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210614
Table 10.1C – Any Mental Illness in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Standard Errors of Numbers in Thousands, 2008-2020
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 676 695 689 694 725 731 557 611 583 673 644 631 981
AGE GROUP                          
18-25 112 108 119 126 122 126 137 133 148 169 151 163 282
26 or Older 669 679 677 679 706 723 547 580 574 625 615 599 937
26-49 420 432 410 417 434 441 331 337 323 363 351 366 552
50 or Older 540 509 527 530 561 550 429 454 448 473 480 460 737
GENDER                          
Male 422 430 467 452 434 467 357 381 384 409 395 404 583
Female 518 521 507 513 537 544 430 442 443 500 500 467 754
HISPANIC ORIGIN AND RACE                          
Not Hispanic or Latino 632 647 640 641 660 667 520 570 542 616 589 558 868
White 655 671 657 650 679 678 505 547 559 601 594 603 888
Black or African American 249 254 254 232 291 283 223 220 206 228 235 223 419
AIAN 30 30 35 68 59 57 47 40 49 32 49 39 *
NHOPI * * * * * 29 52 18 46 47 45 32 *
Asian 147 139 156 169 182 182 140 144 139 166 176 157 214
Two or More Races 89 91 83 105 74 112 80 101 85 99 105 101 216
Hispanic or Latino 242 232 245 259 271 297 208 203 238 238 245 267 427
* = 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 10.1D – Any Mental Illness in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Standard Errors of Percentages, 2008-2020
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 0.30 0.31 0.30 0.30 0.31 0.31 0.23 0.25 0.24 0.27 0.26 0.25 0.39
AGE GROUP                          
18-25 0.34 0.32 0.35 0.37 0.35 0.36 0.39 0.38 0.43 0.49 0.44 0.48 0.84
26 or Older 0.35 0.35 0.35 0.34 0.35 0.36 0.27 0.28 0.27 0.29 0.29 0.28 0.43
26-49 0.42 0.43 0.42 0.43 0.44 0.45 0.34 0.34 0.33 0.36 0.35 0.36 0.54
50 or Older 0.59 0.54 0.55 0.53 0.55 0.52 0.40 0.42 0.40 0.42 0.42 0.40 0.63
GENDER                          
Male 0.39 0.39 0.42 0.40 0.38 0.41 0.31 0.33 0.33 0.34 0.33 0.33 0.48
Female 0.45 0.44 0.43 0.42 0.44 0.44 0.35 0.35 0.35 0.39 0.39 0.36 0.58
HISPANIC ORIGIN AND RACE                          
Not Hispanic or Latino 0.33 0.33 0.32 0.32 0.33 0.33 0.26 0.28 0.26 0.30 0.28 0.27 0.41
White 0.37 0.38 0.36 0.36 0.36 0.37 0.29 0.31 0.30 0.34 0.32 0.31 0.49
Black or African American 0.86 0.85 0.84 0.75 0.93 0.86 0.67 0.66 0.63 0.68 0.69 0.65 1.16
AIAN 3.05 2.95 3.08 3.89 3.80 3.64 2.82 2.92 2.78 2.38 3.17 2.70 *
NHOPI * * * * * 3.68 4.95 3.04 3.96 4.36 4.33 2.85 *
Asian 1.37 1.28 1.43 1.38 1.36 1.31 1.04 0.99 1.02 1.09 1.16 1.01 1.48
Two or More Races 3.25 2.97 2.80 2.78 2.18 2.73 1.88 2.27 1.85 2.10 2.17 1.92 3.50
Hispanic or Latino 0.80 0.75 0.77 0.76 0.78 0.83 0.57 0.54 0.62 0.60 0.60 0.65 1.02
* = 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 10.2C – Any Mental Illness in Past Year: Among People Aged 18 or Older; by Geographic and Socioeconomic Characteristics, Standard Errors of Numbers in Thousands, 2008-2020
Geographic/Socioeconomic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 676 695 689 694 725 731 557 611 583 673 644 631 981
GEOGRAPHIC REGION                          
Northeast 333 301 282 275 271 284 239 244 253 263 258 276 425
Midwest 268 277 276 271 274 280 244 265 248 264 271 270 401
South 428 422 442 404 462 476 358 376 360 393 388 366 639
West 318 354 361 405 379 395 280 297 321 338 344 332 540
COUNTY TYPE2                          
Large Metro 600 631 592 605 660 677 494 547 548 613 595 599 840
Small Metro 434 448 483 451 480 452 380 363 402 412 448 454 682
Nonmetro 303 291 294 292 315 323 318 253 270 285 286 288 459
Urbanized 191 186 178 203 191 230 217 186 155 197 213 187 323
Less Urbanized 226 206 213 206 226 220 228 176 223 207 177 222 330
Completely Rural 80 85 135 68 108 90 99 103 87 102 122 102 143
