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201021

UNITED STATES

Table 1 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in the United States, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 33,861 2,084 8,268 23,509 31,777
Past Year Marijuana Use 45,865 3,197 11,890 30,778 42,668
Past Month Marijuana Use 29,637 1,748 7,639 20,251 27,889
Perceptions of Great Risk from Smoking Marijuana Once a Month 66,968 5,645 4,022 57,301 61,323
First Use of Marijuana3,4 3,524 1,269 1,502 752 2,254
Past Month Illicit Drug Use Other Than Marijuana1,2 9,094 591 2,056 6,447 8,503
Past Year Cocaine Use 5,499 104 1,878 3,517 5,394
Perceptions of Great Risk from Using Cocaine Once a Month 193,724 13,453 21,225 159,045 180,271
Past Year Heroin Use 776 5 122 649 771
Perceptions of Great Risk from Trying Heroin Once or Twice 235,228 15,866 27,945 191,417 219,362
Past Year Methamphetamine Use 1,933 42 274 1,616 1,891
Past Year Misuse of Pain Relievers2 9,836 631 1,806 7,399 9,205
ALCOHOL          
Past Month Alcohol Use 139,783 2,289 18,540 118,953 137,493
Past Month Binge Alcohol Use5 66,453 1,190 11,718 53,545 65,263
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
123,048 10,734 12,882 99,432 112,314
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 7,096 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 4,272 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 58,423 1,000 8,498 48,926 57,424
Past Month Cigarette Use 46,420 622 6,216 39,582 45,798
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
196,304 16,225 22,655 157,424 180,080
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 8,204 788 2,556 4,859 7,416
Pain Reliever Use Disorder2,8 1,530 95 222 1,213 1,435
Alcohol Use Disorder8 14,661 407 3,278 10,976 14,254
Substance Use Disorder1,2,8 20,331 1,017 4,944 14,369 19,314
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 7,420 745 2,401 4,275 6,676
Needing But Not Receiving Treatment for Alcohol Use9 13,977 400 3,163 10,415 13,578
Needing But Not Receiving Treatment for Substance Use1,2,9 18,898 968 4,685 13,245 17,930
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 9,437 40,127 49,564
Serious Mental Illness4,10 -- -- 2,759 9,485 12,244
Received Mental Health Services11 -- -- 5,485 33,380 38,866
Major Depressive Episode4,12 -- 3,755 4,905 13,862 18,767
Had Serious Thoughts of Suicide13 -- -- 3,859 7,576 11,434
Made Any Suicide Plans14 -- -- 1,250 2,160 3,411
Attempted Suicide14 -- -- 633 790 1,422
-- 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 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

UNITED STATES

Table 2 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in the United States, by Age Group: Percentages, Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 12.34 8.37 24.40 10.90 12.73
Past Year Marijuana Use 16.71 12.84 35.09 14.27 17.10
Past Month Marijuana Use 10.80 7.02 22.54 9.39 11.17
Perceptions of Great Risk from Smoking Marijuana Once a Month 24.39 22.67 11.87 26.56 24.56
First Use of Marijuana3,4 2.31 5.70 8.39 0.67 1.73
Past Month Illicit Drug Use Other Than Marijuana1,2 3.31 2.37 6.07 2.99 3.41
Past Year Cocaine Use 2.00 0.42 5.54 1.63 2.16
Perceptions of Great Risk from Using Cocaine Once a Month 70.59 54.03 62.64 73.73 72.22
Past Year Heroin Use 0.28 0.02 0.36 0.30 0.31
Perceptions of Great Risk from Trying Heroin Once or Twice 85.73 63.72 82.47 88.74 87.89
Past Year Methamphetamine Use 0.70 0.17 0.81 0.75 0.76
Past Year Misuse of Pain Relievers2 3.58 2.53 5.33 3.43 3.69
ALCOHOL          
Past Month Alcohol Use 50.92 9.19 54.72 55.15 55.09
Past Month Binge Alcohol Use5 24.21 4.78 34.58 24.82 26.15
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
44.83 43.11 38.02 46.10 45.00
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 18.67 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 11.24 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 21.28 4.01 25.08 22.68 23.01
Past Month Cigarette Use 16.91 2.50 18.34 18.35 18.35
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
71.52 65.16 66.86 72.98 72.15
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 2.99 3.16 7.54 2.25 2.97
Pain Reliever Use Disorder2,8 0.56 0.38 0.65 0.56 0.57
Alcohol Use Disorder8 5.34 1.64 9.67 5.09 5.71
Substance Use Disorder1,2,8 7.41 4.08 14.59 6.66 7.74
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.70 2.99 7.09 1.98 2.67
Needing But Not Receiving Treatment for Alcohol Use9 5.09 1.60 9.33 4.83 5.44
Needing But Not Receiving Treatment for Substance Use1,2,9 6.88 3.89 13.83 6.14 7.18
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 27.85 18.60 19.86
Serious Mental Illness4,10 -- -- 8.14 4.40 4.91
Received Mental Health Services11 -- -- 16.19 15.48 15.57
Major Depressive Episode4,12 -- 15.08 14.48 6.43 7.51
Had Serious Thoughts of Suicide13 -- -- 11.39 3.51 4.58
Made Any Suicide Plans14 -- -- 3.69 1.00 1.36
Attempted Suicide14 -- -- 1.87 0.37 0.57
-- Not available.
NOTE: The percentages in this table are based on national design-based estimates.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual initiation of marijuana (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

NORTHEAST REGION

Table 3 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in the Northeast Region, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 6,143 340 1,546 4,257 5,803
Past Year Marijuana Use 8,458 529 2,275 5,654 7,929
Past Month Marijuana Use 5,455 293 1,447 3,715 5,162
Perceptions of Great Risk from Smoking Marijuana Once a Month 11,370 903 674 9,794 10,467
First Use of Marijuana3,4 619 210 279 130 409
Past Month Illicit Drug Use Other Than Marijuana1,2 1,499 84 364 1,051 1,415
Past Year Cocaine Use 1,056 15 370 672 1,041
Perceptions of Great Risk from Using Cocaine Once a Month 32,681 2,160 3,448 27,073 30,521
Past Year Heroin Use 173 1 26 145 172
Perceptions of Great Risk from Trying Heroin Once or Twice 41,021 2,613 4,807 33,601 38,408
Past Year Methamphetamine Use 195 6 30 159 189
Past Year Misuse of Pain Relievers2 1,480 76 272 1,133 1,404
ALCOHOL          
Past Month Alcohol Use 25,790 390 3,427 21,973 25,400
Past Month Binge Alcohol Use5 12,027 201 2,308 9,519 11,827
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
21,223 1,693 2,072 17,459 19,530
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 1,249 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 788 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 9,213 143 1,426 7,644 9,070
Past Month Cigarette Use 7,371 85 1,026 6,259 7,286
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
35,350 2,671 4,020 28,658 32,679
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 1,426 116 465 845 1,310
Pain Reliever Use Disorder2,8 233 15 36 182 218
Alcohol Use Disorder8 2,525 67 588 1,870 2,458
Substance Use Disorder1,2,8 3,505 150 912 2,442 3,355
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 1,301 111 424 767 1,190
Needing But Not Receiving Treatment for Alcohol Use9 2,377 65 571 1,741 2,312
Needing But Not Receiving Treatment for Substance Use1,2,9 3,222 145 858 2,220 3,078
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 1,644 6,876 8,520
Serious Mental Illness4,10 -- -- 473 1,559 2,032
Received Mental Health Services11 -- -- 1,047 6,384 7,431
Major Depressive Episode4,12 -- 542 839 2,326 3,165
Had Serious Thoughts of Suicide13 -- -- 660 1,287 1,946
Made Any Suicide Plans14 -- -- 201 350 551
Attempted Suicide14 -- -- 101 150 251
-- 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 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

NORTHEAST REGION

Table 4 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in the Northeast Region, by Age Group: Percentages, Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 12.86 8.56 26.58 11.21 13.25
Past Year Marijuana Use 17.70 13.30 39.12 14.88 18.10
Past Month Marijuana Use 11.42 7.37 24.88 9.78 11.79
Perceptions of Great Risk from Smoking Marijuana Once a Month 23.78 22.71 11.59 25.78 23.88
First Use of Marijuana3,4 2.44 5.99 9.82 0.70 1.87
Past Month Illicit Drug Use Other Than Marijuana1,2 3.14 2.12 6.26 2.77 3.23
Past Year Cocaine Use 2.21 0.38 6.35 1.77 2.38
Perceptions of Great Risk from Using Cocaine Once a Month 68.41 54.31 59.29 71.26 69.67
Past Year Heroin Use 0.36 0.02 0.45 0.38 0.39
Perceptions of Great Risk from Trying Heroin Once or Twice 85.88 65.69 82.66 88.44 87.67
Past Year Methamphetamine Use 0.41 0.16 0.52 0.42 0.43
Past Year Misuse of Pain Relievers2 3.10 1.90 4.67 2.98 3.21
ALCOHOL          
Past Month Alcohol Use 53.97 9.80 58.93 57.84 57.98
Past Month Binge Alcohol Use5 25.17 5.04 39.69 25.05 27.00
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
44.41 42.56 35.62 45.95 44.58
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 20.33 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 12.83 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 19.28 3.59 24.53 20.12 20.71
Past Month Cigarette Use 15.43 2.14 17.65 16.48 16.63
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
73.98 67.15 69.14 75.43 74.59
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 2.98 2.92 8.00 2.22 2.99
Pain Reliever Use Disorder2,8 0.49 0.38 0.62 0.48 0.50
Alcohol Use Disorder8 5.28 1.68 10.12 4.92 5.61
Substance Use Disorder1,2,8 7.34 3.78 15.69 6.43 7.66
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.72 2.78 7.29 2.02 2.72
Needing But Not Receiving Treatment for Alcohol Use9 4.98 1.64 9.81 4.58 5.28
Needing But Not Receiving Treatment for Substance Use1,2,9 6.74 3.64 14.75 5.84 7.03
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 28.27 18.10 19.45
Serious Mental Illness4,10 -- -- 8.14 4.10 4.64
Received Mental Health Services11 -- -- 18.01 16.80 16.96
Major Depressive Episode4,12 -- 13.62 14.43 6.12 7.22
Had Serious Thoughts of Suicide13 -- -- 11.34 3.39 4.44
Made Any Suicide Plans14 -- -- 3.45 0.92 1.26
Attempted Suicide14 -- -- 1.74 0.40 0.57
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
NOTE: The Northeast region includes the following states: Connecticut, Maine, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, and Vermont.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual initiation of marijuana (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

MIDWEST REGION

Table 5 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in the Midwest Region, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 6,797 430 1,755 4,612 6,367
Past Year Marijuana Use 9,324 658 2,554 6,112 8,666
Past Month Marijuana Use 5,884 351 1,619 3,915 5,534
Perceptions of Great Risk from Smoking Marijuana Once a Month 11,951 1,123 705 10,123 10,828
First Use of Marijuana3,4 766 266 345 155 501
Past Month Illicit Drug Use Other Than Marijuana1,2 1,896 125 445 1,327 1,771
Past Year Cocaine Use 1,037 23 365 650 1,015
Perceptions of Great Risk from Using Cocaine Once a Month 39,851 2,780 4,398 32,673 37,071
Past Year Heroin Use 176 1 29 145 174
Perceptions of Great Risk from Trying Heroin Once or Twice 48,897 3,311 5,876 39,711 45,586
Past Year Methamphetamine Use 412 12 64 336 400
Past Year Misuse of Pain Relievers2 2,070 136 394 1,539 1,934
ALCOHOL          
Past Month Alcohol Use 30,954 508 4,272 26,175 30,447
Past Month Binge Alcohol Use5 15,137 264 2,719 12,154 14,873
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
23,068 2,094 2,440 18,534 20,975
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 1,697 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 1,056 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 13,670 237 2,009 11,423 13,432
Past Month Cigarette Use 10,858 155 1,467 9,236 10,703
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
38,852 3,348 4,538 30,966 35,504
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 1,710 173 548 989 1,537
Pain Reliever Use Disorder2,8 340 22 48 271 319
Alcohol Use Disorder8 3,173 91 751 2,332 3,082
Substance Use Disorder1,2,8 4,322 224 1,072 3,025 4,097
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 1,512 159 506 847 1,353
Needing But Not Receiving Treatment for Alcohol Use9 3,034 89 713 2,232 2,945
Needing But Not Receiving Treatment for Substance Use1,2,9 3,968 213 1,021 2,735 3,756
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 2,146 8,764 10,910
Serious Mental Illness4,10 -- -- 652 2,095 2,747
Received Mental Health Services11 -- -- 1,375 7,886 9,261
Major Depressive Episode4,12 -- 831 1,125 3,106 4,231
Had Serious Thoughts of Suicide13 -- -- 909 1,665 2,573
Made Any Suicide Plans14 -- -- 318 504 822
Attempted Suicide14 -- -- 134 186 319
-- 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 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

MIDWEST REGION

Table 6 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in the Midwest Region, by Age Group: Percentages, Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 11.87 8.15 24.37 10.30 12.25
Past Year Marijuana Use 16.28 12.47 35.45 13.65 16.67
Past Month Marijuana Use 10.28 6.64 22.47 8.74 10.65
Perceptions of Great Risk from Smoking Marijuana Once a Month 20.86 21.28 9.79 22.61 20.82
First Use of Marijuana3,4 2.48 5.55 9.24 0.69 1.92
Past Month Illicit Drug Use Other Than Marijuana1,2 3.31 2.36 6.17 2.96 3.41
Past Year Cocaine Use 1.81 0.43 5.07 1.45 1.95
Perceptions of Great Risk from Using Cocaine Once a Month 69.63 52.69 61.05 72.98 71.32
Past Year Heroin Use 0.31 0.03 0.40 0.32 0.34
Perceptions of Great Risk from Trying Heroin Once or Twice 85.44 62.75 81.56 88.70 87.71
Past Year Methamphetamine Use 0.72 0.23 0.89 0.75 0.77
Past Year Misuse of Pain Relievers2 3.62 2.58 5.47 3.44 3.72
ALCOHOL          
Past Month Alcohol Use 54.07 9.62 59.29 58.47 58.58
Past Month Binge Alcohol Use5 26.44 5.01 37.74 27.15 28.61
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
40.29 39.68 33.88 41.40 40.35
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 20.87 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 12.99 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 23.88 4.50 27.89 25.51 25.84
Past Month Cigarette Use 18.96 2.94 20.37 20.63 20.59
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
67.87 63.45 62.99 69.17 68.31
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 2.99 3.28 7.61 2.21 2.96
Pain Reliever Use Disorder2,8 0.59 0.41 0.66 0.60 0.61
Alcohol Use Disorder8 5.54 1.72 10.42 5.21 5.93
Substance Use Disorder1,2,8 7.55 4.25 14.88 6.76 7.88
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.64 3.01 7.03 1.89 2.60
Needing But Not Receiving Treatment for Alcohol Use9 5.30 1.69 9.90 4.99 5.67
Needing But Not Receiving Treatment for Substance Use1,2,9 6.93 4.03 14.17 6.11 7.23
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 29.79 19.58 20.99
Serious Mental Illness4,10 -- -- 9.05 4.68 5.29
Received Mental Health Services11 -- -- 19.08 17.61 17.82
Major Depressive Episode4,12 -- 15.74 15.62 6.94 8.14
Had Serious Thoughts of Suicide13 -- -- 12.62 3.72 4.95
Made Any Suicide Plans14 -- -- 4.42 1.13 1.58
Attempted Suicide14 -- -- 1.85 0.41 0.61
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
NOTE: The Midwest region includes the following states: Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota, and Wisconsin.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual initiation of marijuana (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

SOUTH REGION

Table 7 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in the South Region, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 10,766 712 2,654 7,400 10,054
Past Year Marijuana Use 14,557 1,080 3,842 9,634 13,476
Past Month Marijuana Use 9,235 592 2,415 6,228 8,643
Perceptions of Great Risk from Smoking Marijuana Once a Month 28,750 2,404 1,742 24,604 26,346
First Use of Marijuana3,4 1,196 456 511 229 740
Past Month Illicit Drug Use Other Than Marijuana1,2 3,183 229 703 2,252 2,954
Past Year Cocaine Use 1,718 34 560 1,124 1,684
Perceptions of Great Risk from Using Cocaine Once a Month 77,799 5,363 8,540 63,896 72,436
Past Year Heroin Use 243 2 42 199 241
Perceptions of Great Risk from Trying Heroin Once or Twice 90,766 6,236 10,664 73,867 84,530
Past Year Methamphetamine Use 653 15 96 542 638
Past Year Misuse of Pain Relievers2 3,819 264 690 2,865 3,556
ALCOHOL          
Past Month Alcohol Use 50,016 859 6,508 42,649 49,157
Past Month Binge Alcohol Use5 24,105 441 4,005 19,659 23,664
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
48,765 4,383 5,122 39,260 44,382
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 2,557 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 1,484 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 24,342 428 3,406 20,508 23,914
Past Month Cigarette Use 19,185 270 2,447 16,469 18,916
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
73,900 6,253 8,454 59,193 67,647
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 2,728 275 851 1,602 2,453
Pain Reliever Use Disorder2,8 576 36 85 455 539
Alcohol Use Disorder8 4,945 139 1,077 3,729 4,806
Substance Use Disorder1,2,8 6,870 357 1,655 4,858 6,513
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2,457 261 805 1,391 2,196
Needing But Not Receiving Treatment for Alcohol Use9 4,732 138 1,042 3,553 4,594
Needing But Not Receiving Treatment for Substance Use1,2,9 6,408 341 1,573 4,494 6,067
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 3,303 14,402 17,704
Serious Mental Illness4,10 -- -- 966 3,513 4,478
Received Mental Health Services11 -- -- 1,840 11,492 13,332
Major Depressive Episode4,12 -- 1,408 1,753 4,982 6,735
Had Serious Thoughts of Suicide13 -- -- 1,353 2,658 4,012
Made Any Suicide Plans14 -- -- 444 750 1,194
Attempted Suicide14 -- -- 243 285 528
-- 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 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

SOUTH REGION

Table 8 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in the South Region, by Age Group: Percentages, Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 10.34 7.38 20.84 9.05 10.64
Past Year Marijuana Use 13.98 11.19 30.17 11.79 14.27
Past Month Marijuana Use 8.87 6.13 18.97 7.62 9.15
Perceptions of Great Risk from Smoking Marijuana Once a Month 27.60 24.91 13.68 30.10 27.87
First Use of Marijuana3,4 1.92 5.08 6.99 0.52 1.40
Past Month Illicit Drug Use Other Than Marijuana1,2 3.06 2.37 5.52 2.75 3.13
Past Year Cocaine Use 1.65 0.36 4.39 1.38 1.78
Perceptions of Great Risk from Using Cocaine Once a Month 74.73 55.56 67.05 78.17 76.67
Past Year Heroin Use 0.23 0.02 0.33 0.24 0.26
Perceptions of Great Risk from Trying Heroin Once or Twice 87.20 64.60 83.73 90.37 89.47
Past Year Methamphetamine Use 0.63 0.16 0.75 0.66 0.68
Past Year Misuse of Pain Relievers2 3.67 2.73 5.42 3.51 3.76
ALCOHOL          
Past Month Alcohol Use 48.03 8.89 51.11 52.18 52.03
Past Month Binge Alcohol Use5 23.15 4.57 31.45 24.05 25.05
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
46.83 45.41 40.22 48.03 46.98
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 17.35 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 10.07 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 23.38 4.44 26.75 25.09 25.31
Past Month Cigarette Use 18.43 2.79 19.21 20.15 20.02
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
70.98 64.77 66.39 72.42 71.60
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 2.62 2.85 6.68 1.96 2.60
Pain Reliever Use Disorder2,8 0.55 0.38 0.67 0.56 0.57
Alcohol Use Disorder8 4.75 1.44 8.45 4.56 5.09
Substance Use Disorder1,2,8 6.60 3.70 12.99 5.94 6.89
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.36 2.70 6.32 1.70 2.32
Needing But Not Receiving Treatment for Alcohol Use9 4.54 1.43 8.18 4.35 4.86
Needing But Not Receiving Treatment for Substance Use1,2,9 6.15 3.53 12.35 5.50 6.42
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 25.94 17.62 18.74
Serious Mental Illness4,10 -- -- 7.58 4.30 4.74
Received Mental Health Services11 -- -- 14.45 14.06 14.11
Major Depressive Episode4,12 -- 14.59 13.77 6.10 7.12
Had Serious Thoughts of Suicide13 -- -- 10.63 3.25 4.24
Made Any Suicide Plans14 -- -- 3.49 0.92 1.26
Attempted Suicide14 -- -- 1.91 0.35 0.56
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
NOTE: The South region includes the following states: Alabama, Arkansas, Delaware, District of Columbia, Florida, Georgia, Kentucky, Louisiana, Maryland, Mississippi, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Virginia, and West Virginia
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual initiation of marijuana (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

