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210614
Table 10.1A – Any Mental Illness in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Numbers in Thousands, 2008-2020
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 39,826 41,195 41,417 41,381 43,714 43,846 43,553 43,421 44,652 46,632 47,635 51,495 52,859
AGE GROUP                          
18-25 6,099 6,043 6,151 6,356 6,774 6,754 7,014 7,574 7,635 8,849 8,944 9,930 10,238
26 or Older 33,727 35,152 35,266 35,025 36,940 37,092 36,539 35,847 37,016 37,783 38,691 41,565 42,621
26-49 20,697 21,455 20,648 19,936 20,777 21,061 20,007 20,589 20,903 22,256 22,721 25,279 25,676
50 or Older 13,030 13,698 14,618 15,089 16,163 16,031 16,531 15,257 16,114 15,527 15,969 16,286 16,945
GENDER                          
Male 14,778 15,614 16,461 15,895 16,856 16,452 16,371 16,785 17,142 18,065 18,308 19,758 19,269
Female 25,048 25,581 24,956 25,486 26,858 27,394 27,182 26,636 27,510 28,567 29,327 31,737 33,590
HISPANIC ORIGIN AND RACE                          
Not Hispanic or Latino 34,971 36,321 36,580 36,793 38,049 37,828 37,795 37,919 38,598 40,603 40,785 44,055 45,115
White 28,286 29,799 29,704 29,552 30,066 30,222 30,074 30,387 31,266 32,183 32,210 34,967 35,621
Black or African American 4,314 4,113 4,520 4,364 5,044 4,688 4,603 4,410 4,171 4,782 4,802 5,174 5,269
AIAN 163 219 187 357 366 323 271 270 317 246 333 260 *
NHOPI * * * * * 112 204 89 181 193 198 164 *
Asian 1,300 1,287 1,425 1,473 1,608 1,489 1,653 1,620 1,602 2,000 2,081 2,100 1,995
Two or More Races 666 757 584 847 709 995 989 1,142 1,061 1,198 1,160 1,390 1,689
Hispanic or Latino 4,855 4,874 4,837 4,589 5,665 6,018 5,758 5,502 6,053 6,028 6,850 7,440 7,744
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. AMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
1 The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
210614
Table 10.1B – Any Mental Illness in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Percentages, 2008-2020
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 17.7 18.1 18.1 17.8 18.6 18.5 18.1 17.9 18.3 18.9 19.1 20.6 21.0
AGE GROUP                          
18-25 18.5 18.0 18.1 18.5 19.6 19.4 20.1 21.7 22.1 25.8 26.3 29.4 30.6
26 or Older 17.6 18.2 18.1 17.7 18.4 18.3 17.8 17.2 17.6 17.8 18.0 19.2 19.5
26-49 20.7 21.6 20.9 20.3 21.2 21.5 20.4 20.9 21.1 22.2 22.5 25.0 25.3
50 or Older 14.1 14.5 15.1 15.0 15.8 15.3 15.4 14.0 14.5 13.8 14.0 14.1 14.5
GENDER                          
Male 13.6 14.2 14.8 14.2 14.9 14.4 14.1 14.3 14.5 15.1 15.2 16.3 15.8
Female 21.5 21.8 21.1 21.1 22.0 22.3 21.8 21.2 21.7 22.3 22.8 24.5 25.8
HISPANIC ORIGIN AND RACE                          
Not Hispanic or Latino 18.0 18.5 18.5 18.5 19.0 18.7 18.6 18.5 18.7 19.6 19.6 21.1 21.5
White 18.3 19.2 19.0 19.0 19.3 19.3 19.2 19.3 19.9 20.4 20.4 22.2 22.6
Black or African American 16.7 15.6 16.9 16.3 18.6 16.9 16.3 15.4 14.5 16.2 16.2 17.3 17.3
AIAN 17.3 20.0 17.4 27.7 28.3 26.0 21.2 21.2 22.8 18.9 22.1 18.7 *
NHOPI * * * * * 14.4 22.3 14.8 16.7 19.4 21.1 16.6 *
Asian 13.3 12.8 13.7 13.1 13.9 12.3 13.1 12.0 12.1 14.5 14.7 14.4 13.9
Two or More Races 26.5 31.1 22.0 25.8 20.7 28.1 27.1 29.5 26.5 28.6 26.8 31.7 35.8
Hispanic or Latino 16.0 15.7 15.2 13.5 16.3 16.9 15.6 14.5 15.7 15.2 16.9 18.0 18.4
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. AMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
1 The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
210614
Table 10.2A – Any Mental Illness in Past Year: Among People Aged 18 or Older; by Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2008-2020
Geographic/Socioeconomic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 39,826 41,195 41,417 41,381 43,714 43,846 43,553 43,421 44,652 46,632 47,635 51,495 52,859
GEOGRAPHIC REGION                          
Northeast 7,865 7,587 7,890 6,966 7,723 7,701 7,666 7,706 7,910 7,920 8,291 8,608 8,383
Midwest 9,075 9,169 9,369 9,020 9,173 9,461 9,436 9,167 8,934 10,230 10,329 11,497 11,866
South 13,905 14,604 14,656 15,362 16,282 16,014 15,877 16,273 16,638 16,847 16,946 18,212 18,616
West 8,980 9,835 9,502 10,033 10,536 10,670 10,573 10,275 11,169 11,634 12,068 13,178 13,994
COUNTY TYPE2                          
Large Metro 21,077 21,986 21,967 21,234 23,221 23,763 23,371 23,474 24,038 25,223 25,715 28,346 27,213
Small Metro 12,622 13,011 13,151 13,905 14,040 13,492 13,260 13,832 14,068 14,626 15,312 15,837 17,946
Nonmetro 6,127 6,198 6,299 6,243 6,452 6,591 6,922 6,114 6,546 6,782 6,608 7,312 7,699
Urbanized 2,554 2,418 2,500 2,589 2,646 2,976 2,975 2,666 2,461 2,973 3,153 3,100 3,360
Less Urbanized 2,997 3,222 3,155 3,170 3,191 3,047 3,260 2,731 3,491 3,214 2,820 3,554 3,629
Completely Rural 576 558 644 484 615 568 687 717 594 596 635 658 711
POVERTY LEVEL3                          
Less Than 100% 6,402 6,955 7,323 8,428 9,945 9,109 9,358 8,963 8,665 8,766 9,094 8,646 9,810
100-199% 8,925 8,885 9,756 9,813 9,890 9,721 10,046 9,597 10,727 10,136 10,091 11,258 11,445
200% or More 24,313 25,148 24,187 23,005 23,669 24,876 23,969 24,720 25,068 27,528 28,246 31,255 31,447
EDUCATION LEVEL                          
< High School nc nc nc nc nc nc nc 5,822 5,538 5,320 5,628 5,505 5,552
High School Graduate nc nc nc nc nc nc nc 10,621 10,813 10,343 11,110 11,705 13,170
Some College/Associate’s Degree nc nc nc nc nc nc nc 15,450 15,797 16,525 17,171 18,250 18,339
College Graduate nc nc nc nc nc nc nc 11,528 12,504 14,444 13,725 16,034 15,798
HEALTH INSURANCE4                          
Private 23,775 24,949 23,693 22,565 23,589 25,011 24,456 24,972 26,307 27,933 28,245 30,795 30,239
Medicaid/CHIP 5,287 5,767 6,084 6,664 7,085 7,282 8,776 9,147 9,845 10,090 10,410 11,149 12,102
Other5 8,227 8,587 9,815 9,727 11,458 10,796 11,620 10,971 10,990 10,845 11,142 11,598 13,139
No Coverage 7,751 7,446 7,863 8,095 8,423 7,725 6,206 5,235 4,636 4,901 5,371 5,630 5,824
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. AMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
1 The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions.
2 Because of the use of the 2013 Rural-Urban Continuum Codes in the creation of the county type variables, these 2008 to 2014 estimates may differ from estimates published prior to the 2015 NSDUH.
3 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
4 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
5 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
210614
Table 10.2B – Any Mental Illness in Past Year: Among People Aged 18 or Older; by Geographic and Socioeconomic Characteristics, Percentages, 2008-2020
Geographic/Socioeconomic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 17.7 18.1 18.1 17.8 18.6 18.5 18.1 17.9 18.3 18.9 19.1 20.6 21.0
GEOGRAPHIC REGION                          
Northeast 18.9 18.0 18.7 16.3 18.0 17.8 17.6 17.6 18.1 18.0 18.9 19.7 19.2
Midwest 18.4 18.4 18.7 18.0 18.2 18.6 18.5 17.9 17.4 19.8 19.9 22.1 22.8
South 17.0 17.6 17.4 17.9 18.7 18.2 17.8 17.9 18.1 18.1 18.0 19.2 19.4
West 17.3 18.8 17.9 18.6 19.3 19.3 18.8 18.0 19.4 19.9 20.4 22.1 23.3
COUNTY TYPE2                          
Large Metro 17.1 17.8 17.4 16.8 18.0 18.2 17.3 17.3 17.6 18.2 18.6 20.2 19.9
Small Metro 18.5 18.6 18.8 19.0 19.6 18.7 18.8 18.7 19.2 20.1 20.6 20.9 23.2
Nonmetro 18.1 18.4 18.9 18.9 18.6 18.8 20.1 18.3 18.7 19.1 18.4 21.2 20.5
Urbanized 18.8 17.1 17.9 20.2 18.6 19.2 20.5 19.4 17.7 19.5 19.4 21.6 22.4
Less Urbanized 17.7 19.8 19.5 18.8 19.0 19.1 19.9 17.5 19.8 18.7 17.2 22.0 20.4
Completely Rural 17.6 17.2 20.8 14.2 16.6 15.9 19.7 17.1 17.6 19.1 18.9 16.7 15.2
POVERTY LEVEL3                          
Less Than 100% 25.2 25.1 24.7 25.8 26.8 26.1 25.7 24.4 24.5 25.6 26.3 26.7 26.3
100-199% 21.6 20.2 20.5 20.5 21.8 20.9 21.4 19.7 21.8 20.8 20.5 23.7 24.9
200% or More 15.5 16.3 16.0 15.2 15.6 16.0 15.4 15.8 15.7 16.8 17.2 18.5 18.7
EDUCATION LEVEL                          
< High School nc nc nc nc nc nc nc 16.9 17.2 17.3 18.2 18.3 19.2
High School Graduate nc nc nc nc nc nc nc 17.2 17.7 17.3 18.0 19.3 19.0
Some College/Associate’s Degree nc nc nc nc nc nc nc 20.9 20.8 21.5 22.3 23.7 24.0
College Graduate nc nc nc nc nc nc nc 15.8 16.6 18.1 17.3 19.5 20.5
HEALTH INSURANCE4                          
Private 15.3 16.2 15.7 14.9 15.4 16.0 15.4 15.5 16.0 16.9 17.1 18.6 19.0
Medicaid/CHIP 28.7 29.9 28.8 28.7 30.5 30.3 29.7 27.1 28.2 27.9 28.3 31.2 30.5
Other5 15.9 16.3 18.1 17.4 19.5 17.9 18.5 16.7 16.5 16.0 16.3 16.8 17.6
No Coverage 22.8 20.5 20.4 21.3 22.3 20.8 20.9 20.4 19.9 20.9 21.8 21.8 21.3
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. AMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
1 The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions.
2 Because of the use of the 2013 Rural-Urban Continuum Codes in the creation of the county type variables, these 2008 to 2014 estimates may differ from estimates published prior to the 2015 NSDUH.
3 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
4 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
5 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
210614
Table 10.3A – Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Numbers in Thousands, 2008-2020
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 8,331 8,383 9,334 9,011 9,570 10,018 9,822 9,765 10,360 11,190 11,373 13,115 14,200
AGE GROUP                          
18-25 1,236 1,124 1,334 1,296 1,423 1,468 1,681 1,756 2,035 2,566 2,619 2,899 3,258
26 or Older 7,095 7,258 7,999 7,715 8,146 8,549 8,142 8,009 8,325 8,625 8,755 10,216 10,942
26-49 4,763 4,858 5,132 4,951 5,065 5,193 4,807 4,896 5,279 5,580 5,907 6,847 6,981
50 or Older 2,332 2,401 2,868 2,764 3,082 3,356 3,335 3,113 3,047 3,044 2,848 3,369 3,961
GENDER                          
Male 2,868 2,847 3,351 3,218 3,619 3,949 3,580 3,464 3,588 3,883 4,025 4,668 5,121
Female 5,463 5,535 5,983 5,793 5,951 6,068 6,242 6,301 6,772 7,307 7,348 8,447 9,080
HISPANIC ORIGIN AND RACE                          
Not Hispanic or Latino 7,553 7,486 8,304 8,163 8,038 8,681 8,532 8,651 8,975 9,935 9,902 11,109 12,307
White 6,515 6,341 6,743 6,899 6,608 7,206 6,947 7,137 7,494 8,127 8,076 8,937 10,017
Black or African American 657 719 1,028 743 927 792 880 830 881 1,023 1,077 1,188 1,429
AIAN 28 53 87 126 111 72 51 80 68 66 97 93 94
NHOPI 9 * * * 17 10 27 11 21 48 43 25 11
Asian 220 164 232 214 233 352 300 227 211 333 303 457 289
Two or More Races 124 183 196 151 144 250 327 366 300 338 307 409 467
Hispanic or Latino 778 897 1,030 848 1,531 1,337 1,290 1,114 1,386 1,255 1,471 2,006 1,893
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. SMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
1 The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
210614
Table 10.3B – Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Percentages, 2008-2020
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 3.7 3.7 4.1 3.9 4.1 4.2 4.1 4.0 4.2 4.5 4.6 5.2 5.6
AGE GROUP                          
18-25 3.8 3.3 3.9 3.8 4.1 4.2 4.8 5.0 5.9 7.5 7.7 8.6 9.7
26 or Older 3.7 3.7 4.1 3.9 4.1 4.2 4.0 3.9 4.0 4.1 4.1 4.7 5.0
26-49 4.8 4.9 5.2 5.0 5.2 5.3 4.9 5.0 5.3 5.6 5.9 6.8 6.9
50 or Older 2.5 2.5 3.0 2.8 3.0 3.2 3.1 2.8 2.7 2.7 2.5 2.9 3.4
GENDER                          
Male 2.6 2.6 3.0 2.9 3.2 3.5 3.1 3.0 3.0 3.3 3.4 3.9 4.2
Female 4.7 4.7 5.1 4.8 4.9 4.9 5.0 5.0 5.3 5.7 5.7 6.5 7.0
HISPANIC ORIGIN AND RACE                          
Not Hispanic or Latino 3.9 3.8 4.2 4.1 4.0 4.3 4.2 4.2 4.4 4.8 4.8 5.3 5.9
White 4.2 4.1 4.3 4.4 4.2 4.6 4.4 4.5 4.8 5.2 5.1 5.7 6.3
Black or African American 2.5 2.7 3.9 2.8 3.4 2.9 3.1 2.9 3.1 3.5 3.6 4.0 4.7
AIAN 3.0 4.8 8.1 9.8 8.5 5.8 4.0 6.3 4.9 5.1 6.4 6.7 6.6
NHOPI 1.2 * * * 1.8 1.3 2.9 1.8 1.9 4.8 4.5 2.6 1.2
Asian 2.2 1.6 2.2 1.9 2.0 2.9 2.4 1.7 1.6 2.4 2.1 3.1 2.0
Two or More Races 4.9 7.5 7.4 4.6 4.2 7.1 8.9 9.5 7.5 8.1 7.1 9.3 9.9
Hispanic or Latino 2.6 2.9 3.2 2.5 4.4 3.7 3.5 2.9 3.6 3.2 3.6 4.9 4.5
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. SMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
1 The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
210614
Table 10.4A – Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2008-2020
Geographic/Socioeconomic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 8,331 8,383 9,334 9,011 9,570 10,018 9,822 9,765 10,360 11,190 11,373 13,115 14,200
GEOGRAPHIC REGION                          
Northeast 1,619 1,476 1,651 1,436 1,569 1,660 1,744 1,716 1,767 1,711 1,805 2,062 1,970
Midwest 1,968 2,151 2,276 2,109 1,983 2,263 2,304 2,125 2,208 2,448 2,639 2,918 3,447
South 2,785 2,827 3,113 3,108 3,572 3,873 3,521 3,604 3,745 4,177 4,027 4,766 5,252
West 1,959 1,928 2,293 2,357 2,445 2,221 2,253 2,319 2,641 2,854 2,902 3,369 3,531
COUNTY TYPE2                          
Large Metro 4,465 4,344 4,783 4,230 4,936 5,093 5,141 5,108 5,448 5,579 5,740 6,743 6,839
Small Metro 2,708 2,618 3,022 3,267 3,239 3,057 3,079 3,075 3,410 3,752 3,932 4,341 5,229
Nonmetro 1,158 1,421 1,528 1,514 1,395 1,868 1,602 1,582 1,503 1,859 1,701 2,031 2,132
Urbanized 549 528 673 634 490 866 693 756 578 793 753 889 976
Less Urbanized 526 716 649 748 742 843 748 667 799 947 754 938 957
Completely Rural 83 177 206 132 162 160 161 158 126 120 194 205 199
POVERTY LEVEL3                          
Less Than 100% 1,486 1,792 2,075 2,481 2,685 2,681 2,560 2,481 2,366 2,508 2,722 2,590 3,089
100-199% 2,046 1,993 2,242 2,199 2,338 2,391 2,393 2,096 2,751 2,674 2,439 3,218 3,588
200% or More 4,764 4,551 4,987 4,293 4,503 4,916 4,815 5,154 5,180 5,958 6,164 7,222 7,475
EDUCATION LEVEL                          
< High School nc nc nc nc nc nc nc 1,237 1,147 1,266 1,218 1,286 1,320
High School Graduate nc nc nc nc nc nc nc 2,238 2,418 2,667 2,821 3,100 3,841
Some College/Associate’s Degree nc nc nc nc nc nc nc 3,964 4,346 4,469 4,557 5,357 5,530
College Graduate nc nc nc nc nc nc nc 2,326 2,449 2,788 2,778 3,372 3,508
HEALTH INSURANCE4                          
Private 4,502 4,099 4,765 3,967 4,106 4,767 4,656 5,093 5,334 5,813 5,977 7,051 6,967
Medicaid/CHIP 1,438 1,680 1,694 2,033 1,965 1,988 2,434 2,436 2,831 2,978 2,978 3,602 3,586
Other5 1,706 1,799 2,204 1,941 2,569 2,499 2,572 2,622 2,226 2,533 2,338 2,638 3,701
No Coverage 1,678 1,710 1,909 1,972 2,290 2,208 1,556 1,202 1,298 1,369 1,524 1,557 1,607
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. SMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
1 The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions.
2 Because of the use of the 2013 Rural-Urban Continuum Codes in the creation of the county type variables, these 2008 to 2014 estimates may differ from estimates published prior to the 2015 NSDUH.
3 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
4 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
5 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
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Table 10.4B – Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Geographic and Socioeconomic Characteristics, Percentages, 2008-2020
Geographic/Socioeconomic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 3.7 3.7 4.1 3.9 4.1 4.2 4.1 4.0 4.2 4.5 4.6 5.2 5.6
GEOGRAPHIC REGION                          
Northeast 3.9 3.5 3.9 3.4 3.7 3.8 4.0 3.9 4.0 3.9 4.1 4.7 4.5
Midwest 4.0 4.3 4.6 4.2 3.9 4.5 4.5 4.1 4.3 4.7 5.1 5.6 6.6
South 3.4 3.4 3.7 3.6 4.1 4.4 3.9 4.0 4.1 4.5 4.3 5.0 5.5
West 3.8 3.7 4.3 4.4 4.5 4.0 4.0 4.1 4.6 4.9 4.9 5.7 5.9
COUNTY TYPE2                          
Large Metro 3.6 3.5 3.8 3.3 3.8 3.9 3.8 3.8 4.0 4.0 4.1 4.8 5.0
Small Metro 4.0 3.7 4.3 4.5 4.5 4.2 4.4 4.2 4.6 5.1 5.3 5.7 6.8
Nonmetro 3.4 4.2 4.6 4.6 4.0 5.3 4.7 4.7 4.3 5.2 4.7 5.9 5.7
Urbanized 4.0 3.7 4.8 4.9 3.4 5.6 4.8 5.5 4.2 5.2 4.6 6.2 6.5
Less Urbanized 3.1 4.4 4.0 4.4 4.4 5.3 4.6 4.3 4.5 5.5 4.6 5.8 5.4
Completely Rural 2.5 5.5 6.7 3.9 4.4 4.5 4.6 3.8 3.7 3.8 5.8 5.2 4.3
POVERTY LEVEL3                          
Less Than 100% 5.9 6.5 7.0 7.6 7.2 7.7 7.0 6.8 6.7 7.3 7.9 8.0 8.3
100-199% 4.9 4.5 4.7 4.6 5.2 5.1 5.1 4.3 5.6 5.5 5.0 6.8 7.8
200% or More 3.0 2.9 3.3 2.8 3.0 3.2 3.1 3.3 3.3 3.6 3.8 4.3 4.4
EDUCATION LEVEL                          
< High School nc nc nc nc nc nc nc 3.6 3.6 4.1 3.9 4.3 4.6
High School Graduate nc nc nc nc nc nc nc 3.6 4.0 4.5 4.6 5.1 5.5
Some College/Associate’s Degree nc nc nc nc nc nc nc 5.4 5.7 5.8 5.9 7.0 7.2
College Graduate nc nc nc nc nc nc nc 3.2 3.3 3.5 3.5 4.1 4.5
HEALTH INSURANCE4                          
Private 2.9 2.7 3.2 2.6 2.7 3.0 2.9 3.2 3.2 3.5 3.6 4.3 4.4
Medicaid/CHIP 7.8 8.7 8.0 8.7 8.5 8.3 8.2 7.2 8.1 8.2 8.1 10.1 9.0
Other5 3.3 3.4 4.1 3.5 4.4 4.1 4.1 4.0 3.3 3.7 3.4 3.8 5.0
No Coverage 4.9 4.7 4.9 5.2 6.1 5.9 5.2 4.7 5.6 5.9 6.2 6.0 5.9
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. SMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
1 The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions.
2 Because of the use of the 2013 Rural-Urban Continuum Codes in the creation of the county type variables, these 2008 to 2014 estimates may differ from estimates published prior to the 2015 NSDUH.