POVERTY LEVEL3                          
Less Than 100% 279 274 319 333 365 347 298 283 293 310 304 295 560
100-199% 359 352 364 339 367 364 309 303 328 319 324 349 569
200% or More 625 639 599 606 610 670 444 520 515 574 566 579 827
EDUCATION LEVEL                          
< High School nc nc nc nc nc nc nc 267 236 222 250 241 407
High School Graduate nc nc nc nc nc nc nc 304 337 323 351 349 582
Some College/Associate’s Degree nc nc nc nc nc nc nc 365 377 415 385 410 532
College Graduate nc nc nc nc nc nc nc 349 370 411 410 425 484
HEALTH INSURANCE4                          
Private 602 609 580 585 594 657 461 516 510 582 574 578 773
Medicaid/CHIP 265 255 310 296 299 329 313 291 308 317 334 330 570
Other5 416 416 454 415 482 466 379 366 390 395 384 394 669
No Coverage 293 283 310 317 333 302 211 186 198 197 207 208 344
* = 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 10.2D – Any Mental Illness in Past Year: Among People Aged 18 or Older; by Geographic and Socioeconomic Characteristics, Standard Errors of Percentages, 2008-2020
Geographic/Socioeconomic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 0.30 0.31 0.30 0.30 0.31 0.31 0.23 0.25 0.24 0.27 0.26 0.25 0.39
GEOGRAPHIC REGION                          
Northeast 0.80 0.72 0.67 0.64 0.63 0.66 0.55 0.56 0.58 0.60 0.59 0.63 0.97
Midwest 0.54 0.56 0.55 0.54 0.54 0.55 0.48 0.52 0.48 0.51 0.52 0.52 0.77
South 0.52 0.51 0.53 0.47 0.53 0.54 0.40 0.41 0.39 0.42 0.41 0.39 0.67
West 0.61 0.68 0.68 0.75 0.69 0.71 0.50 0.52 0.56 0.58 0.58 0.56 0.90
COUNTY TYPE2                          
Large Metro 0.42 0.43 0.41 0.41 0.43 0.44 0.32 0.34 0.34 0.38 0.37 0.34 0.53
Small Metro 0.55 0.53 0.58 0.51 0.52 0.53 0.44 0.41 0.42 0.44 0.45 0.45 0.76
Nonmetro 0.73 0.70 0.75 0.71 0.74 0.77 0.65 0.63 0.61 0.62 0.60 0.61 0.97
Urbanized 1.04 1.07 1.10 1.31 0.96 1.13 0.92 1.05 0.86 0.95 0.95 0.92 1.64
Less Urbanized 1.12 1.01 1.03 0.87 1.16 1.19 0.99 0.78 0.90 0.88 0.79 0.95 1.39
Completely Rural 1.82 2.22 3.20 1.82 2.32 2.00 1.97 2.00 1.80 2.37 2.10 1.68 2.66
POVERTY LEVEL3                          
Less Than 100% 0.96 0.82 0.90 0.85 0.82 0.82 0.64 0.65 0.69 0.71 0.72 0.77 1.23
100-199% 0.77 0.73 0.68 0.64 0.69 0.68 0.56 0.57 0.56 0.56 0.59 0.66 1.05
200% or More 0.35 0.36 0.35 0.35 0.35 0.38 0.27 0.29 0.28 0.31 0.29 0.29 0.45
EDUCATION LEVEL                          
< High School nc nc nc nc nc nc nc 0.70 0.69 0.69 0.72 0.72 1.41
High School Graduate nc nc nc nc nc nc nc 0.45 0.48 0.49 0.51 0.51 0.84
Some College/Associate’s Degree nc nc nc nc nc nc nc 0.43 0.43 0.46 0.45 0.46 0.70
College Graduate nc nc nc nc nc nc nc 0.42 0.43 0.46 0.43 0.43 0.63
HEALTH INSURANCE4                          
Private 0.35 0.34 0.35 0.34 0.34 0.36 0.26 0.29 0.27 0.31 0.29 0.30 0.45
Medicaid/CHIP 1.20 1.06 1.19 1.07 1.11 1.09 0.85 0.73 0.71 0.71 0.76 0.77 1.18
Other5 0.74 0.70 0.76 0.67 0.71 0.71 0.56 0.52 0.51 0.54 0.53 0.50 0.82
No Coverage 0.76 0.69 0.69 0.73 0.71 0.70 0.63 0.64 0.74 0.78 0.77 0.72 1.10
* = 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 10.3C – Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Standard Errors of Numbers in Thousands, 2008-2020
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 308 322 362 325 341 380 287 288 297 307 300 328 571
AGE GROUP                          
18-25 54 51 59 59 59 61 74 74 82 90 86 90 176
26 or Older 302 317 355 320 334 374 279 278 283 290 282 315 525
26-49 208 219 224 213 228 244 180 179 177 187 186 195 316
50 or Older 224 218 263 224 254 275 208 214 219 209 211 226 405
GENDER                          
Male 185 184 220 190 211 260 184 170 169 188 187 203 332
Female 248 265 267 261 258 268 213 225 237 230 233 257 437
HISPANIC ORIGIN AND RACE                          