WEST REGION

Table 9 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in the West Region, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 10,154 602 2,312 7,241 9,553
Past Year Marijuana Use 13,526 929 3,220 9,377 12,597
Past Month Marijuana Use 9,063 512 2,157 6,393 8,550
Perceptions of Great Risk from Smoking Marijuana Once a Month 14,896 1,215 901 12,781 13,682
First Use of Marijuana3,4 943 338 367 239 605
Past Month Illicit Drug Use Other Than Marijuana1,2 2,516 153 545 1,818 2,362
Past Year Cocaine Use 1,687 32 584 1,071 1,655
Perceptions of Great Risk from Using Cocaine Once a Month 43,393 3,150 4,839 35,403 40,243
Past Year Heroin Use 185 1 24 159 184
Perceptions of Great Risk from Trying Heroin Once or Twice 54,544 3,706 6,599 44,239 50,838
Past Year Methamphetamine Use 673 9 84 580 664
Past Year Misuse of Pain Relievers2 2,467 155 449 1,862 2,311
ALCOHOL          
Past Month Alcohol Use 33,023 534 4,333 28,156 32,489
Past Month Binge Alcohol Use5 15,183 284 2,686 12,214 14,899
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
29,991 2,565 3,248 24,179 27,427
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 1,593 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 943 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 11,198 191 1,655 9,352 11,007
Past Month Cigarette Use 9,006 112 1,275 7,618 8,893
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
48,203 3,953 5,642 38,608 44,250
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 2,339 223 692 1,424 2,116
Pain Reliever Use Disorder2,8 381 22 53 305 359
Alcohol Use Disorder8 4,018 111 862 3,045 3,907
Substance Use Disorder1,2,8 5,634 285 1,305 4,044 5,349
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2,151 214 666 1,271 1,937
Needing But Not Receiving Treatment for Alcohol Use9 3,833 107 837 2,889 3,727
Needing But Not Receiving Treatment for Substance Use1,2,9 5,299 270 1,233 3,796 5,030
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 2,345 10,084 12,429
Serious Mental Illness4,10 -- -- 668 2,318 2,986
Received Mental Health Services11 -- -- 1,223 7,619 8,842
Major Depressive Episode4,12 -- 975 1,188 3,447 4,635
Had Serious Thoughts of Suicide13 -- -- 937 1,966 2,903
Made Any Suicide Plans14 -- -- 287 556 843
Attempted Suicide14 -- -- 155 168 324
-- 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 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

WEST REGION

Table 10 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in the West Region, by Age Group: Percentages, Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 15.54 10.03 28.44 14.14 16.10
Past Year Marijuana Use 20.70 15.50 39.60 18.31 21.23
Past Month Marijuana Use 13.87 8.54 26.53 12.49 14.41
Perceptions of Great Risk from Smoking Marijuana Once a Month 22.79 20.27 11.08 24.96 23.05
First Use of Marijuana3,4 2.78 6.65 9.12 0.91 2.08
Past Month Illicit Drug Use Other Than Marijuana1,2 3.85 2.56 6.70 3.55 3.98
Past Year Cocaine Use 2.58 0.54 7.18 2.09 2.79
Perceptions of Great Risk from Using Cocaine Once a Month 66.44 52.56 59.53 69.15 67.82
Past Year Heroin Use 0.28 0.02 0.30 0.31 0.31
Perceptions of Great Risk from Trying Heroin Once or Twice 83.53 61.83 81.17 86.40 85.68
Past Year Methamphetamine Use 1.03 0.14 1.04 1.13 1.12
Past Year Misuse of Pain Relievers2 3.78 2.59 5.53 3.64 3.90
ALCOHOL          
Past Month Alcohol Use 50.55 8.90 53.30 54.99 54.76
Past Month Binge Alcohol Use5 23.24 4.74 33.03 23.85 25.11
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
45.91 42.79 39.95 47.22 46.22
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 17.69 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 10.47 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 17.14 3.19 20.36 18.26 18.55
Past Month Cigarette Use 13.79 1.87 15.69 14.88 14.99
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
73.80 65.96 69.40 75.40 74.58
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 3.58 3.72 8.52 2.78 3.57
Pain Reliever Use Disorder2,8 0.58 0.37 0.66 0.60 0.60
Alcohol Use Disorder8 6.15 1.85 10.60 5.95 6.59
Substance Use Disorder1,2,8 8.62 4.76 16.06 7.90 9.02
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 3.29 3.57 8.19 2.48 3.26
Needing But Not Receiving Treatment for Alcohol Use9 5.87 1.78 10.30 5.64 6.28
Needing But Not Receiving Treatment for Substance Use1,2,9 8.11 4.50 15.17 7.41 8.48
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 28.84 19.70 20.95
Serious Mental Illness4,10 -- -- 8.21 4.53 5.03
Received Mental Health Services11 -- -- 15.04 14.88 14.90
Major Depressive Episode4,12 -- 16.26 14.61 6.73 7.81
Had Serious Thoughts of Suicide13 -- -- 11.52 3.84 4.89
Made Any Suicide Plans14 -- -- 3.53 1.09 1.42
Attempted Suicide14 -- -- 1.91 0.33 0.54
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
NOTE: The West region includes the following states: Alaska, Arizona, California, Colorado, Hawaii, Idaho, Montana, Nevada, New Mexico, Oregon, Utah, Washington, and Wyoming.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual initiation of marijuana (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

ALABAMA

Table 11 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Alabama, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 434 26 104 304 408
Past Year Marijuana Use 605 36 152 417 569
Past Month Marijuana Use 356 22 93 242 334
Perceptions of Great Risk from Smoking Marijuana Once a Month 1,158 103 71 984 1,055
First Use of Marijuana3,4 44 16 19 9 28
Past Month Illicit Drug Use Other Than Marijuana1,2 137 9 28 100 128
Past Year Cocaine Use 73 1 21 51 72
Perceptions of Great Risk from Using Cocaine Once a Month 3,135 207 348 2,579 2,928
Past Year Heroin Use 11 0 2 9 11
Perceptions of Great Risk from Trying Heroin Once or Twice 3,600 240 425 2,935 3,360
Past Year Methamphetamine Use 47 1 5 41 46
Past Year Misuse of Pain Relievers2 187 15 32 139 171
ALCOHOL          
Past Month Alcohol Use 1,798 31 232 1,536 1,768
Past Month Binge Alcohol Use5 976 16 141 818 960
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
1,877 167 199 1,512 1,711
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 91 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 57 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 1,186 20 155 1,012 1,166
Past Month Cigarette Use 932 13 111 808 919
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
2,794 233 319 2,242 2,561
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 125 9 39 77 116
Pain Reliever Use Disorder2,8 31 2 4 25 29
Alcohol Use Disorder8 219 6 46 167 213
Substance Use Disorder1,2,8 306 12 68 227 294
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 109 8 36 64 101
Needing But Not Receiving Treatment for Alcohol Use9 209 5 43 161 203
Needing But Not Receiving Treatment for Substance Use1,2,9 278 11 69 198 267
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 142 652 794
Serious Mental Illness4,10 -- -- 43 168 210
Received Mental Health Services11 -- -- 72 511 583
Major Depressive Episode4,12 -- 54 67 236 304
Had Serious Thoughts of Suicide13 -- -- 62 119 180
Made Any Suicide Plans14 -- -- 21 34 55
Attempted Suicide14 -- -- 11 9 20
-- 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 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

ALABAMA

Table 12 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Alabama, by Age Group: Percentages, Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 10.59 7.02 20.58 9.44 10.94
Past Year Marijuana Use 14.74 9.72 30.01 12.93 15.24
Past Month Marijuana Use 8.67 5.80 18.34 7.49 8.96
Perceptions of Great Risk from Smoking Marijuana Once a Month 28.22 27.72 14.04 30.51 28.27
First Use of Marijuana3,4 1.81 4.62 6.54 0.51 1.35
Past Month Illicit Drug Use Other Than Marijuana1,2 3.35 2.37 5.60 3.11 3.44
Past Year Cocaine Use 1.78 0.31 4.13 1.58 1.93
Perceptions of Great Risk from Using Cocaine Once a Month 76.45 55.84 68.99 79.97 78.48
Past Year Heroin Use 0.27 0.03 0.35 0.29 0.30
Perceptions of Great Risk from Trying Heroin Once or Twice 87.79 64.68 84.09 90.99 90.06
Past Year Methamphetamine Use 1.14 0.22 1.06 1.26 1.23
Past Year Misuse of Pain Relievers2 4.55 4.08 6.42 4.31 4.59
ALCOHOL          
Past Month Alcohol Use 43.85 8.22 45.83 47.64 47.39
Past Month Binge Alcohol Use5 23.79 4.32 27.97 25.37 25.73
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
45.77 44.91 39.36 46.88 45.86
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 15.53 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 9.77 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 28.92 5.31 30.64 31.36 31.27
Past Month Cigarette Use 22.72 3.58 21.91 25.05 24.62
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
68.13 62.74 63.16 69.52 68.66
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 3.05 2.55 7.71 2.38 3.10
Pain Reliever Use Disorder2,8 0.75 0.41 0.77 0.78 0.78
Alcohol Use Disorder8 5.33 1.50 9.16 5.18 5.71
Substance Use Disorder1,2,8 7.46 3.19 13.38 7.03 7.89
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.66 2.24 7.22 1.99 2.70
Needing But Not Receiving Treatment for Alcohol Use9 5.09 1.47 8.43 4.98 5.45
Needing But Not Receiving Treatment for Substance Use1,2,9 6.78 3.09 13.59 6.14 7.15
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 28.13 20.22 21.29
Serious Mental Illness4,10 -- -- 8.42 5.20 5.64
Received Mental Health Services11 -- -- 14.28 15.84 15.63
Major Depressive Episode4,12 -- 14.51 13.33 7.32 8.13
Had Serious Thoughts of Suicide13 -- -- 12.25 3.67 4.83
Made Any Suicide Plans14 -- -- 4.16 1.05 1.47
Attempted Suicide14 -- -- 2.28 0.27 0.54
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual initiation of marijuana (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

ALASKA

Table 13 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Alaska, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 110 6 22 82 104
Past Year Marijuana Use 146 10 29 106 136
Past Month Marijuana Use 101 5 22 74 96
Perceptions of Great Risk from Smoking Marijuana Once a Month 92 10 6 77 82
First Use of Marijuana3,4 9 4 3 2 5
Past Month Illicit Drug Use Other Than Marijuana1,2 20 1 4 15 19
Past Year Cocaine Use 12 0 4 8 12
Perceptions of Great Risk from Using Cocaine Once a Month 376 29 41 305 346
Past Year Heroin Use 3 0 0 3 3
Perceptions of Great Risk from Trying Heroin Once or Twice 475 35 57 384 441
Past Year Methamphetamine Use 7 0 1 6 7
Past Year Misuse of Pain Relievers2 23 1 4 18 22
ALCOHOL          
Past Month Alcohol Use 303 5 38 260 298
Past Month Binge Alcohol Use5 145 3 24 119 143
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
241 23 27 191 218
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 14 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 9 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 135 4 18 113 132
Past Month Cigarette Use 102 2 14 86 100
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
396 36 44 317 360
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 22 2 6 13 20
Pain Reliever Use Disorder2,8 3 0 1 2 3
Alcohol Use Disorder8 41 1 9 31 40
Substance Use Disorder1,2,8 57 3 13 41 54
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 20 2 6 12 18
Needing But Not Receiving Treatment for Alcohol Use9 37 1 8 28 36
Needing But Not Receiving Treatment for Substance Use1,2,9 52 3 12 38 49
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 23 90 113
Serious Mental Illness4,10 -- -- 8 23 31
Received Mental Health Services11 -- -- 12 78 90
Major Depressive Episode4,12 -- 10 12 33 45
Had Serious Thoughts of Suicide13 -- -- 11 22 32
Made Any Suicide Plans14 -- -- 4 5 9
Attempted Suicide14 -- -- 2 1 2
-- 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 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

ALASKA

Table 14 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Alaska, by Age Group: Percentages, Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 18.78 9.81 30.90 18.02 19.76
Past Year Marijuana Use 24.97 17.75 41.30 23.33 25.75
Past Month Marijuana Use 17.25 8.54 30.71 16.25 18.20
Perceptions of Great Risk from Smoking Marijuana Once a Month 15.73 16.84 8.06 16.80 15.61
First Use of Marijuana3,4 3.58 7.78 10.11 1.28 2.62
Past Month Illicit Drug Use Other Than Marijuana1,2 3.42 2.47 5.59 3.20 3.52
Past Year Cocaine Use 2.05 0.47 5.09 1.78 2.23
Perceptions of Great Risk from Using Cocaine Once a Month 64.28 51.30 58.18 66.84 65.67
Past Year Heroin Use 0.54 0.03 0.32 0.64 0.60
Perceptions of Great Risk from Trying Heroin Once or Twice 81.37 60.40 79.53 84.26 83.62
Past Year Methamphetamine Use 1.21 0.16 1.09 1.37 1.33
Past Year Misuse of Pain Relievers2 3.99 2.06 5.20 4.04 4.20
ALCOHOL          
Past Month Alcohol Use 51.83 8.73 53.48 57.00 56.53
Past Month Binge Alcohol Use5 24.84 4.61 33.68 26.01 27.05
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
41.16 40.20 37.35 41.88 41.27
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 16.54 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 10.38 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 23.15 6.56 25.80 24.83 24.96
Past Month Cigarette Use 17.47 3.85 19.55 18.86 18.95
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
67.81 62.96 61.17 69.45 68.33
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 3.72 3.76 8.77 2.93 3.71
Pain Reliever Use Disorder2,8 0.52 0.36 0.74 0.51 0.54
Alcohol Use Disorder8 7.08 1.86 12.42 6.91 7.65
Substance Use Disorder1,2,8 9.68 4.63 18.52 8.94 10.23
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 3.48 3.47 8.63 2.67 3.48
Needing But Not Receiving Treatment for Alcohol Use9 6.40 1.76 11.57 6.18 6.91
Needing But Not Receiving Treatment for Substance Use1,2,9 8.89 4.53 16.57 8.24 9.36
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 31.90 19.84 21.47
Serious Mental Illness4,10 -- -- 10.61 5.12 5.86
Received Mental Health Services11 -- -- 17.05 17.09 17.09
Major Depressive Episode4,12 -- 17.93 16.31 7.30 8.51
Had Serious Thoughts of Suicide13 -- -- 14.95 4.73 6.11
Made Any Suicide Plans14 -- -- 5.65 1.14 1.75
Attempted Suicide14 -- -- 2.38 0.17 0.47
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual initiation of marijuana (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

ARIZONA

Table 15 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Arizona, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 765 43 170 552 722
Past Year Marijuana Use 968 71 230 666 896
Past Month Marijuana Use 665 34 159 472 631
Perceptions of Great Risk from Smoking Marijuana Once a Month 1,357 113 95 1,148 1,244
First Use of Marijuana3,4 80 30 29 21 50
Past Month Illicit Drug Use Other Than Marijuana1,2 207 14 38 155 193
Past Year Cocaine Use 110 3 41 67 107
Perceptions of Great Risk from Using Cocaine Once a Month 4,132 292 466 3,374 3,840
Past Year Heroin Use 22 0 3 18 22
Perceptions of Great Risk from Trying Heroin Once or Twice 5,191 353 634 4,204 4,838
Past Year Methamphetamine Use 105 1 11 93 104
Past Year Misuse of Pain Relievers2 229 14 45 170 215
ALCOHOL          
Past Month Alcohol Use 2,959 45 375 2,540 2,915
Past Month Binge Alcohol Use5 1,290 24 222 1,044 1,266
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
2,673 228 302 2,143 2,445
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 141 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 82 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 1,138 16 164 958 1,122
Past Month Cigarette Use 945 10 134 801 934
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
4,321 366 515 3,440 3,955
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 191 20 61 110 171
Pain Reliever Use Disorder2,8 33 2 6 26 31
Alcohol Use Disorder8 289 10 68 212 280
Substance Use Disorder1,2,8 417 27 106 283 390
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 168 20 57 92 149
Needing But Not Receiving Treatment for Alcohol Use9 277 10 68 199 267
Needing But Not Receiving Treatment for Substance Use1,2,9 398 25 100 273 373
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 218 882 1,099
Serious Mental Illness4,10 -- -- 74 230 305
Received Mental Health Services11 -- -- 103 646 748
Major Depressive Episode4,12 -- 98 119 309 428
Had Serious Thoughts of Suicide13 -- -- 92 183 275
Made Any Suicide Plans14 -- -- 29 68 97
Attempted Suicide14 -- -- 19 20 39
-- 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 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

ARIZONA

Table 16 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Arizona, by Age Group: Percentages, Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 12.67 7.71 22.20 11.71 13.17
Past Year Marijuana Use 16.01 12.70 30.17 14.11 16.35
Past Month Marijuana Use 11.00 6.04 20.80 10.01 11.51
Perceptions of Great Risk from Smoking Marijuana Once a Month 22.44 20.09 12.48 24.35 22.68
First Use of Marijuana3,4 2.43 6.00 7.38 0.81 1.78
Past Month Illicit Drug Use Other Than Marijuana1,2 3.43 2.47 5.02 3.29 3.53
Past Year Cocaine Use 1.82 0.48 5.31 1.41 1.95
Perceptions of Great Risk from Using Cocaine Once a Month 68.40 51.92 60.99 71.55 70.07
Past Year Heroin Use 0.36 0.01 0.44 0.39 0.40
Perceptions of Great Risk from Trying Heroin Once or Twice 85.94 62.81 82.99 89.14 88.28
Past Year Methamphetamine Use 1.74 0.17 1.40 1.98 1.90
Past Year Misuse of Pain Relievers2 3.80 2.49 5.93 3.61 3.93
ALCOHOL          
Past Month Alcohol Use 48.97 7.91 49.04 53.86 53.19
Past Month Binge Alcohol Use5 21.35 4.25 29.08 22.14 23.10
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
44.23 40.49 39.52 45.44 44.61
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 16.53 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 9.61 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 18.84 2.93 21.49 20.31 20.47
Past Month Cigarette Use 15.63 1.81 17.49 16.98 17.05
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
71.51 65.02 67.42 72.94 72.17
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 3.16 3.56 7.92 2.34 3.12
Pain Reliever Use Disorder2,8 0.55 0.38 0.72 0.55 0.57
Alcohol Use Disorder8 4.79 1.71 8.85 4.49 5.10
Substance Use Disorder1,2,8 6.90 4.83 13.89 6.01 7.11
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.79 3.48 7.49 1.94 2.71
Needing But Not Receiving Treatment for Alcohol Use9 4.58 1.71 8.89 4.23 4.88
Needing But Not Receiving Treatment for Substance Use1,2,9 6.58 4.38 13.09 5.79 6.81
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 28.50 18.70 20.06
Serious Mental Illness4,10 -- -- 9.72 4.89 5.56
Received Mental Health Services11 -- -- 13.46 13.69 13.66
Major Depressive Episode4,12 -- 17.41 15.58 6.56 7.81
Had Serious Thoughts of Suicide13 -- -- 12.11 3.87 5.01
Made Any Suicide Plans14 -- -- 3.82 1.44 1.77
Attempted Suicide14 -- -- 2.44 0.43 0.71
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual initiation of marijuana (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