3 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
4 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
5 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
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Table 10.5A – Any Mental Illness Excluding Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Numbers in Thousands, 2008-2020
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 31,495 32,813 32,083 32,371 34,144 33,828 33,730 33,656 34,291 35,441 36,262 38,379 38,659
AGE GROUP                          
18-25 4,863 4,919 4,817 5,060 5,351 5,286 5,333 5,818 5,600 6,283 6,326 7,031 6,980
26 or Older 26,632 27,894 27,266 27,310 28,793 28,543 28,397 27,838 28,691 29,158 29,936 31,349 31,679
26-49 15,934 16,597 15,516 14,986 15,712 15,868 15,201 15,693 15,624 16,676 16,815 18,432 18,694
50 or Older 10,698 11,297 11,750 12,325 13,081 12,675 13,197 12,144 13,067 12,482 13,121 12,917 12,984
GENDER                          
Male 11,910 12,767 13,110 12,677 13,237 12,503 12,791 13,321 13,554 14,181 14,283 15,090 14,149
Female 19,585 20,045 18,973 19,694 20,907 21,325 20,940 20,335 20,738 21,260 21,979 23,290 24,510
HISPANIC ORIGIN AND RACE                          
Not Hispanic or Latino 27,418 28,835 28,276 28,630 30,010 29,147 29,263 29,268 29,624 30,668 30,882 32,946 32,808
White 21,771 23,458 22,961 22,654 23,458 23,016 23,127 23,250 23,772 24,057 24,134 26,030 25,604
Black or African American 3,657 3,394 3,492 3,621 4,118 3,896 3,722 3,580 3,290 3,759 3,726 3,986 3,840
AIAN 135 166 100 231 256 251 220 190 249 179 235 166 *
NHOPI * * * * * 102 * 78 160 145 156 138 *
Asian 1,080 1,123 1,193 1,259 1,376 1,137 1,353 1,393 1,391 1,668 1,778 1,644 1,706
Two or More Races 543 574 388 696 565 745 663 777 761 860 853 981 1,222
Hispanic or Latino 4,077 3,977 3,807 3,741 4,134 4,681 4,467 4,388 4,667 4,773 5,380 5,433 5,851
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. Mental illness estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
1 The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
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Table 10.5B – Any Mental Illness Excluding Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Percentages, 2008-2020
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 14.0 14.4 14.0 13.9 14.5 14.2 14.0 13.9 14.0 14.3 14.6 15.3 15.3
AGE GROUP                          
18-25 14.8 14.6 14.1 14.8 15.5 15.2 15.3 16.7 16.2 18.3 18.6 20.8 20.8
26 or Older 13.9 14.4 14.0 13.8 14.4 14.1 13.8 13.4 13.7 13.7 13.9 14.5 14.5
26-49 16.0 16.7 15.7 15.3 16.0 16.2 15.5 15.9 15.8 16.6 16.7 18.2 18.4
50 or Older 11.6 12.0 12.2 12.3 12.8 12.1 12.3 11.1 11.8 11.1 11.5 11.2 11.1
GENDER                          
Male 11.0 11.6 11.8 11.3 11.7 10.9 11.1 11.4 11.5 11.9 11.9 12.5 11.6
Female 16.8 17.1 16.0 16.3 17.1 17.3 16.8 16.2 16.4 16.6 17.1 18.0 18.8
HISPANIC ORIGIN AND RACE                          
Not Hispanic or Latino 14.1 14.7 14.3 14.4 15.0 14.4 14.4 14.3 14.4 14.8 14.8 15.8 15.6
White 14.1 15.1 14.7 14.6 15.1 14.7 14.8 14.8 15.1 15.3 15.3 16.5 16.2
Black or African American 14.2 12.9 13.1 13.5 15.2 14.0 13.2 12.5 11.4 12.8 12.6 13.3 12.6
AIAN 14.3 15.2 9.3 17.9 19.7 20.2 17.2 14.9 17.9 13.8 15.6 12.0 *
NHOPI * * * * * 13.2 * 13.0 14.7 14.6 16.5 14.0 *
Asian 11.0 11.2 11.5 11.2 11.9 9.4 10.7 10.3 10.5 12.1 12.5 11.3 11.9
Two or More Races 21.6 23.6 14.6 21.2 16.5 21.1 18.2 20.1 19.0 20.5 19.7 22.4 25.9
Hispanic or Latino 13.4 12.8 12.0 11.0 11.9 13.1 12.1 11.6 12.1 12.0 13.3 13.2 13.9
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. Mental illness estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
1 The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
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Table 10.6A – Received Mental Health Services in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Numbers in Thousands, 2002-2020
Demographic Characteristic 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 27,215 27,939 27,502 28,166 28,405 29,556 30,201 30,341 31,490 31,642 34,122 34,644 35,498 34,243 34,982 36,416 37,101 40,154 41,444
AGE GROUP                                      
18-25 3,256 3,511 3,459 3,615 3,526 3,387 3,612 3,740 3,717 3,899 4,120 4,221 4,135 4,044 4,423 5,073 5,120 5,756 6,347
26 or Older 23,959 24,428 24,042 24,551 24,879 26,168 26,588 26,601 27,773 27,743 30,002 30,423 31,362 30,198 30,558 31,343 31,981 34,397 35,097
26-49 14,492 14,476 14,348 13,889 14,054 14,311 14,030 14,481 14,627 14,543 14,811 15,101 14,930 15,057 15,154 15,695 16,113 17,931 17,978
50 or Older 9,466 9,952 9,695 10,661 10,825 11,857 12,559 12,120 13,146 13,200 15,191 15,322 16,432 15,142 15,404 15,647 15,868 16,466 17,118
GENDER                                      
Male 8,772 8,689 9,044 9,308 9,484 9,876 10,141 10,131 10,519 11,051 11,519 11,557 12,190 11,945 11,632 12,462 12,096 13,428 13,293
Female 18,442 19,250 18,458 18,858 18,921 19,680 20,060 20,210 20,970 20,592 22,603 23,087 23,308 22,298 23,350 23,954 25,006 26,726 28,151
HISPANIC ORIGIN AND RACE                                      
Not Hispanic or Latino 25,172 25,919 25,523 25,999 26,372 27,394 28,137 28,071 28,981 29,180 31,651 31,549 32,463 31,187 31,740 33,086 33,573 36,188 37,168
White 21,943 22,914 22,512 22,890 23,330 24,785 24,818 24,888 25,418 25,656 27,638 27,383 28,079 27,129 27,793 28,708 29,151 31,158 32,397
Black or African American 1,953 2,021 2,052 2,193 1,856 1,711 2,231 2,044 2,353 2,035 2,770 2,460 2,626 2,476 2,393 2,525 2,555 2,897 2,728
AIAN 227 136 143 169 130 128 124 * 145 210 199 193 178 199 208 170 211 192 *
NHOPI 29 * * * 58 * * * * 21 52 32 87 39 60 53 98 59 *
Asian 668 424 422 365 518 382 442 358 545 728 505 768 849 674 663 823 894 1,012 805
Two or More Races 352 373 335 317 480 363 469 467 481 529 485 713 645 672 624 806 664 869 967
Hispanic or Latino 2,043 2,020 1,979 2,166 2,033 2,162 2,064 2,270 2,509 2,463 2,471 3,096 3,035 3,055 3,242 3,330 3,528 3,965 4,275
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Because of revisions in 2004 to the logical editing of the outpatient mental health services data, these 2002 and 2003 estimates may differ from estimates published prior to the 2004 NSDUH.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2002-2019, and Quarters 1 and 4, 2020.
210615
Table 10.6B – Received Mental Health Services in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Percentages, 2002-2020
Demographic Characteristic 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 13.0 13.2 12.8 13.0 12.9 13.3 13.5 13.4 13.8 13.6 14.5 14.6 14.8 14.2 14.4 14.8 15.0 16.1 16.9
AGE GROUP                                      
18-25 10.5 11.1 10.8 11.2 10.8 10.4 11.0 11.2 11.0 11.4 12.0 12.2 11.9 11.7 12.9 14.9 15.2 17.2 19.5
26 or Older 13.4 13.5 13.2 13.3 13.3 13.8 13.9 13.8 14.3 14.0 15.0 15.0 15.3 14.6 14.6 14.8 15.0 16.0 16.6
26-49 14.5 14.5 14.4 13.9 14.0 14.3 14.1 14.6 14.9 14.9 15.2 15.5 15.3 15.3 15.4 15.7 16.1 17.8 18.3
50 or Older 12.0 12.3 11.7 12.5 12.4 13.2 13.7 12.9 13.6 13.2 14.8 14.6 15.4 13.9 14.0 14.0 14.0 14.4 15.0
GENDER                                      
Male 8.7 8.5 8.8 8.9 8.9 9.2 9.4 9.3 9.5 9.9 10.2 10.1 10.6 10.3 9.9 10.5 10.1 11.2 11.3
Female 16.9 17.5 16.6 16.8 16.6 17.1 17.3 17.2 17.8 17.1 18.6 18.8 18.8 17.8 18.5 18.8 19.5 20.8 22.2
HISPANIC ORIGIN AND RACE                                      
Not Hispanic or Latino 13.6 13.9 13.6 13.7 13.8 14.2 14.5 14.3 14.7 14.7 15.8 15.7 16.0 15.3 15.5 16.0 16.2 17.4 18.2
White 14.7 15.2 14.9 15.1 15.3 16.1 16.1 16.0 16.3 16.6 17.8 17.6 18.0 17.3 17.7 18.3 18.6 19.8 21.0
Black or African American 8.5 8.5 8.5 8.9 7.4 6.8 8.7 7.8 8.9 7.6 10.2 8.9 9.4 8.7 8.4 8.7 8.7 9.8 9.4
AIAN 17.7 12.6 12.6 15.4 11.9 11.6 13.2 * 13.5 16.3 15.4 15.7 14.1 15.6 15.2 13.2 14.1 13.9 *
NHOPI 3.9 * * * 7.0 * * * * 2.5 5.3 4.2 9.5 6.5 5.5 5.6 10.9 6.1 *
Asian 8.3 4.9 4.7 4.0 5.6 4.0 4.5 3.6 5.3 6.5 4.4 6.4 6.8 5.0 5.1 6.0 6.3 7.0 5.7
Two or More Races 16.6 17.5 15.8 14.4 21.6 15.8 18.9 19.2 18.2 16.2 14.2 20.2 17.7 17.5 15.6 19.4 15.4 20.0 21.3
Hispanic or Latino 8.2 7.8 7.4 7.8 7.1 7.3 6.8 7.3 7.9 7.3 7.1 8.7 8.3 8.1 8.5 8.4 8.8 9.7 10.7
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Because of revisions in 2004 to the logical editing of the outpatient mental health services data, these 2002 and 2003 estimates may differ from estimates published prior to the 2004 NSDUH.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2002-2019, and Quarters 1 and 4, 2020.
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Table 10.7A – Received Mental Health Services in Past Year: Among People Aged 18 or Older; by Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2002-2020
Geographic/Socioeconomic Characteristic 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 27,215 27,939 27,502 28,166 28,405 29,556 30,201 30,341 31,490 31,642 34,122 34,644 35,498 34,243 34,982 36,416 37,101 40,154 41,444
GEOGRAPHIC REGION                                      
Northeast 5,581 5,557 5,397 5,709 5,540 6,174 5,749 5,469 6,292 5,978 6,113 6,709 6,793 6,764 6,971 6,737 7,369 7,503 7,273
Midwest 6,160 6,837 6,577 6,790 6,755 6,738 7,046 7,187 7,266 7,531 7,858 8,181 8,274 7,683 8,461 8,573 8,868 9,740 9,985
South 9,214 9,871 9,364 9,976 9,934 10,394 10,285 11,141 10,793 11,236 12,632 11,970 12,606 12,067 12,297 12,875 12,569 13,503 14,741
West 6,259 5,674 6,164 5,690 6,177 6,249 7,121 6,544 7,140 6,897 7,519 7,784 7,826 7,729 7,253 8,232 8,296 9,407 9,445
COUNTY TYPE1                                      
Large Metro 14,472 14,466 14,225 14,415 14,907 14,976 15,922 15,521 16,444 16,018 17,730 18,432 18,976 18,551 18,884 19,633 19,362 21,410 20,928
Small Metro 8,615 9,032 9,034 9,181 8,483 9,594 9,654 10,108 10,305 11,002 11,099 11,062 11,192 11,210 11,115 11,627 12,252 12,970 14,435
Nonmetro 4,128 4,441 4,243 4,569 5,016 4,986 4,624 4,712 4,741 4,622 5,293 5,150 5,330 4,481 4,983 5,156 5,486 5,774 6,081
Urbanized 1,936 1,947 1,856 1,742 1,893 2,150 2,038 1,807 2,097 1,786 2,316 2,303 2,245 1,977 1,905 2,233 2,585 2,557 2,367
Less Urbanized 1,887 2,057 2,017 2,360 2,604 2,433 2,244 2,432 2,175 2,491 2,477 2,397 2,561 1,957 2,623 2,425 2,338 2,684 3,045
Completely Rural 305 437 370 467 520 403 341 473 469 346 500 450 523 547 455 498 563 532 670
POVERTY LEVEL2                                      
Less Than 100% 3,443 3,640 4,248 4,326 3,529 4,310 3,902 4,332 4,736 5,179 5,939 5,988 6,147 5,302 5,639 5,835 5,832 5,578 6,405
100-199% 4,917 5,161 4,836 4,897 5,263 5,213 5,651 5,619 6,426 6,472 6,295 6,293 6,982 6,347 7,125 6,827 6,116 7,403 7,251
200% or More 18,700 19,025 18,306 18,814 19,501 19,931 20,530 20,238 20,214 19,871 21,721 22,275 22,218 22,520 22,108 23,646 25,042 26,957 27,704
EDUCATION LEVEL                                      
< High School nc nc nc nc nc nc nc nc nc nc nc nc nc 3,239 3,361 3,239 3,172 3,382 3,315
High School Graduate nc nc nc nc nc nc nc nc nc nc nc nc nc 7,634 7,291 7,224 7,167 7,939 9,241
Some College/Associate’s Degree nc nc nc nc nc nc nc nc nc nc nc nc nc 11,714 12,243 12,696 12,994 13,772 13,513
College Graduate nc nc nc nc nc nc nc nc nc nc nc nc nc 11,656 12,087 13,257 13,768 15,061 15,376
HEALTH INSURANCE3                                      
Private 19,740 19,626 19,068 18,318 19,494 19,407 20,564 19,691 20,324 19,879 21,618 22,294 22,033 22,805 22,660 23,813 24,849 26,711 26,345
Medicaid/CHIP 3,194 3,630 3,912 4,558 3,652 4,393 4,036 4,520 4,567 5,133 4,936 5,510 6,717 6,288 7,295 7,597 6,834 8,131 8,624
Other4 -- 6,078 5,909 6,710 6,528 7,517 7,811 7,384 8,079 8,128 9,604 9,452 11,296 10,186 9,866 10,027 10,363 10,935 12,453
No Coverage 2,678 2,744 2,701 3,001 2,913 2,991 3,102 3,307 3,540 3,334 3,906 3,747 2,842 1,787 1,816 1,916 1,985 2,048 1,979
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Because of revisions in 2004 to the logical editing of the outpatient mental health services data, these 2002 and 2003 estimates may differ from estimates published prior to the 2004 NSDUH.
1 Because of the use of the 2013 Rural-Urban Continuum Codes in the creation of the county type variables, these 2002 to 2014 estimates may differ from estimates published prior to the 2015 NSDUH.
2 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
3 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
4 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2002-2019, and Quarters 1 and 4, 2020.
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Table 10.7B – Received Mental Health Services in Past Year: Among People Aged 18 or Older; by Geographic and Socioeconomic Characteristics, Percentages, 2002-2020
Geographic/Socioeconomic Characteristic 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 13.0 13.2 12.8 13.0 12.9 13.3 13.5 13.4 13.8 13.6 14.5 14.6 14.8 14.2 14.4 14.8 15.0 16.1 16.9
GEOGRAPHIC REGION                                      
Northeast 13.8 13.7 13.2 13.9 13.4 15.0 13.8 13.0 14.9 14.1 14.3 15.6 15.7 15.6 16.1 15.4 16.9 17.3 17.1
Midwest 12.9 14.3 13.6 13.9 13.8 13.7 14.3 14.5 14.6 15.0 15.6 16.1 16.2 15.1 16.5 16.7 17.2 18.8 19.5
South 12.3 13.0 12.2 12.7 12.5 12.9 12.6 13.5 12.9 13.1 14.5 13.6 14.2 13.4 13.5 13.9 13.4 14.3 15.9
West 13.3 11.9 12.7 11.6 12.3 12.2 13.8 12.5 13.5 12.9 13.8 14.1 14.0 13.6 12.6 14.2 14.1 15.9 16.3
COUNTY TYPE1                                      
Large Metro 12.7 12.7 12.2 12.1 12.2 12.3 13.0 12.6 13.1 12.7 13.8 14.2 14.1 13.8 13.9 14.2 14.1 15.4 15.8
Small Metro 13.7 13.9 14.1 14.1 13.4 14.4 14.2 14.5 14.8 15.1 15.6 15.4 15.9 15.2 15.2 16.0 16.6 17.2 19.4
Nonmetro 12.6 13.6 12.7 13.8 14.4 14.7 13.7 14.0 14.3 14.0 15.3 14.7 15.6 13.5 14.3 14.6 15.4 16.8 16.3
Urbanized 15.1 13.9 13.6 14.2 14.7 16.2 15.0 12.8 15.0 13.9 16.3 14.9 15.5 14.5 13.7 14.7 16.0 17.9 16.1
Less Urbanized 11.7 13.7 12.0 13.8 14.3 14.6 13.3 14.9 13.5 14.9 14.8 15.0 15.7 12.6 14.9 14.2 14.4 16.7 17.2
Completely Rural 8.1 12.1 12.6 12.1 13.8 10.1 10.4 14.6 15.1 10.1 13.6 12.6 15.1 13.1 13.5 16.1 17.1 13.6 14.1
POVERTY LEVEL2                                      
Less Than 100% 16.9 16.3 17.4 17.3 13.8 16.9 15.5 15.8 16.1 15.9 16.1 17.3 17.0 14.6 16.1 17.2 17.1 17.5 18.0
100-199% 12.5 12.9 12.4 12.1 12.4 13.1 13.7 12.8 13.5 13.6 13.9 13.6 15.0 13.1 14.6 14.1 12.5 15.6 16.3
200% or More 12.6 12.8 12.2 12.5 12.9 12.8 13.1 13.1 13.4 13.2 14.3 14.4 14.3 14.4 13.9 14.5 15.3 16.0 16.9
EDUCATION LEVEL                                      
< High School nc nc nc nc nc nc nc nc nc nc nc nc nc 9.5 10.5 10.6 10.4 11.3 11.9
High School Graduate nc nc nc nc nc nc nc nc nc nc nc nc nc 12.5 12.0 12.2 11.7 13.2 13.8
Some College/Associate’s Degree nc nc nc nc nc nc nc nc nc nc nc nc nc 15.9 16.2 16.6 16.9 18.0 18.2
College Graduate nc nc nc nc nc nc nc nc nc nc nc nc nc 16.0 16.1 16.7 17.4 18.3 20.3
HEALTH INSURANCE3                                      
Private 12.8 12.9 12.5 12.0 12.7 12.6 13.2 12.8 13.5 13.1 14.2 14.3 13.9 14.2 13.8 14.5 15.1 16.2 17.0
Medicaid/CHIP 19.2 22.8 23.2 25.2 21.7 24.0 22.0 23.6 21.7 22.2 21.4 23.1 22.8 18.7 21.1 21.2 18.7 22.9 22.5
Other4 -- 13.0 12.6 13.7 13.2 14.9 15.2 14.0 14.9 14.6 16.4 15.7 18.1 15.6 14.9 14.9 15.3 15.9 17.1
No Coverage 9.7 9.1 8.7 9.5 8.7 8.8 9.2 9.2 9.2 8.8 10.4 10.1 9.6 7.0 7.9 8.3 8.2 8.0 7.6
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Because of revisions in 2004 to the logical editing of the outpatient mental health services data, these 2002 and 2003 estimates may differ from estimates published prior to the 2004 NSDUH.
1 Because of the use of the 2013 Rural-Urban Continuum Codes in the creation of the county type variables, these 2002 to 2014 estimates may differ from estimates published prior to the 2015 NSDUH.
2 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
3 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
4 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2002-2019, and Quarters 1 and 4, 2020.
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Table 10.8A – Received Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Any Mental Illness; by Demographic Characteristics, Numbers in Thousands, 2008-2020
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 16,245 16,503 17,510 16,847 17,874 19,558 19,414 18,637 19,165 19,813 20,579 22,953 24,303
AGE GROUP                          
18-25 1,842 1,929 1,999 2,086 2,332 2,335 2,351 2,409 2,671 3,384 3,328 3,846 4,301
26 or Older 14,403 14,574 15,511 14,761 15,542 17,223 17,064 16,228 16,493 16,429 17,251 19,107 20,001
26-49 8,552 8,728 8,912 8,190 8,708 9,138 8,836 8,901 8,980 9,595 9,950 11,452 11,906
50 or Older 5,852 5,846 6,599 6,571 6,834 8,085 8,228 7,327 7,513 6,834 7,301 7,655 8,095
GENDER                          
Male 4,859 5,471 5,559 5,434 5,562 6,219 6,215 6,067 5,784 6,263 6,372 7,217 7,157
Female 11,386 11,032 11,951 11,413 12,312 13,339 13,199 12,570 13,381 13,551 14,207 15,735 17,145
HISPANIC ORIGIN AND RACE                          
Not Hispanic or Latino 15,138 15,219 15,913 15,647 16,308 17,516 17,529 16,911 17,297 17,860 18,330 20,456 21,589
White 13,275 13,431 13,984 13,523 13,866 14,954 14,901 14,525 15,158 15,401 15,761 17,548 18,357
Black or African American 1,238 1,079 1,326 1,266 1,717 1,484 1,485 1,380 1,223 1,448 1,468 1,688 1,943
AIAN * * * * * * * * * * * * *
NHOPI * * * * * * * * * * * * *
Asian * 230 265 301 265 * 546 356 345 403 518 487 410
Two or More Races * 367 * * 283 480 453 523 394 457 365 596 *
Hispanic or Latino 1,107 1,283 1,597 1,199 1,566 2,042 1,885 1,726 1,868 1,953 2,249 2,497 2,714
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. AMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
1 The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
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Table 10.8B – Received Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Any Mental Illness; by Demographic Characteristics, Percentages, 2008-2020
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 40.9 40.2 42.4 40.8 41.0 44.7 44.7 43.1 43.1 42.6 43.3 44.8 46.2
AGE GROUP                          
18-25 30.3 32.0 32.6 32.9 34.5 34.7 33.6 32.0 35.1 38.4 37.3 38.9 42.1
26 or Older 42.9 41.6 44.1 42.2 42.2 46.5 46.8 45.4 44.7 43.6 44.7 46.1 47.2
26-49 41.4 40.8 43.3 41.1 42.0 43.5 44.2 43.3 43.1 43.3 43.9 45.4 46.6
50 or Older 45.2 42.8 45.1 43.6 42.4 50.5 49.9 48.3 46.8 44.2 45.8 47.2 48.0
GENDER                          
Male 33.1 35.2 33.8 34.2 33.1 37.9 38.0 36.3 33.9 34.8 34.9 36.8 37.4
Female 45.6 43.2 48.0 44.9 46.0 48.8 48.7 47.4 48.8 47.6 48.6 49.7 51.2
HISPANIC ORIGIN AND RACE                          
Not Hispanic or Latino 43.5 42.0 43.6 42.6 43.0 46.4 46.5 44.8 45.0 44.1 45.1 46.6 48.1
White 47.1 45.2 47.1 45.9 46.2 49.6 49.7 48.0 48.7 48.0 49.1 50.3 51.8
Black or African American 28.7 26.5 29.6 29.0 34.1 31.7 32.4 31.4 29.3 30.6 30.6 32.9 37.1
AIAN * * * * * * * * * * * * *
NHOPI * * * * * * * * * * * * *
Asian * 17.9 18.6 20.5 16.5 * 33.0 22.1 21.6 20.2 24.9 23.3 20.8
Two or More Races * 48.4 * * 40.1 48.4 45.9 46.1 37.1 38.4 31.8 43.0 *
Hispanic or Latino 22.8 26.4 33.0 26.2 27.8 34.1 32.8 31.5 31.0 32.6 32.9 33.9 35.1
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. AMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
1 The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
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Table 10.9A – Received Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Any Mental Illness; by Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2008-2020
Geographic/Socioeconomic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 16,245 16,503 17,510 16,847 17,874 19,558 19,414 18,637 19,165 19,813 20,579 22,953 24,303
GEOGRAPHIC REGION                          
Northeast 3,221 2,943 3,388 3,177 3,298 3,633 3,608 3,516 3,568 3,392 3,771 4,048 3,899
Midwest 3,816 3,945 4,046 3,954 4,163 4,578 4,441 4,306 4,332 4,730 4,842 5,682 5,823
South 5,691 5,826 6,017 5,997 6,600 6,945 7,010 6,618 6,886 7,083 7,057 7,650 8,856
West 3,516 3,789 4,058 3,719 3,813 4,402 4,356 4,196 4,379 4,609 4,909 5,573 5,725
COUNTY TYPE2                          
Large Metro 8,152 8,511 9,043 8,262 9,010 10,255 10,133 9,842 10,050 10,076 10,585 12,293 11,823
Small Metro 5,390 5,439 5,618 6,044 6,085 6,157 6,000 6,158 6,145 6,694 7,058 7,273 8,810
Nonmetro 2,702 2,552 2,850 2,541 2,779 3,147 3,282 2,637 2,970 3,044 2,935 3,387 3,670
Urbanized 1,174 1,060 1,179 989 1,086 1,398 1,382 1,195 988 1,268 1,314 1,509 1,492
Less Urbanized 1,314 1,220 1,340 1,359 1,426 1,472 1,588 1,124 1,703 1,449 1,292 1,587 1,836
Completely Rural 214 272 * 193 * * 312 317 279 327 329 291 *
POVERTY LEVEL3                          
Less Than 100% 2,540 2,800 3,213 3,435 4,033 4,083 4,227 3,628 3,642 3,993 4,052 3,860 4,464
100-199% 3,436 3,325 3,934 3,938 3,808 3,936 4,202 3,732 4,425 4,188 3,753 4,762 4,932
200% or More 10,213 10,297 10,311 9,422 9,952 11,497 10,922 11,239 11,017 11,561 12,707 14,184 14,834
EDUCATION LEVEL                          
< High School nc nc nc nc nc nc nc 1,958 1,842 1,920 1,877 2,062 1,995
High School Graduate nc nc nc nc nc nc nc 4,276 4,181 3,978 4,263 4,550 5,482
Some College/Associate’s Degree nc nc nc nc nc nc nc 6,885 7,181 7,489 7,776 8,333 8,643
College Graduate nc nc nc nc nc nc nc 5,517 5,961 6,426 6,663 8,008 8,182
HEALTH INSURANCE4                          
Private 10,132 9,923 10,312 9,436 9,909 11,135 10,824 11,299 11,359 11,668 12,721 14,061 14,286
Medicaid/CHIP 2,549 2,976 3,039 3,350 3,345 3,883 4,625 4,341 4,825 5,048 4,749 5,553 5,912
Other5 3,947 3,704 4,427 4,549 5,069 5,288 5,988 5,502 5,051 5,241 5,050 5,633 6,784
No Coverage 2,212 2,124 2,392 2,086 2,527 2,582 1,791 1,141 1,138 1,309 1,463 1,419 1,458
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. AMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
1 The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions.
2 Because of the use of the 2013 Rural-Urban Continuum Codes in the creation of the county type variables, these 2008 to 2014 estimates may differ from estimates published prior to the 2015 NSDUH.