Not Hispanic or Latino 288 310 330 309 300 342 265 273 264 287 282 296 534
White 280 296 296 284 284 314 236 243 256 272 268 273 495
Black or African American 78 89 98 84 104 102 86 84 85 80 96 95 251
AIAN 8 13 28 45 35 19 16 24 16 16 23 27 37
NHOPI 5 * * * 7 5 11 5 12 15 19 11 8
Asian 68 44 60 60 59 103 55 50 40 54 42 67 63
Two or More Races 32 40 69 36 26 49 54 58 40 49 42 51 88
Hispanic or Latino 100 103 126 99 155 144 110 97 147 101 107 150 198
* = 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 10.3D – Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Standard Errors of Percentages, 2008-2020
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 0.14 0.14 0.16 0.14 0.14 0.16 0.12 0.12 0.12 0.12 0.12 0.13 0.23
AGE GROUP                          
18-25 0.16 0.15 0.17 0.17 0.17 0.18 0.21 0.21 0.24 0.26 0.25 0.27 0.53
26 or Older 0.16 0.16 0.18 0.16 0.17 0.18 0.14 0.13 0.13 0.14 0.13 0.15 0.24
26-49 0.21 0.22 0.23 0.22 0.23 0.25 0.18 0.18 0.18 0.19 0.18 0.19 0.31
50 or Older 0.24 0.23 0.27 0.22 0.25 0.26 0.19 0.20 0.20 0.19 0.19 0.20 0.35
GENDER                          
Male 0.17 0.17 0.20 0.17 0.19 0.23 0.16 0.15 0.14 0.16 0.16 0.17 0.27
Female 0.21 0.23 0.23 0.22 0.21 0.22 0.17 0.18 0.19 0.18 0.18 0.20 0.34
HISPANIC ORIGIN AND RACE                          
Not Hispanic or Latino 0.15 0.16 0.17 0.16 0.15 0.17 0.13 0.13 0.13 0.14 0.14 0.14 0.25
White 0.17 0.18 0.19 0.18 0.17 0.19 0.15 0.16 0.16 0.17 0.16 0.17 0.31
Black or African American 0.30 0.32 0.36 0.31 0.37 0.36 0.29 0.29 0.29 0.26 0.31 0.30 0.77
AIAN 0.89 1.21 2.51 3.34 2.52 1.51 1.10 1.85 1.12 1.15 1.60 1.87 2.57
NHOPI 0.58 * * * 0.76 0.72 1.20 0.89 1.06 1.55 1.97 1.13 0.93
Asian 0.68 0.43 0.59 0.52 0.50 0.84 0.43 0.38 0.30 0.39 0.29 0.46 0.44
Two or More Races 1.25 1.58 2.47 1.08 0.79 1.33 1.39 1.43 0.97 1.17 0.96 1.13 1.79
Hispanic or Latino 0.33 0.33 0.39 0.29 0.44 0.40 0.30 0.26 0.38 0.25 0.26 0.36 0.47
* = 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 10.4C – Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Geographic and Socioeconomic Characteristics, Standard Errors of Numbers in Thousands, 2008-2020
Geographic/Socioeconomic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 308 322 362 325 341 380 287 288 297 307 300 328 571
GEOGRAPHIC REGION                          
Northeast 132 123 131 126 136 132 116 121 130 114 118 141 183
Midwest 124 133 153 127 119 149 133 121 116 121 147 136 248
South 185 209 213 188 227 256 168 183 180 180 177 199 382
West 164 151 187 184 174 196 147 144 165 160 168 173 260
COUNTY TYPE2                          
Large Metro 238 260 268 240 267 306 224 228 232 231 224 261 401
Small Metro 177 175 181 188 210 196 167 152 191 182 189 188 365
Nonmetro 107 112 162 124 121 145 111 119 95 139 123 119 227
Urbanized 75 67 104 82 63 111 70 86 61 91 83 74 162
Less Urbanized 71 79 92 83 96 96 83 78 74 98 78 94 142
Completely Rural 26 45 84 28 44 44 35 48 25 33 54 42 75
POVERTY LEVEL3                          
Less Than 100% 112 142 165 182 185 169 139 142 136 142 148 138 300
100-199% 156 140 158 148 163 160 143 128 155 131 136 178 299
200% or More 241 256 262 231 243 304 209 220 219 237 229 249 388
EDUCATION LEVEL                          
< High School nc nc nc nc nc nc nc 109 104 101 102 108 212
High School Graduate nc nc nc nc nc nc nc 124 150 150 151 163 339
Some College/Associate’s Degree nc nc nc nc nc nc nc 184 183 181 192 216 319
College Graduate nc nc nc nc nc nc nc 157 148 164 153 167 221
HEALTH INSURANCE4                          
Private 246 215 254 217 209 273 196 216 229 222 226 233 358
Medicaid/CHIP 123 134 153 159 160 143 139 141 154 154 153 182 269
Other5 157 184 184 160 231 225 168 175 161 175 165 169 375
No Coverage 119 123 148 143 162 155 99 92 94 96 101 97 173
* = 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.