ARKANSAS

Table 17 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Arkansas, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 236 15 54 167 221
Past Year Marijuana Use 338 27 82 230 312
Past Month Marijuana Use 211 14 49 148 198
Perceptions of Great Risk from Smoking Marijuana Once a Month 654 57 40 557 597
First Use of Marijuana3,4 29 11 12 5 18
Past Month Illicit Drug Use Other Than Marijuana1,2 73 5 15 52 67
Past Year Cocaine Use 28 1 10 17 27
Perceptions of Great Risk from Using Cocaine Once a Month 1,952 136 225 1,591 1,817
Past Year Heroin Use 5 0 1 4 5
Perceptions of Great Risk from Trying Heroin Once or Twice 2,213 155 268 1,790 2,058
Past Year Methamphetamine Use 23 1 3 19 22
Past Year Misuse of Pain Relievers2 92 8 21 63 84
ALCOHOL          
Past Month Alcohol Use 1,031 20 152 859 1,011
Past Month Binge Alcohol Use5 528 11 92 425 517
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
1,122 104 118 900 1,018
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 61 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 37 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 729 13 96 619 716
Past Month Cigarette Use 564 8 70 485 555
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
1,678 146 198 1,334 1,532
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 65 7 21 38 58
Pain Reliever Use Disorder2,8 12 1 2 9 12
Alcohol Use Disorder8 122 4 26 93 119
Substance Use Disorder1,2,8 171 9 38 125 162
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 60 6 20 33 54
Needing But Not Receiving Treatment for Alcohol Use9 115 4 24 87 111
Needing But Not Receiving Treatment for Substance Use1,2,9 156 8 38 110 148
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 84 376 460
Serious Mental Illness4,10 -- -- 29 97 125
Received Mental Health Services11 -- -- 49 329 378
Major Depressive Episode4,12 -- 39 45 134 179
Had Serious Thoughts of Suicide13 -- -- 38 69 107
Made Any Suicide Plans14 -- -- 11 26 37
Attempted Suicide14 -- -- 6 10 16
-- 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 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

ARKANSAS

Table 18 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Arkansas, by Age Group: Percentages, Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 9.45 6.52 17.14 8.58 9.76
Past Year Marijuana Use 13.53 11.20 26.25 11.78 13.78
Past Month Marijuana Use 8.46 5.82 15.80 7.60 8.73
Perceptions of Great Risk from Smoking Marijuana Once a Month 26.15 24.07 12.72 28.58 26.37
First Use of Marijuana3,4 1.97 5.02 7.27 0.51 1.46
Past Month Illicit Drug Use Other Than Marijuana1,2 2.91 2.25 4.94 2.67 2.98
Past Year Cocaine Use 1.11 0.36 3.05 0.89 1.19
Perceptions of Great Risk from Using Cocaine Once a Month 78.14 57.22 72.07 81.64 80.31
Past Year Heroin Use 0.22 0.03 0.39 0.21 0.23
Perceptions of Great Risk from Trying Heroin Once or Twice 88.58 65.24 85.70 91.84 90.99
Past Year Methamphetamine Use 0.91 0.24 1.10 0.96 0.98
Past Year Misuse of Pain Relievers2 3.66 3.28 6.66 3.23 3.70
ALCOHOL          
Past Month Alcohol Use 41.24 8.41 48.66 44.05 44.69
Past Month Binge Alcohol Use5 21.14 4.66 29.61 21.79 22.87
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
44.89 43.71 37.70 46.19 45.01
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 17.15 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 10.22 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 29.15 5.47 30.89 31.76 31.64
Past Month Cigarette Use 22.55 3.56 22.42 24.89 24.55
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
67.16 61.68 63.46 68.41 67.72
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 2.62 2.90 6.62 1.94 2.59
Pain Reliever Use Disorder2,8 0.50 0.38 0.80 0.46 0.51
Alcohol Use Disorder8 4.89 1.56 8.17 4.78 5.24
Substance Use Disorder1,2,8 6.83 3.63 12.01 6.39 7.16
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.39 2.59 6.51 1.71 2.37
Needing But Not Receiving Treatment for Alcohol Use9 4.58 1.54 7.74 4.45 4.90
Needing But Not Receiving Treatment for Substance Use1,2,9 6.24 3.43 12.01 5.66 6.54
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 26.86 19.29 20.34
Serious Mental Illness4,10 -- -- 9.14 4.95 5.53
Received Mental Health Services11 -- -- 15.56 16.90 16.71
Major Depressive Episode4,12 -- 16.27 14.33 6.87 7.90
Had Serious Thoughts of Suicide13 -- -- 12.07 3.54 4.71
Made Any Suicide Plans14 -- -- 3.38 1.34 1.62
Attempted Suicide14 -- -- 2.06 0.51 0.73
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual initiation of marijuana (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

CALIFORNIA

Table 19 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in California, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 5,034 314 1,204 3,516 4,720
Past Year Marijuana Use 6,641 477 1,687 4,476 6,163
Past Month Marijuana Use 4,459 267 1,106 3,086 4,192
Perceptions of Great Risk from Smoking Marijuana Once a Month 8,543 637 509 7,397 7,906
First Use of Marijuana3,4 482 176 187 119 306
Past Month Illicit Drug Use Other Than Marijuana1,2 1,329 77 292 960 1,253
Past Year Cocaine Use 909 16 322 572 894
Perceptions of Great Risk from Using Cocaine Once a Month 22,248 1,598 2,531 18,119 20,651
Past Year Heroin Use 74 0 8 65 74
Perceptions of Great Risk from Trying Heroin Once or Twice 27,657 1,861 3,430 22,366 25,796
Past Year Methamphetamine Use 315 3 34 278 312
Past Year Misuse of Pain Relievers2 1,193 81 224 889 1,113
ALCOHOL          
Past Month Alcohol Use 16,475 268 2,275 13,932 16,207
Past Month Binge Alcohol Use5 7,739 143 1,420 6,176 7,596
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
16,136 1,349 1,764 13,023 14,787
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 800 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 471 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 4,669 77 711 3,880 4,591
Past Month Cigarette Use 3,786 37 553 3,196 3,748
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
25,257 2,024 3,024 20,210 23,234
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 1,204 110 356 737 1,093
Pain Reliever Use Disorder2,8 192 11 25 157 181
Alcohol Use Disorder8 2,079 54 439 1,586 2,025
Substance Use Disorder1,2,8 2,915 137 673 2,105 2,778
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 1,132 107 347 678 1,025
Needing But Not Receiving Treatment for Alcohol Use9 2,008 52 425 1,531 1,957
Needing But Not Receiving Treatment for Substance Use1,2,9 2,769 132 637 2,000 2,637
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 1,112 4,752 5,864
Serious Mental Illness4,10 -- -- 297 1,067 1,364
Received Mental Health Services11 -- -- 540 3,397 3,937
Major Depressive Episode4,12 -- 459 547 1,612 2,160
Had Serious Thoughts of Suicide13 -- -- 430 939 1,370
Made Any Suicide Plans14 -- -- 118 249 367
Attempted Suicide14 -- -- 63 83 146
-- 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 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

CALIFORNIA

Table 20 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in California, by Age Group: Percentages, Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 15.20 10.41 28.83 13.57 15.68
Past Year Marijuana Use 20.06 15.82 40.40 17.27 20.48
Past Month Marijuana Use 13.47 8.85 26.48 11.91 13.93
Perceptions of Great Risk from Smoking Marijuana Once a Month 25.79 21.09 12.20 28.54 26.26
First Use of Marijuana3,4 2.66 6.83 8.93 0.84 1.94
Past Month Illicit Drug Use Other Than Marijuana1,2 4.02 2.54 7.01 3.71 4.16
Past Year Cocaine Use 2.75 0.52 7.71 2.21 2.97
Perceptions of Great Risk from Using Cocaine Once a Month 67.21 52.94 60.63 69.91 68.62
Past Year Heroin Use 0.22 0.01 0.20 0.25 0.24
Perceptions of Great Risk from Trying Heroin Once or Twice 83.56 61.67 82.15 86.30 85.72
Past Year Methamphetamine Use 0.95 0.10 0.82 1.07 1.04
Past Year Misuse of Pain Relievers2 3.60 2.67 5.36 3.43 3.70
ALCOHOL          
Past Month Alcohol Use 49.76 8.87 54.50 53.75 53.86
Past Month Binge Alcohol Use5 23.37 4.74 34.01 23.83 25.24
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
48.73 44.70 42.26 50.25 49.14
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 17.64 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 10.38 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 14.10 2.56 17.04 14.97 15.26
Past Month Cigarette Use 11.43 1.23 13.24 12.33 12.46
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
76.29 67.07 72.42 77.98 77.21
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 3.63 3.65 8.53 2.85 3.63
Pain Reliever Use Disorder2,8 0.58 0.36 0.59 0.60 0.60
Alcohol Use Disorder8 6.28 1.80 10.51 6.12 6.73
Substance Use Disorder1,2,8 8.80 4.55 16.12 8.12 9.23
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 3.42 3.56 8.31 2.62 3.41
Needing But Not Receiving Treatment for Alcohol Use9 6.07 1.72 10.19 5.91 6.50
Needing But Not Receiving Treatment for Substance Use1,2,9 8.36 4.36 15.26 7.72 8.76
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 26.63 18.34 19.49
Serious Mental Illness4,10 -- -- 7.11 4.12 4.53
Received Mental Health Services11 -- -- 12.94 13.11 13.08
Major Depressive Episode4,12 -- 15.22 13.11 6.22 7.17
Had Serious Thoughts of Suicide13 -- -- 10.30 3.62 4.55
Made Any Suicide Plans14 -- -- 2.83 0.96 1.22
Attempted Suicide14 -- -- 1.52 0.32 0.49
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual initiation of marijuana (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

COLORADO

Table 21 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Colorado, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 924 50 210 664 874
Past Year Marijuana Use 1,265 76 286 903 1,189
Past Month Marijuana Use 836 42 203 591 794
Perceptions of Great Risk from Smoking Marijuana Once a Month 852 83 45 724 769
First Use of Marijuana3,4 69 26 29 13 42
Past Month Illicit Drug Use Other Than Marijuana1,2 226 13 50 162 213
Past Year Cocaine Use 198 3 65 130 195
Perceptions of Great Risk from Using Cocaine Once a Month 2,993 226 320 2,447 2,767
Past Year Heroin Use 17 0 3 14 17
Perceptions of Great Risk from Trying Heroin Once or Twice 3,995 271 478 3,246 3,724
Past Year Methamphetamine Use 43 1 8 34 42
Past Year Misuse of Pain Relievers2 190 9 34 146 180
ALCOHOL          
Past Month Alcohol Use 2,885 46 368 2,470 2,838
Past Month Binge Alcohol Use5 1,389 24 237 1,128 1,366
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
2,110 180 216 1,713 1,930
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 143 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 86 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 992 18 155 819 974
Past Month Cigarette Use 784 13 114 658 771
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
3,482 281 386 2,816 3,201
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 240 20 69 151 220
Pain Reliever Use Disorder2,8 29 2 5 23 27
Alcohol Use Disorder8 392 9 82 302 383
Substance Use Disorder1,2,8 537 24 124 390 514
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 219 19 67 133 200
Needing But Not Receiving Treatment for Alcohol Use9 358 8 76 274 350
Needing But Not Receiving Treatment for Substance Use1,2,9 505 23 117 366 482
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 202 812 1,014
Serious Mental Illness4,10 -- -- 57 185 242
Received Mental Health Services11 -- -- 118 700 818
Major Depressive Episode4,12 -- 65 102 269 370
Had Serious Thoughts of Suicide13 -- -- 83 159 242
Made Any Suicide Plans14 -- -- 21 49 70
Attempted Suicide14 -- -- 13 12 25
-- 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 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

COLORADO

Table 22 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Colorado, by Age Group: Percentages, Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 19.24 11.55 35.68 17.56 20.00
Past Year Marijuana Use 26.32 17.60 48.54 23.86 27.19
Past Month Marijuana Use 17.39 9.75 34.39 15.62 18.15
Perceptions of Great Risk from Smoking Marijuana Once a Month 17.72 19.11 7.62 19.14 17.58
First Use of Marijuana3,4 3.80 7.97 12.49 1.21 2.88
Past Month Illicit Drug Use Other Than Marijuana1,2 4.70 3.00 8.56 4.30 4.87
Past Year Cocaine Use 4.12 0.64 10.98 3.45 4.46
Perceptions of Great Risk from Using Cocaine Once a Month 62.29 52.12 54.23 64.70 63.28
Past Year Heroin Use 0.35 0.01 0.53 0.36 0.38
Perceptions of Great Risk from Trying Heroin Once or Twice 83.16 62.40 81.11 85.83 85.19
Past Year Methamphetamine Use 0.90 0.17 1.36 0.91 0.97
Past Year Misuse of Pain Relievers2 3.94 2.17 5.80 3.86 4.12
ALCOHOL          
Past Month Alcohol Use 60.03 10.69 62.49 65.30 64.92
Past Month Binge Alcohol Use5 28.91 5.48 40.26 29.83 31.24
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
43.90 41.44 36.73 45.30 44.14
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 22.22 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 13.41 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 20.64 4.15 26.24 21.66 22.28
Past Month Cigarette Use 16.32 3.01 19.28 17.38 17.64
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
72.46 64.80 65.43 74.43 73.22
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 5.00 4.70 11.68 4.00 5.03
Pain Reliever Use Disorder2,8 0.60 0.36 0.80 0.60 0.62
Alcohol Use Disorder8 8.16 2.01 13.88 7.97 8.77
Substance Use Disorder1,2,8 11.18 5.44 21.01 10.31 11.75
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 4.57 4.43 11.39 3.52 4.58
Needing But Not Receiving Treatment for Alcohol Use9 7.45 1.87 12.96 7.23 8.00
Needing But Not Receiving Treatment for Substance Use1,2,9 10.51 5.26 19.82 9.67 11.03
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 34.28 21.47 23.20
Serious Mental Illness4,10 -- -- 9.68 4.89 5.53
Received Mental Health Services11 -- -- 20.06 18.50 18.71
Major Depressive Episode4,12 -- 15.02 17.25 7.10 8.46
Had Serious Thoughts of Suicide13 -- -- 14.16 4.20 5.54
Made Any Suicide Plans14 -- -- 3.63 1.29 1.61
Attempted Suicide14 -- -- 2.12 0.33 0.57
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual initiation of marijuana (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

CONNECTICUT

Table 23 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Connecticut, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 434 24 111 299 410
Past Year Marijuana Use 583 38 168 377 545
Past Month Marijuana Use 378 20 104 253 358
Perceptions of Great Risk from Smoking Marijuana Once a Month 588 51 36 501 537
First Use of Marijuana3,4 44 15 20 10 30
Past Month Illicit Drug Use Other Than Marijuana1,2 109 6 27 76 103
Past Year Cocaine Use 61 1 24 36 60
Perceptions of Great Risk from Using Cocaine Once a Month 2,134 148 231 1,755 1,986
Past Year Heroin Use 10 0 1 9 10
Perceptions of Great Risk from Trying Heroin Once or Twice 2,696 182 331 2,183 2,515
Past Year Methamphetamine Use 11 0 2 9 11
Past Year Misuse of Pain Relievers2 101 6 19 77 96
ALCOHOL          
Past Month Alcohol Use 1,837 30 251 1,555 1,807
Past Month Binge Alcohol Use5 859 15 182 662 844
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
1,367 116 134 1,117 1,251
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 121 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 82 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 574 8 92 474 566
Past Month Cigarette Use 426 4 61 361 421
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
2,345 183 278 1,883 2,161
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 83 7 31 46 76
Pain Reliever Use Disorder2,8 15 1 2 11 14
Alcohol Use Disorder8 189 5 46 138 184
Substance Use Disorder1,2,8 245 10 72 163 235
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 81 7 28 46 74
Needing But Not Receiving Treatment for Alcohol Use9 172 5 43 123 167
Needing But Not Receiving Treatment for Substance Use1,2,9 221 9 66 146 212
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 110 416 526
Serious Mental Illness4,10 -- -- 33 93 126
Received Mental Health Services11 -- -- 70 418 488
Major Depressive Episode4,12 -- 39 58 139 197
Had Serious Thoughts of Suicide13 -- -- 47 77 125
Made Any Suicide Plans14 -- -- 12 19 31
Attempted Suicide14 -- -- 6 5 11
-- 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 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

CONNECTICUT

Table 24 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Connecticut, by Age Group: Percentages, Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 14.17 8.81 28.94 12.42 14.69
Past Year Marijuana Use 19.05 14.08 43.91 15.64 19.53
Past Month Marijuana Use 12.34 7.46 27.22 10.52 12.81
Perceptions of Great Risk from Smoking Marijuana Once a Month 19.21 19.01 9.33 20.82 19.23
First Use of Marijuana3,4 3.08 6.57 11.64 0.96 2.43
Past Month Illicit Drug Use Other Than Marijuana1,2 3.55 2.24 7.05 3.14 3.68
Past Year Cocaine Use 1.99 0.37 6.21 1.50 2.15
Perceptions of Great Risk from Using Cocaine Once a Month 69.76 55.03 60.21 72.90 71.15
Past Year Heroin Use 0.33 0.01 0.38 0.36 0.36
Perceptions of Great Risk from Trying Heroin Once or Twice 88.14 67.64 86.41 90.67 90.08
Past Year Methamphetamine Use 0.36 0.14 0.43 0.38 0.39
Past Year Misuse of Pain Relievers2 3.31 2.12 4.85 3.20 3.43
ALCOHOL          
Past Month Alcohol Use 60.03 11.24 65.61 64.59 64.73
Past Month Binge Alcohol Use5 28.07 5.42 47.60 27.49 30.25
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
44.67 43.34 34.90 46.38 44.80
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 27.31 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 18.50 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 18.76 3.04 24.08 19.66 20.27
Past Month Cigarette Use 13.90 1.53 15.82 14.98 15.10
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
76.62 68.25 72.63 78.18 77.42
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 2.72 2.64 8.00 1.90 2.73
Pain Reliever Use Disorder2,8 0.48 0.38 0.60 0.47 0.49
Alcohol Use Disorder8 6.18 1.83 12.05 5.74 6.60
Substance Use Disorder1,2,8 8.01 3.74 18.72 6.79 8.43
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.65 2.59 7.40 1.90 2.65
Needing But Not Receiving Treatment for Alcohol Use9 5.60 1.72 11.34 5.13 5.98
Needing But Not Receiving Treatment for Substance Use1,2,9 7.22 3.41 17.26 6.05 7.59
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 28.73 17.27 18.85
Serious Mental Illness4,10 -- -- 8.54 3.86 4.50
Received Mental Health Services11 -- -- 18.33 17.36 17.50
Major Depressive Episode4,12 -- 14.41 15.26 5.77 7.06
Had Serious Thoughts of Suicide13 -- -- 12.36 3.21 4.46
Made Any Suicide Plans14 -- -- 3.01 0.80 1.11
Attempted Suicide14 -- -- 1.54 0.21 0.39
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual initiation of marijuana (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