3 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
4 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
5 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
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Table 10.9B – Received Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Any Mental Illness; by Geographic and Socioeconomic Characteristics, Percentages, 2008-2020
Geographic/Socioeconomic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 40.9 40.2 42.4 40.8 41.0 44.7 44.7 43.1 43.1 42.6 43.3 44.8 46.2
GEOGRAPHIC REGION                          
Northeast 41.0 38.9 43.0 45.6 42.7 47.3 47.2 46.0 45.4 43.1 45.6 47.2 46.8
Midwest 42.4 43.1 43.3 43.9 45.5 48.5 47.1 47.2 48.6 46.3 47.1 49.6 49.3
South 41.1 40.1 41.2 39.1 40.7 43.6 44.3 40.7 41.5 42.2 41.8 42.1 47.8
West 39.2 38.6 42.8 37.2 36.3 41.3 41.3 40.9 39.3 39.7 40.8 42.6 41.1
COUNTY TYPE2                          
Large Metro 38.8 38.9 41.2 39.0 38.9 43.2 43.5 42.1 42.0 40.1 41.2 43.6 43.7
Small Metro 43.0 41.9 42.8 43.5 43.4 45.9 45.3 44.7 43.9 45.9 46.3 46.0 49.3
Nonmetro 44.2 41.2 45.4 40.9 43.3 47.8 47.5 43.2 45.5 45.0 44.6 46.5 47.7
Urbanized 46.0 43.9 47.3 38.2 41.1 47.0 46.5 44.9 40.2 42.7 41.7 48.9 44.4
Less Urbanized 44.1 37.9 42.6 43.4 45.1 48.4 48.8 41.4 49.0 45.2 46.3 44.9 50.6
Completely Rural 37.2 49.0 * 39.8 * * 45.4 44.3 47.0 54.8 51.9 44.3 *
POVERTY LEVEL3                          
Less Than 100% 40.1 40.5 44.0 40.8 40.8 44.9 45.3 40.7 42.1 45.9 44.8 44.9 45.6
100-199% 38.6 37.5 40.4 40.2 38.6 40.6 41.9 39.1 41.5 41.4 37.3 42.4 43.1
200% or More 42.1 41.0 42.7 41.1 42.1 46.3 45.7 45.6 44.1 42.1 45.1 45.6 47.5
EDUCATION LEVEL                          
< High School nc nc nc nc nc nc nc 33.9 33.4 36.4 33.5 37.7 35.9
High School Graduate nc nc nc nc nc nc nc 40.4 38.9 38.5 38.4 39.2 41.7
Some College/Associate’s Degree nc nc nc nc nc nc nc 44.7 45.5 45.5 45.5 45.8 47.5
College Graduate nc nc nc nc nc nc nc 47.9 47.9 44.6 48.6 50.1 52.1
HEALTH INSURANCE4                          
Private 42.7 39.9 43.5 41.9 42.1 44.6 44.4 45.4 43.3 41.9 45.2 45.8 47.5
Medicaid/CHIP 48.5 52.2 50.1 50.5 47.5 53.4 52.8 47.6 49.2 50.3 45.7 50.1 49.0
Other5 48.4 43.3 45.2 46.9 44.4 49.0 51.7 50.5 46.2 48.4 45.5 48.8 51.7
No Coverage 28.7 28.6 30.6 25.8 30.1 33.6 28.9 21.9 24.6 26.9 27.4 25.5 25.2
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. AMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
1 The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions.
2 Because of the use of the 2013 Rural-Urban Continuum Codes in the creation of the county type variables, these 2008 to 2014 estimates may differ from estimates published prior to the 2015 NSDUH.
3 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
4 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
5 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
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Table 10.10A – Received Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Serious Mental Illness; by Demographic Characteristics, Numbers in Thousands, 2008-2020
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 5,458 5,576 6,283 5,838 6,004 6,857 6,724 6,362 6,705 7,454 7,277 8,575 9,133
AGE GROUP                          
18-25 567 617 714 673 753 791 904 887 1,046 1,466 1,406 1,626 1,878
26 or Older 4,891 4,958 5,568 5,165 5,251 6,065 5,820 5,474 5,659 5,989 5,870 6,949 7,255
26-49 3,192 3,133 3,446 3,144 3,216 3,552 3,180 3,231 3,480 3,687 3,753 4,455 4,371
50 or Older 1,699 1,826 2,123 2,021 2,035 2,514 2,640 2,243 2,179 2,301 2,118 2,494 2,884
GENDER                          
Male 1,717 1,711 2,024 1,902 2,082 2,509 2,223 2,017 2,053 2,239 2,267 2,634 2,793
Female 3,741 3,865 4,258 3,936 3,922 4,347 4,501 4,345 4,652 5,216 5,009 5,942 6,340
HISPANIC ORIGIN AND RACE                          
Not Hispanic or Latino 5,059 5,127 5,651 5,453 5,307 6,070 5,921 5,723 5,852 6,756 6,453 7,516 8,211
White 4,462 4,477 4,756 4,779 4,451 5,139 5,045 4,938 5,074 5,742 5,418 6,291 6,951
Black or African American 364 431 566 408 551 * 473 376 500 573 625 686 *
AIAN * * * * * * * * * * * * *
NHOPI * * * * * * * * * * * * *
Asian * * * * * * * * * * * * *
Two or More Races * * * * * * * * * * * * *
Hispanic or Latino * 448 * 386 697 786 803 639 853 698 823 1,059 922
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. SMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
1 The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
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Table 10.10B – Received Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Serious Mental Illness; by Demographic Characteristics, Percentages, 2008-2020
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 65.7 66.5 67.5 64.9 62.9 68.5 68.5 65.3 64.8 66.7 64.1 65.5 64.5
AGE GROUP                          
18-25 45.9 55.0 53.7 52.1 53.1 54.0 53.9 50.7 51.5 57.4 53.8 56.4 57.6
26 or Older 69.1 68.3 69.8 67.1 64.6 70.9 71.5 68.4 68.1 69.5 67.2 68.1 66.6
26-49 67.2 64.5 67.4 63.6 63.5 68.4 66.2 66.1 66.1 66.2 63.7 65.1 63.0
50 or Older 73.2 76.1 74.0 73.2 66.3 74.9 79.2 72.2 71.5 75.6 74.4 74.3 72.9
GENDER                          
Male 60.0 60.1 60.7 59.3 57.8 63.6 62.1 58.4 57.4 57.7 56.4 56.5 54.9
Female 68.7 69.9 71.2 68.0 66.0 71.6 72.1 69.1 68.8 71.5 68.3 70.5 69.9
HISPANIC ORIGIN AND RACE                          
Not Hispanic or Latino 67.2 68.5 68.2 66.9 66.2 69.9 69.4 66.3 65.3 68.1 65.3 67.8 67.0
White 68.7 70.6 70.7 69.4 67.4 71.3 72.7 69.3 67.9 70.7 67.2 70.5 69.5
Black or African American 55.4 60.3 55.1 54.9 60.4 * 53.7 45.3 56.8 56.2 58.0 57.9 *
AIAN * * * * * * * * * * * * *
NHOPI * * * * * * * * * * * * *
Asian * * * * * * * * * * * * *
Two or More Races * * * * * * * * * * * * *
Hispanic or Latino * 50.0 * 45.5 45.7 58.9 62.2 57.6 61.6 56.2 56.0 52.8 48.7
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. SMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
1 The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
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Table 10.11A – Received Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Serious Mental Illness; by Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2008-2020
Geographic/Socioeconomic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 5,458 5,576 6,283 5,838 6,004 6,857 6,724 6,362 6,705 7,454 7,277 8,575 9,133
GEOGRAPHIC REGION                          
Northeast 1,166 1,044 1,142 932 1,036 1,271 1,211 1,171 1,155 1,135 1,184 1,406 1,322
Midwest 1,325 1,414 1,625 1,470 1,361 1,590 1,653 1,439 1,514 1,693 1,780 2,032 2,322
South 1,717 1,894 1,972 1,885 2,231 2,511 2,394 2,355 2,472 2,690 2,625 2,902 3,338
West 1,250 1,224 1,545 1,551 1,375 1,484 1,466 1,397 1,565 1,936 1,688 2,235 2,152
COUNTY TYPE2                          
Large Metro 2,871 2,757 3,148 2,652 2,983 3,506 3,453 3,261 3,510 3,535 3,587 4,439 4,419
Small Metro 1,787 1,856 2,072 2,206 2,082 2,078 2,097 2,063 2,154 2,593 2,605 2,812 3,396
Nonmetro 800 962 1,063 981 939 1,273 1,174 1,037 1,040 1,326 1,084 1,324 1,319
Urbanized * 374 * 380 364 * 494 436 363 569 481 560 *
Less Urbanized * 443 457 515 497 630 566 479 565 665 458 621 *
Completely Rural * * * * * * * * * * * * *
POVERTY LEVEL3                          
Less Than 100% 920 1,220 1,358 1,611 1,633 1,701 1,741 1,529 1,526 1,730 1,774 1,692 1,882
100-199% 1,320 1,171 1,393 1,355 1,445 1,620 1,669 1,310 1,778 1,827 1,470 2,000 2,317
200% or More 3,197 3,153 3,514 2,849 2,895 3,523 3,284 3,505 3,367 3,864 4,009 4,847 4,892
EDUCATION LEVEL                          
< High School nc nc nc nc nc nc nc 739 694 728 788 821 *
High School Graduate nc nc nc nc nc nc nc 1,327 1,506 1,715 1,622 1,793 2,281
Some College/Associate’s Degree nc nc nc nc nc nc nc 2,650 2,766 3,093 3,011 3,470 3,505
College Graduate nc nc nc nc nc nc nc 1,646 1,740 1,918 1,856 2,491 2,621
HEALTH INSURANCE4                          
Private 3,085 2,679 3,410 2,536 2,777 3,329 3,192 3,439 3,429 3,892 3,922 4,725 4,568
Medicaid/CHIP 1,090 1,310 1,250 1,520 1,336 1,507 1,875 1,671 2,005 2,226 2,033 2,540 2,458
Other5 1,336 1,368 1,541 1,529 1,836 2,105 2,096 1,987 1,696 2,033 1,791 2,053 2,697
No Coverage 799 911 1,000 956 990 1,116 736 521 582 547 714 665 721
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. SMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
1 The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions.
2 Because of the use of the 2013 Rural-Urban Continuum Codes in the creation of the county type variables, these 2008 to 2014 estimates may differ from estimates published prior to the 2015 NSDUH.
3 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
4 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
5 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
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Table 10.11B – Received Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Serious Mental Illness; by Geographic and Socioeconomic Characteristics, Percentages, 2008-2020
Geographic/Socioeconomic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 65.7 66.5 67.5 64.9 62.9 68.5 68.5 65.3 64.8 66.7 64.1 65.5 64.5
GEOGRAPHIC REGION                          
Northeast 72.2 70.7 69.2 64.9 66.0 76.6 69.5 68.3 65.6 66.7 65.6 68.3 67.8
Midwest 67.9 65.7 71.4 69.7 68.8 70.3 71.8 68.0 68.8 69.3 67.5 69.7 67.5
South 61.7 67.1 63.4 60.9 62.7 64.8 68.0 65.4 66.1 64.5 65.5 61.1 63.6
West 63.8 63.5 67.8 65.9 56.3 66.9 65.1 60.4 59.3 67.9 58.1 66.5 61.2
COUNTY TYPE2                          
Large Metro 64.4 63.5 65.8 62.7 60.6 68.9 67.2 63.9 64.5 63.5 62.5 65.9 65.0
Small Metro 66.1 70.9 68.9 67.7 64.5 68.0 68.2 67.4 63.4 69.2 66.4 64.9 65.1
Nonmetro 69.7 67.7 69.7 65.0 67.3 68.2 73.3 65.7 69.3 71.5 64.1 65.7 61.8
Urbanized * 70.8 * 60.0 74.2 * 71.2 57.9 62.8 71.8 63.8 63.2 *
Less Urbanized * 61.9 70.4 69.2 67.0 75.0 75.7 71.8 70.8 70.6 61.4 67.0 *
Completely Rural * * * * * * * * * * * * *
POVERTY LEVEL3                          
Less Than 100% 61.9 68.1 65.9 64.9 60.9 63.5 68.0 62.0 64.7 69.1 65.3 65.6 61.1
100-199% 64.9 58.8 62.1 61.9 61.8 67.8 69.8 62.5 64.7 68.3 60.4 62.2 64.6
200% or More 67.2 69.3 70.6 66.5 64.5 71.7 68.2 68.0 65.1 65.0 65.1 67.2 65.8
EDUCATION LEVEL                          
< High School nc nc nc nc nc nc nc 60.2 61.1 57.8 64.9 64.1 *
High School Graduate nc nc nc nc nc nc nc 59.4 62.3 64.4 57.7 58.1 59.4
Some College/Associate’s Degree nc nc nc nc nc nc nc 66.9 63.7 69.2 66.2 64.9 63.8
College Graduate nc nc nc nc nc nc nc 70.8 71.2 69.0 66.8 73.9 75.0
HEALTH INSURANCE4                          
Private 68.5 65.4 71.6 63.9 68.0 69.8 68.6 67.6 64.4 67.0 65.8 67.1 65.9
Medicaid/CHIP 75.9 78.1 74.4 74.9 68.0 75.8 77.0 68.7 71.1 74.9 68.3 70.8 68.6
Other5 78.3 76.1 70.3 78.8 71.5 84.3 81.5 76.1 76.2 80.4 76.6 77.8 73.0
No Coverage 48.2 53.3 52.5 48.8 43.2 50.6 47.3 43.5 44.8 40.2 47.1 42.8 44.9
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. SMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
1 The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions.
2 Because of the use of the 2013 Rural-Urban Continuum Codes in the creation of the county type variables, these 2008 to 2014 estimates may differ from estimates published prior to the 2015 NSDUH.
3 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
4 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
5 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
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Table 10.12A – Received Mental Health Services in Past Year: Among People Aged 18 or Older with No Past Year Mental Illness; by Demographic Characteristics, Numbers in Thousands, 2008-2020
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 13,955 13,839 13,980 14,795 16,248 15,086 16,083 15,606 15,817 16,603 16,522 17,201 18,118
AGE GROUP                          
18-25 1,770 1,811 1,718 1,813 1,788 1,886 1,785 1,635 1,752 1,689 1,792 1,910 2,197
26 or Older 12,185 12,028 12,262 12,982 14,460 13,200 14,299 13,970 14,065 14,913 14,730 15,291 15,921
26-49 5,478 5,753 5,715 6,354 6,103 5,963 6,094 6,156 6,174 6,100 6,163 6,480 6,633
50 or Older 6,707 6,274 6,547 6,629 8,357 7,237 8,204 7,815 7,891 8,813 8,567 8,811 9,288
GENDER                          
Male 5,282 4,660 4,961 5,617 5,958 5,339 5,975 5,878 5,848 6,199 5,724 6,210 6,511
Female 8,674 9,179 9,019 9,178 10,290 9,748 10,108 9,728 9,969 10,403 10,798 10,991 11,607
HISPANIC ORIGIN AND RACE                          
Not Hispanic or Latino 12,998 12,852 13,068 13,532 15,343 14,033 14,934 14,277 14,443 15,226 15,243 15,732 16,300
White 11,543 11,457 11,434 12,133 13,772 12,429 13,178 12,605 12,635 13,307 13,390 13,610 14,553
Black or African American 993 964 1,027 770 1,054 975 1,141 1,096 1,170 1,077 1,087 1,210 932
AIAN 50 * 73 43 59 57 82 82 75 65 85 92 58
NHOPI * * * 16 16 11 38 28 16 7 6 21 *
Asian 221 128 280 426 240 329 303 317 317 420 376 525 406
Two or More Races * 100 221 144 202 232 192 149 230 349 300 274 318
Hispanic or Latino 958 987 912 1,263 905 1,054 1,150 1,329 1,374 1,377 1,279 1,469 1,818
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with no mental illness may still have received mental health services for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. Mental Illness estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
1 The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
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Table 10.12B – Received Mental Health Services in Past Year: Among People Aged 18 or Older with No Past Year Mental Illness; by Demographic Characteristics, Percentages, 2008-2020
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 7.6 7.5 7.5 7.8 8.5 7.8 8.2 7.9 8.0 8.3 8.3 8.7 9.1
AGE GROUP                          
18-25 6.6 6.6 6.2 6.5 6.5 6.8 6.4 6.0 6.6 6.7 7.2 8.1 9.6
26 or Older 7.7 7.6 7.7 8.0 8.9 8.0 8.5 8.2 8.2 8.6 8.4 8.8 9.1
26-49 6.9 7.4 7.4 8.2 7.9 7.8 7.8 7.9 7.9 7.9 7.9 8.6 8.8
50 or Older 8.5 7.8 8.0 7.8 9.7 8.2 9.1 8.4 8.4 9.1 8.8 8.9 9.3
GENDER                          
Male 5.6 5.0 5.3 5.9 6.2 5.5 6.0 5.9 5.8 6.2 5.7 6.2 6.4
Female 9.5 10.0 9.7 9.7 10.8 10.2 10.4 9.9 10.1 10.5 10.9 11.3 12.1
HISPANIC ORIGIN AND RACE                          
Not Hispanic or Latino 8.2 8.1 8.1 8.4 9.5 8.6 9.1 8.6 8.7 9.2 9.2 9.6 9.9
White 9.1 9.1 9.1 9.7 11.0 9.9 10.4 10.0 10.1 10.7 10.7 11.1 11.9
Black or African American 4.6 4.3 4.7 3.5 4.8 4.2 4.9 4.6 4.8 4.4 4.4 4.9 3.7
AIAN 6.5 * 8.2 4.6 6.4 6.3 8.3 8.2 7.1 6.3 7.3 8.3 5.9
NHOPI * * * 2.4 2.2 1.6 5.4 5.6 1.8 0.9 0.8 2.6 *
Asian 2.6 1.5 3.1 4.4 2.4 3.1 2.8 2.7 2.8 3.6 3.1 4.3 3.3
Two or More Races * 6.0 10.7 5.9 7.5 9.2 7.2 5.5 7.9 11.7 9.5 9.2 10.5
Hispanic or Latino 3.8 3.8 3.4 4.3 3.1 3.6 3.7 4.1 4.3 4.1 3.8 4.4 5.4
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with no mental illness may still have received mental health services for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. Mental Illness estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
1 The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
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Table 10.13A – Received Mental Health Services in Past Year: Among People Aged 18 or Older with No Past Year Mental Illness; by Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2008-2020
Geographic/Socioeconomic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 13,955 13,839 13,980 14,795 16,248 15,086 16,083 15,606 15,817 16,603 16,522 17,201 18,118
GEOGRAPHIC REGION                          
Northeast 2,528 2,526 2,904 2,801 2,815 3,076 3,185 3,248 3,403 3,345 3,597 3,455 3,635
Midwest 3,229 3,242 3,219 3,577 3,696 3,603 3,833 3,377 4,129 3,843 4,027 4,058 4,233
South 4,594 5,315 4,775 5,238 6,032 5,025 5,596 5,449 5,412 5,792 5,512 5,853 6,377
West 3,604 2,756 3,082 3,178 3,706 3,383 3,470 3,532 2,874 3,623 3,387 3,835 3,872
COUNTY TYPE2                          
Large Metro 7,770 7,010 7,401 7,755 8,720 8,178 8,844 8,709 8,834 9,558 8,777 9,117 9,637
Small Metro 4,264 4,669 4,687 4,959 5,014 4,906 5,191 5,052 4,970 4,933 5,194 5,698 6,069
Nonmetro 1,921 2,160 1,891 2,081 2,514 2,003 2,048 1,845 2,013 2,112 2,551 2,386 2,411
Urbanized 864 747 919 797 1,230 905 864 782 917 964 1,271 1,048 879
Less Urbanized 931 1,212 835 1,131 1,051 925 973 832 920 977 1,046 1,097 1,214
Completely Rural 127 201 138 153 234 173 211 230 176 171 234 241 318
POVERTY LEVEL3                          
Less Than 100% 1,361 1,532 1,523 1,744 1,906 1,904 1,920 1,674 1,997 1,843 1,780 1,718 2,354
100-199% 2,216 2,294 2,492 2,535 2,487 2,357 2,781 2,615 2,700 2,639 2,363 2,641 2,616
200% or More 10,316 9,942 9,903 10,449 11,769 10,778 11,296 11,281 11,090 12,085 12,335 12,773 13,136
EDUCATION LEVEL                          
< High School nc nc nc nc nc nc nc 1,281 1,519 1,319 1,295 1,320 1,445
High School Graduate nc nc nc nc nc nc nc 3,358 3,110 3,246 2,904 3,389 4,080
Some College/Associate’s Degree nc nc nc nc nc nc nc 4,829 5,062 5,207 5,218 5,439 5,291
College Graduate nc nc nc nc nc nc nc 6,138 6,125 6,831 7,105 7,054 7,302
HEALTH INSURANCE4                          
Private 10,433 9,768 10,012 10,443 11,709 11,159 11,210 11,506 11,301 12,144 12,128 12,650 12,264
Medicaid/CHIP 1,487 1,543 1,528 1,783 1,591 1,628 2,091 1,947 2,469 2,548 2,085 2,578 3,164
Other5 3,863 3,680 3,652 3,580 4,535 4,164 5,308 4,683 4,815 4,786 5,313 5,301 6,170
No Coverage 890 1,183 1,148 1,248 1,379 1,165 1,050 647 678 607 522 629 601
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with no mental illness may still have received mental health services for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. Mental Illness estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
1 The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions.
2 Because of the use of the 2013 Rural-Urban Continuum Codes in the creation of the county type variables, these 2008 to 2014 estimates may differ from estimates published prior to the 2015 NSDUH.