210614
Table 10.4D – Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Geographic and Socioeconomic Characteristics, Standard Errors of Percentages, 2008-2020
Geographic/Socioeconomic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 0.14 0.14 0.16 0.14 0.14 0.16 0.12 0.12 0.12 0.12 0.12 0.13 0.23
GEOGRAPHIC REGION                          
Northeast 0.32 0.29 0.31 0.30 0.32 0.31 0.27 0.28 0.30 0.26 0.27 0.32 0.42
Midwest 0.25 0.27 0.30 0.25 0.23 0.29 0.26 0.24 0.23 0.23 0.28 0.26 0.48
South 0.23 0.25 0.25 0.22 0.26 0.29 0.19 0.20 0.20 0.19 0.19 0.21 0.40
West 0.32 0.29 0.35 0.34 0.32 0.35 0.26 0.25 0.29 0.27 0.28 0.29 0.43
COUNTY TYPE2                          
Large Metro 0.19 0.20 0.21 0.19 0.20 0.23 0.16 0.16 0.16 0.16 0.16 0.18 0.29
Small Metro 0.26 0.24 0.25 0.24 0.28 0.27 0.23 0.20 0.25 0.23 0.24 0.23 0.44
Nonmetro 0.31 0.33 0.47 0.36 0.33 0.40 0.29 0.35 0.25 0.37 0.32 0.31 0.57
Urbanized 0.53 0.45 0.74 0.62 0.42 0.69 0.41 0.61 0.39 0.55 0.47 0.44 1.02
Less Urbanized 0.41 0.48 0.55 0.45 0.54 0.57 0.45 0.47 0.39 0.50 0.43 0.51 0.73
Completely Rural 0.73 1.31 2.43 0.82 1.12 1.11 0.84 1.09 0.66 0.99 1.24 0.85 1.56
POVERTY LEVEL3                          
Less Than 100% 0.43 0.50 0.53 0.53 0.47 0.46 0.36 0.37 0.37 0.39 0.41 0.41 0.74
100-199% 0.37 0.32 0.33 0.31 0.35 0.34 0.29 0.26 0.30 0.27 0.27 0.36 0.62
200% or More 0.15 0.16 0.17 0.15 0.16 0.19 0.13 0.14 0.13 0.14 0.14 0.14 0.23
EDUCATION LEVEL                          
< High School nc nc nc nc nc nc nc 0.31 0.31 0.33 0.33 0.35 0.73
High School Graduate nc nc nc nc nc nc nc 0.20 0.24 0.24 0.24 0.26 0.49
Some College/Associate’s Degree nc nc nc nc nc nc nc 0.24 0.23 0.23 0.24 0.27 0.42
College Graduate nc nc nc nc nc nc nc 0.21 0.19 0.20 0.18 0.20 0.29
HEALTH INSURANCE4                          
Private 0.15 0.14 0.17 0.14 0.14 0.17 0.12 0.13 0.13 0.13 0.13 0.14 0.22
Medicaid/CHIP 0.65 0.67 0.69 0.65 0.66 0.57 0.44 0.41 0.41 0.40 0.41 0.48 0.66
Other5 0.30 0.34 0.34 0.29 0.38 0.37 0.27 0.26 0.23 0.25 0.24 0.24 0.49
No Coverage 0.34 0.33 0.38 0.37 0.41 0.41 0.33 0.35 0.39 0.40 0.41 0.37 0.61
* = 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 10.5C – Any Mental Illness Excluding Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Standard Errors of Numbers in Thousands, 2008-2020
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 618 623 623 609 660 647 503 527 522 592 562 561 892
AGE GROUP                          
18-25 101 99 105 115 113 113 122 125 126 147 134 142 241
26 or Older 611 608 613 600 639 639 493 503 515 559 547 537 869
26-49 375 377 369 363 373 392 286 294 284 324 308 329 496
50 or Older 500 472 474 482 516 499 399 399 413 432 447 428 689
GENDER                          
Male 390 398 421 411 391 402 327 345 347 370 351 356 524
Female 477 458 457 462 492 490 379 378 387 448 436 424 702
HISPANIC ORIGIN AND RACE                          
Not Hispanic or Latino 575 583 579 564 614 582 460 486 492 538 512 502 773
White 570 579 575 560 607 578 444 474 480 511 502 514 722
Black or African American 230 230 229 216 256 252 204 192 183 205 198 190 329
AIAN 30 27 20 52 46 53 39 32 45 29 44 27 *
NHOPI * * * * * 29 * 18 45 43 41 31 *
Asian 133 133 144 157 170 156 132 127 133 158 163 138 202
Two or More Races 83 82 45 99 68 102 61 82 74 86 96 88 197
Hispanic or Latino 231 221 223 247 235 260 189 179 201 213 225 220 398
* = 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 10.5D – Any Mental Illness Excluding Serious Mental Illness in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Standard Errors of Percentages, 2008-2020