DELAWARE

Table 25 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Delaware, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 118 7 28 83 111
Past Year Marijuana Use 149 10 38 101 139
Past Month Marijuana Use 101 6 26 69 95
Perceptions of Great Risk from Smoking Marijuana Once a Month 179 15 9 155 164
First Use of Marijuana3,4 10 4 4 2 6
Past Month Illicit Drug Use Other Than Marijuana1,2 33 2 6 25 31
Past Year Cocaine Use 18 0 6 12 18
Perceptions of Great Risk from Using Cocaine Once a Month 581 38 57 486 543
Past Year Heroin Use 5 0 1 4 5
Perceptions of Great Risk from Trying Heroin Once or Twice 726 44 79 603 682
Past Year Methamphetamine Use 5 0 1 4 5
Past Year Misuse of Pain Relievers2 28 2 5 22 27
ALCOHOL          
Past Month Alcohol Use 464 7 55 402 457
Past Month Binge Alcohol Use5 199 3 32 163 195
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
352 30 35 288 323
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 21 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 11 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 186 3 24 159 183
Past Month Cigarette Use 143 1 17 126 142
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
590 45 62 483 545
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 28 2 8 17 25
Pain Reliever Use Disorder2,8 5 0 1 4 5
Alcohol Use Disorder8 51 1 10 39 50
Substance Use Disorder1,2,8 69 3 16 50 66
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 24 2 7 15 22
Needing But Not Receiving Treatment for Alcohol Use9 48 1 10 37 47
Needing But Not Receiving Treatment for Substance Use1,2,9 61 3 15 43 58
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 28 129 157
Serious Mental Illness4,10 -- -- 7 34 41
Received Mental Health Services11 -- -- 15 113 128
Major Depressive Episode4,12 -- 11 14 50 64
Had Serious Thoughts of Suicide13 -- -- 11 28 39
Made Any Suicide Plans14 -- -- 3 8 12
Attempted Suicide14 -- -- 2 2 4
-- 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 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

DELAWARE

Table 26 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Delaware, by Age Group: Percentages, Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 14.32 9.94 29.73 12.62 14.73
Past Year Marijuana Use 18.18 14.43 41.57 15.29 18.53
Past Month Marijuana Use 12.26 8.26 27.58 10.53 12.63
Perceptions of Great Risk from Smoking Marijuana Once a Month 21.76 21.60 9.51 23.51 21.77
First Use of Marijuana3,4 2.60 7.12 9.35 0.79 1.84
Past Month Illicit Drug Use Other Than Marijuana1,2 4.00 2.44 6.67 3.79 4.14
Past Year Cocaine Use 2.21 0.31 6.63 1.79 2.39
Perceptions of Great Risk from Using Cocaine Once a Month 70.72 54.99 61.82 73.61 72.15
Past Year Heroin Use 0.58 0.03 0.59 0.64 0.63
Perceptions of Great Risk from Trying Heroin Once or Twice 88.38 64.06 85.42 91.31 90.59
Past Year Methamphetamine Use 0.63 0.15 0.71 0.66 0.67
Past Year Misuse of Pain Relievers2 3.45 2.40 5.43 3.28 3.55
ALCOHOL          
Past Month Alcohol Use 56.44 10.09 59.09 60.93 60.71
Past Month Binge Alcohol Use5 24.17 4.50 34.86 24.73 25.98
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
42.85 42.58 37.57 43.62 42.87
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 20.59 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 11.03 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 22.60 4.04 25.59 24.12 24.31
Past Month Cigarette Use 17.46 1.93 17.84 19.03 18.89
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
71.81 64.68 67.31 73.19 72.46
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 3.35 3.60 8.50 2.61 3.33
Pain Reliever Use Disorder2,8 0.58 0.39 0.66 0.59 0.60
Alcohol Use Disorder8 6.16 1.53 10.87 5.98 6.58
Substance Use Disorder1,2,8 8.41 4.31 17.01 7.64 8.79
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.92 3.42 7.60 2.20 2.87
Needing But Not Receiving Treatment for Alcohol Use9 5.79 1.47 10.51 5.59 6.19
Needing But Not Receiving Treatment for Substance Use1,2,9 7.45 4.19 16.11 6.58 7.75
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 30.47 19.58 20.92
Serious Mental Illness4,10 -- -- 7.85 5.10 5.44
Received Mental Health Services11 -- -- 16.70 17.10 17.05
Major Depressive Episode4,12 -- 15.48 15.09 7.58 8.50
Had Serious Thoughts of Suicide13 -- -- 12.01 4.23 5.18
Made Any Suicide Plans14 -- -- 3.73 1.23 1.54
Attempted Suicide14 -- -- 2.29 0.32 0.56
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual initiation of marijuana (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

DISTRICT OF COLUMBIA

Table 27 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in the District of Columbia, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 114 3 29 82 111
Past Year Marijuana Use 164 6 43 115 158
Past Month Marijuana Use 98 3 27 69 95
Perceptions of Great Risk from Smoking Marijuana Once a Month 91 6 8 78 85
First Use of Marijuana3,4 8 2 4 2 6
Past Month Illicit Drug Use Other Than Marijuana1,2 32 1 7 24 31
Past Year Cocaine Use 24 0 6 18 24
Perceptions of Great Risk from Using Cocaine Once a Month 358 18 47 293 340
Past Year Heroin Use 4 0 0 4 4
Perceptions of Great Risk from Trying Heroin Once or Twice 481 20 68 393 461
Past Year Methamphetamine Use 2 0 0 2 2
Past Year Misuse of Pain Relievers2 25 1 4 20 24
ALCOHOL          
Past Month Alcohol Use 394 3 61 330 391
Past Month Binge Alcohol Use5 208 1 43 163 207
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
271 16 32 223 255
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 11 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 6 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 115 1 19 95 114
Past Month Cigarette Use 97 1 14 82 97
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
451 21 61 369 430
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 30 1 8 21 28
Pain Reliever Use Disorder2,8 6 0 0 5 6
Alcohol Use Disorder8 54 0 10 43 53
Substance Use Disorder1,2,8 71 2 15 54 70
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 25 1 7 17 24
Needing But Not Receiving Treatment for Alcohol Use9 49 0 10 39 49
Needing But Not Receiving Treatment for Substance Use1,2,9 63 2 14 47 61
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 24 105 129
Serious Mental Illness4,10 -- -- 6 22 28
Received Mental Health Services11 -- -- 13 81 94
Major Depressive Episode4,12 -- 4 12 35 47
Had Serious Thoughts of Suicide13 -- -- 8 17 25
Made Any Suicide Plans14 -- -- 2 5 7
Attempted Suicide14 -- -- 1 2 3
-- 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 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

DISTRICT OF COLUMBIA

Table 28 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in the District of Columbia, by Age Group: Percentages, Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 19.06 10.56 33.35 17.06 19.54
Past Year Marijuana Use 27.42 18.01 49.84 24.01 27.95
Past Month Marijuana Use 16.39 8.99 30.73 14.30 16.80
Perceptions of Great Risk from Smoking Marijuana Once a Month 15.20 17.45 8.84 16.21 15.07
First Use of Marijuana3,4 3.96 9.50 11.37 1.50 3.22
Past Month Illicit Drug Use Other Than Marijuana1,2 5.29 1.80 7.71 5.08 5.48
Past Year Cocaine Use 3.95 0.21 6.45 3.75 4.16
Perceptions of Great Risk from Using Cocaine Once a Month 59.89 55.01 54.64 61.13 60.14
Past Year Heroin Use 0.65 0.01 0.32 0.75 0.69
Perceptions of Great Risk from Trying Heroin Once or Twice 80.42 62.70 78.65 81.88 81.38
Past Year Methamphetamine Use 0.39 0.07 0.34 0.41 0.40
Past Year Misuse of Pain Relievers2 4.16 2.50 4.36 4.24 4.26
ALCOHOL          
Past Month Alcohol Use 65.97 9.26 70.56 68.93 69.17
Past Month Binge Alcohol Use5 34.80 4.32 50.26 34.05 36.52
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
45.34 49.15 37.10 46.57 45.12
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 21.98 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 13.36 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 19.22 3.69 21.51 19.84 20.09
Past Month Cigarette Use 16.28 1.70 16.60 17.19 17.10
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
75.38 64.45 70.81 76.93 75.99
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 4.99 4.64 8.92 4.31 5.01
Pain Reliever Use Disorder2,8 0.97 0.44 0.51 1.09 1.00
Alcohol Use Disorder8 9.00 1.24 11.86 9.00 9.44
Substance Use Disorder1,2,8 11.94 5.57 17.51 11.36 12.30
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 4.17 4.18 8.17 3.45 4.17
Needing But Not Receiving Treatment for Alcohol Use9 8.27 1.21 11.52 8.15 8.67
Needing But Not Receiving Treatment for Substance Use1,2,9 10.56 5.32 16.44 9.85 10.85
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 28.23 21.85 22.83
Serious Mental Illness4,10 -- -- 6.75 4.59 4.92
Received Mental Health Services11 -- -- 15.43 16.80 16.59
Major Depressive Episode4,12 -- 11.36 13.57 7.35 8.29
Had Serious Thoughts of Suicide13 -- -- 9.22 3.58 4.43
Made Any Suicide Plans14 -- -- 2.20 0.97 1.16
Attempted Suicide14 -- -- 1.28 0.38 0.51
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual initiation of marijuana (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

FLORIDA

Table 29 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Florida, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 2,093 114 454 1,525 1,979
Past Year Marijuana Use 2,705 174 641 1,890 2,531
Past Month Marijuana Use 1,848 93 420 1,335 1,755
Perceptions of Great Risk from Smoking Marijuana Once a Month 5,356 339 270 4,746 5,016
First Use of Marijuana3,4 191 71 85 35 120
Past Month Illicit Drug Use Other Than Marijuana1,2 559 40 108 411 519
Past Year Cocaine Use 315 5 99 211 310
Perceptions of Great Risk from Using Cocaine Once a Month 13,712 789 1,295 11,628 12,923
Past Year Heroin Use 45 0 8 36 44
Perceptions of Great Risk from Trying Heroin Once or Twice 16,125 918 1,638 13,569 15,207
Past Year Methamphetamine Use 76 2 11 63 74
Past Year Misuse of Pain Relievers2 675 34 99 542 640
ALCOHOL          
Past Month Alcohol Use 9,298 131 970 8,198 9,167
Past Month Binge Alcohol Use5 4,086 60 586 3,439 4,025
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
8,814 663 830 7,321 8,150
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 428 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 235 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 3,568 48 399 3,120 3,519
Past Month Cigarette Use 2,830 30 276 2,524 2,800
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
13,788 969 1,377 11,442 12,819
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 459 45 133 281 414
Pain Reliever Use Disorder2,8 137 5 15 116 131
Alcohol Use Disorder8 721 18 139 564 703
Substance Use Disorder1,2,8 1,062 56 241 766 1,007
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 423 44 124 256 379
Needing But Not Receiving Treatment for Alcohol Use9 696 19 136 542 677
Needing But Not Receiving Treatment for Substance Use1,2,9 1,007 55 224 728 952
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 493 2,410 2,903
Serious Mental Illness4,10 -- -- 144 588 732
Received Mental Health Services11 -- -- 262 1,774 2,036
Major Depressive Episode4,12 -- 191 271 826 1,096
Had Serious Thoughts of Suicide13 -- -- 211 470 682
Made Any Suicide Plans14 -- -- 65 119 184
Attempted Suicide14 -- -- 40 43 83
-- 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 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

FLORIDA

Table 30 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Florida, by Age Group: Percentages, Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 11.45 7.90 23.20 10.24 11.75
Past Year Marijuana Use 14.80 12.11 32.76 12.69 15.03
Past Month Marijuana Use 10.11 6.47 21.45 8.96 10.42
Perceptions of Great Risk from Smoking Marijuana Once a Month 29.27 23.55 13.82 31.86 29.75
First Use of Marijuana3,4 1.77 5.28 7.48 0.48 1.29
Past Month Illicit Drug Use Other Than Marijuana1,2 3.06 2.75 5.52 2.76 3.08
Past Year Cocaine Use 1.72 0.36 5.07 1.41 1.84
Perceptions of Great Risk from Using Cocaine Once a Month 74.97 54.78 66.20 78.06 76.67
Past Year Heroin Use 0.24 0.02 0.40 0.24 0.26
Perceptions of Great Risk from Trying Heroin Once or Twice 88.18 63.78 83.72 91.09 90.23
Past Year Methamphetamine Use 0.41 0.12 0.55 0.42 0.44
Past Year Misuse of Pain Relievers2 3.69 2.40 5.04 3.64 3.80
ALCOHOL          
Past Month Alcohol Use 50.84 9.10 49.56 55.03 54.40
Past Month Binge Alcohol Use5 22.34 4.19 29.94 23.09 23.89
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
48.18 46.09 42.42 49.14 48.36
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 18.69 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 10.28 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 19.51 3.34 20.42 20.94 20.89
Past Month Cigarette Use 15.48 2.10 14.09 16.94 16.62
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
75.38 67.29 70.41 76.81 76.06
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 2.51 3.11 6.80 1.89 2.46
Pain Reliever Use Disorder2,8 0.75 0.37 0.77 0.78 0.78
Alcohol Use Disorder8 3.94 1.26 7.12 3.78 4.17
Substance Use Disorder1,2,8 5.81 3.86 12.32 5.14 5.98
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.31 3.05 6.32 1.72 2.25
Needing But Not Receiving Treatment for Alcohol Use9 3.81 1.29 6.93 3.64 4.02
Needing But Not Receiving Treatment for Substance Use1,2,9 5.51 3.80 11.44 4.89 5.65
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 25.20 16.18 17.23
Serious Mental Illness4,10 -- -- 7.37 3.95 4.34
Received Mental Health Services11 -- -- 13.38 11.91 12.08
Major Depressive Episode4,12 -- 13.25 13.83 5.54 6.50
Had Serious Thoughts of Suicide13 -- -- 10.81 3.16 4.04
Made Any Suicide Plans14 -- -- 3.30 0.80 1.09
Attempted Suicide14 -- -- 2.03 0.29 0.49
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual initiation of marijuana (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

GEORGIA

Table 31 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Georgia, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 899 59 232 608 840
Past Year Marijuana Use 1,310 97 340 873 1,212
Past Month Marijuana Use 804 52 217 535 751
Perceptions of Great Risk from Smoking Marijuana Once a Month 2,365 243 160 1,963 2,122
First Use of Marijuana3,4 106 39 45 22 67
Past Month Illicit Drug Use Other Than Marijuana1,2 244 17 48 179 227
Past Year Cocaine Use 125 2 38 85 123
Perceptions of Great Risk from Using Cocaine Once a Month 6,604 505 758 5,342 6,099
Past Year Heroin Use 14 0 2 11 14
Perceptions of Great Risk from Trying Heroin Once or Twice 7,709 580 933 6,197 7,129
Past Year Methamphetamine Use 48 1 6 40 47
Past Year Misuse of Pain Relievers2 307 23 58 227 284
ALCOHOL          
Past Month Alcohol Use 4,125 63 518 3,544 4,062
Past Month Binge Alcohol Use5 1,851 35 304 1,512 1,816
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
4,261 427 477 3,357 3,834
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 190 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 109 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 1,862 32 243 1,587 1,830
Past Month Cigarette Use 1,432 19 168 1,245 1,413
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
6,189 563 745 4,881 5,626
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 218 22 72 124 196
Pain Reliever Use Disorder2,8 46 3 8 35 43
Alcohol Use Disorder8 397 12 87 298 385
Substance Use Disorder1,2,8 549 30 135 384 519
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 201 21 71 109 180
Needing But Not Receiving Treatment for Alcohol Use9 386 12 84 290 374
Needing But Not Receiving Treatment for Substance Use1,2,9 520 28 129 363 491
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 276 1,130 1,406
Serious Mental Illness4,10 -- -- 76 277 353
Received Mental Health Services11 -- -- 148 850 997
Major Depressive Episode4,12 -- 119 151 393 544
Had Serious Thoughts of Suicide13 -- -- 112 191 303
Made Any Suicide Plans14 -- -- 39 60 99
Attempted Suicide14 -- -- 24 21 45
-- 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 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

GEORGIA

Table 32 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Georgia, by Age Group: Percentages, Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 10.29 6.80 20.97 9.00 10.68
Past Year Marijuana Use 15.00 11.22 30.67 12.92 15.42
Past Month Marijuana Use 9.20 6.04 19.56 7.91 9.55
Perceptions of Great Risk from Smoking Marijuana Once a Month 27.07 27.94 14.41 29.05 26.97
First Use of Marijuana3,4 1.98 4.93 6.75 0.53 1.46
Past Month Illicit Drug Use Other Than Marijuana1,2 2.79 1.91 4.34 2.66 2.89
Past Year Cocaine Use 1.43 0.25 3.41 1.26 1.56
Perceptions of Great Risk from Using Cocaine Once a Month 75.64 58.10 68.42 79.06 77.56
Past Year Heroin Use 0.16 0.02 0.23 0.17 0.18
Perceptions of Great Risk from Trying Heroin Once or Twice 88.31 66.74 84.22 91.72 90.66
Past Year Methamphetamine Use 0.55 0.14 0.57 0.60 0.59
Past Year Misuse of Pain Relievers2 3.52 2.60 5.21 3.36 3.62
ALCOHOL          
Past Month Alcohol Use 47.24 7.26 46.80 52.45 51.65
Past Month Binge Alcohol Use5 21.19 3.99 27.49 22.37 23.09
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
48.80 49.18 43.10 49.69 48.76
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 14.39 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 8.28 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 21.32 3.64 21.97 23.49 23.28
Past Month Cigarette Use 16.40 2.21 15.17 18.43 17.97
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
70.88 64.77 67.31 72.24 71.55
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 2.50 2.53 6.50 1.84 2.49
Pain Reliever Use Disorder2,8 0.52 0.37 0.68 0.52 0.54
Alcohol Use Disorder8 4.55 1.36 7.85 4.42 4.90
Substance Use Disorder1,2,8 6.28 3.45 12.17 5.68 6.60
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.30 2.47 6.39 1.61 2.28
Needing But Not Receiving Treatment for Alcohol Use9 4.42 1.38 7.55 4.29 4.75
Needing But Not Receiving Treatment for Substance Use1,2,9 5.95 3.28 11.61 5.37 6.25
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 24.92 16.73 17.88
Serious Mental Illness4,10 -- -- 6.87 4.11 4.49
Received Mental Health Services11 -- -- 13.34 12.58 12.68
Major Depressive Episode4,12 -- 13.75 13.63 5.81 6.91
Had Serious Thoughts of Suicide13 -- -- 10.09 2.83 3.85
Made Any Suicide Plans14 -- -- 3.53 0.88 1.25
Attempted Suicide14 -- -- 2.14 0.31 0.57
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual initiation of marijuana (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