3 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
4 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
5 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
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Table 10.13B – Received Mental Health Services in Past Year: Among People Aged 18 or Older with No Past Year Mental Illness; by Geographic and Socioeconomic Characteristics, Percentages, 2008-2020
Geographic/Socioeconomic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 7.6 7.5 7.5 7.8 8.5 7.8 8.2 7.9 8.0 8.3 8.3 8.7 9.1
GEOGRAPHIC REGION                          
Northeast 7.5 7.4 8.5 7.9 8.0 8.7 8.9 9.1 9.6 9.3 10.2 9.9 10.3
Midwest 8.0 8.0 7.9 8.7 9.0 8.7 9.2 8.1 9.8 9.3 9.7 10.0 10.5
South 6.8 7.8 6.9 7.4 8.5 7.0 7.6 7.4 7.2 7.6 7.2 7.7 8.3
West 8.4 6.5 7.1 7.3 8.4 7.6 7.6 7.6 6.2 7.8 7.3 8.3 8.5
COUNTY TYPE2                          
Large Metro 7.6 6.9 7.1 7.4 8.3 7.7 7.9 7.8 7.9 8.5 7.8 8.2 8.8
Small Metro 7.7 8.2 8.3 8.4 8.8 8.4 9.1 8.4 8.4 8.5 8.9 9.6 10.3
Nonmetro 7.0 7.9 7.0 7.8 8.9 7.1 7.5 6.8 7.1 7.4 8.8 8.8 8.1
Urbanized 7.9 6.4 8.0 7.8 10.6 7.3 7.5 7.1 8.0 7.9 9.8 9.4 7.6
Less Urbanized 6.7 9.3 6.4 8.3 7.8 7.2 7.4 6.5 6.5 7.0 7.8 8.7 8.6
Completely Rural 4.7 7.5 5.6 5.2 7.6 5.8 7.6 6.7 6.3 6.8 8.8 7.4 8.0
POVERTY LEVEL3                          
Less Than 100% 7.2 7.5 6.9 7.2 7.1 7.5 7.2 6.1 7.6 7.3 7.1 7.4 8.7
100-199% 6.9 6.6 6.6 6.7 7.0 6.4 7.6 6.7 7.1 6.9 6.1 7.3 7.6
200% or More 7.8 7.7 7.8 8.2 9.2 8.3 8.6 8.6 8.3 8.9 9.1 9.3 9.6
EDUCATION LEVEL                          
< High School nc nc nc nc nc nc nc 4.5 5.8 5.2 5.2 5.4 6.3
High School Graduate nc nc nc nc nc nc nc 6.6 6.2 6.6 5.8 7.0 7.3
Some College/Associate’s Degree nc nc nc nc nc nc nc 8.3 8.5 8.7 8.7 9.3 9.1
College Graduate nc nc nc nc nc nc nc 10.0 9.8 10.5 10.9 10.7 11.9
HEALTH INSURANCE4                          
Private 7.9 7.6 7.9 8.1 9.1 8.5 8.4 8.5 8.2 8.9 8.9 9.4 9.6
Medicaid/CHIP 11.4 11.5 10.2 10.8 9.9 9.8 10.1 8.0 10.0 9.9 8.0 10.6 11.6
Other5 8.9 8.3 8.3 7.8 9.6 8.4 10.5 8.6 8.7 8.5 9.4 9.3 10.1
No Coverage 3.4 4.1 3.8 4.2 4.7 4.0 4.5 3.2 3.7 3.3 2.7 3.1 2.8
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with no mental illness may still have received mental health services for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons. Mental Illness estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
1 The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions.
2 Because of the use of the 2013 Rural-Urban Continuum Codes in the creation of the county type variables, these 2008 to 2014 estimates may differ from estimates published prior to the 2015 NSDUH.
3 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
4 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
5 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
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Table 10.14A – Received Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Any Mental Illness Excluding Serious Mental Illness; by Demographic Characteristics, Numbers in Thousands, 2008-2020
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 10,787 10,927 11,227 11,009 11,870 12,702 12,690 12,275 12,460 12,359 13,302 14,378 15,169
AGE GROUP                          
18-25 1,275 1,311 1,285 1,413 1,579 1,544 1,446 1,522 1,625 1,919 1,922 2,220 2,423
26 or Older 9,512 9,615 9,942 9,596 10,291 11,157 11,244 10,753 10,835 10,441 11,381 12,158 12,746
26-49 5,360 5,596 5,466 5,045 5,493 5,586 5,656 5,669 5,500 5,908 6,198 6,997 7,535
50 or Older 4,153 4,020 4,476 4,550 4,799 5,571 5,588 5,084 5,334 4,533 5,183 5,161 5,211
GENDER                          
Male 3,143 3,760 3,535 3,532 3,480 3,709 3,992 4,050 3,731 4,024 4,104 4,584 4,364
Female 7,645 7,167 7,693 7,477 8,390 8,992 8,698 8,225 8,728 8,335 9,198 9,794 10,805
HISPANIC ORIGIN AND RACE                          
Not Hispanic or Latino 10,080 10,092 10,262 10,195 11,001 11,446 11,608 11,188 11,445 11,104 11,877 12,940 13,378
White 8,812 8,954 9,228 8,744 9,415 9,815 9,856 9,587 10,084 9,659 10,343 11,257 11,406
Black or African American 874 648 760 858 1,166 1,039 1,012 1,004 723 876 844 1,001 1,114
AIAN * * * * * * * * * * * * *
NHOPI * * * * * * * * * * * * *
Asian 94 154 130 249 134 202 377 272 272 241 385 265 294
Two or More Races * * 121 * 199 * 261 270 234 246 189 341 *
Hispanic or Latino 708 835 966 814 869 1,256 1,083 1,088 1,014 1,255 1,425 1,437 1,792
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. Mental illness estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
1 The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
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Table 10.14B – Received Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Any Mental Illness Excluding Serious Mental Illness; by Demographic Characteristics, Percentages, 2008-2020
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 34.4 33.4 35.1 34.1 34.9 37.7 37.7 36.6 36.5 35.0 36.8 37.6 39.4
AGE GROUP                          
18-25 26.4 26.8 26.7 28.0 29.5 29.4 27.2 26.3 29.2 30.7 30.5 31.7 34.8
26 or Older 35.9 34.6 36.5 35.2 35.9 39.2 39.7 38.8 37.9 36.0 38.1 39.0 40.5
26-49 33.7 33.8 35.3 33.7 35.0 35.3 37.3 36.2 35.3 35.6 36.9 38.1 40.5
50 or Older 39.1 35.8 38.1 37.0 36.8 44.1 42.5 42.2 41.0 36.5 39.6 40.2 40.4
GENDER                          
Male 26.6 29.6 27.0 27.9 26.3 29.7 31.3 30.5 27.7 28.5 28.8 30.7 31.1
Female 39.1 35.8 40.7 38.1 40.3 42.3 41.7 40.6 42.2 39.4 42.0 42.1 44.3
HISPANIC ORIGIN AND RACE                          
Not Hispanic or Latino 36.9 35.1 36.4 35.7 36.7 39.4 39.8 38.4 38.8 36.4 38.6 39.4 41.0
White 40.6 38.3 40.2 38.7 40.3 42.7 42.7 41.4 42.6 40.3 43.0 43.4 44.8
Black or African American 23.9 19.3 22.0 23.7 28.3 26.7 27.3 28.2 22.0 23.6 22.7 25.4 29.2
AIAN * * * * * * * * * * * * *
NHOPI * * * * * * * * * * * * *
Asian 8.7 13.7 10.9 19.9 9.7 18.1 27.9 19.6 19.7 14.5 21.7 16.1 17.2
Two or More Races * * 31.2 * 35.5 * 39.4 35.1 30.8 28.9 22.3 34.9 *
Hispanic or Latino 17.4 21.1 25.4 21.8 21.1 27.0 24.3 24.8 21.9 26.4 26.6 26.8 30.7
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. Mental illness estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
1 The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
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Table 10.15A – Type of Mental Health Service Received in Past Year: Among People Aged 18 or Older; by Age Group, Numbers in Thousands, 2002-2020
Mental Health Services Received/Age Group 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
MENTAL HEALTH SERVICES1 27,215 27,939 27,502 28,166 28,405 29,556 30,201 30,341 31,490 31,642 34,122 34,644 35,498 34,243 34,982 36,416 37,101 40,154 41,444
Inpatient 1,472 1,792 1,917 2,129 1,596 2,145 1,970 1,900 1,752 1,779 1,872 2,174 2,411 2,199 2,270 2,357 2,366 2,371 2,232
18-25 294 324 388 344 345 360 364 359 348 361 397 451 418 483 516 509 545 567 460
26 or Older 1,179 1,468 1,529 1,785 1,251 1,784 1,606 1,541 1,404 1,419 1,476 1,723 1,993 1,715 1,754 1,847 1,822 1,804 1,772
26-49 811 884 801 930 781 1,125 758 970 749 766 675 988 951 867 967 933 1,021 955 991
50 or Older 367 584 728 855 470 659 848 571 655 653 801 735 1,042 848 786 914 801 850 782
Outpatient1,2 15,487 15,065 15,226 14,856 14,712 15,433 15,327 14,394 15,144 15,473 15,468 15,640 16,082 17,069 16,875 18,517 19,461 20,561 21,505
18-25 2,077 2,096 1,976 2,070 1,912 1,837 1,948 2,039 1,946 2,126 2,239 2,172 2,204 2,280 2,519 3,052 3,131 3,456 3,854
26 or Older 13,410 12,969 13,250 12,785 12,801 13,596 13,380 12,355 13,198 13,347 13,229 13,469 13,878 14,789 14,356 15,466 16,330 17,105 17,651
26-49 8,931 8,696 8,632 7,766 7,581 7,975 7,880 7,378 7,699 7,640 7,411 7,229 7,368 7,805 7,990 8,456 8,805 9,893 10,368
50 or Older 4,479 4,274 4,619 5,019 5,220 5,620 5,500 4,977 5,499 5,707 5,818 6,239 6,510 6,984 6,366 7,009 7,526 7,213 7,283
Prescription Medication 22,005 23,253 22,638 23,305 23,967 24,864 25,598 25,719 26,671 26,777 29,027 29,530 30,082 28,455 29,350 29,757 30,115 32,629 33,815
18-25 2,316 2,621 2,594 2,680 2,612 2,602 2,676 2,857 2,838 3,005 3,109 3,270 3,075 2,999 3,330 3,780 3,769 4,165 4,726
26 or Older 19,689 20,632 20,044 20,625 21,354 22,262 22,923 22,862 23,833 23,772 25,918 26,260 27,007 25,456 26,020 25,977 26,346 28,464 29,089
26-49 11,384 11,837 11,671 11,423 11,741 11,777 11,701 12,204 12,269 12,006 12,669 12,767 12,557 12,398 12,460 12,736 12,990 14,388 14,162
50 or Older 8,304 8,795 8,373 9,202 9,613 10,484 11,222 10,658 11,564 11,767 13,249 13,494 14,450 13,058 13,560 13,241 13,356 14,076 14,927
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Respondents could indicate multiple service types; thus, these response categories are not mutually exclusive.
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 Because of revisions in 2004 to the logical editing of the outpatient mental health services data, these 2002 and 2003 estimates may differ from estimates published prior to the 2004 NSDUH.
2 Because of revisions in 2017 to the outpatient mental health service estimates, these 2010 to 2016 estimates may differ from estimates published prior to the 2017 NSDUH.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2002-2019, and Quarters 1 and 4, 2020.
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Table 10.15B – Type of Mental Health Service Received in Past Year: Among People Aged 18 or Older; by Age Group, Percentages, 2002-2020
Mental Health Services Received/Age Group 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
MENTAL HEALTH SERVICES1 13.0 13.2 12.8 13.0 12.9 13.3 13.5 13.4 13.8 13.6 14.5 14.6 14.8 14.2 14.4 14.8 15.0 16.1 16.9
Inpatient 0.7 0.8 0.9 1.0 0.7 1.0 0.9 0.8 0.8 0.8 0.8 0.9 1.0 0.9 0.9 1.0 1.0 1.0 0.9
18-25 0.9 1.0 1.2 1.1 1.1 1.1 1.1 1.1 1.0 1.1 1.1 1.3 1.2 1.4 1.5 1.5 1.6 1.7 1.4
26 or Older 0.7 0.8 0.8 1.0 0.7 0.9 0.8 0.8 0.7 0.7 0.7 0.9 1.0 0.8 0.8 0.9 0.9 0.8 0.8
26-49 0.8 0.9 0.8 0.9 0.8 1.1 0.8 1.0 0.8 0.8 0.7 1.0 1.0 0.9 1.0 0.9 1.0 0.9 1.0
50 or Older 0.5 0.7 0.9 1.0 0.5 0.7 0.9 0.6 0.7 0.7 0.8 0.7 1.0 0.8 0.7 0.8 0.7 0.7 0.7
Outpatient1,2 7.4 7.1 7.1 6.8 6.7 7.0 6.8 6.4 6.6 6.7 6.6 6.6 6.7 7.1 6.9 7.5 7.9 8.3 8.8
18-25 6.7 6.6 6.2 6.4 5.9 5.6 5.9 6.1 5.7 6.2 6.5 6.3 6.4 6.6 7.3 9.0 9.3 10.3 11.9
26 or Older 7.5 7.2 7.3 6.9 6.8 7.2 7.0 6.4 6.8 6.7 6.6 6.7 6.8 7.1 6.9 7.3 7.6 7.9 8.3
26-49 8.9 8.7 8.6 7.8 7.6 8.0 7.9 7.5 7.8 7.8 7.6 7.4 7.5 7.9 8.1 8.5 8.8 9.8 10.6
50 or Older 5.7 5.3 5.6 5.9 6.0 6.3 6.0 5.3 5.7 5.7 5.7 6.0 6.1 6.4 5.8 6.3 6.6 6.3 6.4
Prescription Medication 10.5 10.9 10.5 10.7 10.9 11.2 11.4 11.3 11.7 11.5 12.4 12.5 12.6 11.8 12.0 12.1 12.2 13.1 13.8
18-25 7.5 8.3 8.1 8.3 8.0 8.0 8.1 8.5 8.4 8.8 9.0 9.4 8.8 8.6 9.7 11.1 11.1 12.4 14.5
26 or Older 11.0 11.4 11.0 11.1 11.4 11.7 12.0 11.8 12.2 12.0 12.9 13.0 13.2 12.3 12.4 12.3 12.3 13.2 13.7
26-49 11.4 11.9 11.7 11.4 11.7 11.8 11.7 12.3 12.5 12.3 13.0 13.1 12.8 12.6 12.6 12.7 12.9 14.3 14.4
50 or Older 10.5 10.9 10.1 10.8 11.0 11.7 12.2 11.3 12.0 11.8 12.9 12.9 13.5 12.0 12.3 11.8 11.8 12.3 13.1
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Respondents could indicate multiple service types; thus, these response categories are not mutually exclusive.
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 Because of revisions in 2004 to the logical editing of the outpatient mental health services data, these 2002 and 2003 estimates may differ from estimates published prior to the 2004 NSDUH.
2 Because of revisions in 2017 to the outpatient mental health service estimates, these 2010 to 2016 estimates may differ from estimates published prior to the 2017 NSDUH.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2002-2019, and Quarters 1 and 4, 2020.
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Table 10.16A – Type of Mental Health Service Received in Past Year: Among People Aged 18 or Older with Past Year Any Mental Illness; by Age Group, Numbers in Thousands, 2008-2020
Mental Health Services Received/Age Group 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
MENTAL HEALTH SERVICES 16,245 16,503 17,510 16,847 17,874 19,558 19,414 18,637 19,165 19,813 20,579 22,953 24,303
Inpatient 1,483 1,322 1,102 1,346 1,326 1,425 1,639 1,488 1,479 1,556 1,580 1,674 1,545
18-25 214 245 205 249 259 281 259 321 348 375 415 436 334
26 or Older 1,269 1,077 897 1,097 1,067 1,143 1,379 1,166 1,131 1,181 1,166 1,238 1,211
26-49 592 793 586 569 487 685 737 640 701 723 753 730 860
50 or Older 678 284 311 529 581 458 642 526 430 458 413 508 351
Outpatient2 9,570 9,246 9,660 9,897 9,732 10,685 10,552 10,996 10,891 11,906 12,377 13,855 14,918
18-25 1,148 1,222 1,220 1,324 1,478 1,412 1,489 1,550 1,730 2,195 2,174 2,562 2,885
26 or Older 8,422 8,024 8,441 8,573 8,254 9,273 9,063 9,446 9,162 9,711 10,203 11,293 12,034
26-49 5,372 5,033 5,112 4,989 4,878 5,097 5,138 5,355 5,400 5,948 6,033 7,100 7,543
50 or Older 3,050 2,991 3,329 3,584 3,376 4,176 3,926 4,091 3,761 3,763 4,169 4,194 4,491
Prescription Medication 14,100 14,305 15,288 14,700 15,422 17,025 16,851 15,883 16,518 16,603 17,219 18,854 20,479
18-25 1,421 1,531 1,564 1,609 1,815 1,829 1,783 1,836 2,073 2,569 2,547 2,854 3,319
26 or Older 12,679 12,775 13,724 13,092 13,606 15,196 15,068 14,047 14,445 14,034 14,672 16,000 17,160
26-49 7,411 7,580 7,779 7,100 7,695 7,918 7,592 7,490 7,667 8,019 8,294 9,422 9,811
50 or Older 5,267 5,195 5,944 5,992 5,911 7,278 7,476 6,557 6,778 6,015 6,378 6,578 7,349
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Respondents could indicate multiple service types; thus, these response categories are not mutually exclusive.
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. AMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
1 The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions.
2 Because of revisions in 2017 to the outpatient mental health service estimates, these 2010 to 2016 estimates may differ from estimates published prior to the 2017 NSDUH.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
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Table 10.16B – Type of Mental Health Service Received in Past Year: Among People Aged 18 or Older with Past Year Any Mental Illness; by Age Group, Percentages, 2008-2020
Mental Health Services Received/Age Group 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
MENTAL HEALTH SERVICES 40.9 40.2 42.4 40.8 41.0 44.7 44.7 43.1 43.1 42.6 43.3 44.8 46.2
Inpatient 3.7 3.2 2.7 3.3 3.0 3.3 3.8 3.4 3.3 3.3 3.3 3.3 2.9
18-25 3.5 4.1 3.3 3.9 3.8 4.2 3.7 4.3 4.6 4.2 4.6 4.4 3.3
26 or Older 3.8 3.1 2.5 3.1 2.9 3.1 3.8 3.3 3.1 3.1 3.0 3.0 2.8
26-49 2.9 3.7 2.8 2.9 2.3 3.3 3.7 3.1 3.4 3.3 3.3 2.9 3.4
50 or Older 5.2 2.1 2.1 3.5 3.6 2.9 3.9 3.5 2.7 3.0 2.6 3.1 2.1
Outpatient2 24.1 22.5 23.4 24.0 22.4 24.4 24.3 25.4 24.5 25.7 26.1 27.1 28.5
18-25 18.9 20.3 19.9 20.9 21.9 21.0 21.3 20.6 22.8 24.9 24.5 26.0 28.4
26 or Older 25.1 22.9 24.0 24.6 22.5 25.1 24.9 26.5 24.9 25.8 26.5 27.3 28.6
26-49 26.0 23.6 24.9 25.1 23.6 24.3 25.8 26.1 26.0 26.9 26.7 28.2 29.6
50 or Older 23.5 21.9 22.8 23.8 21.0 26.1 23.9 27.0 23.4 24.4 26.2 25.9 27.0
Prescription Medication 35.5 34.8 36.9 35.6 35.3 38.9 38.7 36.7 37.1 35.7 36.2 36.7 38.8
18-25 23.3 25.3 25.5 25.3 26.8 27.2 25.5 24.3 27.2 29.1 28.6 28.8 32.4
26 or Older 37.8 36.4 38.9 37.4 36.9 41.0 41.3 39.3 39.1 37.2 38.0 38.5 40.3
26-49 35.9 35.3 37.7 35.6 37.1 37.7 38.0 36.4 36.7 36.1 36.6 37.3 38.2
50 or Older 40.8 38.1 40.7 39.8 36.7 45.5 45.3 43.2 42.2 38.8 40.0 40.4 43.4
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Respondents could indicate multiple service types; thus, these response categories are not mutually exclusive.
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. AMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
1 The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions.
2 Because of revisions in 2017 to the outpatient mental health service estimates, these 2010 to 2016 estimates may differ from estimates published prior to the 2017 NSDUH.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
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Table 10.17A – Type of Mental Health Service Received in Past Year: Among People Aged 18 or Older with Past Year Serious Mental Illness; by Age Group, Numbers in Thousands, 2008-2020
Mental Health Services Received/Age Group 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
MENTAL HEALTH SERVICES 5,458 5,576 6,283 5,838 6,004 6,857 6,724 6,362 6,705 7,454 7,277 8,575 9,133
Inpatient 713 717 622 796 590 832 863 685 789 850 824 974 929
18-25 97 128 108 104 121 151 138 156 178 220 247 262 223
26 or Older 616 589 514 693 470 681 725 529 611 630 577 713 707
26-49 327 472 358 394 244 434 386 357 429 461 374 494 454
50 or Older 289 117 157 299 226 246 339 173 182 169 203 219 253
Outpatient2 3,822 3,731 3,961 3,957 3,706 4,685 4,328 4,249 4,384 5,033 4,970 5,773 6,295
18-25 406 431 481 480 506 544 658 629 745 1,001 976 1,135 1,265
26 or Older 3,416 3,300 3,479 3,477 3,200 4,141 3,670 3,620 3,639 4,032 3,994 4,638 5,030
26-49 2,283 2,123 2,201 2,108 2,029 2,440 2,095 2,189 2,346 2,584 2,496 3,078 3,039
50 or Older 1,133 1,177 1,279 1,369 1,170 1,702 1,575 1,431 1,293 1,448 1,498 1,559 1,991
Prescription Medication 4,973 5,119 5,683 5,242 5,527 6,222 6,028 5,587 6,005 6,589 6,420 7,402 7,937
18-25 444 488 586 531 648 678 711 703 836 1,171 1,101 1,297 1,590
26 or Older 4,529 4,631 5,097 4,711 4,879 5,544 5,317 4,884 5,168 5,418 5,319 6,105 6,348
26-49 2,861 2,888 3,134 2,831 2,971 3,152 2,886 2,846 3,116 3,266 3,395 3,860 3,702
50 or Older 1,669 1,743 1,962 1,880 1,907 2,392 2,430 2,038 2,052 2,152 1,924 2,246 2,646
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Respondents could indicate multiple service types; thus, these response categories are not mutually exclusive.