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 0.27 0.27 0.27 0.26 0.28 0.27 0.21 0.22 0.21 0.24 0.23 0.22 0.35
AGE GROUP                          
18-25 0.31 0.29 0.31 0.33 0.33 0.33 0.35 0.36 0.36 0.43 0.40 0.42 0.72
26 or Older 0.32 0.31 0.31 0.30 0.32 0.32 0.24 0.24 0.25 0.26 0.25 0.25 0.40
26-49 0.38 0.38 0.37 0.37 0.38 0.40 0.29 0.30 0.29 0.32 0.30 0.33 0.49
50 or Older 0.54 0.50 0.49 0.48 0.50 0.48 0.37 0.37 0.37 0.38 0.39 0.37 0.59
GENDER                          
Male 0.36 0.36 0.38 0.37 0.35 0.35 0.28 0.29 0.29 0.31 0.29 0.29 0.43
Female 0.41 0.39 0.39 0.38 0.40 0.40 0.30 0.30 0.31 0.35 0.34 0.33 0.54
HISPANIC ORIGIN AND RACE                          
Not Hispanic or Latino 0.30 0.30 0.29 0.28 0.31 0.29 0.23 0.24 0.24 0.26 0.25 0.24 0.37
White 0.33 0.34 0.32 0.32 0.34 0.32 0.26 0.27 0.27 0.30 0.28 0.28 0.41
Black or African American 0.80 0.80 0.77 0.70 0.84 0.78 0.64 0.59 0.58 0.62 0.60 0.57 0.99
AIAN 3.02 2.65 1.94 3.25 3.15 3.62 2.50 2.37 2.61 2.23 2.78 1.98 *
NHOPI * * * * * 3.61 * 2.98 3.87 4.06 4.00 2.78 *
Asian 1.25 1.24 1.29 1.32 1.29 1.15 0.99 0.85 0.98 1.05 1.08 0.89 1.40
Two or More Races 3.05 2.81 1.75 2.66 1.99 2.61 1.57 1.93 1.67 1.85 2.03 1.74 3.45
Hispanic or Latino 0.76 0.71 0.70 0.73 0.68 0.73 0.51 0.47 0.52 0.54 0.55 0.53 0.95
* = 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 10.6C – Received Mental Health Services in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Standard Errors of 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 570 561 554 573 578 605 646 603 616 594 653 674 541 552 557 608 591 606 880
AGE GROUP                                      
18-25 78 89 85 88 93 90 92 90 93 101 102 110 118 107 117 133 120 132 222
26 or Older 560 557 551 559 571 596 636 592 610 584 644 667 520 539 545 574 572 580 840
26-49 361 354 338 338 373 348 340 359 361 356 374 389 274 285 282 301 291 318 479
50 or Older 424 425 423 449 421 473 523 489 506 471 523 544 447 439 459 468 481 468 712
GENDER                                      
Male 318 319 327 344 335 361 374 366 379 364 384 427 332 324 328 337 341 357 510
Female 474 448 443 435 452 448 503 466 480 456 518 509 424 426 423 468 453 468 674
HISPANIC ORIGIN AND RACE                                      
Not Hispanic or Latino 554 527 552 541 550 568 616 563 584 565 614 628 517 522 513 571 560 566 804
White 555 580 559 555 575 584 658 620 606 619 676 677 542 549 548 589 589 627 857
Black or African American 153 169 175 178 171 144 204 181 195 167 199 196 176 158 163 148 168 167 293
AIAN 40 32 35 37 25 29 32 * 29 55 45 37 30 37 35 27 37 36 *
NHOPI 10 * * * 25 * * * * 9 18 10 27 12 22 21 32 17 *
Asian 124 94 83 67 102 73 96 71 113 136 92 131 122 104 92 101 106 123 138
Two or More Races 60 65 52 59 93 56 96 72 98 87 58 96 67 69 60 81 80 81 129
Hispanic or Latino 153 163 156 170 161 185 167 190 193 195 187 243 168 166 212 192 183 215 331
* = 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 10.6D – Received Mental Health Services in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Standard Errors of 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 0.27 0.26 0.26 0.26 0.26 0.27 0.29 0.27 0.27 0.26 0.28 0.28 0.23 0.23 0.23 0.25 0.24 0.24 0.36
AGE GROUP                                      
18-25 0.25 0.28 0.26 0.27 0.28 0.28 0.28 0.27 0.27 0.30 0.29 0.32 0.34 0.31 0.34 0.39 0.36 0.39 0.68
26 or Older 0.31 0.31 0.30 0.30 0.30 0.32 0.33 0.31 0.31 0.30 0.32 0.33 0.25 0.26 0.26 0.27 0.27 0.27 0.40