HAWAII

Table 33 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Hawaii, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 136 7 25 104 130
Past Year Marijuana Use 182 11 36 135 171
Past Month Marijuana Use 117 6 23 88 111
Perceptions of Great Risk from Smoking Marijuana Once a Month 265 20 13 232 245
First Use of Marijuana3,4 11 4 4 2 6
Past Month Illicit Drug Use Other Than Marijuana1,2 39 2 8 29 37
Past Year Cocaine Use 28 0 7 20 27
Perceptions of Great Risk from Using Cocaine Once a Month 787 51 74 662 736
Past Year Heroin Use 3 0 0 3 3
Perceptions of Great Risk from Trying Heroin Once or Twice 955 59 95 801 896
Past Year Methamphetamine Use 15 0 1 14 15
Past Year Misuse of Pain Relievers2 39 2 6 32 38
ALCOHOL          
Past Month Alcohol Use 533 6 61 467 528
Past Month Binge Alcohol Use5 268 3 39 225 265
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
491 41 47 403 451
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 19 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 13 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 200 2 23 175 198
Past Month Cigarette Use 163 1 18 143 162
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
799 60 77 663 740
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 36 3 9 24 33
Pain Reliever Use Disorder2,8 6 0 1 6 6
Alcohol Use Disorder8 69 2 15 52 67
Substance Use Disorder1,2,8 93 4 20 70 90
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 31 2 8 20 29
Needing But Not Receiving Treatment for Alcohol Use9 66 2 15 49 64
Needing But Not Receiving Treatment for Substance Use1,2,9 85 4 18 63 81
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 33 152 185
Serious Mental Illness4,10 -- -- 9 35 44
Received Mental Health Services11 -- -- 14 97 111
Major Depressive Episode4,12 -- 13 16 46 62
Had Serious Thoughts of Suicide13 -- -- 14 36 50
Made Any Suicide Plans14 -- -- 5 8 13
Attempted Suicide14 -- -- 3 2 5
-- 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 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

HAWAII

Table 34 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Hawaii, by Age Group: Percentages, Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 11.81 7.09 20.89 11.11 12.24
Past Year Marijuana Use 15.77 11.92 29.57 14.38 16.12
Past Month Marijuana Use 10.12 6.29 18.77 9.38 10.47
Perceptions of Great Risk from Smoking Marijuana Once a Month 22.87 20.51 10.61 24.71 23.08
First Use of Marijuana3,4 2.06 5.70 6.53 0.74 1.48
Past Month Illicit Drug Use Other Than Marijuana1,2 3.41 2.09 7.03 3.08 3.53
Past Year Cocaine Use 2.41 0.43 6.12 2.13 2.59
Perceptions of Great Risk from Using Cocaine Once a Month 68.08 53.96 60.95 70.43 69.33
Past Year Heroin Use 0.26 0.02 0.18 0.30 0.28
Perceptions of Great Risk from Trying Heroin Once or Twice 82.67 61.95 78.99 85.21 84.49
Past Year Methamphetamine Use 1.30 0.07 0.93 1.48 1.42
Past Year Misuse of Pain Relievers2 3.41 1.85 4.95 3.37 3.55
ALCOHOL          
Past Month Alcohol Use 46.13 5.97 50.13 49.69 49.75
Past Month Binge Alcohol Use5 23.17 3.41 32.35 23.98 24.95
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
42.51 43.01 39.07 42.91 42.47
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 13.54 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 9.17 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 17.30 2.20 18.83 18.64 18.66
Past Month Cigarette Use 14.10 1.52 15.27 15.22 15.23
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
69.14 62.76 63.38 70.53 69.71
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 3.11 2.86 7.56 2.57 3.14
Pain Reliever Use Disorder2,8 0.56 0.33 0.54 0.59 0.58
Alcohol Use Disorder8 5.93 1.77 12.45 5.51 6.31
Substance Use Disorder1,2,8 8.06 3.75 16.58 7.40 8.45
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.71 2.63 6.90 2.17 2.72
Needing But Not Receiving Treatment for Alcohol Use9 5.69 1.67 12.44 5.23 6.06
Needing But Not Receiving Treatment for Substance Use1,2,9 7.37 4.00 15.30 6.68 7.67
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 26.99 16.22 17.45
Serious Mental Illness4,10 -- -- 7.69 3.70 4.16
Received Mental Health Services11 -- -- 11.85 10.31 10.49
Major Depressive Episode4,12 -- 14.16 12.86 4.93 5.83
Had Serious Thoughts of Suicide13 -- -- 11.89 3.82 4.74
Made Any Suicide Plans14 -- -- 4.11 0.90 1.27
Attempted Suicide14 -- -- 2.43 0.17 0.43
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual initiation of marijuana (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

IDAHO

Table 35 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Idaho, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 148 12 37 100 136
Past Year Marijuana Use 205 19 53 133 186
Past Month Marijuana Use 125 9 33 82 116
Perceptions of Great Risk from Smoking Marijuana Once a Month 333 37 21 275 297
First Use of Marijuana3,4 17 8 7 3 10
Past Month Illicit Drug Use Other Than Marijuana1,2 39 3 10 26 35
Past Year Cocaine Use 20 1 7 12 19
Perceptions of Great Risk from Using Cocaine Once a Month 1,016 80 112 824 935
Past Year Heroin Use 4 0 1 4 4
Perceptions of Great Risk from Trying Heroin Once or Twice 1,228 95 148 984 1,133
Past Year Methamphetamine Use 12 0 2 9 11
Past Year Misuse of Pain Relievers2 60 4 10 46 55
ALCOHOL          
Past Month Alcohol Use 677 12 91 574 664
Past Month Binge Alcohol Use5 324 7 57 260 316
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
620 62 66 492 558
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 33 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 21 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 287 6 43 238 281
Past Month Cigarette Use 228 4 32 191 223
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
1,002 99 116 787 903
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 39 5 12 22 34
Pain Reliever Use Disorder2,8 9 1 1 7 8
Alcohol Use Disorder8 79 3 19 58 76
Substance Use Disorder1,2,8 107 7 25 75 100
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 34 5 12 17 30
Needing But Not Receiving Treatment for Alcohol Use9 74 3 18 53 71
Needing But Not Receiving Treatment for Substance Use1,2,9 98 7 25 66 91
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 59 234 293
Serious Mental Illness4,10 -- -- 17 51 69
Received Mental Health Services11 -- -- 37 206 242
Major Depressive Episode4,12 -- 27 31 77 108
Had Serious Thoughts of Suicide13 -- -- 26 43 69
Made Any Suicide Plans14 -- -- 9 16 25
Attempted Suicide14 -- -- 3 6 10
-- 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 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

IDAHO

Table 36 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Idaho, by Age Group: Percentages, Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 10.15 7.50 20.04 8.90 10.47
Past Year Marijuana Use 14.03 12.04 28.99 11.85 14.27
Past Month Marijuana Use 8.57 5.90 18.21 7.36 8.89
Perceptions of Great Risk from Smoking Marijuana Once a Month 22.84 23.69 11.71 24.57 22.74
First Use of Marijuana3,4 2.25 5.43 6.90 0.60 1.59
Past Month Illicit Drug Use Other Than Marijuana1,2 2.65 2.24 5.20 2.28 2.70
Past Year Cocaine Use 1.36 0.57 4.01 1.04 1.46
Perceptions of Great Risk from Using Cocaine Once a Month 69.69 51.91 60.84 73.59 71.79
Past Year Heroin Use 0.30 0.03 0.36 0.33 0.33
Perceptions of Great Risk from Trying Heroin Once or Twice 84.24 61.42 80.82 87.94 86.93
Past Year Methamphetamine Use 0.81 0.26 1.27 0.81 0.88
Past Year Misuse of Pain Relievers2 4.10 2.76 5.43 4.07 4.26
ALCOHOL          
Past Month Alcohol Use 46.40 7.94 49.48 51.24 50.99
Past Month Binge Alcohol Use5 22.20 4.79 30.80 23.22 24.28
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
42.53 40.25 35.84 43.94 42.80
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 15.18 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 9.82 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 19.69 3.88 23.65 21.24 21.58
Past Month Cigarette Use 15.62 2.87 17.44 17.10 17.15
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
68.71 63.65 63.15 70.32 69.30
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 2.67 3.30 6.47 1.96 2.60
Pain Reliever Use Disorder2,8 0.62 0.41 0.80 0.62 0.65
Alcohol Use Disorder8 5.41 1.70 10.18 5.15 5.86
Substance Use Disorder1,2,8 7.33 4.47 13.81 6.67 7.67
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.36 3.12 6.59 1.56 2.27
Needing But Not Receiving Treatment for Alcohol Use9 5.05 1.71 9.72 4.75 5.45
Needing But Not Receiving Treatment for Substance Use1,2,9 6.71 4.20 13.55 5.94 7.01
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 32.09 20.91 22.48
Serious Mental Illness4,10 -- -- 9.54 4.58 5.28
Received Mental Health Services11 -- -- 19.91 18.40 18.61
Major Depressive Episode4,12 -- 17.44 16.71 6.87 8.25
Had Serious Thoughts of Suicide13 -- -- 14.05 3.87 5.30
Made Any Suicide Plans14 -- -- 4.84 1.44 1.92
Attempted Suicide14 -- -- 1.72 0.58 0.74
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual initiation of marijuana (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

ILLINOIS

Table 37 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Illinois, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 1,284 82 308 895 1,203
Past Year Marijuana Use 1,748 133 445 1,170 1,615
Past Month Marijuana Use 1,107 69 284 754 1,038
Perceptions of Great Risk from Smoking Marijuana Once a Month 2,469 206 143 2,120 2,263
First Use of Marijuana3,4 131 51 53 27 80
Past Month Illicit Drug Use Other Than Marijuana1,2 341 21 73 247 320
Past Year Cocaine Use 224 4 62 158 220
Perceptions of Great Risk from Using Cocaine Once a Month 7,308 510 807 5,991 6,798
Past Year Heroin Use 26 0 4 22 26
Perceptions of Great Risk from Trying Heroin Once or Twice 9,105 618 1,060 7,427 8,487
Past Year Methamphetamine Use 41 1 4 36 40
Past Year Misuse of Pain Relievers2 304 21 60 222 282
ALCOHOL          
Past Month Alcohol Use 5,907 84 734 5,089 5,822
Past Month Binge Alcohol Use5 2,869 43 452 2,374 2,826
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
4,488 405 485 3,598 4,083
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 266 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 163 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 2,150 34 285 1,831 2,116
Past Month Cigarette Use 1,736 18 212 1,506 1,717
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
7,729 637 884 6,209 7,092
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 326 34 103 189 292
Pain Reliever Use Disorder2,8 47 4 7 36 43
Alcohol Use Disorder8 590 15 129 445 575
Substance Use Disorder1,2,8 819 42 193 584 777
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 287 32 92 164 255
Needing But Not Receiving Treatment for Alcohol Use9 563 15 124 424 548
Needing But Not Receiving Treatment for Substance Use1,2,9 744 40 179 525 704
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 374 1,484 1,858
Serious Mental Illness4,10 -- -- 113 324 437
Received Mental Health Services11 -- -- 243 1,341 1,584
Major Depressive Episode4,12 -- 149 195 495 690
Had Serious Thoughts of Suicide13 -- -- 148 240 388
Made Any Suicide Plans14 -- -- 58 62 120
Attempted Suicide14 -- -- 18 15 33
-- 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 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

ILLINOIS

Table 38 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Illinois, by Age Group: Percentages, Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 12.04 8.28 23.57 10.68 12.42
Past Year Marijuana Use 16.38 13.55 34.01 13.96 16.67
Past Month Marijuana Use 10.38 7.01 21.74 9.00 10.72
Perceptions of Great Risk from Smoking Marijuana Once a Month 23.13 20.92 10.96 25.30 23.35
First Use of Marijuana3,4 2.33 6.04 7.82 0.68 1.67
Past Month Illicit Drug Use Other Than Marijuana1,2 3.20 2.16 5.61 2.94 3.30
Past Year Cocaine Use 2.10 0.40 4.77 1.88 2.27
Perceptions of Great Risk from Using Cocaine Once a Month 68.50 51.82 61.64 71.51 70.17
Past Year Heroin Use 0.24 0.01 0.31 0.26 0.26
Perceptions of Great Risk from Trying Heroin Once or Twice 85.35 62.76 81.01 88.65 87.61
Past Year Methamphetamine Use 0.38 0.14 0.30 0.43 0.41
Past Year Misuse of Pain Relievers2 2.84 2.16 4.57 2.66 2.91
ALCOHOL          
Past Month Alcohol Use 55.35 8.55 56.07 60.74 60.11
Past Month Binge Alcohol Use5 26.88 4.34 34.55 28.33 29.17
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
42.05 41.15 37.06 42.94 42.14
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 17.90 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 10.93 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 20.15 3.46 21.78 21.85 21.85
Past Month Cigarette Use 16.26 1.88 16.16 17.97 17.73
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
72.43 64.67 67.52 74.10 73.21
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 3.05 3.47 7.85 2.25 3.01
Pain Reliever Use Disorder2,8 0.44 0.42 0.53 0.43 0.45
Alcohol Use Disorder8 5.53 1.53 9.89 5.31 5.93
Substance Use Disorder1,2,8 7.67 4.25 14.76 6.97 8.02
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.69 3.23 7.00 1.95 2.63
Needing But Not Receiving Treatment for Alcohol Use9 5.27 1.49 9.48 5.06 5.66
Needing But Not Receiving Treatment for Substance Use1,2,9 6.97 4.02 13.69 6.27 7.27
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 28.57 17.71 19.18
Serious Mental Illness4,10 -- -- 8.61 3.87 4.51
Received Mental Health Services11 -- -- 18.55 16.01 16.35
Major Depressive Episode4,12 -- 15.15 14.89 5.91 7.12
Had Serious Thoughts of Suicide13 -- -- 11.29 2.87 4.00
Made Any Suicide Plans14 -- -- 4.44 0.74 1.24
Attempted Suicide14 -- -- 1.41 0.18 0.34
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual initiation of marijuana (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

INDIANA

Table 39 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Indiana, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 700 46 198 456 654
Past Year Marijuana Use 928 67 259 603 861
Past Month Marijuana Use 646 40 189 416 605
Perceptions of Great Risk from Smoking Marijuana Once a Month 1,236 107 73 1,057 1,130
First Use of Marijuana3,4 70 25 31 14 46
Past Month Illicit Drug Use Other Than Marijuana1,2 183 15 49 118 167
Past Year Cocaine Use 88 3 34 51 85
Perceptions of Great Risk from Using Cocaine Once a Month 3,980 282 457 3,240 3,697
Past Year Heroin Use 18 0 4 14 18
Perceptions of Great Risk from Trying Heroin Once or Twice 4,876 343 617 3,916 4,533
Past Year Methamphetamine Use 52 2 11 39 50
Past Year Misuse of Pain Relievers2 212 16 41 155 196
ALCOHOL          
Past Month Alcohol Use 2,766 49 411 2,306 2,717
Past Month Binge Alcohol Use5 1,427 26 255 1,146 1,401
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
2,292 215 250 1,827 2,077
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 133 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 83 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 1,575 27 244 1,304 1,548
Past Month Cigarette Use 1,254 18 185 1,051 1,236
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
3,740 344 466 2,930 3,396
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 195 19 60 116 176
Pain Reliever Use Disorder2,8 38 2 5 31 36
Alcohol Use Disorder8 313 9 75 228 303
Substance Use Disorder1,2,8 448 23 109 316 425
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 170 16 57 96 153
Needing But Not Receiving Treatment for Alcohol Use9 300 9 71 220 291
Needing But Not Receiving Treatment for Substance Use1,2,9 416 21 107 287 395
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 222 904 1,125
Serious Mental Illness4,10 -- -- 67 207 274
Received Mental Health Services11 -- -- 127 721 848
Major Depressive Episode4,12 -- 89 109 309 418
Had Serious Thoughts of Suicide13 -- -- 98 186 284
Made Any Suicide Plans14 -- -- 32 65 97
Attempted Suicide14 -- -- 14 22 36
-- 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 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

INDIANA

Table 40 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Indiana, by Age Group: Percentages, Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 12.53 8.60 26.93 10.57 12.95
Past Year Marijuana Use 16.61 12.42 35.14 13.97 17.06
Past Month Marijuana Use 11.56 7.52 25.63 9.66 11.98
Perceptions of Great Risk from Smoking Marijuana Once a Month 22.12 19.88 9.85 24.51 22.36
First Use of Marijuana3,4 2.54 5.34 8.98 0.72 1.98
Past Month Illicit Drug Use Other Than Marijuana1,2 3.27 2.86 6.69 2.73 3.31
Past Year Cocaine Use 1.58 0.50 4.63 1.19 1.69
Perceptions of Great Risk from Using Cocaine Once a Month 71.26 52.52 62.09 75.13 73.23
Past Year Heroin Use 0.32 0.03 0.50 0.33 0.35
Perceptions of Great Risk from Trying Heroin Once or Twice 87.31 63.74 83.73 90.82 89.78
Past Year Methamphetamine Use 0.93 0.31 1.43 0.92 0.99
Past Year Misuse of Pain Relievers2 3.80 3.06 5.57 3.58 3.87
ALCOHOL          
Past Month Alcohol Use 49.51 9.16 55.79 53.47 53.80
Past Month Binge Alcohol Use5 25.54 4.93 34.56 26.57 27.73
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
41.03 40.04 33.91 42.37 41.13
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 16.78 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 10.55 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 28.18 4.94 33.10 30.24 30.66
Past Month Cigarette Use 22.45 3.38 25.12 24.37 24.48
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
66.95 64.05 63.20 67.95 67.26
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 3.49 3.52 8.14 2.69 3.49
Pain Reliever Use Disorder2,8 0.68 0.46 0.69 0.71 0.71
Alcohol Use Disorder8 5.59 1.76 10.25 5.28 6.00
Substance Use Disorder1,2,8 8.02 4.20 14.83 7.33 8.42
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 3.04 3.06 7.79 2.22 3.03
Needing But Not Receiving Treatment for Alcohol Use9 5.38 1.75 9.58 5.11 5.76
Needing But Not Receiving Treatment for Substance Use1,2,9 7.45 3.99 14.59 6.66 7.82
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 30.10 20.96 22.29
Serious Mental Illness4,10 -- -- 9.05 4.80 5.42
Received Mental Health Services11 -- -- 17.22 16.71 16.78
Major Depressive Episode4,12 -- 16.61 14.85 7.16 8.28
Had Serious Thoughts of Suicide13 -- -- 13.34 4.30 5.62
Made Any Suicide Plans14 -- -- 4.30 1.51 1.92
Attempted Suicide14 -- -- 1.93 0.52 0.72
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual initiation of marijuana (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