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. SMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
1 The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions.
2 Because of revisions in 2017 to the outpatient mental health service estimates, these 2010 to 2016 estimates may differ from estimates published prior to the 2017 NSDUH.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
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Table 10.17B – Type of Mental Health Service Received in Past Year: Among People Aged 18 or Older with Past Year Serious Mental Illness; by Age Group, Percentages, 2008-2020
Mental Health Services Received/Age Group 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
MENTAL HEALTH SERVICES 65.7 66.5 67.5 64.9 62.9 68.5 68.5 65.3 64.8 66.7 64.1 65.5 64.5
Inpatient 8.6 8.6 6.7 8.8 6.2 8.3 8.8 7.0 7.6 7.6 7.3 7.4 6.5
18-25 7.9 11.4 8.1 8.0 8.5 10.3 8.2 8.9 8.8 8.6 9.4 9.0 6.8
26 or Older 8.7 8.1 6.4 9.0 5.8 8.0 8.9 6.6 7.4 7.3 6.6 7.0 6.5
26-49 6.9 9.7 7.0 8.0 4.8 8.4 8.0 7.3 8.1 8.3 6.3 7.2 6.5
50 or Older 12.4 4.9 5.5 10.8 7.3 7.3 10.2 5.5 6.0 5.6 7.1 6.5 6.4
Outpatient2 46.2 44.6 42.5 44.1 39.0 46.9 44.2 43.6 42.6 45.3 43.9 44.2 45.1
18-25 33.0 38.6 36.2 37.2 35.8 37.3 39.2 36.0 36.8 39.3 37.5 39.6 39.2
26 or Older 48.5 45.5 43.5 45.2 39.5 48.5 45.2 45.3 44.0 47.1 45.8 45.6 46.8
26-49 48.2 43.8 42.9 42.8 40.3 47.1 43.8 44.8 44.8 46.7 42.5 45.1 44.0
50 or Older 49.0 49.0 44.6 49.6 38.2 50.7 47.3 46.0 42.6 47.8 52.7 46.4 52.0
Prescription Medication 59.7 61.1 61.0 58.2 57.8 62.1 61.4 57.3 58.0 58.9 56.5 56.5 55.9
18-25 35.9 43.4 44.0 41.0 45.5 46.2 42.4 40.0 41.1 45.7 42.1 44.8 48.8
26 or Older 63.8 63.8 63.8 61.1 59.9 64.8 65.3 61.0 62.1 62.8 60.8 59.8 58.0
26-49 60.1 59.5 61.2 57.2 58.7 60.7 60.1 58.2 59.1 58.5 57.6 56.4 53.0
50 or Older 71.5 72.6 68.4 68.1 61.9 71.3 72.9 65.6 67.4 70.7 67.5 66.7 66.8
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Respondents could indicate multiple service types; thus, these response categories are not mutually exclusive.
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. SMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
1 The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions.
2 Because of revisions in 2017 to the outpatient mental health service estimates, these 2010 to 2016 estimates may differ from estimates published prior to the 2017 NSDUH.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
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Table 10.18A – Locations of Outpatient Mental Health Services: Among People Aged 18 or Older Who Received Outpatient Mental Health Services in Past Year; Numbers in Thousands, 2002-2020
Location of Mental Health Services 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
Outpatient Mental Health Clinic or Center 3,136 2,983 3,268 3,612 3,342 3,133 3,371 3,079 3,320 3,645 3,634 4,002 4,126 4,411 4,301 4,759 4,517 5,162 5,791
Office of a Private Therapist, Psychologist, Psychiatrist,
   Social Worker, or Counselor - Not Part of a Clinic		 8,461 8,216 7,839 8,038 7,790 8,441 8,787 7,678 8,482 8,559 8,514 9,019 9,209 10,007 9,775 10,808 12,356 12,429 13,380
Doctor’s Office - Not Part of a Clinic 3,796 3,669 3,752 3,159 3,299 3,297 3,009 3,336 3,157 3,014 3,104 2,393 2,446 2,862 2,531 2,980 2,834 3,136 2,721
Outpatient Medical Clinic 950 997 1,195 1,126 1,159 1,376 1,354 1,233 1,007 1,161 1,012 1,070 1,156 1,054 1,159 1,031 1,261 1,181 1,488
Partial Day Hospital or Day Treatment Program 289 310 293 311 190 349 237 358 283 284 343 194 300 335 225 311 285 346 361
School or University Setting/Clinic/Center1 107 78 84 93 88 65 101 83 81 84 106 83 111 95 121 194 149 151 89
Some Other Place2 288 265 322 144 257 332 250 272 325 373 256 435 393 390 368 448 467 534 464
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Respondents could indicate multiple locations for receiving outpatient mental health services; thus, these response categories are not mutually exclusive. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown mental health services information were excluded.
NOTE: Because of revisions in 2004 to the logical editing of the outpatient mental health services data, these 2002 and 2003 estimates may differ from estimates published prior to the 2004 NSDUH.
NOTE: Because of revisions in 2017 to the outpatient mental health service estimates, these 2010 to 2016 estimates may differ from estimates published prior to the 2017 NSDUH.
1 Respondents were permitted to specify other locations for receiving outpatient mental health services. This location was the most commonly reported other location for receiving outpatient mental health services.
2 Respondents with unknown or invalid responses to the other-specify question on Some Other Place Received Outpatient Mental Health Services were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2002-2019, and Quarters 1 and 4, 2020.
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Table 10.18B – Locations of Outpatient Mental Health Services: Among People Aged 18 or Older Who Received Outpatient Mental Health Services in Past Year; Percentages, 2002-2020
Location of Mental Health Services 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
Outpatient Mental Health Clinic or Center 20.4 20.0 21.6 24.5 22.8 20.4 22.1 21.6 22.0 23.7 23.5 25.7 25.8 26.0 25.6 25.8 23.3 25.3 27.1
Office of a Private Therapist, Psychologist, Psychiatrist,
   Social Worker, or Counselor - Not Part of a Clinic		 55.0 55.0 51.7 54.4 53.2 54.9 57.7 53.8 56.3 55.7 55.1 57.9 57.5 58.9 58.3 58.6 63.8 60.8 62.5
Doctor’s Office - Not Part of a Clinic 24.7 24.6 24.8 21.4 22.5 21.4 19.8 23.4 21.0 19.6 20.1 15.4 15.3 16.8 15.1 16.2 14.6 15.3 12.7
Outpatient Medical Clinic 6.2 6.7 7.9 7.6 7.9 9.0 8.9 8.6 6.7 7.6 6.6 6.9 7.2 6.2 6.9 5.6 6.5 5.8 7.0
Partial Day Hospital or Day Treatment Program 1.9 2.1 1.9 2.1 1.3 2.3 1.6 2.5 1.9 1.9 2.2 1.2 1.9 2.0 1.3 1.7 1.5 1.7 1.7
School or University Setting/Clinic/Center1 0.7 0.5 0.6 0.6 0.6 0.4 0.7 0.6 0.5 0.6 0.7 0.5 0.7 0.6 0.7 1.1 0.8 0.7 0.4
Some Other Place2 1.9 1.8 2.1 1.0 1.8 2.2 1.6 1.9 2.2 2.4 1.7 2.8 2.5 2.3 2.2 2.5 2.4 2.6 2.2
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Respondents could indicate multiple locations for receiving outpatient mental health services; thus, these response categories are not mutually exclusive. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown mental health services information were excluded.
NOTE: Because of revisions in 2004 to the logical editing of the outpatient mental health services data, these 2002 and 2003 estimates may differ from estimates published prior to the 2004 NSDUH.
NOTE: Because of revisions in 2017 to the outpatient mental health service estimates, these 2010 to 2016 estimates may differ from estimates published prior to the 2017 NSDUH.
1 Respondents were permitted to specify other locations for receiving outpatient mental health services. This location was the most commonly reported other location for receiving outpatient mental health services.
2 Respondents with unknown or invalid responses to the other-specify question on Some Other Place Received Outpatient Mental Health Services were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2002-2019, and Quarters 1 and 4, 2020.
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Table 10.19A – Locations of Outpatient Mental Health Services: Among People Aged 18 or Older with Past Year Any Mental Illness Who Received Outpatient Mental Health Services in Past Year; Numbers in Thousands, 2008-2020
Location of Mental Health Services 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
Outpatient Mental Health Clinic or Center 2,299 2,360 2,470 2,717 2,580 3,151 3,199 3,311 3,140 3,596 3,479 3,990 4,659
Office of a Private Therapist, Psychologist, Psychiatrist,
   Social Worker, or Counselor - Not Part of a Clinic		 5,402 4,893 5,312 5,324 5,157 6,032 5,865 6,183 6,170 6,624 7,605 8,240 9,253
Doctor’s Office - Not Part of a Clinic 2,062 2,240 2,042 2,072 2,119 1,660 1,624 2,117 1,768 2,119 2,062 2,162 1,988
Outpatient Medical Clinic 950 870 657 741 716 740 802 725 793 780 858 857 1,188
Partial Day Hospital or Day Treatment Program 211 285 228 227 292 151 224 280 189 277 263 321 243
School or University Setting/Clinic/Center2 70 63 44 54 79 60 82 70 85 134 100 103 82
Some Other Place3 167 182 234 270 166 249 263 262 266 299 286 312 269
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Respondents could indicate multiple locations for receiving outpatient mental health services; thus, these response categories are not mutually exclusive. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown mental health services information were excluded.
NOTE: Because of revisions in 2017 to the outpatient mental health service estimates, these 2010 to 2016 estimates may differ from estimates published prior to the 2017 NSDUH.
NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. AMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
1 The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions.
2 Respondents were permitted to specify other locations for receiving outpatient mental health services. This location was the most commonly reported other location for receiving outpatient mental health services.
3 Respondents with unknown or invalid responses to the other-specify question on Some Other Place Received Outpatient Mental Health Services were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
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Table 10.19B – Locations of Outpatient Mental Health Services: Among People Aged 18 or Older with Past Year Any Mental Illness Who Received Outpatient Mental Health Services in Past Year; Percentages, 2008-2020
Location of Mental Health Services 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
Outpatient Mental Health Clinic or Center 24.2 25.6 25.7 27.6 26.6 29.6 30.4 30.2 28.9 30.2 28.2 29.0 31.4
Office of a Private Therapist, Psychologist, Psychiatrist,
   Social Worker, or Counselor - Not Part of a Clinic		 56.9 53.1 55.3 54.0 53.1 56.6 55.8 56.4 56.9 55.7 61.6 59.8 62.3
Doctor’s Office - Not Part of a Clinic 21.7 24.3 21.3 21.0 21.8 15.6 15.4 19.3 16.3 17.8 16.7 15.7 13.4
Outpatient Medical Clinic 10.0 9.4 6.8 7.5 7.4 6.9 7.6 6.6 7.3 6.6 6.9 6.2 8.0
Partial Day Hospital or Day Treatment Program 2.2 3.1 2.4 2.3 3.0 1.4 2.1 2.6 1.7 2.3 2.1 2.3 1.6
School or University Setting/Clinic/Center2 0.7 0.7 0.5 0.6 0.8 0.6 0.8 0.6 0.8 1.1 0.8 0.8 0.6
Some Other Place3 1.8 2.0 2.5 2.8 1.7 2.4 2.5 2.4 2.5 2.5 2.3 2.3 1.8
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Respondents could indicate multiple locations for receiving outpatient mental health services; thus, these response categories are not mutually exclusive. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown mental health services information were excluded.
NOTE: Because of revisions in 2017 to the outpatient mental health service estimates, these 2010 to 2016 estimates may differ from estimates published prior to the 2017 NSDUH.
NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. AMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
1 The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions.
2 Respondents were permitted to specify other locations for receiving outpatient mental health services. This location was the most commonly reported other location for receiving outpatient mental health services.
3 Respondents with unknown or invalid responses to the other-specify question on Some Other Place Received Outpatient Mental Health Services were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
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Table 10.20A – Locations of Outpatient Mental Health Services: Among People Aged 18 or Older with Past Year Serious Mental Illness Who Received Outpatient Mental Health Services in Past Year; Numbers in Thousands, 2008-2020
Location of Mental Health Services 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
Outpatient Mental Health Clinic or Center 1,138 1,120 1,160 1,241 1,244 1,728 1,548 1,522 1,545 1,810 1,825 2,033 2,358
Office of a Private Therapist, Psychologist, Psychiatrist,
   Social Worker, or Counselor - Not Part of a Clinic		 2,211 1,869 2,319 2,090 1,939 2,545 2,277 2,310 2,410 2,701 2,932 3,398 3,789
Doctor’s Office - Not Part of a Clinic 789 961 799 898 755 669 701 909 721 1,050 880 830 866
Outpatient Medical Clinic 384 472 321 322 343 291 406 322 392 379 376 422 630
Partial Day Hospital or Day Treatment Program 123 157 151 146 192 90 136 163 127 175 184 183 209
School or University Setting/Clinic/Center2 24 26 15 16 17 22 43 26 32 63 43 35 20
Some Other Place3 33 50 49 162 85 109 105 151 88 147 139 180 200
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Respondents could indicate multiple locations for receiving outpatient mental health services; thus, these response categories are not mutually exclusive. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown mental health services information were excluded.
NOTE: Because of revisions in 2017 to the outpatient mental health service estimates, these 2010 to 2016 estimates may differ from estimates published prior to the 2017 NSDUH.
NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. SMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
1 The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions.
2 Respondents were permitted to specify other locations for receiving outpatient mental health services. This location was the most commonly reported other location for receiving outpatient mental health services.
3 Respondents with unknown or invalid responses to the other-specify question on Some Other Place Received Outpatient Mental Health Services were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
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Table 10.20B – Locations of Outpatient Mental Health Services: Among People Aged 18 or Older with Past Year Serious Mental Illness Who Received Outpatient Mental Health Services in Past Year; Percentages, 2008-2020
Location of Mental Health Services 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
Outpatient Mental Health Clinic or Center 30.2 30.1 29.5 31.6 33.6 36.9 35.8 35.9 35.4 36.0 36.8 35.3 37.6
Office of a Private Therapist, Psychologist, Psychiatrist,
   Social Worker, or Counselor - Not Part of a Clinic		 58.7 50.1 59.0 53.3 52.4 54.3 52.7 54.5 55.2 53.7 59.1 59.1 60.4
Doctor’s Office - Not Part of a Clinic 20.9 25.8 20.3 22.9 20.4 14.3 16.2 21.5 16.5 20.9 17.8 14.4 13.8
Outpatient Medical Clinic 10.2 12.7 8.2 8.2 9.3 6.2 9.4 7.6 9.0 7.5 7.6 7.3 10.0
Partial Day Hospital or Day Treatment Program 3.3 4.2 3.8 3.7 5.2 1.9 3.2 3.8 2.9 3.5 3.7 3.2 3.3
School or University Setting/Clinic/Center2 0.6 0.7 0.4 0.4 0.5 0.5 1.0 0.6 0.7 1.3 0.9 0.6 0.3
Some Other Place3 0.9 1.3 1.3 4.1 2.3 2.3 2.4 3.6 2.0 2.9 2.8 3.2 3.2
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Respondents could indicate multiple locations for receiving outpatient mental health services; thus, these response categories are not mutually exclusive. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown mental health services information were excluded.
NOTE: Because of revisions in 2017 to the outpatient mental health service estimates, these 2010 to 2016 estimates may differ from estimates published prior to the 2017 NSDUH.
NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. SMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
1 The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions.
2 Respondents were permitted to specify other locations for receiving outpatient mental health services. This location was the most commonly reported other location for receiving outpatient mental health services.
3 Respondents with unknown or invalid responses to the other-specify question on Some Other Place Received Outpatient Mental Health Services were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
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Table 10.21A – Perceived Unmet Need for Mental Health Services in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Numbers in Thousands, 2002-2020
Demographic Characteristic 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 11,272 10,781 10,902 11,170 10,498 10,974 10,636 12,059 11,177 10,768 11,490 10,965 11,795 11,238 11,769 13,475 14,215 16,597 19,725
AGE GROUP                                      
18-25 2,621 2,628 2,614 2,688 2,436 2,472 2,618 2,630 2,565 2,581 2,565 2,575 2,796 2,917 3,227 3,894 4,261 5,079 5,951
26 or Older 8,651 8,153 8,288 8,481 8,063 8,502 8,018 9,429 8,612 8,187 8,925 8,391 9,000 8,321 8,542 9,581 9,954 11,519 13,774
26-49 6,783 6,349 6,564 6,049 5,838 6,444 6,018 6,642 5,825 5,968 6,104 5,905 5,815 5,708 5,917 6,527 7,110 8,480 9,684
50 or Older 1,868 1,804 1,724 2,432 2,225 2,058 1,999 2,787 2,786 2,219 2,821 2,485 3,185 2,613 2,625 3,054 2,844 3,039 4,090
GENDER                                      
Male 3,719 3,275 3,908 3,875 3,485 3,410 3,395 3,862 3,488 3,518 3,700 3,672 3,781 3,549 3,777 4,288 4,245 5,174 6,444
Female 7,552 7,506 6,993 7,295 7,014 7,564 7,241 8,196 7,689 7,250 7,790 7,294 8,014 7,689 7,993 9,187 9,969 11,424 13,281
HISPANIC ORIGIN AND RACE                                      
Not Hispanic or Latino 10,209 9,636 9,810 9,908 9,454 9,765 9,638 10,776 9,687 9,674 10,072 9,327 10,514 9,900 10,325 11,988 12,077 14,063 16,335
White 8,371 8,207 8,179 8,026 7,773 8,230 8,067 8,779 8,170 7,845 8,034 7,618 8,482 8,093 8,537 9,813 9,938 11,221 12,798
Black or African American 1,303 999 1,190 1,371 1,066 1,048 1,200 1,384 1,081 1,070 1,404 1,076 1,279 1,061 1,078 1,174 1,228 1,555 2,047
AIAN 130 56 44 98 62 55 54 87 77 107 148 72 64 90 62 74 80 96 160
NHOPI 28 22 * * * * 11 17 11 14 18 34 13 23 10 * 20 52 16
Asian 155 178 172 160 198 188 165 287 152 311 240 212 334 262 358 522 451 636 627
Two or More Races 222 174 192 185 292 222 141 222 195 328 229 315 343 371 280 397 359 502 686
Hispanic or Latino 1,063 1,145 1,091 1,261 1,044 1,209 998 1,282 1,490 1,095 1,418 1,638 1,281 1,338 1,444 1,487 2,138 2,534 3,390
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2002-2019, and Quarters 1 and 4, 2020.
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Table 10.21B – Perceived Unmet Need for Mental Health Services in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Percentages, 2002-2020
Demographic Characteristic 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 5.4 5.1 5.1 5.1 4.8 4.9 4.7 5.3 4.9 4.6 4.9 4.6 4.9 4.6 4.8 5.5 5.7 6.7 8.1
AGE GROUP                                      
18-25 8.5 8.3 8.1 8.3 7.5 7.6 8.0 7.9 7.6 7.6 7.4 7.4 8.0 8.4 9.4 11.4 12.6 15.2 18.3
26 or Older 4.8 4.5 4.5 4.6 4.3 4.5 4.2 4.9 4.4 4.1 4.5 4.2 4.4 4.0 4.1 4.5 4.7 5.3 6.5
26-49 6.8 6.4 6.6 6.1 5.8 6.5 6.0 6.7 5.9 6.1 6.2 6.0 5.9 5.8 6.0 6.5 7.1 8.4 9.9
50 or Older 2.4 2.2 2.1 2.9 2.5 2.3 2.2 3.0 2.9 2.2 2.8 2.4 3.0 2.4 2.4 2.7 2.5 2.7 3.6
GENDER                                      
Male 3.7 3.2 3.8 3.7 3.3 3.2 3.1 3.5 3.2 3.2 3.3 3.2 3.3 3.0 3.2 3.6 3.6 4.3 5.5
Female 6.9 6.8 6.3 6.5 6.2 6.6 6.2 7.0 6.5 6.0 6.4 5.9 6.5 6.1 6.3 7.2 7.8 8.9 10.5
HISPANIC ORIGIN AND RACE                                      
Not Hispanic or Latino 5.5 5.2 5.2 5.2 4.9 5.1 5.0 5.5 4.9 4.9 5.0 4.6 5.2 4.8 5.0 5.8 5.8 6.8 8.0
White 5.6 5.5 5.4 5.3 5.1 5.4 5.2 5.7 5.2 5.1 5.2 4.9 5.4 5.2 5.4 6.2 6.3 7.1 8.3
Black or African American 5.6 4.2 4.9 5.6 4.2 4.1 4.7 5.3 4.1 4.0 5.2 3.9 4.6 3.7 3.8 4.0 4.2 5.3 7.0
AIAN 10.1 5.2 3.9 8.9 5.7 5.0 5.7 8.0 7.2 8.3 11.4 5.8 5.0 7.1 4.5 5.8 5.4 7.0 11.4
NHOPI 3.9 5.2 * * * * 1.4 2.3 1.7 1.6 1.8 4.3 1.4 3.9 0.9 * 2.2 5.3 1.7
Asian 1.9 2.0 1.9 1.8 2.2 2.0 1.7 2.9 1.5 2.8 2.1 1.8 2.7 2.0 2.7 3.8 3.2 4.4 4.5
Two or More Races 10.5 8.2 9.1 8.4 13.1 9.6 5.7 9.1 7.4 10.0 6.7 8.9 9.4 9.6 7.0 9.5 8.4 11.6 15.2
Hispanic or Latino 4.2 4.5 4.1 4.6 3.6 4.1 3.3 4.1 4.7 3.2 4.1 4.6 3.5 3.6 3.8 3.8 5.3 6.2 8.4
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2002-2019, and Quarters 1 and 4, 2020.