26-49 0.36 0.35 0.34 0.34 0.37 0.35 0.34 0.36 0.37 0.36 0.38 0.40 0.28 0.29 0.29 0.30 0.29 0.32 0.49
50 or Older 0.54 0.53 0.51 0.53 0.48 0.53 0.57 0.52 0.52 0.47 0.51 0.52 0.42 0.40 0.42 0.42 0.42 0.41 0.62
GENDER                                      
Male 0.32 0.31 0.32 0.33 0.32 0.34 0.35 0.34 0.34 0.33 0.34 0.37 0.29 0.28 0.28 0.28 0.29 0.30 0.43
Female 0.43 0.41 0.40 0.39 0.40 0.39 0.43 0.40 0.41 0.38 0.43 0.41 0.34 0.34 0.34 0.37 0.35 0.36 0.53
HISPANIC ORIGIN AND RACE                                      
Not Hispanic or Latino 0.30 0.28 0.29 0.29 0.29 0.30 0.32 0.29 0.30 0.28 0.31 0.31 0.26 0.26 0.25 0.28 0.27 0.27 0.39
White 0.35 0.33 0.33 0.33 0.33 0.35 0.37 0.34 0.34 0.34 0.37 0.37 0.30 0.30 0.31 0.32 0.33 0.32 0.49
Black or African American 0.59 0.64 0.69 0.67 0.64 0.54 0.73 0.63 0.68 0.59 0.69 0.65 0.58 0.52 0.53 0.48 0.53 0.51 0.94
AIAN 3.12 3.02 2.96 3.05 2.52 2.62 3.11 * 2.65 3.64 3.23 2.69 2.12 2.54 2.35 2.12 2.45 2.51 *
NHOPI 1.49 * * * 2.99 * * * * 1.09 1.89 1.26 2.92 2.02 2.00 2.28 3.46 1.74 *
Asian 1.47 1.02 0.92 0.74 1.07 0.77 0.94 0.71 1.05 1.15 0.77 1.04 0.94 0.75 0.66 0.72 0.71 0.82 0.95
Two or More Races 2.65 2.74 2.29 2.42 3.62 2.25 3.42 2.57 3.21 2.44 1.79 2.41 1.69 1.68 1.42 1.83 1.70 1.67 2.63
Hispanic or Latino 0.61 0.64 0.58 0.62 0.56 0.63 0.55 0.62 0.61 0.58 0.54 0.69 0.46 0.44 0.55 0.49 0.45 0.52 0.83
* = 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 10.7C – Received Mental Health Services in Past Year: Among People Aged 18 or Older; by Geographic and Socioeconomic Characteristics, Standard Errors of 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 570 561 554 573 578 605 646 603 616 594 653 674 541 552 557 608 591 606 880
GEOGRAPHIC REGION                                      
Northeast 247 254 250 251 227 266 293 247 267 262 250 285 248 244 245 243 262 262 416
Midwest 241 215 217 231 223 233 240 246 233 237 244 293 240 249 251 237 260 263 394
South 355 341 341 350 378 397 392 407 389 384 418 421 352 332 321 367 345 368 548
West 277 299 285 280 296 313 354 308 355 299 362 347 261 279 291 317 310 310 413
COUNTY TYPE1                                      
Large Metro 470 479 468 470 501 498 588 533 538 512 551 608 479 469 518 552 536 589 746
Small Metro 338 413 346 355 322 399 401 394 395 396 428 439 354 354 368 355 396 400 546
Nonmetro 224 234 237 230 257 267 263 232 258 235 273 275 241 205 224 225 256 254 398
Urbanized 181 157 160 140 158 172 164 139 174 143 185 206 172 148 136 166 185 179 252
Less Urbanized 157 177 154 170 195 197 202 178 169 192 191 183 173 141 182 156 161 178 301
Completely Rural 55 81 80 77 93 65 61 88 106 44 80 76 82 87 73 81 102 74 145
POVERTY LEVEL2                                      
Less Than 100% 199 214 215 246 192 232 230 202 247 250 281 286 243 211 228 264 232 227 426
100-199% 255 276 248 234 251 277 326 284 307 266 308 293 257 248 284 250 239 287 414
200% or More 540 542 512 508 542 561 613 585 581 587 615 645 480 528 497 536 567 613 794
EDUCATION LEVEL                                      
< High School nc nc nc nc nc nc nc nc nc nc nc nc nc 178 187 187 177 190 332
High School Graduate nc nc nc nc nc nc nc nc nc nc nc nc nc 280 284 272 279 294 487
Some College/Associate’s Degree nc nc nc nc nc nc nc nc nc nc nc nc nc 337 347 371 363 371 462
College Graduate nc nc nc nc nc nc nc nc nc nc nc nc nc 367 375 417 437 449 470
HEALTH INSURANCE3                                      