IOWA

Table 41 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Iowa, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 242 19 67 155 222
Past Year Marijuana Use 327 29 99 199 299
Past Month Marijuana Use 176 14 57 105 162
Perceptions of Great Risk from Smoking Marijuana Once a Month 529 52 35 442 477
First Use of Marijuana3,4 36 12 17 6 23
Past Month Illicit Drug Use Other Than Marijuana1,2 93 6 22 64 87
Past Year Cocaine Use 38 1 16 21 37
Perceptions of Great Risk from Using Cocaine Once a Month 1,812 123 206 1,483 1,689
Past Year Heroin Use 6 0 1 5 6
Perceptions of Great Risk from Trying Heroin Once or Twice 2,161 142 264 1,754 2,019
Past Year Methamphetamine Use 29 1 4 25 29
Past Year Misuse of Pain Relievers2 109 9 20 80 100
ALCOHOL          
Past Month Alcohol Use 1,521 28 226 1,267 1,493
Past Month Binge Alcohol Use5 735 14 141 579 721
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
939 86 112 741 853
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 100 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 62 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 662 12 96 554 650
Past Month Cigarette Use 542 10 72 461 533
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
1,676 152 208 1,317 1,524
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 76 8 24 44 67
Pain Reliever Use Disorder2,8 16 1 2 13 15
Alcohol Use Disorder8 152 5 42 105 146
Substance Use Disorder1,2,8 205 12 54 139 192
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 68 7 22 38 60
Needing But Not Receiving Treatment for Alcohol Use9 144 5 41 98 139
Needing But Not Receiving Treatment for Substance Use1,2,9 183 12 52 119 171
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 95 347 441
Serious Mental Illness4,10 -- -- 32 97 129
Received Mental Health Services11 -- -- 69 393 462
Major Depressive Episode4,12 -- 41 50 137 187
Had Serious Thoughts of Suicide13 -- -- 44 74 118
Made Any Suicide Plans14 -- -- 18 26 44
Attempted Suicide14 -- -- 7 9 16
-- 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 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

IOWA

Table 42 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Iowa, by Age Group: Percentages, Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 9.17 7.83 18.95 7.64 9.31
Past Year Marijuana Use 12.43 11.61 28.10 9.80 12.51
Past Month Marijuana Use 6.70 5.71 16.16 5.18 6.80
Perceptions of Great Risk from Smoking Marijuana Once a Month 20.07 21.07 9.85 21.75 19.97
First Use of Marijuana3,4 2.12 5.06 7.55 0.54 1.63
Past Month Illicit Drug Use Other Than Marijuana1,2 3.55 2.62 6.35 3.17 3.64
Past Year Cocaine Use 1.45 0.47 4.51 1.03 1.55
Perceptions of Great Risk from Using Cocaine Once a Month 68.87 50.11 58.19 72.97 70.78
Past Year Heroin Use 0.25 0.03 0.38 0.25 0.27
Perceptions of Great Risk from Trying Heroin Once or Twice 82.14 57.83 74.78 86.32 84.61
Past Year Methamphetamine Use 1.11 0.29 1.07 1.22 1.20
Past Year Misuse of Pain Relievers2 4.14 3.56 5.69 3.94 4.20
ALCOHOL          
Past Month Alcohol Use 57.80 11.38 63.95 62.35 62.58
Past Month Binge Alcohol Use5 27.92 5.73 39.99 28.51 30.21
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
35.67 34.93 31.54 36.48 35.74
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 24.82 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 15.37 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 25.16 4.95 27.16 27.26 27.24
Past Month Cigarette Use 20.61 3.87 20.38 22.68 22.34
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
63.70 61.77 58.72 64.79 63.89
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 2.88 3.37 6.65 2.16 2.83
Pain Reliever Use Disorder2,8 0.61 0.42 0.67 0.63 0.63
Alcohol Use Disorder8 5.76 2.19 11.75 5.15 6.13
Substance Use Disorder1,2,8 7.78 5.07 15.13 6.83 8.05
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.57 3.01 6.35 1.86 2.52
Needing But Not Receiving Treatment for Alcohol Use9 5.48 2.15 11.47 4.85 5.83
Needing But Not Receiving Treatment for Substance Use1,2,9 6.95 4.72 14.83 5.85 7.18
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 26.76 17.06 18.50
Serious Mental Illness4,10 -- -- 9.12 4.75 5.40
Received Mental Health Services11 -- -- 19.48 19.34 19.36
Major Depressive Episode4,12 -- 16.69 14.11 6.74 7.82
Had Serious Thoughts of Suicide13 -- -- 12.36 3.66 4.94
Made Any Suicide Plans14 -- -- 4.97 1.29 1.84
Attempted Suicide14 -- -- 1.97 0.45 0.67
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual initiation of marijuana (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

KANSAS

Table 43 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Kansas, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 240 16 60 163 224
Past Year Marijuana Use 349 28 96 226 322
Past Month Marijuana Use 178 12 49 117 167
Perceptions of Great Risk from Smoking Marijuana Once a Month 552 52 39 461 500
First Use of Marijuana3,4 31 11 14 7 21
Past Month Illicit Drug Use Other Than Marijuana1,2 98 5 22 71 92
Past Year Cocaine Use 49 1 16 31 48
Perceptions of Great Risk from Using Cocaine Once a Month 1,658 124 200 1,334 1,534
Past Year Heroin Use 12 0 1 10 12
Perceptions of Great Risk from Trying Heroin Once or Twice 1,964 139 255 1,569 1,824
Past Year Methamphetamine Use 31 1 4 26 30
Past Year Misuse of Pain Relievers2 90 6 20 63 83
ALCOHOL          
Past Month Alcohol Use 1,250 24 188 1,038 1,226
Past Month Binge Alcohol Use5 631 14 121 495 617
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
983 96 112 775 887
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 83 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 54 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 585 8 82 495 577
Past Month Cigarette Use 436 5 54 376 430
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
1,582 148 198 1,236 1,435
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 61 7 22 33 54
Pain Reliever Use Disorder2,8 14 1 3 11 13
Alcohol Use Disorder8 124 5 33 86 119
Substance Use Disorder1,2,8 166 10 45 111 157
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 53 6 20 27 47
Needing But Not Receiving Treatment for Alcohol Use9 121 4 32 84 117
Needing But Not Receiving Treatment for Substance Use1,2,9 153 9 42 101 144
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 89 352 442
Serious Mental Illness4,10 -- -- 32 91 123
Received Mental Health Services11 -- -- 57 313 370
Major Depressive Episode4,12 -- 39 47 123 169
Had Serious Thoughts of Suicide13 -- -- 39 67 107
Made Any Suicide Plans14 -- -- 15 24 39
Attempted Suicide14 -- -- 7 8 15
-- 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 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

KANSAS

Table 44 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Kansas, by Age Group: Percentages, Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 10.05 6.84 18.83 8.93 10.40
Past Year Marijuana Use 14.64 11.61 29.96 12.35 14.98
Past Month Marijuana Use 7.48 5.00 15.39 6.42 7.75
Perceptions of Great Risk from Smoking Marijuana Once a Month 23.13 21.99 12.16 25.22 23.26
First Use of Marijuana3,4 2.40 4.96 7.79 0.73 1.89
Past Month Illicit Drug Use Other Than Marijuana1,2 4.11 2.30 6.74 3.88 4.31
Past Year Cocaine Use 2.05 0.54 5.11 1.71 2.21
Perceptions of Great Risk from Using Cocaine Once a Month 69.57 52.45 62.40 73.02 71.43
Past Year Heroin Use 0.49 0.02 0.45 0.55 0.54
Perceptions of Great Risk from Trying Heroin Once or Twice 82.40 58.84 79.70 85.89 84.96
Past Year Methamphetamine Use 1.28 0.26 1.32 1.41 1.39
Past Year Misuse of Pain Relievers2 3.75 2.55 6.30 3.46 3.89
ALCOHOL          
Past Month Alcohol Use 52.43 10.30 58.66 56.81 57.08
Past Month Binge Alcohol Use5 26.44 5.86 37.93 27.10 28.71
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
41.21 40.32 35.09 42.40 41.31
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 22.03 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 14.29 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 24.52 3.48 25.55 27.08 26.85
Past Month Cigarette Use 18.27 2.32 16.92 20.59 20.04
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
66.36 62.28 61.96 67.66 66.81
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 2.56 2.80 6.75 1.79 2.53
Pain Reliever Use Disorder2,8 0.59 0.37 0.86 0.58 0.62
Alcohol Use Disorder8 5.18 1.90 10.39 4.69 5.54
Substance Use Disorder1,2,8 6.96 4.02 14.15 6.09 7.29
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.24 2.60 6.18 1.50 2.20
Needing But Not Receiving Treatment for Alcohol Use9 5.08 1.87 10.09 4.62 5.43
Needing But Not Receiving Treatment for Substance Use1,2,9 6.40 3.87 13.22 5.54 6.68
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 27.90 19.28 20.56
Serious Mental Illness4,10 -- -- 9.93 5.00 5.74
Received Mental Health Services11 -- -- 17.71 17.15 17.23
Major Depressive Episode4,12 -- 16.53 14.55 6.73 7.89
Had Serious Thoughts of Suicide13 -- -- 12.31 3.68 4.96
Made Any Suicide Plans14 -- -- 4.83 1.31 1.83
Attempted Suicide14 -- -- 2.07 0.45 0.69
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual initiation of marijuana (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

KENTUCKY

Table 45 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Kentucky, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 425 24 91 311 401
Past Year Marijuana Use 553 39 137 378 515
Past Month Marijuana Use 363 21 88 254 342
Perceptions of Great Risk from Smoking Marijuana Once a Month 876 75 51 751 801
First Use of Marijuana3,4 45 16 20 10 29
Past Month Illicit Drug Use Other Than Marijuana1,2 116 7 21 88 109
Past Year Cocaine Use 72 2 21 50 71
Perceptions of Great Risk from Using Cocaine Once a Month 2,814 192 310 2,312 2,622
Past Year Heroin Use 15 0 2 12 15
Perceptions of Great Risk from Trying Heroin Once or Twice 3,308 225 397 2,685 3,083
Past Year Methamphetamine Use 45 1 7 37 44
Past Year Misuse of Pain Relievers2 154 9 24 121 145
ALCOHOL          
Past Month Alcohol Use 1,610 33 223 1,355 1,577
Past Month Binge Alcohol Use5 803 18 147 638 785
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
1,618 143 167 1,307 1,474
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 97 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 63 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 1,160 24 162 974 1,136
Past Month Cigarette Use 933 16 120 797 917
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
2,395 212 279 1,904 2,183
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 117 11 31 75 106
Pain Reliever Use Disorder2,8 30 2 3 25 29
Alcohol Use Disorder8 190 6 42 142 184
Substance Use Disorder1,2,8 280 14 59 207 266
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 95 9 27 59 86
Needing But Not Receiving Treatment for Alcohol Use9 182 6 40 137 177
Needing But Not Receiving Treatment for Substance Use1,2,9 249 14 58 178 236
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 125 637 762
Serious Mental Illness4,10 -- -- 39 156 195
Received Mental Health Services11 -- -- 83 560 643
Major Depressive Episode4,12 -- 51 65 222 287
Had Serious Thoughts of Suicide13 -- -- 51 107 158
Made Any Suicide Plans14 -- -- 17 37 54
Attempted Suicide14 -- -- 9 13 22
-- 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 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

KENTUCKY

Table 46 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Kentucky, by Age Group: Percentages, Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 11.43 6.99 19.66 10.64 11.87
Past Year Marijuana Use 14.87 11.33 29.67 12.94 15.22
Past Month Marijuana Use 9.75 6.18 18.96 8.71 10.11
Perceptions of Great Risk from Smoking Marijuana Once a Month 23.54 21.95 11.00 25.73 23.70
First Use of Marijuana3,4 2.18 5.03 8.14 0.62 1.68
Past Month Illicit Drug Use Other Than Marijuana1,2 3.11 1.96 4.58 3.01 3.23
Past Year Cocaine Use 1.95 0.45 4.61 1.70 2.10
Perceptions of Great Risk from Using Cocaine Once a Month 75.68 56.49 67.20 79.23 77.59
Past Year Heroin Use 0.40 0.04 0.52 0.42 0.43
Perceptions of Great Risk from Trying Heroin Once or Twice 88.97 66.31 86.02 92.03 91.21
Past Year Methamphetamine Use 1.21 0.31 1.61 1.26 1.30
Past Year Misuse of Pain Relievers2 4.14 2.73 5.19 4.14 4.28
ALCOHOL          
Past Month Alcohol Use 43.28 9.62 48.20 46.42 46.66
Past Month Binge Alcohol Use5 21.59 5.22 31.89 21.86 23.23
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
43.49 42.23 36.25 44.78 43.62
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 18.14 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 11.79 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 31.19 7.14 35.11 33.37 33.61
Past Month Cigarette Use 25.08 4.67 25.93 27.31 27.12
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
64.39 62.47 60.34 65.25 64.58
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 3.15 3.31 6.70 2.57 3.14
Pain Reliever Use Disorder2,8 0.81 0.48 0.73 0.86 0.85
Alcohol Use Disorder8 5.10 1.69 9.13 4.87 5.45
Substance Use Disorder1,2,8 7.52 4.10 12.77 7.09 7.87
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.57 2.74 5.78 2.04 2.55
Needing But Not Receiving Treatment for Alcohol Use9 4.90 1.67 8.58 4.70 5.23
Needing But Not Receiving Treatment for Substance Use1,2,9 6.70 3.98 12.50 6.10 6.97
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 27.03 21.83 22.54
Serious Mental Illness4,10 -- -- 8.39 5.34 5.76
Received Mental Health Services11 -- -- 17.93 19.21 19.03
Major Depressive Episode4,12 -- 15.15 14.15 7.60 8.49
Had Serious Thoughts of Suicide13 -- -- 11.10 3.67 4.68
Made Any Suicide Plans14 -- -- 3.66 1.27 1.59
Attempted Suicide14 -- -- 2.01 0.44 0.66
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual initiation of marijuana (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

LOUISIANA

Table 47 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Louisiana, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 360 23 98 238 337
Past Year Marijuana Use 464 31 129 304 433
Past Month Marijuana Use 296 18 86 191 278
Perceptions of Great Risk from Smoking Marijuana Once a Month 1,090 91 65 934 999
First Use of Marijuana3,4 44 16 19 9 28
Past Month Illicit Drug Use Other Than Marijuana1,2 125 9 27 88 116
Past Year Cocaine Use 69 1 22 46 68
Perceptions of Great Risk from Using Cocaine Once a Month 2,950 203 330 2,417 2,747
Past Year Heroin Use 11 0 1 9 11
Perceptions of Great Risk from Trying Heroin Once or Twice 3,355 232 397 2,725 3,122
Past Year Methamphetamine Use 30 1 3 27 30
Past Year Misuse of Pain Relievers2 147 9 23 115 138
ALCOHOL          
Past Month Alcohol Use 1,835 36 246 1,553 1,799
Past Month Binge Alcohol Use5 990 18 153 819 972
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
1,718 159 192 1,367 1,558
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 111 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 60 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 1,091 21 141 929 1,071
Past Month Cigarette Use 843 12 103 728 831
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
2,646 227 316 2,103 2,419
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 109 9 30 70 100
Pain Reliever Use Disorder2,8 26 1 3 21 24
Alcohol Use Disorder8 214 5 41 168 209
Substance Use Disorder1,2,8 291 12 58 221 279
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 97 8 28 62 90
Needing But Not Receiving Treatment for Alcohol Use9 202 5 37 160 196
Needing But Not Receiving Treatment for Substance Use1,2,9 262 11 55 195 251
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 127 607 734
Serious Mental Illness4,10 -- -- 39 145 183
Received Mental Health Services11 -- -- 71 449 521
Major Depressive Episode4,12 -- 51 66 204 271
Had Serious Thoughts of Suicide13 -- -- 57 106 163
Made Any Suicide Plans14 -- -- 19 29 48
Attempted Suicide14 -- -- 11 12 23
-- 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 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

LOUISIANA

Table 48 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Louisiana, by Age Group: Percentages, Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 9.41 6.33 21.03 7.96 9.73
Past Year Marijuana Use 12.15 8.56 27.57 10.17 12.53
Past Month Marijuana Use 7.74 4.99 18.47 6.39 8.03
Perceptions of Great Risk from Smoking Marijuana Once a Month 28.51 25.19 13.86 31.22 28.86
First Use of Marijuana3,4 1.74 4.33 6.79 0.45 1.31
Past Month Illicit Drug Use Other Than Marijuana1,2 3.26 2.44 5.84 2.95 3.34
Past Year Cocaine Use 1.81 0.26 4.77 1.53 1.97
Perceptions of Great Risk from Using Cocaine Once a Month 77.22 56.25 70.51 80.78 79.38
Past Year Heroin Use 0.28 0.02 0.30 0.31 0.31
Perceptions of Great Risk from Trying Heroin Once or Twice 87.83 64.50 84.81 91.07 90.22
Past Year Methamphetamine Use 0.79 0.17 0.61 0.89 0.85
Past Year Misuse of Pain Relievers2 3.85 2.52 4.97 3.83 3.98
ALCOHOL          
Past Month Alcohol Use 48.03 9.93 52.53 51.92 52.00
Past Month Binge Alcohol Use5 25.91 4.89 32.72 27.37 28.10
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
44.96 44.23 40.94 45.67 45.03
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 19.89 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 10.86 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 28.57 5.80 30.14 31.06 30.94
Past Month Cigarette Use 22.07 3.35 22.05 24.32 24.01
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
69.27 63.10 67.37 70.30 69.91
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 2.84 2.45 6.45 2.33 2.88
Pain Reliever Use Disorder2,8 0.67 0.39 0.67 0.71 0.70
Alcohol Use Disorder8 5.60 1.40 8.67 5.63 6.04
Substance Use Disorder1,2,8 7.61 3.29 12.48 7.37 8.06
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.55 2.16 5.96 2.06 2.59
Needing But Not Receiving Treatment for Alcohol Use9 5.28 1.41 7.88 5.33 5.68
Needing But Not Receiving Treatment for Substance Use1,2,9 6.86 3.14 11.79 6.53 7.24
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 27.07 20.29 21.21
Serious Mental Illness4,10 -- -- 8.23 4.84 5.30
Received Mental Health Services11 -- -- 15.26 15.02 15.05
Major Depressive Episode4,12 -- 14.14 14.16 6.82 7.81
Had Serious Thoughts of Suicide13 -- -- 12.25 3.54 4.72
Made Any Suicide Plans14 -- -- 4.12 0.97 1.39
Attempted Suicide14 -- -- 2.36 0.39 0.66
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual initiation of marijuana (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

MAINE

Table 49 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Maine, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 220 11 44 165 209
Past Year Marijuana Use 289 16 59 214 273
Past Month Marijuana Use 205 10 43 153 195
Perceptions of Great Risk from Smoking Marijuana Once a Month 182 14 7 161 168
First Use of Marijuana3,4 17 6 7 5 12
Past Month Illicit Drug Use Other Than Marijuana1,2 37 2 8 27 35
Past Year Cocaine Use 23 1 9 14 22
Perceptions of Great Risk from Using Cocaine Once a Month 793 48 70 675 745
Past Year Heroin Use 7 0 1 6 7
Perceptions of Great Risk from Trying Heroin Once or Twice 999 58 98 843 942
Past Year Methamphetamine Use 6 0 1 5 6
Past Year Misuse of Pain Relievers2 38 2 7 30 36
ALCOHOL          
Past Month Alcohol Use 650 9 73 568 641
Past Month Binge Alcohol Use5 257 5 44 208 252
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
477 34 38 405 443
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 32 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 21 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 240 5 33 202 235
Past Month Cigarette Use 201 4 26 172 197
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
825 60 81 684 765
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 42 3 12 27 39
Pain Reliever Use Disorder2,8 8 0 1 7 8
Alcohol Use Disorder8 66 2 13 51 64
Substance Use Disorder1,2,8 100 4 21 74 96
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 35 3 11 21 32
Needing But Not Receiving Treatment for Alcohol Use9 63 2 13 49 61
Needing But Not Receiving Treatment for Substance Use1,2,9 92 4 21 67 88
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 39 199 238
Serious Mental Illness4,10 -- -- 14 51 65
Received Mental Health Services11 -- -- 28 193 221
Major Depressive Episode4,12 -- 14 20 69 88
Had Serious Thoughts of Suicide13 -- -- 17 42 59
Made Any Suicide Plans14 -- -- 6 11 17
Attempted Suicide14 -- -- 3 4 7
-- 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 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