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Table 10.22A – Perceived Unmet Need for Mental Health Services in Past Year: Among People Aged 18 or Older; by Past Year Level of Mental Illness and Age Group, Numbers in Thousands, 2008-2020
Level of Mental Illness/Age Group 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
ANY MENTAL ILLNESS 8,173 9,092 8,680 8,541 9,092 8,422 9,037 8,798 9,239 11,052 11,208 13,321 16,083
18-25 1,839 1,773 1,826 1,829 1,898 1,870 2,021 2,184 2,464 3,114 3,370 4,021 4,822
26 or Older 6,334 7,318 6,855 6,712 7,194 6,552 7,016 6,613 6,775 7,938 7,839 9,300 11,261
26-49 4,805 5,300 4,633 4,910 5,064 4,551 4,654 4,631 4,797 5,446 5,732 7,047 7,825
50 or Older 1,529 2,019 2,222 1,802 2,130 2,001 2,362 1,983 1,978 2,492 2,107 2,253 3,436
SERIOUS MENTAL ILLNESS 3,642 3,874 3,910 3,883 3,973 3,858 4,205 3,713 4,104 4,939 5,116 6,233 7,048
18-25 617 587 706 712 709 756 900 878 1,091 1,431 1,549 1,803 2,066
26 or Older 3,024 3,287 3,204 3,172 3,263 3,103 3,305 2,835 3,014 3,509 3,567 4,430 4,982
26-49 2,133 2,386 2,271 2,235 2,335 2,201 2,179 2,118 2,088 2,520 2,660 3,251 3,344
50 or Older 891 901 933 936 928 902 1,127 717 926 989 907 1,178 1,638
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. Mental illness estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
1 The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
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Table 10.22B – Perceived Unmet Need for Mental Health Services in Past Year: Among People Aged 18 or Older; by Past Year Level of Mental Illness and Age Group, Percentages, 2008-2020
Level of Mental Illness/Age Group 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
ANY MENTAL ILLNESS 20.6 22.1 21.0 20.7 20.8 19.3 20.8 20.3 20.7 23.7 23.6 26.0 30.5
18-25 30.2 29.4 29.8 28.8 28.1 27.8 28.9 29.0 32.4 35.3 37.9 40.7 47.1
26 or Older 18.9 20.9 19.5 19.2 19.5 17.7 19.2 18.5 18.3 21.0 20.3 22.5 26.4
26-49 23.3 24.8 22.5 24.6 24.4 21.7 23.3 22.5 23.0 24.5 25.3 28.0 30.5
50 or Older 11.8 14.8 15.2 12.0 13.2 12.6 14.3 13.0 12.3 16.1 13.2 13.9 20.3
SERIOUS MENTAL ILLNESS 43.7 46.3 42.0 43.1 41.6 38.6 42.9 38.2 39.7 44.2 45.1 47.7 49.7
18-25 50.0 52.2 53.1 55.0 49.8 51.5 53.6 50.3 53.7 55.9 59.5 62.5 63.4
26 or Older 42.6 45.4 40.1 41.1 40.1 36.4 40.7 35.5 36.3 40.7 40.8 43.5 45.6
26-49 44.8 49.2 44.3 45.2 46.2 42.4 45.4 43.3 39.7 45.2 45.2 47.6 48.0
50 or Older 38.2 37.5 32.7 33.9 30.1 27.1 33.9 23.2 30.4 32.5 31.9 35.1 41.4
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. Mental illness estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
1 The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
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Table 10.23A – Receipt of Mental Health Services in Past Year: Among People Aged 18 or Older with a Perceived Unmet Need for Mental Health Services in Past Year; by Age Group, Numbers in Thousands, 2002-2020
Receipt of Mental Health Services/Age Group 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
RECEIVED MENTAL HEALTH SERVICES 5,228 5,296 5,227 5,468 5,636 5,536 5,408 5,959 5,942 5,865 6,067 5,882 6,451 6,037 6,219 6,991 7,349 8,573 9,291
18-25 1,032 1,035 1,144 1,057 1,028 948 1,031 1,020 1,071 1,076 1,082 1,094 1,228 1,269 1,402 1,776 1,763 2,193 2,545
26 or Older 4,196 4,261 4,083 4,411 4,608 4,588 4,378 4,939 4,870 4,789 4,985 4,788 5,223 4,769 4,818 5,215 5,586 6,380 6,746
26-49 3,302 3,203 3,180 3,023 3,174 3,401 3,210 3,486 3,252 3,258 3,182 3,222 3,022 3,146 3,174 3,414 3,654 4,522 4,593
50 or Older 895 1,059 903 1,388 1,434 1,187 1,168 1,453 1,618 1,532 1,803 1,567 2,201 1,623 1,644 1,801 1,931 1,858 2,154
DID NOT RECEIVE MENTAL HEALTH SERVICES 5,998 5,451 5,649 5,655 4,830 5,395 5,168 6,077 5,192 4,879 5,403 5,072 5,312 5,167 5,502 6,451 6,845 7,997 10,400
18-25 1,577 1,581 1,460 1,612 1,401 1,520 1,575 1,604 1,485 1,496 1,477 1,476 1,561 1,638 1,811 2,103 2,489 2,883 3,395
26 or Older 4,421 3,870 4,189 4,043 3,429 3,875 3,592 4,473 3,707 3,383 3,925 3,597 3,751 3,529 3,691 4,348 4,356 5,114 7,005
26-49 3,448 3,135 3,370 3,002 2,638 3,022 2,804 3,139 2,538 2,701 2,921 2,678 2,767 2,548 2,725 3,095 3,445 3,933 5,073
50 or Older 973 735 819 1,041 791 854 788 1,334 1,169 682 1,004 918 984 981 966 1,253 911 1,181 1,932
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded.
NOTE: Because of revisions in 2004 to the logical editing of the outpatient mental health services data, these 2002 and 2003 estimates may differ from estimates published prior to the 2004 NSDUH.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2002-2019, and Quarters 1 and 4, 2020.
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Table 10.23B – Receipt of Mental Health Services in Past Year: Among People Aged 18 or Older with a Perceived Unmet Need for Mental Health Services in Past Year; by Age Group, Percentages, 2002-2020
Receipt of Mental Health Services/Age Group 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
RECEIVED MENTAL HEALTH SERVICES 46.6 49.3 48.1 49.2 53.9 50.6 51.1 49.5 53.4 54.6 52.9 53.7 54.8 53.9 53.1 52.0 51.8 51.7 47.2
18-25 39.6 39.6 43.9 39.6 42.3 38.4 39.5 38.9 41.9 41.8 42.3 42.6 44.0 43.7 43.6 45.8 41.5 43.2 42.8
26 or Older 48.7 52.4 49.4 52.2 57.3 54.2 54.9 52.5 56.8 58.6 55.9 57.1 58.2 57.5 56.6 54.5 56.2 55.5 49.1
26-49 48.9 50.5 48.5 50.2 54.6 53.0 53.4 52.6 56.2 54.7 52.1 54.6 52.2 55.2 53.8 52.5 51.5 53.5 47.5
50 or Older 47.9 59.0 52.4 57.1 64.4 58.2 59.7 52.1 58.1 69.2 64.2 63.0 69.1 62.3 63.0 59.0 67.9 61.2 52.7
DID NOT RECEIVE MENTAL HEALTH SERVICES 53.4 50.7 51.9 50.8 46.1 49.4 48.9 50.5 46.6 45.4 47.1 46.3 45.2 46.1 46.9 48.0 48.2 48.3 52.8
18-25 60.4 60.4 56.1 60.4 57.7 61.6 60.5 61.1 58.1 58.2 57.7 57.4 56.0 56.3 56.4 54.2 58.5 56.8 57.2
26 or Older 51.3 47.6 50.6 47.8 42.7 45.8 45.1 47.5 43.2 41.4 44.1 42.9 41.8 42.5 43.4 45.5 43.8 44.5 50.9
26-49 51.1 49.5 51.5 49.8 45.4 47.0 46.6 47.4 43.8 45.3 47.9 45.4 47.8 44.8 46.2 47.5 48.5 46.5 52.5
50 or Older 52.1 41.0 47.6 42.9 35.6 41.8 40.3 47.9 41.9 30.8 35.8 37.0 30.9 37.7 37.0 41.0 32.1 38.8 47.3
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded.
NOTE: Because of revisions in 2004 to the logical editing of the outpatient mental health services data, these 2002 and 2003 estimates may differ from estimates published prior to the 2004 NSDUH.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2002-2019, and Quarters 1 and 4, 2020.
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Table 10.24A – Receipt of Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Any Mental Illness and a Perceived Unmet Need for Mental Health Services in Past Year; by Age Group, Numbers in Thousands, 2008-2020
Receipt of Mental Health
Services/Age Group		 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
RECEIVED MENTAL HEALTH
SERVICES		 4,702 4,999 5,177 4,932 5,249 5,058 5,380 5,196 5,289 6,085 6,223 7,480 8,342
18-25 821 767 867 841 908 878 1,005 1,030 1,196 1,537 1,537 1,884 2,279
26 or Older 3,881 4,232 4,310 4,090 4,341 4,180 4,374 4,166 4,093 4,548 4,686 5,596 6,064
26-49 2,812 2,997 2,897 2,786 2,836 2,796 2,613 2,759 2,721 3,032 3,195 4,043 4,057
50 or Older 1,068 1,235 1,413 1,304 1,505 1,384 1,761 1,407 1,372 1,516 1,491 1,553 2,007
DID NOT RECEIVE MENTAL
HEALTH SERVICES		 3,421 4,076 3,466 3,585 3,823 3,357 3,637 3,577 3,909 4,938 4,966 5,826 7,709
18-25 1,015 1,004 955 978 985 990 1,011 1,148 1,255 1,566 1,824 2,135 2,536
26 or Older 2,406 3,072 2,510 2,608 2,839 2,367 2,626 2,429 2,655 3,372 3,142 3,690 5,173
26-49 1,988 2,288 1,701 2,115 2,228 1,751 2,025 1,862 2,061 2,396 2,527 2,990 3,748
50 or Older 418 784 809 492 611 617 601 567 594 976 614 700 1,425
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. AMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded.
1 The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
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Table 10.24B – Receipt of Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Any Mental Illness and a Perceived Unmet Need for Mental Health Services in Past Year; by Age Group, Percentages, 2008-2020
Receipt of Mental Health
Services/Age Group		 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
RECEIVED MENTAL HEALTH
SERVICES		 57.9 55.1 59.9 57.9 57.9 60.1 59.7 59.2 57.5 55.2 55.6 56.2 52.0
18-25 44.7 43.3 47.6 46.3 48.0 47.0 49.9 47.3 48.8 49.5 45.7 46.9 47.3
26 or Older 61.7 57.9 63.2 61.1 60.5 63.8 62.5 63.2 60.7 57.4 59.9 60.3 54.0
26-49 58.6 56.7 63.0 56.8 56.0 61.5 56.3 59.7 56.9 55.9 55.8 57.5 52.0
50 or Older 71.9 61.2 63.6 72.6 71.1 69.2 74.6 71.3 69.8 60.8 70.8 68.9 58.5
DID NOT RECEIVE MENTAL
HEALTH SERVICES		 42.1 44.9 40.1 42.1 42.1 39.9 40.3 40.8 42.5 44.8 44.4 43.8 48.0
18-25 55.3 56.7 52.4 53.7 52.0 53.0 50.1 52.7 51.2 50.5 54.3 53.1 52.7
26 or Older 38.3 42.1 36.8 38.9 39.5 36.2 37.5 36.8 39.3 42.6 40.1 39.7 46.0
26-49 41.4 43.3 37.0 43.2 44.0 38.5 43.7 40.3 43.1 44.1 44.2 42.5 48.0
50 or Older 28.1 38.8 36.4 27.4 28.9 30.8 25.4 28.7 30.2 39.2 29.2 31.1 41.5
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Any Mental Illness (AMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. AMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded.
1 The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
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Table 10.25A – Receipt of Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Serious Mental Illness and a Perceived Unmet Need for Mental Health Services in Past Year; by Age Group, Numbers in Thousands, 2008-2020
Receipt of Mental Health
Services/Age Group		 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
RECEIVED MENTAL HEALTH
SERVICES		 2,534 2,720 2,807 2,643 2,603 2,596 2,879 2,569 2,723 3,320 3,268 4,186 4,392
18-25 313 307 406 399 410 425 534 496 608 844 819 1,024 1,161
26 or Older 2,221 2,413 2,401 2,243 2,193 2,170 2,346 2,073 2,115 2,475 2,448 3,162 3,231
26-49 1,545 1,603 1,651 1,480 1,488 1,550 1,436 1,465 1,417 1,696 1,755 2,214 2,030
50 or Older * * * * * * 910 * * 779 * 948 *
DID NOT RECEIVE MENTAL
HEALTH SERVICES		 1,091 1,151 1,087 1,230 1,351 1,262 1,325 1,137 1,375 1,606 1,845 2,046 2,647
18-25 302 278 298 307 294 329 365 379 482 582 726 778 906
26 or Older 789 873 789 923 1,056 932 959 758 893 1,024 1,119 1,268 1,741
26-49 584 782 606 755 848 651 742 649 666 814 905 1,038 1,304
50 or Older * * * * * * 217 * * 210 * 230 *
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. SMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded.
1 The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
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Table 10.25B – Receipt of Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Serious Mental Illness and a Perceived Unmet Need for Mental Health Services in Past Year; by Age Group, Percentages, 2008-2020
Receipt of Mental Health
Services/Age Group		 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
RECEIVED MENTAL HEALTH
SERVICES		 69.9 70.3 72.1 68.2 65.8 67.3 68.5 69.3 66.5 67.4 63.9 67.2 62.4
18-25 50.9 52.5 57.7 56.5 58.2 56.4 59.4 56.7 55.8 59.2 53.0 56.8 56.2
26 or Older 73.8 73.4 75.3 70.9 67.5 69.9 71.0 73.2 70.3 70.7 68.6 71.4 65.0
26-49 72.6 67.2 73.2 66.2 63.7 70.4 65.9 69.3 68.0 67.6 66.0 68.1 60.9
50 or Older * * * * * * 80.7 * * 78.8 * 80.5 *
DID NOT RECEIVE MENTAL
HEALTH SERVICES		 30.1 29.7 27.9 31.8 34.2 32.7 31.5 30.7 33.5 32.6 36.1 32.8 37.6
18-25 49.1 47.5 42.3 43.5 41.8 43.6 40.6 43.3 44.2 40.8 47.0 43.2 43.8
26 or Older 26.2 26.6 24.7 29.1 32.5 30.1 29.0 26.8 29.7 29.3 31.4 28.6 35.0
26-49 27.4 32.8 26.8 33.8 36.3 29.6 34.1 30.7 32.0 32.4 34.0 31.9 39.1
50 or Older * * * * * * 19.3 * * 21.2 * 19.5 *
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Mental Health Services for adults includes inpatient treatment/counseling, outpatient treatment/counseling, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded. Questions on virtual services were added in Quarter 4 of 2020. Estimates in this table do not include data from these questions. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Serious Mental Illness (SMI) aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of SMI are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. SMI estimates from 2008 to 2011 may differ from previously published estimates due to revised estimation procedures. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
NOTE: Perceived unmet need for mental health services is defined as a perceived need for treatment/counseling that was not received. Perception of unmet need was asked of all respondents regardless of their mental health. Respondents with unknown perception of unmet need information were excluded.
1 The measures used to estimate mental illness in 2008 partially differ from the measures used in subsequent years; however, methodological analysis indicated that the estimates are comparable. For details, see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
210609
Table 10.26A – Major Depressive Episode in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Numbers in Thousands, 2005-2020
Demographic Characteristic 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 14,194 14,239 14,835 14,462 14,836 15,556 15,153 16,026 15,670 15,655 16,079 16,225 17,297 17,720 19,357 20,976
AGE GROUP                                
18-25 2,828 2,623 2,608 2,742 2,677 2,796 2,826 3,051 3,007 3,200 3,554 3,705 4,416 4,609 5,045 5,610
26 or Older 11,365 11,615 12,227 11,720 12,159 12,760 12,326 12,975 12,663 12,455 12,525 12,520 12,880 13,111 14,312 15,366
26-49 7,527 7,694 7,590 7,377 7,546 7,361 7,536 7,370 7,336 6,970 7,329 7,236 7,635 7,990 8,914 9,168
50 or Older 3,838 3,922 4,637 4,343 4,613 5,400 4,790 5,606 5,327 5,485 5,196 5,284 5,245 5,121 5,399 6,199
GENDER                                
Male 4,821 5,032 5,032 4,921 5,232 5,590 5,264 5,811 5,777 5,492 5,461 5,639 6,266 6,272 7,125 7,440
Female 9,373 9,206 9,803 9,541 9,605 9,966 9,889 10,215 9,893 10,163 10,618 10,586 11,031 11,447 12,233 13,536
HISPANIC ORIGIN AND RACE                                
Not Hispanic or Latino 12,551 12,886 13,235 12,875 13,032 13,765 13,597 13,613 13,617 13,605 14,278 14,088 15,188 15,225 16,588 18,094
White 10,449 10,783 11,200 10,821 10,917 11,420 11,303 11,051 11,375 10,979 11,747 11,551 12,398 12,224 13,319 14,840
Black or African American 1,461 1,432 1,345 1,346 1,427 1,533 1,472 1,686 1,256 1,511 1,380 1,409 1,579 1,783 1,841 1,786
AIAN 97 100 96 55 70 83 92 129 110 74 111 120 102 125 129 58
NHOPI 48 42 * * * * 28 * 12 60 31 79 45 64 34 *
Asian 282 248 256 303 323 393 435 371 468 519 543 511 600 593 669 593
Two or More Races 214 281 273 271 253 285 267 260 397 461 467 419 465 437 595 737
Hispanic or Latino 1,643 1,353 1,600 1,587 1,804 1,791 1,556 2,413 2,053 2,050 1,801 2,137 2,109 2,495 2,769 2,882
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
NOTE: Estimates for 2005 to 2008 are based on an adjusted MDE variable and may differ from estimates published in prior NSDUH reports. See Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2005-2019, and Quarters 1 and 4, 2020.
210609
Table 10.26B – Major Depressive Episode in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Percentages, 2005-2020
Demographic Characteristic 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 6.6 6.5 6.7 6.5 6.6 6.8 6.6 6.9 6.7 6.6 6.7 6.7 7.1 7.2 7.8 8.4
AGE GROUP                                
18-25 8.8 8.1 8.0 8.4 8.0 8.3 8.3 8.9 8.7 9.3 10.3 10.9 13.1 13.8 15.2 17.0
26 or Older 6.2 6.2 6.5 6.2 6.3 6.6 6.3 6.5 6.3 6.1 6.1 6.0 6.1 6.2 6.7 7.1
26-49 7.6 7.7 7.6 7.4 7.6 7.5 7.7 7.6 7.6 7.2 7.5 7.4 7.7 8.0 8.9 9.1
50 or Older 4.5 4.5 5.2 4.8 4.9 5.6 4.8 5.5 5.1 5.2 4.8 4.8 4.7 4.5 4.7 5.4
GENDER                                
Male 4.6 4.8 4.7 4.6 4.8 5.1 4.7 5.2 5.1 4.8 4.7 4.8 5.3 5.3 6.0 6.2
Female 8.4 8.1 8.6 8.3 8.2 8.5 8.3 8.4 8.1 8.2 8.5 8.5 8.7 9.0 9.6 10.5
HISPANIC ORIGIN AND RACE                                
Not Hispanic or Latino 6.6 6.8 6.9 6.7 6.7 7.0 6.9 6.8 6.8 6.8 7.0 6.9 7.4 7.4 8.0 8.7
White 6.9 7.1 7.3 7.0 7.1 7.4 7.3 7.1 7.3 7.1 7.5 7.4 7.9 7.8 8.5 9.5
Black or African American 6.0 5.7 5.4 5.3 5.5 5.8 5.6 6.3 4.6 5.4 4.9 5.0 5.4 6.1 6.3 6.0
AIAN 8.8 9.1 8.7 5.9 6.5 7.8 7.4 10.0 8.9 6.0 8.9 8.7 8.0 8.5 9.4 4.2
NHOPI 7.7 5.1 * * * * 3.2 * 1.6 6.7 5.2 7.3 4.7 6.9 3.5 *
Asian 3.2 2.7 2.7 3.1 3.3 3.8 4.0 3.2 4.0 4.2 4.1 3.9 4.4 4.3 4.7 4.2
Two or More Races 9.7 12.7 11.9 11.1 10.5 10.8 8.3 7.7 11.4 12.7 12.2 10.5 11.3 10.2 13.7 15.9
Hispanic or Latino 6.0 4.7 5.5 5.3 5.9 5.7 4.6 7.0 5.8 5.6 4.8 5.6 5.4 6.2 6.8 7.0
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
NOTE: Estimates for 2005 to 2008 are based on an adjusted MDE variable and may differ from estimates published in prior NSDUH reports. See Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2005-2019, and Quarters 1 and 4, 2020.
210609
Table 10.27A – Major Depressive Episode with Severe Impairment in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Numbers in Thousands, 2009-2020
Demographic Characteristic 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 8,913 9,671 9,669 10,445 10,128 10,237 10,263 10,332 11,007 11,489 13,112 14,845
AGE GROUP                        
18-25 1,739 1,771 1,779 1,975 1,971 2,078 2,239 2,388 2,887 2,968 3,407 3,978
26 or Older 7,173 7,899 7,890 8,470 8,157 8,159 8,024 7,944 8,119 8,520 9,705 10,867
26-49 4,783 4,558 5,036 5,008 4,786 4,496 4,795 4,627 5,019 5,284 6,101 6,510
50 or Older 2,391 3,341 2,855 3,462 3,371 3,663 3,229 3,317 3,101 3,236 3,604 4,357
GENDER                        
Male 3,149 3,540 3,335 3,840 3,813 3,502 3,478 3,500 3,777 4,013 4,646 5,387
Female 5,764 6,130 6,334 6,604 6,316 6,735 6,785 6,832 7,230 7,476 8,466 9,458
HISPANIC ORIGIN AND RACE                        
Not Hispanic or Latino 7,909 8,442 8,744 8,804 8,664 8,879 9,167 8,910 9,802 9,970 11,299 12,841
White 6,601 7,053 7,054 7,044 7,107 7,141 7,553 7,288 7,839 7,993 9,071 10,593
Black or African American 853 1,021 1,062 1,140 797 957 895 927 1,135 1,150 1,264 1,308
AIAN 63 57 86 99 61 51 84 77 82 93 109 52
NHOPI * 19 14 * 12 22 22 41 40 55 18 3
Asian 192 168 340 247 358 346 266 291 401 379 427 388
Two or More Races 165 125 187 184 330 361 347 285 306 299 411 497
Hispanic or Latino 1,004 1,229 925 1,641 1,464 1,359 1,095 1,422 1,205 1,519 1,813 2,004
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2009 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
NOTE: Respondents with unknown impairment data were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2009-2019, and Quarters 1 and 4, 2020.
210609
Table 10.27B – Major Depressive Episode with Severe Impairment in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Percentages, 2009-2020
Demographic Characteristic 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 4.0 4.2 4.2 4.5 4.3 4.3 4.3 4.3 4.5 4.7 5.3 6.0
AGE GROUP                        
18-25 5.2 5.2 5.2 5.8 5.7 6.0 6.5 7.0 8.5 8.9 10.3 12.1
26 or Older 3.7 4.1 4.0 4.3 4.1 4.0 3.9 3.8 3.9 4.0 4.5 5.0
26-49 4.8 4.7 5.2 5.1 4.9 4.6 4.9 4.7 5.0 5.3 6.1 6.5
50 or Older 2.6 3.5 2.9 3.4 3.2 3.5 3.0 3.0 2.8 2.9 3.2 3.8
GENDER                        
Male 2.9 3.2 3.0 3.4 3.4 3.1 3.0 3.0 3.2 3.4 3.9 4.5
Female 4.9 5.2 5.3 5.5 5.2 5.5 5.5 5.5 5.7 5.9 6.6 7.3
HISPANIC ORIGIN AND RACE                        
Not Hispanic or Latino 4.1 4.3 4.4 4.4 4.3 4.4 4.5 4.4 4.8 4.8 5.5 6.2
White 4.3 4.6 4.6 4.6 4.6 4.6 4.9 4.7 5.0 5.1 5.8 6.8
Black or African American 3.3 3.9 4.0 4.2 2.9 3.4 3.2 3.3 3.9 4.0 4.3 4.4
AIAN 5.8 5.3 6.9 7.7 5.0 4.1 6.7 5.6 6.4 6.4 7.9 3.7
NHOPI * 2.9 1.7 * 1.5 2.5 3.6 3.8 4.2 5.9 1.8 0.3
Asian 1.9 1.6 3.1 2.2 3.0 2.8 2.0 2.2 2.9 2.7 3.0 2.7
Two or More Races 6.8 4.7 5.8 5.4 9.4 9.9 9.1 7.1 7.5 7.0 9.4 10.7
Hispanic or Latino 3.3 3.9 2.7 4.7 4.2 3.7 2.9 3.8 3.1 3.8 4.5 4.8
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2009 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
NOTE: Respondents with unknown impairment data were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2009-2019, and Quarters 1 and 4, 2020.