Private 502 556 509 496 532 541 633 546 563 563 596 628 488 497 503 555 561 587 735
Medicaid/CHIP 192 217 217 257 209 263 237 236 260 245 256 277 262 234 276 284 235 294 471
Other4 -- 334 329 352 325 367 425 388 394 362 430 455 378 360 373 381 383 412 622
No Coverage 188 165 146 158 167 180 180 187 210 196 215 229 150 109 109 136 120 118 174
* = 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 10.7D – Received Mental Health Services in Past Year: Among People Aged 18 or Older; by Geographic and Socioeconomic Characteristics, Standard Errors of 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 0.27 0.26 0.26 0.26 0.26 0.27 0.29 0.27 0.27 0.26 0.28 0.28 0.23 0.23 0.23 0.25 0.24 0.24 0.36
GEOGRAPHIC REGION                                      
Northeast 0.61 0.62 0.61 0.61 0.55 0.64 0.70 0.59 0.63 0.62 0.58 0.66 0.57 0.56 0.56 0.55 0.60 0.60 0.98
Midwest 0.51 0.45 0.45 0.47 0.46 0.47 0.49 0.50 0.47 0.47 0.48 0.58 0.47 0.49 0.49 0.46 0.50 0.51 0.77
South 0.47 0.45 0.44 0.45 0.48 0.49 0.48 0.49 0.46 0.45 0.48 0.48 0.40 0.37 0.35 0.40 0.37 0.39 0.59
West 0.59 0.63 0.59 0.57 0.59 0.61 0.68 0.59 0.67 0.56 0.66 0.63 0.47 0.49 0.51 0.55 0.53 0.52 0.71
COUNTY TYPE1                                      
Large Metro 0.38 0.36 0.36 0.36 0.36 0.40 0.41 0.37 0.39 0.36 0.37 0.40 0.31 0.31 0.33 0.36 0.35 0.35 0.51
Small Metro 0.47 0.51 0.45 0.49 0.45 0.50 0.52 0.51 0.47 0.44 0.51 0.52 0.41 0.41 0.42 0.40 0.45 0.38 0.63
Nonmetro 0.62 0.59 0.68 0.60 0.66 0.66 0.70 0.59 0.69 0.57 0.65 0.70 0.53 0.55 0.50 0.53 0.54 0.59 0.90
Urbanized 1.13 0.94 1.00 0.95 1.09 1.08 1.09 0.85 1.04 0.92 1.04 1.12 0.82 0.81 0.68 0.87 0.87 0.97 1.46
Less Urbanized 0.87 0.91 0.86 0.88 0.86 0.94 1.05 0.86 0.88 0.83 0.93 1.03 0.80 0.80 0.77 0.71 0.73 0.83 1.33
Completely Rural 1.37 2.03 2.48 1.60 2.09 1.44 1.69 2.18 2.75 1.30 1.84 1.71 1.84 1.76 1.61 1.70 2.00 1.33 2.63
POVERTY LEVEL2                                      
Less Than 100% 0.87 0.83 0.81 0.87 0.70 0.83 0.82 0.66 0.75 0.68 0.70 0.72 0.60 0.53 0.57 0.66 0.59 0.63 1.10
100-199% 0.60 0.61 0.59 0.53 0.56 0.64 0.72 0.61 0.60 0.54 0.61 0.57 0.50 0.48 0.51 0.48 0.47 0.53 0.84
200% or More 0.33 0.31 0.31 0.31 0.32 0.33 0.34 0.34 0.33 0.33 0.35 0.36 0.27 0.29 0.28 0.29 0.30 0.30 0.44
EDUCATION LEVEL                                      
< High School nc nc nc nc nc nc nc nc nc nc nc nc nc 0.50 0.55 0.58 0.54 0.61 1.19
High School Graduate nc nc nc nc nc nc nc nc nc nc nc nc nc 0.42 0.42 0.42 0.42 0.45 0.73
Some College/Associate’s Degree nc nc nc nc nc nc nc nc nc nc nc nc nc 0.41 0.40 0.43 0.43 0.42 0.62
College Graduate nc nc nc nc nc nc nc nc nc nc nc nc nc 0.44 0.43 0.45 0.46 0.45 0.62
HEALTH INSURANCE3                                      
Private 0.30 0.33 0.30 0.30 0.31 0.32 0.36 0.32 0.33 0.32 0.34 0.35 0.28 0.27 0.27 0.30 0.29 0.30 0.44
Medicaid/CHIP 1.08 1.18 1.18 1.20 1.11 1.20 1.16 1.07 1.05 0.93 1.05 0.99 0.75 0.62 0.69 0.68 0.60 0.71 1.06
Other4 -- 0.68 0.66 0.67 0.63 0.70 0.74 0.67 0.66 0.60 0.66 0.69 0.56 0.51 0.51 0.51 0.52 0.53 0.80
No Coverage 0.63 0.51 0.45 0.48 0.48 0.50 0.50 0.49 0.53 0.50 0.55 0.57 0.47 0.42 0.45 0.56 0.48 0.44 0.64
* = 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 10.8C – Received Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Any Mental Illness; by Demographic Characteristics, Standard Errors of Numbers in Thousands, 2008-2020
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 507 467 510 452 490 558 423 429 455 442 470 485 700
AGE GROUP                          