MAINE

Table 50 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Maine, by Age Group: Percentages, Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 18.88 12.28 36.54 17.25 19.42
Past Year Marijuana Use 24.77 17.53 48.63 22.42 25.37
Past Month Marijuana Use 17.58 10.93 35.12 15.97 18.13
Perceptions of Great Risk from Smoking Marijuana Once a Month 15.61 15.28 5.80 16.89 15.64
First Use of Marijuana3,4 3.38 7.71 14.39 1.09 2.61
Past Month Illicit Drug Use Other Than Marijuana1,2 3.21 2.32 6.77 2.84 3.28
Past Year Cocaine Use 1.96 0.56 7.25 1.42 2.08
Perceptions of Great Risk from Using Cocaine Once a Month 68.04 54.07 57.67 70.64 69.18
Past Year Heroin Use 0.56 0.03 0.81 0.58 0.61
Perceptions of Great Risk from Trying Heroin Once or Twice 85.72 64.58 81.28 88.21 87.43
Past Year Methamphetamine Use 0.52 0.28 1.07 0.47 0.54
Past Year Misuse of Pain Relievers2 3.27 2.02 5.47 3.10 3.37
ALCOHOL          
Past Month Alcohol Use 55.77 10.36 60.07 59.44 59.52
Past Month Binge Alcohol Use5 22.03 5.31 36.37 21.76 23.41
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
40.91 38.35 30.97 42.40 41.12
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 22.44 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 14.54 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 20.56 5.18 27.35 21.13 21.83
Past Month Cigarette Use 17.24 3.99 21.06 17.99 18.34
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
70.77 66.88 67.02 71.59 71.08
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 3.62 3.80 9.75 2.83 3.60
Pain Reliever Use Disorder2,8 0.70 0.40 0.83 0.71 0.73
Alcohol Use Disorder8 5.66 2.14 10.88 5.33 5.95
Substance Use Disorder1,2,8 8.57 4.67 17.61 7.79 8.89
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 3.03 3.30 9.04 2.25 3.01
Needing But Not Receiving Treatment for Alcohol Use9 5.43 2.12 10.33 5.11 5.70
Needing But Not Receiving Treatment for Substance Use1,2,9 7.93 4.56 17.27 7.05 8.20
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 32.25 20.81 22.10
Serious Mental Illness4,10 -- -- 11.35 5.36 6.03
Received Mental Health Services11 -- -- 22.87 20.17 20.48
Major Depressive Episode4,12 -- 15.60 16.30 7.18 8.19
Had Serious Thoughts of Suicide13 -- -- 14.00 4.37 5.44
Made Any Suicide Plans14 -- -- 5.32 1.11 1.58
Attempted Suicide14 -- -- 2.28 0.42 0.63
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual initiation of marijuana (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

MARYLAND

Table 51 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Maryland, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 644 37 166 441 607
Past Year Marijuana Use 813 55 237 521 758
Past Month Marijuana Use 556 32 156 368 524
Perceptions of Great Risk from Smoking Marijuana Once a Month 1,279 97 76 1,106 1,182
First Use of Marijuana3,4 56 22 23 11 33
Past Month Illicit Drug Use Other Than Marijuana1,2 167 9 34 124 158
Past Year Cocaine Use 88 1 26 60 86
Perceptions of Great Risk from Using Cocaine Once a Month 3,621 242 374 3,004 3,379
Past Year Heroin Use 12 0 2 10 12
Perceptions of Great Risk from Trying Heroin Once or Twice 4,334 283 491 3,561 4,052
Past Year Methamphetamine Use 16 0 2 13 15
Past Year Misuse of Pain Relievers2 174 10 29 136 164
ALCOHOL          
Past Month Alcohol Use 2,794 41 339 2,414 2,753
Past Month Binge Alcohol Use5 1,297 19 216 1,062 1,278
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
2,292 201 235 1,856 2,091
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 104 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 58 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 996 16 144 837 981
Past Month Cigarette Use 751 8 95 648 743
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
3,713 299 401 3,013 3,414
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 138 14 47 77 124
Pain Reliever Use Disorder2,8 22 2 3 17 20
Alcohol Use Disorder8 246 6 51 189 240
Substance Use Disorder1,2,8 340 17 87 236 323
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 128 14 46 68 114
Needing But Not Receiving Treatment for Alcohol Use9 230 6 51 173 224
Needing But Not Receiving Treatment for Substance Use1,2,9 310 16 79 215 294
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 167 643 810
Serious Mental Illness4,10 -- -- 52 155 207
Received Mental Health Services11 -- -- 92 543 636
Major Depressive Episode4,12 -- 67 87 227 314
Had Serious Thoughts of Suicide13 -- -- 75 125 200
Made Any Suicide Plans14 -- -- 25 31 56
Attempted Suicide14 -- -- 10 12 22
-- 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 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

MARYLAND

Table 52 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Maryland, by Age Group: Percentages, Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 12.73 8.26 28.03 10.98 13.17
Past Year Marijuana Use 16.07 12.27 40.05 12.97 16.45
Past Month Marijuana Use 10.99 7.07 26.37 9.16 11.37
Perceptions of Great Risk from Smoking Marijuana Once a Month 25.27 21.56 12.85 27.53 25.63
First Use of Marijuana3,4 2.18 5.46 8.06 0.64 1.60
Past Month Illicit Drug Use Other Than Marijuana1,2 3.31 2.09 5.73 3.09 3.43
Past Year Cocaine Use 1.73 0.27 4.41 1.50 1.88
Perceptions of Great Risk from Using Cocaine Once a Month 71.58 53.66 63.36 74.78 73.31
Past Year Heroin Use 0.24 0.02 0.30 0.25 0.26
Perceptions of Great Risk from Trying Heroin Once or Twice 85.70 62.72 83.05 88.63 87.91
Past Year Methamphetamine Use 0.31 0.11 0.35 0.33 0.33
Past Year Misuse of Pain Relievers2 3.45 2.18 4.88 3.38 3.57
ALCOHOL          
Past Month Alcohol Use 55.22 9.06 57.44 60.07 59.74
Past Month Binge Alcohol Use5 25.64 4.21 36.62 26.43 27.74
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
45.30 44.70 39.73 46.19 45.36
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 16.43 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 9.19 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 19.69 3.46 24.30 20.83 21.28
Past Month Cigarette Use 14.85 1.86 16.07 16.12 16.12
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
73.39 66.28 67.92 74.99 74.08
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 2.72 3.02 8.01 1.91 2.69
Pain Reliever Use Disorder2,8 0.43 0.43 0.50 0.42 0.43
Alcohol Use Disorder8 4.87 1.38 8.62 4.71 5.21
Substance Use Disorder1,2,8 6.72 3.70 14.75 5.87 7.01
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.53 3.06 7.82 1.69 2.48
Needing But Not Receiving Treatment for Alcohol Use9 4.54 1.35 8.58 4.30 4.85
Needing But Not Receiving Treatment for Substance Use1,2,9 6.13 3.58 13.39 5.34 6.38
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 28.18 16.01 17.57
Serious Mental Illness4,10 -- -- 8.74 3.85 4.48
Received Mental Health Services11 -- -- 15.57 13.53 13.79
Major Depressive Episode4,12 -- 14.93 14.72 5.66 6.81
Had Serious Thoughts of Suicide13 -- -- 12.70 3.11 4.34
Made Any Suicide Plans14 -- -- 4.24 0.78 1.22
Attempted Suicide14 -- -- 1.66 0.29 0.47
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual initiation of marijuana (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

MASSACHUSETTS

Table 53 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Massachusetts, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 1,008 53 265 690 955
Past Year Marijuana Use 1,318 77 367 874 1,241
Past Month Marijuana Use 887 46 245 596 840
Perceptions of Great Risk from Smoking Marijuana Once a Month 988 80 66 842 908
First Use of Marijuana3,4 101 29 51 21 72
Past Month Illicit Drug Use Other Than Marijuana1,2 222 10 57 155 212
Past Year Cocaine Use 134 2 55 76 132
Perceptions of Great Risk from Using Cocaine Once a Month 3,830 250 429 3,151 3,580
Past Year Heroin Use 23 0 3 19 23
Perceptions of Great Risk from Trying Heroin Once or Twice 5,082 312 637 4,134 4,770
Past Year Methamphetamine Use 20 1 3 17 20
Past Year Misuse of Pain Relievers2 192 9 34 150 184
ALCOHOL          
Past Month Alcohol Use 3,594 52 505 3,037 3,542
Past Month Binge Alcohol Use5 1,692 24 343 1,325 1,668
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
2,505 194 269 2,042 2,311
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 182 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 112 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 1,068 19 175 875 1,050
Past Month Cigarette Use 861 11 132 718 850
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
4,409 328 539 3,542 4,081
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 201 16 69 116 185
Pain Reliever Use Disorder2,8 36 2 5 29 34
Alcohol Use Disorder8 363 8 93 261 355
Substance Use Disorder1,2,8 503 20 139 344 483
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 179 14 59 105 165
Needing But Not Receiving Treatment for Alcohol Use9 335 8 89 238 327
Needing But Not Receiving Treatment for Substance Use1,2,9 450 19 129 302 432
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 233 924 1,157
Serious Mental Illness4,10 -- -- 70 212 282
Received Mental Health Services11 -- -- 172 977 1,149
Major Depressive Episode4,12 -- 75 123 320 442
Had Serious Thoughts of Suicide13 -- -- 95 167 261
Made Any Suicide Plans14 -- -- 28 38 65
Attempted Suicide14 -- -- 12 8 20
-- 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 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

MASSACHUSETTS

Table 54 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Massachusetts, by Age Group: Percentages, Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 16.94 11.03 33.58 14.74 17.46
Past Year Marijuana Use 22.16 16.03 46.57 18.67 22.69
Past Month Marijuana Use 14.91 9.72 31.01 12.73 15.36
Perceptions of Great Risk from Smoking Marijuana Once a Month 16.60 16.74 8.35 18.00 16.59
First Use of Marijuana3,4 3.79 7.25 15.27 1.13 3.17
Past Month Illicit Drug Use Other Than Marijuana1,2 3.73 2.12 7.19 3.32 3.87
Past Year Cocaine Use 2.24 0.42 6.98 1.63 2.40
Perceptions of Great Risk from Using Cocaine Once a Month 64.41 52.31 54.37 67.32 65.45
Past Year Heroin Use 0.38 0.02 0.44 0.41 0.41
Perceptions of Great Risk from Trying Heroin Once or Twice 85.48 65.24 80.70 88.31 87.21
Past Year Methamphetamine Use 0.34 0.15 0.36 0.36 0.36
Past Year Misuse of Pain Relievers2 3.24 1.88 4.27 3.20 3.36
ALCOHOL          
Past Month Alcohol Use 60.42 10.83 64.06 64.88 64.76
Past Month Binge Alcohol Use5 28.44 4.98 43.47 28.31 30.49
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
42.12 40.61 34.07 43.63 42.25
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 24.11 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 14.85 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 17.97 3.92 22.20 18.68 19.19
Past Month Cigarette Use 14.47 2.22 16.70 15.35 15.54
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
74.14 68.67 68.27 75.68 74.61
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 3.37 3.30 8.72 2.48 3.38
Pain Reliever Use Disorder2,8 0.60 0.38 0.61 0.62 0.62
Alcohol Use Disorder8 6.10 1.75 11.81 5.58 6.48
Substance Use Disorder1,2,8 8.45 4.10 17.68 7.34 8.83
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 3.01 3.02 7.54 2.24 3.01
Needing But Not Receiving Treatment for Alcohol Use9 5.63 1.68 11.31 5.08 5.98
Needing But Not Receiving Treatment for Substance Use1,2,9 7.57 3.90 16.39 6.46 7.89
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 29.55 19.73 21.15
Serious Mental Illness4,10 -- -- 8.88 4.54 5.16
Received Mental Health Services11 -- -- 21.80 20.87 21.01
Major Depressive Episode4,12 -- 15.61 15.53 6.83 8.08
Had Serious Thoughts of Suicide13 -- -- 12.00 3.56 4.77
Made Any Suicide Plans14 -- -- 3.50 0.80 1.19
Attempted Suicide14 -- -- 1.56 0.16 0.36
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual initiation of marijuana (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

MICHIGAN

Table 55 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Michigan, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 1,312 67 343 902 1,245
Past Year Marijuana Use 1,765 101 475 1,189 1,664
Past Month Marijuana Use 1,172 56 316 800 1,116
Perceptions of Great Risk from Smoking Marijuana Once a Month 1,549 153 94 1,302 1,396
First Use of Marijuana3,4 135 42 62 32 94
Past Month Illicit Drug Use Other Than Marijuana1,2 309 18 80 211 292
Past Year Cocaine Use 154 3 64 88 151
Perceptions of Great Risk from Using Cocaine Once a Month 5,967 394 657 4,916 5,573
Past Year Heroin Use 27 0 4 23 27
Perceptions of Great Risk from Trying Heroin Once or Twice 7,239 467 883 5,889 6,772
Past Year Methamphetamine Use 32 1 6 24 31
Past Year Misuse of Pain Relievers2 319 20 65 234 299
ALCOHOL          
Past Month Alcohol Use 4,547 69 658 3,821 4,479
Past Month Binge Alcohol Use5 2,236 35 423 1,777 2,201
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
3,508 309 363 2,835 3,199
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 260 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 154 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 2,037 34 310 1,693 2,003
Past Month Cigarette Use 1,616 20 212 1,384 1,596
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
5,739 484 676 4,580 5,256
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 234 23 85 127 211
Pain Reliever Use Disorder2,8 37 3 7 27 34
Alcohol Use Disorder8 486 12 112 362 473
Substance Use Disorder1,2,8 615 30 162 424 585
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 213 22 82 109 191
Needing But Not Receiving Treatment for Alcohol Use9 461 12 104 345 449
Needing But Not Receiving Treatment for Substance Use1,2,9 578 28 153 397 550
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 306 1,265 1,571
Serious Mental Illness4,10 -- -- 86 300 387
Received Mental Health Services11 -- -- 199 1,114 1,313
Major Depressive Episode4,12 -- 125 165 472 637
Had Serious Thoughts of Suicide13 -- -- 123 233 357
Made Any Suicide Plans14 -- -- 39 65 104
Attempted Suicide14 -- -- 21 29 50
-- 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 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

MICHIGAN

Table 56 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Michigan, by Age Group: Percentages, Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 15.45 8.87 31.86 13.54 16.09
Past Year Marijuana Use 20.80 13.38 44.14 17.86 21.52
Past Month Marijuana Use 13.80 7.42 29.30 12.02 14.42
Perceptions of Great Risk from Smoking Marijuana Once a Month 18.23 20.28 8.72 19.56 18.03
First Use of Marijuana3,4 3.18 6.30 12.69 0.93 2.59
Past Month Illicit Drug Use Other Than Marijuana1,2 3.64 2.33 7.46 3.18 3.77
Past Year Cocaine Use 1.82 0.37 5.93 1.31 1.96
Perceptions of Great Risk from Using Cocaine Once a Month 70.31 52.22 61.03 73.84 72.05
Past Year Heroin Use 0.32 0.03 0.37 0.35 0.35
Perceptions of Great Risk from Trying Heroin Once or Twice 85.31 61.98 81.98 88.45 87.55
Past Year Methamphetamine Use 0.38 0.18 0.57 0.37 0.39
Past Year Misuse of Pain Relievers2 3.76 2.60 6.05 3.52 3.87
ALCOHOL          
Past Month Alcohol Use 53.57 9.11 61.04 57.39 57.90
Past Month Binge Alcohol Use5 26.34 4.67 39.31 26.70 28.45
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
41.33 41.05 33.73 42.59 41.35
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 21.95 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 13.03 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 24.00 4.50 28.75 25.44 25.90
Past Month Cigarette Use 19.04 2.68 19.69 20.79 20.63
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
67.62 64.19 62.74 68.79 67.95
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 2.76 3.02 7.89 1.90 2.73
Pain Reliever Use Disorder2,8 0.44 0.41 0.63 0.41 0.44
Alcohol Use Disorder8 5.72 1.64 10.39 5.43 6.12
Substance Use Disorder1,2,8 7.25 3.98 15.00 6.36 7.56
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.51 2.87 7.63 1.64 2.47
Needing But Not Receiving Treatment for Alcohol Use9 5.43 1.60 9.67 5.18 5.80
Needing But Not Receiving Treatment for Substance Use1,2,9 6.81 3.74 14.23 5.96 7.11
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 28.42 19.00 20.32
Serious Mental Illness4,10 -- -- 8.02 4.51 5.00
Received Mental Health Services11 -- -- 18.50 16.73 16.97
Major Depressive Episode4,12 -- 16.55 15.33 7.09 8.23
Had Serious Thoughts of Suicide13 -- -- 11.44 3.51 4.61
Made Any Suicide Plans14 -- -- 3.61 0.97 1.34
Attempted Suicide14 -- -- 1.93 0.44 0.64
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual initiation of marijuana (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

MINNESOTA

Table 57 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Minnesota, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 534 36 138 360 498
Past Year Marijuana Use 781 55 220 506 726
Past Month Marijuana Use 469 29 128 312 440
Perceptions of Great Risk from Smoking Marijuana Once a Month 805 83 48 675 723
First Use of Marijuana3,4 63 21 27 15 41
Past Month Illicit Drug Use Other Than Marijuana1,2 150 10 36 103 139
Past Year Cocaine Use 101 2 34 65 99
Perceptions of Great Risk from Using Cocaine Once a Month 3,038 222 312 2,505 2,816
Past Year Heroin Use 14 0 2 11 14
Perceptions of Great Risk from Trying Heroin Once or Twice 3,820 261 436 3,123 3,559
Past Year Methamphetamine Use 37 1 5 31 36
Past Year Misuse of Pain Relievers2 169 10 32 128 159
ALCOHOL          
Past Month Alcohol Use 2,823 48 371 2,404 2,775
Past Month Binge Alcohol Use5 1,267 22 234 1,011 1,245
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
1,784 169 179 1,436 1,615
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 154 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 91 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 986 20 150 816 966
Past Month Cigarette Use 766 13 111 642 753
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
3,205 279 363 2,563 2,926
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 131 15 41 74 116
Pain Reliever Use Disorder2,8 19 2 3 14 17
Alcohol Use Disorder8 266 7 65 193 258
Substance Use Disorder1,2,8 346 20 87 238 325
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 126 14 39 73 112
Needing But Not Receiving Treatment for Alcohol Use9 257 7 65 185 250
Needing But Not Receiving Treatment for Substance Use1,2,9 330 19 85 226 311
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 182 694 876
Serious Mental Illness4,10 -- -- 52 157 209
Received Mental Health Services11 -- -- 118 693 811
Major Depressive Episode4,12 -- 70 96 245 341
Had Serious Thoughts of Suicide13 -- -- 75 128 202
Made Any Suicide Plans14 -- -- 26 36 62
Attempted Suicide14 -- -- 11 8 19
-- 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 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

