	6	2	3	1	4
ALCOHOL
Past Month Alcohol Use	330	6	52	271	324
Past Month Alcohol Use (Individuals Aged 12 to 20)	22⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	149	4	31	114	145
Past Month Cigarette Use	119	3	25	92	117
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	20	0	5	15	20
Alcohol Use Disorder	38	1	12	25	37
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	5	8	32	40
Serious Mental Illness^3,8	--	--	4	20	24
Any Mental Illness^3,8	--	--	17	84	101
Had Serious Thoughts of Suicide⁹	--	--	6	17	23

161004

VERMONT

Table 102 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Vermont, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	20.50	17.04	48.30	16.00	20.80
Past Month Marijuana Use	14.74	10.86	34.95	11.61	15.08
Past Year Cocaine Use	2.67	0.81	9.33	1.70	2.83
Past Year Heroin Use	0.77	0.18	1.47	0.72	0.83
First Use of Marijuana^2,3	2.86	6.97	13.02	0.45	2.10
ALCOHOL
Past Month Alcohol Use	60.67	13.16	70.65	63.80	64.82
Past Month Alcohol Use (Individuals Aged 12 to 20)	30.60⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	27.42	8.13	42.38	26.78	29.10
Past Month Cigarette Use	21.98	6.20	33.55	21.58	23.36
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	3.73	0.96	6.15	3.59	3.97
Alcohol Use Disorder	6.95	2.75	15.50	5.89	7.32
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	12.06	10.45	7.49	7.93
Serious Mental Illness^3,8	--	--	5.32	4.80	4.88
Any Mental Illness^3,8	--	--	23.37	19.73	20.27
Had Serious Thoughts of Suicide⁹	--	--	7.94	4.01	4.59

161004

VIRGINIA

Table 103 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Virginia, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	796	71	270	455	725
Past Month Marijuana Use	457	34	160	263	423
Past Year Cocaine Use	85	3	31	51	82
Past Year Heroin Use	25	1	7	17	24
First Use of Marijuana^2,3	76	29	39	9	48
ALCOHOL
Past Month Alcohol Use	3,572	67	544	2,961	3,505
Past Month Alcohol Use (Individuals Aged 12 to 20)	194⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	1,727	38	308	1,381	1,689
Past Month Cigarette Use	1,387	24	252	1,111	1,363
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	200	5	45	150	194
Alcohol Use Disorder	397	14	103	281	384
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	78	95	403	498
Serious Mental Illness^3,8	--	--	48	231	279
Any Mental Illness^3,8	--	--	184	1,019	1,203
Had Serious Thoughts of Suicide⁹	--	--	72	175	247

161004

VIRGINIA

Table 104 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Virginia, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	11.54	11.42	30.07	8.46	11.55
Past Month Marijuana Use	6.63	5.44	17.82	4.90	6.74
Past Year Cocaine Use	1.24	0.46	3.50	0.95	1.31
Past Year Heroin Use	0.36	0.11	0.80	0.32	0.38
First Use of Marijuana^2,3	1.90	5.03	8.10	0.29	1.38
ALCOHOL
Past Month Alcohol Use	51.77	10.65	60.66	55.06	55.86
Past Month Alcohol Use (Individuals Aged 12 to 20)	20.87⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	25.04	6.06	34.37	25.68	26.92
Past Month Cigarette Use	20.11	3.92	28.12	20.65	21.72
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	2.89	0.83	5.01	2.78	3.10
Alcohol Use Disorder	5.76	2.19	11.43	5.23	6.12
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	12.47	10.58	7.49	7.93
Serious Mental Illness^3,8	--	--	5.32	4.30	4.45
Any Mental Illness^3,8	--	--	20.56	18.94	19.18
Had Serious Thoughts of Suicide⁹	--	--	8.06	3.25	3.94

161004

WASHINGTON

Table 105 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Washington, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	1,037	83	261	693	954
Past Month Marijuana Use	665	49	163	453	616
Past Year Cocaine Use	109	4	40	65	105
Past Year Heroin Use	24	1	6	17	23
First Use of Marijuana^2,3	69	27	33	9	42
ALCOHOL
Past Month Alcohol Use	3,395	57	436	2,903	3,338
Past Month Alcohol Use (Individuals Aged 12 to 20)	192⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	1,310	34	231	1,045	1,276
Past Month Cigarette Use	1,038	22	177	839	1,016
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	156	5	39	113	151
Alcohol Use Disorder	337	15	86	236	322
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	67	93	312	405
Serious Mental Illness^3,8	--	--	44	196	239
Any Mental Illness^3,8	--	--	199	864	1,062
Had Serious Thoughts of Suicide⁹	--	--	71	175	245