210609
Table 10.28A – Received Treatment for Depression in Past Year: Among People Aged 18 or Older with Major Depressive Episode in Past Year; by Demographic Characteristics, Numbers in Thousands, 2009-2020
Demographic Characteristic 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 9,526 10,605 10,299 10,885 10,727 10,717 10,801 10,574 11,548 11,462 12,824 13,832
AGE GROUP                        
18-25 1,257 1,360 1,349 1,520 1,526 1,581 1,662 1,631 2,238 2,286 2,565 3,230
26 or Older 8,270 9,245 8,950 9,365 9,200 9,136 9,139 8,943 9,310 9,176 10,258 10,602
26-49 4,888 5,013 5,124 5,071 4,884 4,723 4,938 4,871 5,128 5,142 6,135 5,937
50 or Older 3,382 4,232 3,826 4,294 4,317 4,413 4,201 4,072 4,182 4,034 4,124 4,665
GENDER                        
Male 3,084 3,339 3,211 3,503 3,464 3,422 3,208 3,174 3,650 3,548 4,041 4,193
Female 6,443 7,266 7,088 7,382 7,263 7,295 7,593 7,400 7,898 7,914 8,783 9,639
HISPANIC ORIGIN AND RACE                        
Not Hispanic or Latino 8,638 9,456 9,478 9,543 9,543 9,469 9,721 9,448 10,370 10,118 11,223 12,386
White 7,468 8,203 8,252 7,950 8,150 7,877 8,297 8,037 8,737 8,366 9,346 10,351
Black or African American 760 835 800 1,047 811 879 799 855 994 1,090 1,096 *
AIAN * * * * * * * * * * * *
NHOPI * * * * * * * * * * * *
Asian * * * * * * * * 251 261 346 *
Two or More Races * * * * * 350 314 244 296 288 359 *
Hispanic or Latino 888 1,149 821 1,341 1,184 1,248 1,080 1,126 1,178 1,344 1,601 1,447
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2009 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Respondents with unknown past year treatment for depression data were excluded.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2009-2019, and Quarters 1 and 4, 2020.
210609
Table 10.28B – Received Treatment for Depression in Past Year: Among People Aged 18 or Older with Major Depressive Episode in Past Year; by Demographic Characteristics, Percentages, 2009-2020
Demographic Characteristic 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 64.3 68.2 68.1 68.0 68.6 68.6 67.2 65.3 66.8 64.8 66.3 66.0
AGE GROUP                        
18-25 47.0 48.7 47.8 49.8 50.8 49.5 46.8 44.1 50.7 49.6 50.9 57.6
26 or Older 68.2 72.4 72.7 72.3 72.8 73.5 73.0 71.6 72.4 70.1 71.8 69.0
26-49 64.8 68.1 68.1 68.8 66.7 67.9 67.4 67.4 67.3 64.4 68.9 64.8
50 or Older 73.8 78.4 80.0 76.8 81.3 80.8 80.9 77.3 79.7 78.9 76.5 75.3
GENDER                        
Male 59.0 59.8 61.0 60.3 60.1 62.4 58.8 56.6 58.3 56.7 56.8 56.4
Female 67.3 72.9 71.8 72.4 73.6 72.0 71.6 69.9 71.7 69.2 71.9 71.2
HISPANIC ORIGIN AND RACE                        
Not Hispanic or Latino 66.4 68.7 69.8 70.2 70.3 69.7 68.1 67.2 68.4 66.5 67.7 68.5
White 68.6 71.8 73.1 72.0 71.9 71.9 70.6 69.7 70.5 68.5 70.2 69.8
Black or African American 53.2 54.5 54.3 62.1 64.6 58.5 57.9 60.8 63.1 61.2 59.6 *
AIAN * * * * * * * * * * * *
NHOPI * * * * * * * * * * * *
Asian * * * * * * * * 41.9 43.9 51.7 *
Two or More Races * * * * * 75.9 67.9 58.4 64.8 65.8 60.3 *
Hispanic or Latino 49.2 64.2 53.2 55.6 57.7 61.2 60.1 52.7 55.9 53.9 58.0 50.2
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2009 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Respondents with unknown past year treatment for depression data were excluded.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2009-2019, and Quarters 1 and 4, 2020.
210609
Table 10.29A – Received Treatment for Depression in Past Year: Among People Aged 18 or Older with Past Year Major Depressive Episode with Severe Impairment; by Demographic Characteristics, Numbers in Thousands, 2009-2020
Demographic Characteristic 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 6,367 7,054 7,121 7,633 7,719 7,534 7,451 7,452 7,923 7,878 9,467 10,537
AGE GROUP                        
18-25 890 954 963 1,095 1,119 1,148 1,163 1,225 1,649 1,594 1,921 2,536
26 or Older 5,477 6,100 6,159 6,538 6,599 6,386 6,288 6,228 6,274 6,283 7,546 8,001
26-49 3,463 3,381 3,733 3,689 3,554 3,250 3,449 3,437 3,596 3,593 4,532 4,475
50 or Older 2,014 2,719 2,425 2,849 3,046 3,136 2,839 2,791 2,678 2,691 3,014 3,526
GENDER                        
Male 2,020 2,288 2,291 2,509 2,592 2,268 2,228 2,283 2,408 2,464 2,868 3,363
Female 4,347 4,766 4,830 5,125 5,127 5,266 5,223 5,170 5,515 5,414 6,599 7,174
HISPANIC ORIGIN AND RACE                        
Not Hispanic or Latino 5,805 6,216 6,569 6,567 6,831 6,595 6,717 6,622 7,184 6,972 8,255 9,426
White 4,990 5,414 5,500 5,362 5,722 5,453 5,733 5,600 5,950 5,767 6,851 7,820
Black or African American 515 596 703 755 587 572 532 626 759 740 808 1,062
AIAN * * * * * * * * * * * *
NHOPI * * * * * * * * * * * *
Asian * * * * * * * * * * * *
Two or More Races * * * * * 297 * * 213 * 259 *
Hispanic or Latino 562 838 552 1,066 887 939 734 831 739 906 1,212 1,111
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2009 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Respondents with unknown past year treatment for depression data were excluded.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
NOTE: Respondents with unknown impairment data were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2009-2019, and Quarters 1 and 4, 2020.
210609
Table 10.29B – Received Treatment for Depression in Past Year: Among People Aged 18 or Older with Past Year Major Depressive Episode with Severe Impairment; by Demographic Characteristics, Percentages, 2009-2020
Demographic Characteristic 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 71.5 72.9 73.7 73.1 76.4 73.7 72.7 72.2 72.1 68.6 72.2 71.0
AGE GROUP                        
18-25 51.2 53.9 54.2 55.5 56.8 55.3 52.0 51.3 57.1 53.7 56.4 63.8
26 or Older 76.4 77.2 78.1 77.2 81.1 78.4 78.4 78.4 77.4 73.8 77.8 73.6
26-49 72.4 74.2 74.1 73.7 74.4 72.3 72.0 74.3 71.8 68.0 74.4 68.7
50 or Older 84.4 81.4 85.0 82.4 90.8 85.9 87.9 84.1 86.4 83.1 83.6 80.9
GENDER                        
Male 64.2 64.6 68.8 65.4 68.0 64.8 64.1 65.2 63.8 61.4 61.8 62.5
Female 75.4 77.7 76.2 77.6 81.5 78.3 77.1 75.7 76.4 72.4 78.0 75.8
HISPANIC ORIGIN AND RACE                        
Not Hispanic or Latino 73.4 73.6 75.2 74.6 79.1 74.4 73.3 74.4 73.4 69.9 73.1 73.4
White 75.6 76.8 78.0 76.1 80.8 76.4 75.9 76.9 75.9 72.2 75.6 73.9
Black or African American 60.4 58.4 66.2 66.3 73.7 60.2 59.5 67.7 67.1 64.3 64.1 81.2
AIAN * * * * * * * * * * * *
NHOPI * * * * * * * * * * * *
Asian * * * * * * * * * * * *
Two or More Races * * * * * 82.4 * * 71.6 * 63.0 *
Hispanic or Latino 56.0 68.2 59.7 65.0 60.6 69.2 67.1 58.4 61.4 59.6 66.9 55.4
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2009 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Respondents with unknown past year treatment for depression data were excluded.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
NOTE: Respondents with unknown impairment data were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2009-2019, and Quarters 1 and 4, 2020.
210609
Table 10.30A – Had Serious Thoughts of Suicide in Past Year: Among People Aged 18 or Older; by Detailed Age Category, Numbers in Thousands, 2008-2020
Age Category 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 8,335 8,467 8,724 8,540 9,031 9,292 9,436 9,767 9,829 10,642 10,744 11,951 12,197
18-25 2,227 2,027 2,257 2,329 2,489 2,568 2,586 2,878 3,022 3,555 3,709 3,926 3,771
18-20 1,022 950 1,067 1,104 1,161 1,260 1,167 1,294 1,408 1,596 1,571 1,747 1,552
21-25 1,205 1,077 1,191 1,225 1,328 1,308 1,420 1,584 1,614 1,958 2,138 2,179 2,219
26 or Older 6,107 6,440 6,467 6,211 6,542 6,723 6,850 6,890 6,807 7,087 7,035 8,025 8,427
26-49 3,951 4,290 4,006 3,587 4,064 3,875 3,953 4,072 4,173 4,292 4,657 5,331 5,317
26-29 776 754 742 765 759 808 796 990 944 1,175 1,284 1,522 1,279
30-34 698 812 755 536 777 888 894 936 1,068 922 1,165 1,276 1,422
35-39 767 954 593 822 726 693 727 720 855 753 883 990 932
40-44 811 832 790 680 838 680 850 709 585 800 697 755 832
45-49 899 938 1,125 784 965 805 685 716 721 642 627 787 852
50 or Older 2,157 2,150 2,461 2,624 2,478 2,849 2,897 2,817 2,634 2,795 2,379 2,693 3,110
50-54 695 721 668 931 602 1,119 873 806 796 523 603 583 905
55-59 599 693 698 656 528 721 832 647 641 749 584 704 712
60-64 296 280 435 401 548 376 461 519 413 484 427 463 431
65 or Older 567 456 660 636 800 632 731 846 783 1,039 766 943 1,061
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Respondents with unknown suicide information were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
210609
Table 10.30B – Had Serious Thoughts of Suicide in Past Year: Among People Aged 18 or Older; by Detailed Age Category, Percentages, 2008-2020
Age Category 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 3.7 3.7 3.8 3.7 3.9 3.9 3.9 4.0 4.0 4.3 4.3 4.8 4.9
18-25 6.8 6.1 6.7 6.8 7.2 7.4 7.5 8.3 8.8 10.5 11.0 11.8 11.3
18-20 7.8 7.0 7.9 8.2 8.8 9.6 9.0 10.0 11.2 12.5 12.2 13.4 12.5
21-25 6.1 5.4 5.8 5.9 6.3 6.1 6.5 7.3 7.5 9.2 10.3 10.7 10.6
26 or Older 3.2 3.3 3.3 3.1 3.3 3.3 3.4 3.3 3.3 3.3 3.3 3.7 3.9
26-49 4.0 4.3 4.1 3.7 4.2 4.0 4.0 4.1 4.2 4.3 4.7 5.3 5.3
26-29 4.6 4.5 4.5 4.5 4.4 4.7 4.7 5.8 5.5 6.6 7.3 8.5 7.2
30-34 3.8 4.2 3.8 2.8 3.9 4.4 4.3 4.4 5.0 4.3 5.3 5.8 6.3
35-39 3.8 4.8 3.1 4.2 3.7 3.6 3.7 3.7 4.2 3.6 4.1 4.6 4.2
40-44 3.8 4.0 3.9 3.4 4.2 3.2 4.2 3.5 3.0 4.1 3.6 3.9 4.3
45-49 4.0 4.2 5.1 3.6 4.5 4.0 3.3 3.5 3.6 3.2 3.2 3.9 4.4
50 or Older 2.3 2.3 2.6 2.6 2.4 2.7 2.7 2.6 2.4 2.5 2.1 2.4 2.7
50-54 3.2 3.2 3.0 4.0 2.6 4.9 3.7 3.5 3.7 2.5 2.9 2.9 4.6
55-59 3.4 3.7 3.6 3.5 2.6 3.5 4.0 3.1 2.9 3.4 2.7 3.3 3.3
60-64 2.0 1.8 2.6 2.2 3.3 2.1 2.6 2.8 2.2 2.4 2.1 2.3 2.1
65 or Older 1.5 1.2 1.7 1.6 1.9 1.5 1.6 1.8 1.6 2.1 1.5 1.8 2.0
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Respondents with unknown suicide information were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
210609
Table 10.31A – Had Serious Thoughts of Suicide in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Numbers in Thousands, 2008-2020
Demographic Characteristic 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 8,335 8,467 8,724 8,540 9,031 9,292 9,436 9,767 9,829 10,642 10,744 11,951 12,197
AGE GROUP                          
18-25 2,227 2,027 2,257 2,329 2,489 2,568 2,586 2,878 3,022 3,555 3,709 3,926 3,771
26 or Older 6,107 6,440 6,467 6,211 6,542 6,723 6,850 6,890 6,807 7,087 7,035 8,025 8,427
26-49 3,951 4,290 4,006 3,587 4,064 3,875 3,953 4,072 4,173 4,292 4,657 5,331 5,317
50 or Older 2,157 2,150 2,461 2,624 2,478 2,849 2,897 2,817 2,634 2,795 2,379 2,693 3,110
GENDER                          
Male 3,753 3,874 4,158 3,771 4,064 4,356 4,437 4,492 4,765 4,814 4,885 5,341 5,400
Female 4,581 4,593 4,566 4,770 4,967 4,935 4,999 5,275 5,064 5,827 5,859 6,610 6,797
HISPANIC ORIGIN AND RACE                          
Not Hispanic or Latino 7,499 7,436 7,966 7,691 7,821 8,008 8,183 8,381 8,489 9,341 9,248 9,904 10,428
White 6,163 5,990 6,294 6,140 6,200 6,438 6,510 6,736 6,804 7,284 7,206 7,818 8,396
Black or African American 916 921 1,083 885 965 804 908 934 1,004 1,097 1,199 1,173 1,019
AIAN 26 54 81 169 77 60 60 67 54 63 87 70 78
NHOPI 32 * 30 * 15 35 11 17 27 74 33 22 21
Asian 219 197 335 322 379 393 390 317 303 454 405 522 401
Two or More Races 141 184 142 141 185 278 304 312 298 369 319 298 514
Hispanic or Latino 836 1,031 758 849 1,210 1,284 1,253 1,386 1,340 1,300 1,496 2,046 1,769
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Respondents with unknown suicide information were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
210609
Table 10.31B – Had Serious Thoughts of Suicide in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Percentages, 2008-2020
Demographic Characteristic 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 3.7 3.7 3.8 3.7 3.9 3.9 3.9 4.0 4.0 4.3 4.3 4.8 4.9
AGE GROUP                          
18-25 6.8 6.1 6.7 6.8 7.2 7.4 7.5 8.3 8.8 10.5 11.0 11.8 11.3
26 or Older 3.2 3.3 3.3 3.1 3.3 3.3 3.4 3.3 3.3 3.3 3.3 3.7 3.9
26-49 4.0 4.3 4.1 3.7 4.2 4.0 4.0 4.1 4.2 4.3 4.7 5.3 5.3
50 or Older 2.3 2.3 2.6 2.6 2.4 2.7 2.7 2.6 2.4 2.5 2.1 2.4 2.7
GENDER                          
Male 3.5 3.5 3.8 3.4 3.6 3.8 3.9 3.9 4.1 4.1 4.1 4.5 4.5
Female 3.9 3.9 3.9 4.0 4.1 4.0 4.0 4.2 4.0 4.6 4.6 5.1 5.2
HISPANIC ORIGIN AND RACE                          
Not Hispanic or Latino 3.9 3.8 4.0 3.9 3.9 4.0 4.0 4.1 4.1 4.5 4.5 4.8 5.0
White 4.0 3.9 4.0 4.0 4.0 4.1 4.2 4.3 4.3 4.6 4.6 5.0 5.3
Black or African American 3.6 3.5 4.1 3.3 3.6 2.9 3.2 3.3 3.5 3.8 4.1 4.0 3.4
AIAN 2.8 5.0 7.5 13.1 5.9 4.8 4.8 5.3 3.9 5.0 5.8 5.1 5.6
NHOPI 4.0 * 4.6 * 1.5 4.6 1.2 2.8 2.5 7.7 3.6 2.3 2.3
Asian 2.2 2.0 3.2 2.9 3.3 3.3 3.1 2.4 2.3 3.3 2.9 3.6 2.8
Two or More Races 5.7 7.6 5.4 4.4 5.5 7.9 8.3 8.1 7.5 8.9 7.4 6.9 11.0
Hispanic or Latino 2.8 3.3 2.4 2.5 3.5 3.6 3.4 3.7 3.5 3.3 3.7 5.0 4.2
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Respondents with unknown suicide information were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
210609
Table 10.32A – Had Serious Thoughts of Suicide in Past Year: Among People Aged 18 or Older; by Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2008-2020
Geographic/Socioeconomic Characteristic 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 8,335 8,467 8,724 8,540 9,031 9,292 9,436 9,767 9,829 10,642 10,744 11,951 12,197
GEOGRAPHIC REGION                          
Northeast 1,488 1,520 1,606 1,514 1,655 1,655 1,643 1,755 1,619 1,619 1,686 2,073 1,747
Midwest 2,071 2,173 2,087 2,020 1,951 2,052 2,057 2,119 2,028 2,384 2,426 2,742 2,942
South 2,792 2,514 2,965 2,944 3,203 3,370 3,326 3,445 3,434 3,898 3,685 4,059 4,083
West 1,984 2,260 2,067 2,062 2,222 2,215 2,410 2,449 2,748 2,741 2,947 3,076 3,425
COUNTY TYPE1                          
Large Metro 4,497 4,534 4,639 4,101 4,824 4,949 5,014 5,237 5,224 5,514 5,697 6,412 6,079
Small Metro 2,798 2,643 2,669 3,154 2,953 2,870 2,890 3,107 3,263 3,406 3,516 3,899 4,322
Nonmetro 1,039 1,290 1,415 1,286 1,255 1,472 1,532 1,424 1,342 1,722 1,531 1,640 1,797
Urbanized 386 551 622 494 480 724 663 672 581 755 778 719 911
Less Urbanized 553 633 647 670 609 665 724 619 626 823 633 785 788
Completely Rural 100 106 147 122 167 84 144 133 135 144 121 136 97
POVERTY LEVEL2                          
Less Than 100% 1,453 1,719 1,783 2,147 2,145 2,271 2,159 2,330 2,117 2,145 2,338 2,290 2,311
100-199% 1,908 1,837 2,019 2,047 2,281 2,162 2,382 2,197 2,465 2,370 2,369 2,735 3,110
200% or More 4,884 4,833 4,873 4,292 4,527 4,788 4,817 5,185 5,165 6,031 5,947 6,809 6,720
EDUCATION LEVEL                          
< High School nc nc nc nc nc nc nc 1,366 1,339 1,274 1,230 1,286 1,303
High School Graduate nc nc nc nc nc nc nc 2,623 2,408 2,626 2,837 2,952 3,245
Some College/Associate’s Degree nc nc nc nc nc nc nc 3,652 3,906 4,238 4,150 4,793 4,713
College Graduate nc nc nc nc nc nc nc 2,126 2,175 2,504 2,527 2,920 2,936
HEALTH INSURANCE3                          
Private 4,658 4,623 4,685 4,203 4,405 4,787 4,877 5,120 5,286 5,982 5,900 6,834 6,603
Medicaid/CHIP 1,236 1,535 1,408 1,526 1,493 1,512 2,019 2,292 2,245 2,390 2,462 2,865 2,799
Other4 1,626 1,377 1,988 1,672 2,088 1,990 2,217 2,318 2,016 2,269 2,021 2,234 2,583
No Coverage 1,774 1,787 1,846 2,067 2,236 2,113 1,604 1,360 1,449 1,361 1,625 1,608 1,575
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Respondents with unknown suicide information were excluded.
1 Because of the use of the 2013 Rural-Urban Continuum Codes in the creation of the county type variables, these 2008 to 2014 estimates may differ from estimates published prior to the 2015 NSDUH.
2 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
3 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
4 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
210609
Table 10.32B – Had Serious Thoughts of Suicide in Past Year: Among People Aged 18 or Older; by Geographic and Socioeconomic Characteristics, Percentages, 2008-2020
Geographic/Socioeconomic Characteristic 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 3.7 3.7 3.8 3.7 3.9 3.9 3.9 4.0 4.0 4.3 4.3 4.8 4.9
GEOGRAPHIC REGION                          
Northeast 3.6 3.6 3.8 3.6 3.9 3.8 3.8 4.0 3.7 3.7 3.9 4.8 4.0
Midwest 4.2 4.4 4.2 4.0 3.9 4.0 4.0 4.1 4.0 4.6 4.7 5.3 5.7
South 3.4 3.0 3.5 3.4 3.7 3.8 3.7 3.8 3.8 4.2 3.9 4.3 4.3
West 3.8 4.3 3.9 3.8 4.1 4.0 4.3 4.3 4.8 4.7 5.0 5.2 5.7
COUNTY TYPE1                          
Large Metro 3.7 3.7 3.7 3.3 3.8 3.8 3.7 3.9 3.9 4.0 4.1 4.6 4.5
Small Metro 4.1 3.8 3.8 4.3 4.1 4.0 4.1 4.2 4.5 4.7 4.8 5.2 5.6
Nonmetro 3.1 3.8 4.3 3.9 3.6 4.2 4.5 4.3 3.9 4.9 4.3 4.8 4.8
Urbanized 2.9 3.9 4.5 3.9 3.4 4.7 4.6 4.9 4.2 5.0 4.8 5.0 6.1
Less Urbanized 3.3 3.9 4.0 4.0 3.6 4.2 4.5 4.0 3.6 4.8 3.9 4.9 4.4
Completely Rural 3.1 3.3 4.8 3.6 4.5 2.3 4.2 3.2 4.0 4.6 3.6 3.5 2.1
POVERTY LEVEL2                          
Less Than 100% 5.8 6.3 6.1 6.6 5.8 6.6 6.0 6.4 6.1 6.4 6.9 7.2 6.2
100-199% 4.6 4.2 4.3 4.3 5.0 4.7 5.1 4.5 5.0 4.9 4.9 5.8 6.8
200% or More 3.1 3.1 3.2 2.8 3.0 3.1 3.1 3.3 3.3 3.7 3.6 4.0 4.0
EDUCATION LEVEL                          
< High School nc nc nc nc nc nc nc 4.0 4.2 4.2 4.0 4.3 4.6
High School Graduate nc nc nc nc nc nc nc 4.3 4.0 4.4 4.6 4.9 4.7
Some College/Associate’s Degree nc nc nc nc nc nc nc 5.0 5.2 5.5 5.4 6.3 6.2
College Graduate nc nc nc nc nc nc nc 2.9 2.9 3.2 3.2 3.6 3.8
HEALTH INSURANCE3                          
Private 3.0 3.0 3.1 2.8 2.9 3.1 3.1 3.2 3.2 3.6 3.6 4.1 4.2
Medicaid/CHIP 6.8 8.0 6.7 6.6 6.5 6.3 6.9 6.8 6.5 6.7 6.8 8.1 7.1
Other4 3.2 2.6 3.7 3.0 3.6 3.3 3.6 3.6 3.1 3.4 3.0 3.3 3.5
No Coverage 5.2 5.0 4.8 5.5 5.9 5.7 5.5 5.3 6.3 5.9 6.7 6.3 5.8
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Respondents with unknown suicide information were excluded.