MINNESOTA

Table 58 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Minnesota, by Age Group: Percentages, Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 11.34 8.18 24.24 9.73 11.67
Past Year Marijuana Use 16.60 12.59 38.75 13.67 17.02
Past Month Marijuana Use 9.96 6.53 22.47 8.44 10.31
Perceptions of Great Risk from Smoking Marijuana Once a Month 17.10 18.86 8.35 18.25 16.92
First Use of Marijuana3,4 2.49 5.13 9.58 0.78 1.98
Past Month Illicit Drug Use Other Than Marijuana1,2 3.19 2.38 6.39 2.79 3.27
Past Year Cocaine Use 2.14 0.43 5.94 1.76 2.31
Perceptions of Great Risk from Using Cocaine Once a Month 64.59 50.69 54.80 67.72 65.99
Past Year Heroin Use 0.29 0.02 0.43 0.30 0.32
Perceptions of Great Risk from Trying Heroin Once or Twice 81.21 59.60 76.65 84.43 83.39
Past Year Methamphetamine Use 0.78 0.22 0.83 0.83 0.83
Past Year Misuse of Pain Relievers2 3.60 2.28 5.56 3.45 3.73
ALCOHOL          
Past Month Alcohol Use 59.99 11.03 65.24 64.99 65.02
Past Month Binge Alcohol Use5 26.93 5.07 41.11 27.34 29.18
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
37.91 38.56 31.50 38.82 37.85
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 23.63 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 13.96 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 20.96 4.48 26.41 22.07 22.65
Past Month Cigarette Use 16.29 2.99 19.55 17.36 17.65
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
68.12 63.79 63.74 69.29 68.55
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 2.78 3.42 7.25 2.01 2.71
Pain Reliever Use Disorder2,8 0.40 0.38 0.59 0.37 0.40
Alcohol Use Disorder8 5.65 1.69 11.50 5.22 6.06
Substance Use Disorder1,2,8 7.34 4.62 15.28 6.45 7.62
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.68 3.25 6.84 1.97 2.62
Needing But Not Receiving Treatment for Alcohol Use9 5.46 1.67 11.38 5.00 5.85
Needing But Not Receiving Treatment for Substance Use1,2,9 7.01 4.26 14.97 6.11 7.29
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 32.08 18.75 20.53
Serious Mental Illness4,10 -- -- 9.09 4.24 4.89
Received Mental Health Services11 -- -- 20.71 18.73 19.00
Major Depressive Episode4,12 -- 15.94 16.80 6.63 7.98
Had Serious Thoughts of Suicide13 -- -- 13.13 3.45 4.74
Made Any Suicide Plans14 -- -- 4.54 0.98 1.45
Attempted Suicide14 -- -- 1.96 0.23 0.46
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual initiation of marijuana (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

MISSISSIPPI

Table 59 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Mississippi, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 225 16 61 148 209
Past Year Marijuana Use 297 24 78 195 273
Past Month Marijuana Use 193 14 54 126 180
Perceptions of Great Risk from Smoking Marijuana Once a Month 773 68 54 651 705
First Use of Marijuana3,4 27 11 12 4 16
Past Month Illicit Drug Use Other Than Marijuana1,2 73 5 16 52 68
Past Year Cocaine Use 37 1 11 26 37
Perceptions of Great Risk from Using Cocaine Once a Month 1,942 136 230 1,577 1,807
Past Year Heroin Use 5 0 1 4 5
Perceptions of Great Risk from Trying Heroin Once or Twice 2,152 155 268 1,730 1,997
Past Year Methamphetamine Use 23 0 2 20 23
Past Year Misuse of Pain Relievers2 96 8 18 70 88
ALCOHOL          
Past Month Alcohol Use 950 19 132 799 931
Past Month Binge Alcohol Use5 503 11 82 410 492
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
1,191 113 140 938 1,078
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 62 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 37 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 750 17 102 631 733
Past Month Cigarette Use 593 10 71 511 582
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
1,650 146 204 1,299 1,503
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 65 6 19 40 59
Pain Reliever Use Disorder2,8 12 1 2 9 11
Alcohol Use Disorder8 117 3 25 89 114
Substance Use Disorder1,2,8 166 8 37 121 158
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 57 5 18 34 52
Needing But Not Receiving Treatment for Alcohol Use9 110 3 23 84 107
Needing But Not Receiving Treatment for Substance Use1,2,9 152 8 35 109 144
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 78 368 446
Serious Mental Illness4,10 -- -- 22 94 116
Received Mental Health Services11 -- -- 39 263 302
Major Depressive Episode4,12 -- 31 35 126 161
Had Serious Thoughts of Suicide13 -- -- 39 78 118
Made Any Suicide Plans14 -- -- 13 24 37
Attempted Suicide14 -- -- 7 7 14
-- 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 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

MISSISSIPPI

Table 60 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Mississippi, by Age Group: Percentages, Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 9.17 6.66 19.17 7.83 9.45
Past Year Marijuana Use 12.09 9.90 24.62 10.28 12.33
Past Month Marijuana Use 7.88 5.68 16.99 6.65 8.12
Perceptions of Great Risk from Smoking Marijuana Once a Month 31.51 28.08 17.12 34.36 31.88
First Use of Marijuana3,4 1.67 4.55 5.83 0.37 1.19
Past Month Illicit Drug Use Other Than Marijuana1,2 2.99 2.16 5.07 2.76 3.09
Past Year Cocaine Use 1.52 0.25 3.45 1.36 1.66
Perceptions of Great Risk from Using Cocaine Once a Month 79.21 56.15 72.75 83.20 81.70
Past Year Heroin Use 0.22 0.02 0.31 0.23 0.24
Perceptions of Great Risk from Trying Heroin Once or Twice 87.77 63.98 84.68 91.28 90.34
Past Year Methamphetamine Use 0.95 0.19 0.79 1.07 1.03
Past Year Misuse of Pain Relievers2 3.93 3.26 5.69 3.72 4.00
ALCOHOL          
Past Month Alcohol Use 38.75 8.05 41.68 42.18 42.10
Past Month Binge Alcohol Use5 20.49 4.55 25.81 21.64 22.23
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
48.58 46.90 44.32 49.50 48.76
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 16.00 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 9.47 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 30.57 7.08 32.11 33.32 33.14
Past Month Cigarette Use 24.16 4.19 22.46 26.99 26.34
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
67.27 60.61 64.63 68.55 67.99
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 2.65 2.56 5.92 2.11 2.66
Pain Reliever Use Disorder2,8 0.48 0.37 0.67 0.46 0.49
Alcohol Use Disorder8 4.77 1.37 7.83 4.70 5.15
Substance Use Disorder1,2,8 6.77 3.32 11.67 6.39 7.15
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.34 2.23 5.79 1.78 2.35
Needing But Not Receiving Treatment for Alcohol Use9 4.49 1.36 7.27 4.43 4.83
Needing But Not Receiving Treatment for Substance Use1,2,9 6.19 3.18 10.99 5.77 6.52
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 24.62 19.41 20.16
Serious Mental Illness4,10 -- -- 6.89 4.95 5.23
Received Mental Health Services11 -- -- 12.49 13.86 13.67
Major Depressive Episode4,12 -- 12.64 11.17 6.64 7.28
Had Serious Thoughts of Suicide13 -- -- 12.43 4.13 5.31
Made Any Suicide Plans14 -- -- 4.06 1.27 1.67
Attempted Suicide14 -- -- 2.10 0.38 0.63
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual initiation of marijuana (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

MISSOURI

Table 61 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Missouri, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 543 35 143 365 508
Past Year Marijuana Use 763 53 204 506 710
Past Month Marijuana Use 460 27 130 302 433
Perceptions of Great Risk from Smoking Marijuana Once a Month 1,052 111 68 873 941
First Use of Marijuana3,4 65 22 32 11 43
Past Month Illicit Drug Use Other Than Marijuana1,2 151 11 34 105 140
Past Year Cocaine Use 68 2 26 40 66
Perceptions of Great Risk from Using Cocaine Once a Month 3,696 270 400 3,026 3,426
Past Year Heroin Use 14 0 3 11 14
Perceptions of Great Risk from Trying Heroin Once or Twice 4,385 308 504 3,572 4,077
Past Year Methamphetamine Use 46 1 7 37 45
Past Year Misuse of Pain Relievers2 189 13 37 139 177
ALCOHOL          
Past Month Alcohol Use 2,533 43 338 2,151 2,490
Past Month Binge Alcohol Use5 1,231 23 215 993 1,208
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
2,039 186 212 1,641 1,853
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 154 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 100 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 1,237 24 173 1,041 1,214
Past Month Cigarette Use 1,009 16 138 855 993
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
3,368 292 384 2,693 3,076
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 146 15 46 85 131
Pain Reliever Use Disorder2,8 25 2 4 19 23
Alcohol Use Disorder8 267 8 59 199 258
Substance Use Disorder1,2,8 377 19 88 271 358
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 130 13 41 75 117
Needing But Not Receiving Treatment for Alcohol Use9 256 8 56 192 248
Needing But Not Receiving Treatment for Substance Use1,2,9 348 18 85 246 331
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 195 861 1,056
Serious Mental Illness4,10 -- -- 57 201 258
Received Mental Health Services11 -- -- 118 709 827
Major Depressive Episode4,12 -- 72 97 310 408
Had Serious Thoughts of Suicide13 -- -- 83 152 235
Made Any Suicide Plans14 -- -- 25 49 74
Attempted Suicide14 -- -- 13 21 34
-- 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 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

MISSOURI

Table 62 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Missouri, by Age Group: Percentages, Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 10.61 7.52 22.72 9.08 10.92
Past Year Marijuana Use 14.91 11.35 32.52 12.58 15.27
Past Month Marijuana Use 8.99 5.88 20.73 7.52 9.30
Perceptions of Great Risk from Smoking Marijuana Once a Month 20.55 23.81 10.80 21.70 20.22
First Use of Marijuana3,4 2.25 5.05 8.93 0.57 1.76
Past Month Illicit Drug Use Other Than Marijuana1,2 2.96 2.46 5.49 2.62 3.01
Past Year Cocaine Use 1.33 0.38 4.12 1.00 1.42
Perceptions of Great Risk from Using Cocaine Once a Month 72.26 57.97 63.73 75.22 73.67
Past Year Heroin Use 0.28 0.03 0.43 0.28 0.30
Perceptions of Great Risk from Trying Heroin Once or Twice 85.74 66.04 80.41 88.81 87.67
Past Year Methamphetamine Use 0.90 0.27 1.19 0.93 0.96
Past Year Misuse of Pain Relievers2 3.70 2.74 5.95 3.46 3.80
ALCOHOL          
Past Month Alcohol Use 49.51 9.19 53.95 53.48 53.55
Past Month Binge Alcohol Use5 24.06 5.02 34.22 24.68 25.97
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
39.86 39.95 33.84 40.78 39.85
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 20.46 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 13.33 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 24.19 5.09 27.52 25.88 26.10
Past Month Cigarette Use 19.72 3.41 21.94 21.26 21.36
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
65.85 62.74 61.15 66.94 66.16
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 2.85 3.23 7.33 2.11 2.82
Pain Reliever Use Disorder2,8 0.49 0.43 0.63 0.48 0.50
Alcohol Use Disorder8 5.21 1.80 9.46 4.95 5.56
Substance Use Disorder1,2,8 7.38 4.04 14.01 6.73 7.71
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 2.53 2.82 6.57 1.87 2.51
Needing But Not Receiving Treatment for Alcohol Use9 5.01 1.73 8.89 4.78 5.34
Needing But Not Receiving Treatment for Substance Use1,2,9 6.81 3.77 13.53 6.11 7.11
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 31.06 21.40 22.71
Serious Mental Illness4,10 -- -- 9.09 5.00 5.56
Received Mental Health Services11 -- -- 18.86 17.62 17.79
Major Depressive Episode4,12 -- 15.54 15.50 7.71 8.76
Had Serious Thoughts of Suicide13 -- -- 13.27 3.77 5.05
Made Any Suicide Plans14 -- -- 4.05 1.22 1.60
Attempted Suicide14 -- -- 2.02 0.53 0.73
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual initiation of marijuana (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

MONTANA

Table 63 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Montana, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 147 9 34 103 138
Past Year Marijuana Use 180 12 44 124 168
Past Month Marijuana Use 134 7 33 94 127
Perceptions of Great Risk from Smoking Marijuana Once a Month 164 14 9 141 150
First Use of Marijuana3,4 12 5 5 2 8
Past Month Illicit Drug Use Other Than Marijuana1,2 33 2 9 22 31
Past Year Cocaine Use 19 0 8 11 19
Perceptions of Great Risk from Using Cocaine Once a Month 594 39 60 495 555
Past Year Heroin Use 3 0 1 3 3
Perceptions of Great Risk from Trying Heroin Once or Twice 739 46 85 608 693
Past Year Methamphetamine Use 13 0 2 10 13
Past Year Misuse of Pain Relievers2 38 2 7 29 36
ALCOHOL          
Past Month Alcohol Use 518 9 69 440 509
Past Month Binge Alcohol Use5 246 5 46 196 242
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
342 28 36 278 314
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 28 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 17 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 254 6 44 205 249
Past Month Cigarette Use 187 4 32 151 183
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
627 48 70 508 578
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 31 3 9 19 28
Pain Reliever Use Disorder2,8 6 0 1 5 6
Alcohol Use Disorder8 67 2 15 50 65
Substance Use Disorder1,2,8 87 4 18 64 83
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 27 3 8 16 25
Needing But Not Receiving Treatment for Alcohol Use9 64 2 14 49 63
Needing But Not Receiving Treatment for Substance Use1,2,9 83 4 18 61 79
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 31 140 171
Serious Mental Illness4,10 -- -- 10 33 43
Received Mental Health Services11 -- -- 19 125 144
Major Depressive Episode4,12 -- 12 16 49 65
Had Serious Thoughts of Suicide13 -- -- 13 25 38
Made Any Suicide Plans14 -- -- 4 8 12
Attempted Suicide14 -- -- 2 2 5
-- 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 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual number of marijuana initiates = X1 ÷ 2, where X1 is the number of marijuana initiates in the past 24 months.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

MONTANA

Table 64 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Montana, by Age Group: Percentages, Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 16.32 11.58 31.39 14.51 16.77
Past Year Marijuana Use 20.06 15.98 40.46 17.36 20.44
Past Month Marijuana Use 14.92 9.77 29.85 13.18 15.40
Perceptions of Great Risk from Smoking Marijuana Once a Month 18.21 17.91 8.48 19.75 18.24
First Use of Marijuana3,4 3.33 7.46 11.70 0.98 2.52
Past Month Illicit Drug Use Other Than Marijuana1,2 3.72 3.02 8.36 3.09 3.79
Past Year Cocaine Use 2.11 0.61 6.92 1.53 2.25
Perceptions of Great Risk from Using Cocaine Once a Month 66.16 50.97 55.03 69.47 67.54
Past Year Heroin Use 0.36 0.04 0.47 0.38 0.39
Perceptions of Great Risk from Trying Heroin Once or Twice 82.28 60.74 77.15 85.34 84.25
Past Year Methamphetamine Use 1.43 0.32 2.03 1.46 1.53
Past Year Misuse of Pain Relievers2 4.27 2.69 6.49 4.09 4.41
ALCOHOL          
Past Month Alcohol Use 57.64 11.64 62.94 61.76 61.92
Past Month Binge Alcohol Use5 27.43 5.99 41.88 27.50 29.42
Perceptions of Great Risk from Having Five or More Drinks
   of an Alcoholic Beverage Once or Twice a Week
38.04 36.22 33.16 38.98 38.20
Past Month Alcohol Use6 (Individuals Aged 12 to 20) 23.97 -- -- -- --
Past Month Binge Alcohol Use5,6 (Individuals Aged 12 to 20) 14.50 -- -- -- --
TOBACCO PRODUCTS          
Past Month Tobacco Product Use7 28.32 7.59 39.79 28.78 30.25
Past Month Cigarette Use 20.83 5.58 28.79 21.24 22.25
Perceptions of Great Risk from Smoking One or More Packs
   of Cigarettes per Day
69.77 63.26 64.22 71.32 70.37
PAST YEAR SUBSTANCE USE DISORDER AND TREATMENT          
Illicit Drug Use Disorder1,2,8 3.46 4.08 7.87 2.71 3.40
Pain Reliever Use Disorder2,8 0.68 0.39 0.82 0.69 0.71
Alcohol Use Disorder8 7.46 2.51 13.65 7.04 7.92
Substance Use Disorder1,2,8 9.67 5.68 16.69 9.02 10.04
Needing But Not Receiving Treatment for Illicit Drug Use1,2,9 3.03 3.57 7.35 2.31 2.98
Needing But Not Receiving Treatment for Alcohol Use9 7.17 2.43 12.50 6.86 7.61
Needing But Not Receiving Treatment for Substance Use1,2,9 9.21 5.11 16.64 8.51 9.59
PAST YEAR MENTAL HEALTH ISSUES          
Any Mental Illness4,10 -- -- 28.07 19.69 20.81
Serious Mental Illness4,10 -- -- 8.83 4.63 5.19
Received Mental Health Services11 -- -- 17.63 17.55 17.56
Major Depressive Episode4,12 -- 15.11 14.57 6.91 7.93
Had Serious Thoughts of Suicide13 -- -- 11.80 3.53 4.63
Made Any Suicide Plans14 -- -- 3.88 1.06 1.44
Attempted Suicide14 -- -- 2.20 0.31 0.56
-- Not available.
NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach.
1 Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drug Use Other Than Marijuana includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Illicit Drugs Other Than Marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
2 Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.
3 First Use of Marijuana is defined as follows: Average annual initiation of marijuana (%) = 100 × {[X1 ÷ (0.5 × X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 × X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use.
4 For details, see Section B of the "2018-2019 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
5 Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.
6 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.
7 Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
8 Substance Use Disorder is defined as meeting criteria for illicit drug or 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).
9 Respondents were classified as needing substance use treatment if they met the criteria for illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility.
10 Mental illness is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). Any mental illness (AMI) includes adults with any mental disorder regardless of whether their disorder resulted in functional impairment. Serious mental illness (SMI) includes adults with any mental disorder that resulted in serious functional impairment. As such, these estimates are based on indicators of AMI and SMI rather than direct measures of diagnostic status.
11 Mental health services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.
12 Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 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.
13 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.
14 Respondents were asked whether they made any suicide plans or attempted suicide in the past 12 months only if they had serious thoughts of suicide in the past 12 months. Respondents who had no suicide thoughts were categorized as not making any suicide plans and not attempting suicide in the past 12 months.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019.
201021

NEBRASKA

Table 65 – Selected Drug Use, Perceptions of Great Risk, Past Year Substance Use Disorder and Treatment, and Past Year Mental Health Measures in Nebraska, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2018-2019 NSDUHs
Measure 12+ 12-17 18-25 26+ 18+
ILLICIT DRUGS          
Past Month Illicit Drug Use1,2 149 13 48 88 137
Past Year Marijuana Use 227 22 73 133 206
Past Month Marijuana Use 134 11 45 78 123
Perceptions of Great Risk from Smoking Marijuana Once a Month 360 36 22 302 324
First Use of Marijuana3,4 22 9 10 4 13
Past Month Illicit Drug Use Other Than Marijuana1,2 42 4 13 26 39
Past Year Cocaine Use 27 1 13 14 26
Perceptions of Great Risk from Using Cocaine Once a Month 1,110 81 128 901 1,029
Past Year Heroin Use 4 0 1 3 4
Perceptions of Great Risk from Trying Heroin Once or Twice 1,339 99 170 1,070 1,240
Past Year Methamphetamine Use 9 0 2 7 9
Past Year Misuse of Pain Relievers2 52 5 12 36 48
ALCOHOL          
Past Month Alcohol Use 878 16 129 733 862
Past Month Binge Alcohol Use5 462