161004

WASHINGTON

Table 106 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Washington, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	17.49	15.61	35.03	14.90	17.68
Past Month Marijuana Use	11.22	9.17	21.87	9.74	11.42
Past Year Cocaine Use	1.84	0.67	5.39	1.40	1.95
Past Year Heroin Use	0.40	0.15	0.86	0.36	0.43
First Use of Marijuana^2,3	2.30	5.96	9.00	0.41	1.63
ALCOHOL
Past Month Alcohol Use	57.26	10.65	58.45	62.39	61.84
Past Month Alcohol Use (Individuals Aged 12 to 20)	22.67⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	22.09	6.32	31.00	22.46	23.65
Past Month Cigarette Use	17.51	4.10	23.73	18.04	18.83
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	2.64	0.93	5.21	2.42	2.81
Alcohol Use Disorder	5.68	2.74	11.57	5.07	5.97
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	12.54	12.52	6.70	7.50
Serious Mental Illness^3,8	--	--	5.85	4.21	4.43
Any Mental Illness^3,8	--	--	26.63	18.56	19.68
Had Serious Thoughts of Suicide⁹	--	--	9.49	3.75	4.54

161004

WEST VIRGINIA

Table 107 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in West Virginia, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	174	16	57	101	158
Past Month Marijuana Use	109	8	36	65	101
Past Year Cocaine Use	24	1	10	13	23
Past Year Heroin Use	6	0	2	4	5
First Use of Marijuana^2,3	16	7	7	2	9
ALCOHOL
Past Month Alcohol Use	648	13	106	529	635
Past Month Alcohol Use (Individuals Aged 12 to 20)	45⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	587	16	96	475	570
Past Month Cigarette Use	467	11	76	380	456
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	42	1	10	32	41
Alcohol Use Disorder	86	4	22	61	83
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	17	20	99	119
Serious Mental Illness^3,8	--	--	10	68	78
Any Mental Illness^3,8	--	--	39	261	301
Had Serious Thoughts of Suicide⁹	--	--	15	46	61

161004

WEST VIRGINIA

Table 108 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in West Virginia, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	11.07	12.15	30.27	8.09	10.97
Past Month Marijuana Use	6.92	6.05	18.89	5.22	7.00
Past Year Cocaine Use	1.54	0.59	5.32	1.07	1.63
Past Year Heroin Use	0.36	0.12	0.82	0.31	0.38
First Use of Marijuana^2,3	1.71	5.66	7.97	0.23	1.13
ALCOHOL
Past Month Alcohol Use	41.28	9.97	56.06	42.29	44.08
Past Month Alcohol Use (Individuals Aged 12 to 20)	21.89⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	37.40	12.55	50.84	37.93	39.62
Past Month Cigarette Use	29.77	8.29	40.10	30.41	31.68
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	2.70	0.96	5.05	2.53	2.85
Alcohol Use Disorder	5.49	2.87	11.46	4.87	5.73
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	13.26	10.61	7.95	8.29
Serious Mental Illness^3,8	--	--	5.30	5.43	5.41
Any Mental Illness^3,8	--	--	20.88	20.89	20.89
Had Serious Thoughts of Suicide⁹	--	--	7.69	3.71	4.23

161004

WISCONSIN

Table 109 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Wisconsin, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	584	63	201	320	521
Past Month Marijuana Use	334	34	109	190	300
Past Year Cocaine Use	77	3	31	43	74
Past Year Heroin Use	15	1	6	9	15
First Use of Marijuana^2,3	57	24	27	6	33
ALCOHOL
Past Month Alcohol Use	2,923	50	414	2,459	2,872
Past Month Alcohol Use (Individuals Aged 12 to 20)	155⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	1,228	36	226	967	1,193
Past Month Cigarette Use	998	26	182	789	971
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	140	4	35	100	135
Alcohol Use Disorder	355	14	91	250	341
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	61	66	222	288
Serious Mental Illness^3,8	--	--	33	142	175
Any Mental Illness^3,8	--	--	140	684	824
Had Serious Thoughts of Suicide⁹	--	--	52	132	184