1 Because of the use of the 2013 Rural-Urban Continuum Codes in the creation of the county type variables, these 2008 to 2014 estimates may differ from estimates published prior to the 2015 NSDUH.
2 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
3 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
4 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
210609
Table 10.33A – Made Any Suicide Plans in Past Year: Among People Aged 18 or Older; by Detailed Age Category, Numbers in Thousands, 2008-2020
Age Category 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 2,299 2,253 2,542 2,406 2,681 2,714 2,667 2,702 2,756 3,195 3,312 3,455 3,222
18-25 643 654 661 663 813 852 806 934 981 1,266 1,160 1,313 1,343
18-20 347 335 324 320 433 434 388 468 469 647 523 608 659
21-25 296 320 338 343 380 418 419 466 512 618 637 705 684
26 or Older 1,656 1,598 1,880 1,743 1,868 1,862 1,860 1,768 1,775 1,930 2,153 2,142 1,879
26-49 1,056 1,016 1,013 1,076 1,272 1,249 1,107 1,033 1,271 1,230 1,450 1,466 1,360
26-29 200 158 147 277 232 255 211 272 253 291 442 412 359
30-34 209 152 225 124 157 274 212 242 344 247 316 361 243
35-39 221 213 142 264 267 250 252 171 282 192 314 229 266
40-44 202 265 266 202 288 245 221 169 186 244 200 234 186
45-49 224 227 233 208 329 226 211 179 206 256 180 231 306
50 or Older 600 583 867 667 596 614 754 734 504 700 702 676 519
50-54 259 212 298 295 157 163 159 295 185 168 210 123 304
55-59 142 169 173 195 113 204 192 151 104 166 222 204 65
60-64 87 100 108 70 143 90 161 94 116 133 116 133 78
65 or Older 111 101 288 107 184 157 242 194 99 233 153 216 72
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Respondents who had no suicide thoughts were categorized as not making any suicide plans in the past 12 months. Respondents with unknown suicide information were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
210609
Table 10.33B – Made Any Suicide Plans in Past Year: Among People Aged 18 or Older; by Detailed Age Category, Percentages, 2008-2020
Age Category 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 1.0 1.0 1.1 1.0 1.1 1.1 1.1 1.1 1.1 1.3 1.3 1.4 1.3
18-25 2.0 2.0 1.9 1.9 2.4 2.5 2.3 2.7 2.9 3.7 3.4 3.9 4.0
18-20 2.7 2.5 2.4 2.4 3.3 3.3 3.0 3.6 3.7 5.1 4.1 4.7 5.3
21-25 1.5 1.6 1.7 1.7 1.8 1.9 1.9 2.1 2.4 2.9 3.1 3.5 3.3
26 or Older 0.9 0.8 1.0 0.9 0.9 0.9 0.9 0.9 0.9 0.9 1.0 1.0 0.9
26-49 1.1 1.0 1.0 1.1 1.3 1.3 1.1 1.1 1.3 1.2 1.4 1.5 1.3
26-29 1.2 0.9 0.9 1.6 1.4 1.5 1.2 1.6 1.5 1.6 2.5 2.3 2.0
30-34 1.1 0.8 1.1 0.6 0.8 1.4 1.0 1.1 1.6 1.1 1.4 1.6 1.1
35-39 1.1 1.1 0.7 1.3 1.4 1.3 1.3 0.9 1.4 0.9 1.4 1.1 1.2
40-44 0.9 1.3 1.3 1.0 1.4 1.1 1.1 0.8 1.0 1.2 1.0 1.2 1.0
45-49 1.0 1.0 1.1 1.0 1.5 1.1 1.0 0.9 1.0 1.3 0.9 1.1 1.6
50 or Older 0.7 0.6 0.9 0.7 0.6 0.6 0.7 0.7 0.5 0.6 0.6 0.6 0.4
50-54 1.2 1.0 1.4 1.3 0.7 0.7 0.7 1.3 0.8 0.8 1.0 0.6 1.5
55-59 0.8 0.9 0.9 1.0 0.5 1.0 0.9 0.7 0.5 0.8 1.0 1.0 0.3
60-64 0.6 0.6 0.7 0.4 0.9 0.5 0.9 0.5 0.6 0.7 0.6 0.7 0.4
65 or Older 0.3 0.3 0.7 0.3 0.4 0.4 0.5 0.4 0.2 0.5 0.3 0.4 0.1
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Respondents who had no suicide thoughts were categorized as not making any suicide plans in the past 12 months. Respondents with unknown suicide information were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
210609
Table 10.34A – Made Any Suicide Plans in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Numbers in Thousands, 2008-2020
Demographic Characteristic 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 2,299 2,253 2,542 2,406 2,681 2,714 2,667 2,702 2,756 3,195 3,312 3,455 3,222
AGE GROUP                          
18-25 643 654 661 663 813 852 806 934 981 1,266 1,160 1,313 1,343
26 or Older 1,656 1,598 1,880 1,743 1,868 1,862 1,860 1,768 1,775 1,930 2,153 2,142 1,879
26-49 1,056 1,016 1,013 1,076 1,272 1,249 1,107 1,033 1,271 1,230 1,450 1,466 1,360
50 or Older 600 583 867 667 596 614 754 734 504 700 702 676 519
GENDER                          
Male 1,011 1,089 1,211 1,125 1,225 1,153 1,144 1,257 1,207 1,416 1,528 1,373 1,400
Female 1,288 1,163 1,331 1,281 1,455 1,561 1,523 1,445 1,549 1,779 1,784 2,082 1,822
HISPANIC ORIGIN AND RACE                          
Not Hispanic or Latino 2,033 1,983 2,327 2,147 2,315 2,299 2,353 2,318 2,382 2,809 2,846 2,835 2,719
White 1,674 1,578 1,751 1,666 1,786 1,915 1,789 1,855 1,818 2,121 2,094 2,180 2,152
Black or African American 250 278 394 237 308 248 363 245 340 326 468 367 331
AIAN 12 26 14 * 26 21 16 36 20 35 26 16 25
NHOPI 8 5 0 2 4 19 5 * 4 * 11 11 6
Asian 31 44 117 111 143 54 100 73 70 192 117 155 49
Two or More Races 59 52 51 45 50 43 80 108 130 104 131 107 155
Hispanic or Latino 266 269 215 259 366 415 314 384 374 387 466 620 503
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Respondents who had no suicide thoughts were categorized as not making any suicide plans in the past 12 months. Respondents with unknown suicide information were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
210609
Table 10.34B – Made Any Suicide Plans in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Percentages, 2008-2020
Demographic Characteristic 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 1.0 1.0 1.1 1.0 1.1 1.1 1.1 1.1 1.1 1.3 1.3 1.4 1.3
AGE GROUP                          
18-25 2.0 2.0 1.9 1.9 2.4 2.5 2.3 2.7 2.9 3.7 3.4 3.9 4.0
26 or Older 0.9 0.8 1.0 0.9 0.9 0.9 0.9 0.9 0.9 0.9 1.0 1.0 0.9
26-49 1.1 1.0 1.0 1.1 1.3 1.3 1.1 1.1 1.3 1.2 1.4 1.5 1.3
50 or Older 0.7 0.6 0.9 0.7 0.6 0.6 0.7 0.7 0.5 0.6 0.6 0.6 0.4
GENDER                          
Male 0.9 1.0 1.1 1.0 1.1 1.0 1.0 1.1 1.0 1.2 1.3 1.1 1.2
Female 1.1 1.0 1.1 1.1 1.2 1.3 1.2 1.2 1.2 1.4 1.4 1.6 1.4
HISPANIC ORIGIN AND RACE                          
Not Hispanic or Latino 1.0 1.0 1.2 1.1 1.2 1.1 1.2 1.1 1.2 1.4 1.4 1.4 1.3
White 1.1 1.0 1.1 1.1 1.1 1.2 1.1 1.2 1.2 1.4 1.3 1.4 1.4
Black or African American 1.0 1.1 1.5 0.9 1.1 0.9 1.3 0.9 1.2 1.1 1.6 1.2 1.1
AIAN 1.3 2.4 1.3 * 2.0 1.7 1.3 2.8 1.4 2.7 1.7 1.1 1.8
NHOPI 1.0 0.7 0.0 0.2 0.4 2.5 0.5 * 0.4 * 1.2 1.1 0.7
Asian 0.3 0.4 1.1 1.0 1.2 0.4 0.8 0.5 0.5 1.4 0.8 1.1 0.3
Two or More Races 2.4 2.1 1.9 1.4 1.5 1.2 2.2 2.8 3.3 2.5 3.0 2.5 3.3
Hispanic or Latino 0.9 0.9 0.7 0.8 1.1 1.2 0.9 1.0 1.0 1.0 1.2 1.5 1.2
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Respondents who had no suicide thoughts were categorized as not making any suicide plans in the past 12 months. Respondents with unknown suicide information were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
210609
Table 10.35A – Attempted Suicide in Past Year: Among People Aged 18 or Older; by Detailed Age Category, Numbers in Thousands, 2008-2020
Age Category 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 1,088 1,040 1,122 1,135 1,290 1,312 1,120 1,399 1,319 1,388 1,442 1,379 1,203
18-25 395 372 393 415 508 434 433 571 616 648 647 604 627
18-20 242 190 205 221 282 255 190 274 334 364 316 300 336
21-25 153 182 189 194 226 180 244 298 281 284 332 305 292
26 or Older 693 668 729 721 782 878 687 827 704 739 795 775 576
26-49 446 465 399 443 502 596 491 506 496 435 521 579 452
26-29 106 83 44 119 100 98 99 115 131 114 105 156 184
30-34 117 81 105 73 85 158 91 131 114 83 121 154 98
35-39 58 121 48 102 87 126 79 77 114 88 157 91 57
40-44 61 62 86 93 126 135 100 107 60 52 79 105 61
45-49 103 118 115 55 105 80 123 76 77 97 59 74 51
50 or Older 247 203 329 278 279 283 196 321 208 304 274 195 124
50-54 151 51 62 136 56 43 62 136 47 105 83 31 84
55-59 42 50 60 112 53 120 62 67 65 58 118 58 9
60-64 29 35 47 2 57 59 17 46 25 29 14 13 26
65 or Older 25 66 160 29 114 60 54 72 71 113 58 94 6
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Respondents who had no suicide thoughts were categorized as not attempting suicide in the past 12 months. Respondents with unknown suicide information were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
210609
Table 10.35B – Attempted Suicide in Past Year: Among People Aged 18 or Older; by Detailed Age Category, Percentages, 2008-2020
Age Category 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 0.5 0.5 0.5 0.5 0.6 0.6 0.5 0.6 0.5 0.6 0.6 0.6 0.5
18-25 1.2 1.1 1.2 1.2 1.5 1.3 1.2 1.6 1.8 1.9 1.9 1.8 1.9
18-20 1.8 1.4 1.5 1.6 2.1 1.9 1.5 2.1 2.7 2.9 2.4 2.3 2.7
21-25 0.8 0.9 0.9 0.9 1.1 0.8 1.1 1.4 1.3 1.3 1.6 1.5 1.4
26 or Older 0.4 0.3 0.4 0.4 0.4 0.4 0.3 0.4 0.3 0.3 0.4 0.4 0.3
26-49 0.4 0.5 0.4 0.5 0.5 0.6 0.5 0.5 0.5 0.4 0.5 0.6 0.4
26-29 0.6 0.5 0.3 0.7 0.6 0.6 0.6 0.7 0.8 0.6 0.6 0.9 1.0
30-34 0.6 0.4 0.5 0.4 0.4 0.8 0.4 0.6 0.5 0.4 0.6 0.7 0.4
35-39 0.3 0.6 0.2 0.5 0.4 0.7 0.4 0.4 0.6 0.4 0.7 0.4 0.3
40-44 0.3 0.3 0.4 0.5 0.6 0.6 0.5 0.5 0.3 0.3 0.4 0.5 0.3
45-49 0.5 0.5 0.5 0.3 0.5 0.4 0.6 0.4 0.4 0.5 0.3 0.4 0.3
50 or Older 0.3 0.2 0.3 0.3 0.3 0.3 0.2 0.3 0.2 0.3 0.2 0.2 0.1
50-54 0.7 0.2 0.3 0.6 0.2 0.2 0.3 0.6 0.2 0.5 0.4 0.2 0.4
55-59 0.2 0.3 0.3 0.6 0.3 0.6 0.3 0.3 0.3 0.3 0.5 0.3 0.0
60-64 0.2 0.2 0.3 0.0 0.3 0.3 0.1 0.3 0.1 0.1 0.1 0.1 0.1
65 or Older 0.1 0.2 0.4 0.1 0.3 0.1 0.1 0.2 0.1 0.2 0.1 0.2 0.0
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Respondents who had no suicide thoughts were categorized as not attempting suicide in the past 12 months. Respondents with unknown suicide information were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
210609
Table 10.36A – Attempted Suicide in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Numbers in Thousands, 2008-2020
Demographic Characteristic 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 1,088 1,040 1,122 1,135 1,290 1,312 1,120 1,399 1,319 1,388 1,442 1,379 1,203
AGE GROUP                          
18-25 395 372 393 415 508 434 433 571 616 648 647 604 627
26 or Older 693 668 729 721 782 878 687 827 704 739 795 775 576
26-49 446 465 399 443 502 596 491 506 496 435 521 579 452
50 or Older 247 203 329 278 279 283 196 321 208 304 274 195 124
GENDER                          
Male 423 464 541 437 513 521 445 621 551 558 578 518 429
Female 665 575 581 698 777 791 676 778 768 829 865 861 775
HISPANIC ORIGIN AND RACE                          
Not Hispanic or Latino 917 922 978 959 1,045 1,038 941 1,164 1,107 1,177 1,136 1,128 960
White 680 651 686 629 746 786 609 939 783 810 728 764 741
Black or African American 181 188 224 179 192 179 210 136 185 193 276 230 96
AIAN 6 16 13 * 18 11 18 15 4 12 16 7 *
NHOPI * 1 0 2 3 * 5 * 7 * 2 4 8
Asian 12 33 24 97 61 20 71 38 97 76 51 56 21
Two or More Races 34 32 30 23 26 25 27 37 31 56 65 67 57
Hispanic or Latino 172 118 143 176 245 275 180 234 212 211 306 251 243
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Respondents who had no suicide thoughts were categorized as not attempting suicide in the past 12 months. Respondents with unknown suicide information were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
210609
Table 10.36B – Attempted Suicide in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Percentages, 2008-2020
Demographic Characteristic 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 0.5 0.5 0.5 0.5 0.6 0.6 0.5 0.6 0.5 0.6 0.6 0.6 0.5
AGE GROUP                          
18-25 1.2 1.1 1.2 1.2 1.5 1.3 1.2 1.6 1.8 1.9 1.9 1.8 1.9
26 or Older 0.4 0.3 0.4 0.4 0.4 0.4 0.3 0.4 0.3 0.3 0.4 0.4 0.3
26-49 0.4 0.5 0.4 0.5 0.5 0.6 0.5 0.5 0.5 0.4 0.5 0.6 0.4
50 or Older 0.3 0.2 0.3 0.3 0.3 0.3 0.2 0.3 0.2 0.3 0.2 0.2 0.1
GENDER                          
Male 0.4 0.4 0.5 0.4 0.5 0.5 0.4 0.5 0.5 0.5 0.5 0.4 0.4
Female 0.6 0.5 0.5 0.6 0.6 0.6 0.5 0.6 0.6 0.7 0.7 0.7 0.6
HISPANIC ORIGIN AND RACE                          
Not Hispanic or Latino 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.6 0.5 0.6 0.5 0.5 0.5
White 0.4 0.4 0.4 0.4 0.5 0.5 0.4 0.6 0.5 0.5 0.5 0.5 0.5
Black or African American 0.7 0.7 0.8 0.7 0.7 0.6 0.8 0.5 0.6 0.7 0.9 0.8 0.3
AIAN 0.6 1.4 1.2 * 1.4 0.9 1.5 1.2 0.3 1.0 1.1 0.5 *
NHOPI * 0.2 0.1 0.2 0.3 * 0.5 * 0.7 * 0.2 0.4 0.9
Asian 0.1 0.3 0.2 0.9 0.5 0.2 0.6 0.3 0.7 0.6 0.4 0.4 0.1
Two or More Races 1.4 1.3 1.1 0.7 0.8 0.7 0.7 1.0 0.8 1.3 1.5 1.5 1.2
Hispanic or Latino 0.6 0.4 0.5 0.5 0.7 0.8 0.5 0.6 0.6 0.5 0.8 0.6 0.6
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2008 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Respondents who had no suicide thoughts were categorized as not attempting suicide in the past 12 months. Respondents with unknown suicide information were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008-2019, and Quarters 1 and 4, 2020.
210609
Table 10.37A – Serious Psychological Distress in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Numbers in Thousands, 2005-2020
Demographic Characteristic 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 23,103 23,743 22,901 23,314 23,243 23,567 23,511 25,312 25,209 25,505 25,018 26,023 27,570 28,690 31,190 33,336
AGE GROUP                                
18-25 5,875 5,668 5,731 5,951 5,863 6,026 5,993 6,405 6,238 6,838 7,111 7,311 8,318 8,610 9,179 9,936
26 or Older 17,228 18,075 17,170 17,364 17,380 17,541 17,517 18,907 18,971 18,668 17,907 18,712 19,252 20,081 22,011 23,400
26-49 11,810 12,602 11,677 11,525 11,999 11,596 11,526 11,910 11,800 11,258 11,793 12,132 12,758 13,218 14,997 15,605
50 or Older 5,418 5,472 5,493 5,839 5,382 5,945 5,991 6,997 7,171 7,410 6,114 6,580 6,494 6,863 7,015 7,795
GENDER                                
Male 8,292 9,057 8,531 8,551 8,526 9,000 9,096 9,982 9,377 9,436 9,516 10,067 10,459 11,152 12,010 12,572
Female 14,811 14,686 14,370 14,763 14,717 14,566 14,415 15,329 15,832 16,070 15,502 15,956 17,111 17,538 19,181 20,763
HISPANIC ORIGIN AND RACE                                
Not Hispanic or Latino 19,965 20,673 19,941 20,288 20,248 20,250 20,577 21,299 21,220 21,898 21,438 21,920 23,730 23,968 26,153 27,926
White 16,017 16,373 16,154 16,412 16,598 16,229 16,138 16,204 16,495 17,023 17,045 17,465 18,566 18,697 20,069 21,996
Black or African American 2,651 2,652 2,606 2,518 2,499 2,721 2,486 3,282 2,960 2,901 2,620 2,607 2,974 3,047 3,572 3,199
AIAN 230 281 151 96 140 135 211 288 199 176 160 177 166 224 162 *
NHOPI * 96 50 * 72 * * * 49 122 79 84 110 146 100 42
Asian 628 745 632 795 578 685 954 920 951 1,041 955 953 1,210 1,183 1,309 1,209
Two or More Races 355 526 349 366 361 400 584 436 565 636 579 634 706 671 941 1,142
Hispanic or Latino 3,138 3,070 2,960 3,026 2,996 3,317 2,933 4,013 3,989 3,607 3,580 4,102 3,840 4,723 5,037 5,410
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Estimates for 2005 to 2007 are based on an adjusted SPD variable and may differ from estimates published in prior NSDUH reports.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2005-2019, and Quarters 1 and 4, 2020.
210609
Table 10.37B – Serious Psychological Distress in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Percentages, 2005-2020
Demographic Characteristic 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 10.6 10.8 10.3 10.4 10.2 10.3 10.1 10.8 10.6 10.6 10.3 10.6 11.2 11.5 12.5 13.2
AGE GROUP                                
18-25 18.1 17.3 17.5 18.1 17.5 17.7 17.5 18.5 17.9 19.6 20.4 21.1 24.2 25.3 27.2 29.7
26 or Older 9.3 9.6 9.0 9.0 9.0 9.0 8.8 9.4 9.4 9.1 8.6 8.9 9.0 9.3 10.2 10.7
26-49 11.8 12.5 11.7 11.5 12.1 11.8 11.8 12.2 12.1 11.5 12.0 12.2 12.7 13.1 14.8 15.4
50 or Older 6.4 6.3 6.1 6.3 5.7 6.2 6.0 6.8 6.8 6.9 5.6 5.9 5.8 6.0 6.1 6.7
GENDER                                
Male 7.9 8.5 7.9 7.9 7.8 8.1 8.1 8.8 8.2 8.2 8.1 8.5 8.8 9.3 9.9 10.3
Female 13.1 12.9 12.5 12.7 12.5 12.3 11.9 12.6 12.9 12.9 12.3 12.6 13.4 13.6 14.8 15.9
HISPANIC ORIGIN AND RACE                                
Not Hispanic or Latino 10.5 10.8 10.3 10.4 10.3 10.3 10.4 10.6 10.5 10.8 10.5 10.6 11.4 11.5 12.5 13.3
White 10.5 10.7 10.5 10.6 10.7 10.4 10.4 10.4 10.6 10.9 10.8 11.1 11.8 11.9 12.7 13.9
Black or African American 10.7 10.5 10.3 9.8 9.5 10.2 9.3 12.1 10.7 10.3 9.2 9.0 10.1 10.3 11.9 10.5
AIAN 20.9 25.6 13.7 10.2 12.8 12.6 16.3 22.2 16.0 13.8 12.6 12.8 12.8 14.9 11.6 *
NHOPI * 11.6 7.8 * 9.8 * * * 6.4 13.3 13.2 7.7 11.0 15.4 10.1 4.5
Asian 6.9 8.0 6.6 8.1 5.8 6.6 8.5 7.9 7.9 8.2 7.1 7.2 8.7 8.3 9.0 8.4
Two or More Races 16.1 23.6 15.1 14.6 14.8 15.1 17.8 12.7 16.0 17.4 15.0 15.8 16.8 15.5 21.5 24.2
Hispanic or Latino 11.3 10.6 10.0 10.0 9.6 10.4 8.6 11.5 11.2 9.8 9.5 10.7 9.7 11.6 12.2 12.9
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in the 2020 column are italicized to indicate caution should be used when comparing estimates between 2020 and prior years because of methodological changes for 2020. Due to these changes, significance testing between 2020 and prior years was not performed. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Some 2006 to 2010 estimates may differ from previously published estimates due to updates (see Chapter 3 of the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions).
NOTE: Estimates for 2005 to 2007 are based on an adjusted SPD variable and may differ from estimates published in prior NSDUH reports.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2005-2019, and Quarters 1 and 4, 2020.

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