161004

WISCONSIN

Table 110 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Wisconsin, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	12.05	14.04	32.24	8.47	11.85
Past Month Marijuana Use	6.89	7.60	17.52	5.05	6.82
Past Year Cocaine Use	1.59	0.72	4.96	1.13	1.68
Past Year Heroin Use	0.32	0.12	0.90	0.24	0.34
First Use of Marijuana^2,3	2.12	6.05	8.24	0.31	1.43
ALCOHOL
Past Month Alcohol Use	60.36	11.25	66.26	65.19	65.34
Past Month Alcohol Use (Individuals Aged 12 to 20)	23.86⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	25.37	7.96	36.14	25.64	27.13
Past Month Cigarette Use	20.60	5.90	29.13	20.93	22.10
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	2.88	0.98	5.68	2.65	3.08
Alcohol Use Disorder	7.33	3.06	14.57	6.64	7.76
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	13.64	10.61	5.89	6.56
Serious Mental Illness^3,8	--	--	5.28	3.77	3.99
Any Mental Illness^3,8	--	--	22.42	18.15	18.75
Had Serious Thoughts of Suicide⁹	--	--	8.30	3.50	4.18

161004

WYOMING

Table 111 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Wyoming, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. NOTE: Estimated numbers appearing as 0 in this table mean that the estimate is greater than 0 but less than 500 (because estimated numbers are shown in thousands). ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	52	6	17	29	46
Past Month Marijuana Use	30	3	10	18	27
Past Year Cocaine Use	5	0	2	3	5
Past Year Heroin Use	2	0	0	1	2
First Use of Marijuana^2,3	5	2	2	1	3
ALCOHOL
Past Month Alcohol Use	261	5	39	217	257
Past Month Alcohol Use (Individuals Aged 12 to 20)	14⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	149	5	27	118	144
Past Month Cigarette Use	117	3	20	93	113
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	16	0	4	11	16
Alcohol Use Disorder	31	1	8	21	29
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	6	7	26	33
Serious Mental Illness^3,8	--	--	4	16	19
Any Mental Illness^3,8	--	--	15	70	85
Had Serious Thoughts of Suicide⁹	--	--	5	13	18

161004

WYOMING

Table 112 – Selected Drug Use, Past Year Alcohol Use Disorder, and Past Year Mental Health Measures in Wyoming, by Age Group: Percentages, Annual Averages Based on 2014-2015 NSDUHs
Measure¹	12+	12-17	18-25	26+	18+
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ In 2015, a number of changes were made to the NSDUH questionnaire and data collection procedures resulting in the establishment of a new baseline for a number of measures. Therefore, estimates for several measures included in prior reports are not available. For details, see Section A of the "2014-2015 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/. ² First use of marijuana (or the average annual initiation of marijuana expressed as a percentage) = 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 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. ⁵ Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco. ⁶ Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁷ 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. ⁸ 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. ⁹ 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, 2014 and 2015.
ILLICIT DRUGS
Past Year Marijuana Use	10.87	13.30	27.41	7.77	10.62
Past Month Marijuana Use	6.32	6.59	15.64	4.71	6.30
Past Year Cocaine Use	1.07	0.56	3.74	0.68	1.12
Past Year Heroin Use	0.36	0.05	0.35	0.40	0.39
First Use of Marijuana^2,3	1.81	5.33	7.22	0.26	1.21
ALCOHOL
Past Month Alcohol Use	54.32	10.72	62.15	58.15	58.73
Past Month Alcohol Use (Individuals Aged 12 to 20)	21.59⁴	--	--	--	--
TOBACCO PRODUCTS
Past Month Tobacco Product Use⁵	31.00	10.59	42.10	31.53	33.06
Past Month Cigarette Use	24.24	7.76	31.24	25.00	25.90
PAST YEAR ALCOHOL USE DISORDER⁶
Alcohol Dependence	3.35	1.06	6.71	3.05	3.58
Alcohol Use Disorder	6.36	2.94	13.15	5.62	6.71
PAST YEAR MENTAL HEALTH ISSUES
Major Depressive Episode^3,7	--	13.31	10.80	6.95	7.51
Serious Mental Illness^3,8	--	--	5.76	4.18	4.41
Any Mental Illness^3,8	--	--	23.37	18.85	19.51
Had Serious Thoughts of Suicide⁹	--	--	8.37	3.42	4.14