18-25 70 70 73 81 87 86 91 85 99 130 104 128 209
26 or Older 499 460 504 444 481 558 412 422 437 412 446 467 675
26-49 295 312 305 280 304 327 233 245 242 247 274 275 440
50 or Older 414 338 382 348 369 439 333 329 344 320 340 350 516
GENDER                          
Male 253 290 292 272 253 336 245 246 247 247 252 277 384
Female 428 365 404 372 409 448 337 342 365 346 374 382 569
HISPANIC ORIGIN AND RACE                          
Not Hispanic or Latino 491 443 474 445 466 532 414 411 405 416 448 444 640
White 464 428 439 420 424 500 359 371 385 384 404 413 596
Black or African American 131 110 132 121 155 155 135 117 105 109 123 124 264
AIAN * * * * * * * * * * * * *
NHOPI * * * * * * * * * * * * *
Asian * 61 62 73 62 * 108 77 65 59 77 67 87
Two or More Races * 67 * * 42 81 57 71 49 50 48 62 *
Hispanic or Latino 115 131 176 124 150 210 140 119 169 142 151 164 267
* = 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 10.8D – Received Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Any Mental Illness; by Demographic Characteristics, Standard Errors of Percentages, 2008-2020
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 0.93 0.86 0.89 0.82 0.82 0.91 0.72 0.72 0.75 0.71 0.68 0.65 1.04
AGE GROUP                          
18-25 0.94 0.97 0.93 0.98 0.96 0.98 1.05 0.91 0.94 0.98 0.87 0.90 1.51
26 or Older 1.09 1.00 1.03 0.97 0.96 1.07 0.81 0.84 0.87 0.85 0.82 0.79 1.23
26-49 1.09 1.10 1.07 1.09 1.10 1.15 0.83 0.89 0.87 0.88 0.82 0.78 1.34
50 or Older 2.26 1.92 1.93 1.75 1.67 1.95 1.48 1.54 1.57 1.63 1.61 1.58 2.38
GENDER                          
Male 1.41 1.43 1.44 1.37 1.25 1.59 1.14 1.15 1.15 1.12 1.07 1.09 1.66
Female 1.19 1.08 1.11 1.09 1.07 1.14 0.90 0.93 0.94 0.89 0.88 0.83 1.28
HISPANIC ORIGIN AND RACE                          
Not Hispanic or Latino 1.00 0.92 0.94 0.87 0.88 0.98 0.78 0.77 0.80 0.77 0.75 0.70 1.10
White 1.09 1.01 1.05 1.00 0.97 1.10 0.85 0.84 0.89 0.84 0.82 0.76 1.19
Black or African American 2.46 2.32 2.39 2.41 2.61 2.71 2.32 2.15 2.09 1.95 1.97 1.88 3.85
AIAN * * * * * * * * * * * * *
NHOPI * * * * * * * * * * * * *
Asian * 4.31 4.03 4.33 3.58 * 4.72 4.03 3.44 2.95 2.97 2.82 4.04
Two or More Races * 5.81 * * 4.81 5.73 4.14 4.49 3.73 3.79 3.89 3.43 *
Hispanic or Latino 2.11 2.19 2.88 2.33 2.26 2.62 1.97 1.84 2.27 1.87 1.76 1.69 2.70
* = 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 10.9C – Received Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Any Mental Illness; by Geographic and Socioeconomic Characteristics, Standard Errors of Numbers in Thousands, 2008-2020
Geographic/Socioeconomic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 507 467 510 452 490 558 423 429 455 442 470 485 700
GEOGRAPHIC REGION                          
Northeast 235 193 205 200 191 218 179 179 184 182 192 207 274
Midwest 194 194 195 194 192 236 189 202 190 177 213 213 324
South 302 306 318 286 324 370 285 254 264 258 272 274 450
West 246 236 281 230 242 288 198 210 255 225 268 256 366
COUNTY TYPE2                          
Large Metro 382 368 383 345 345 437 328 324 345 351 359 396 526
Small Metro 279 268 285 260 292 303 234 240 278 238 283 254 424
Nonmetro 202 154 186 166 185 234 184 154 168 175 158 180 283
Urbanized 120 95 105 101 104 175 118 106 94 121 108 125 195
Less Urbanized 158 111 128 125 131 153 138 106 137 120 101 130 208
Completely Rural 46 50 * 30 * * 64 65 51 64 71 50 *
POVERTY LEVEL3                          
Less Than 100% 171 162 208 200 223 243 202 175 171 207 191 178 333
100-199% 241 215 231 208 219 228 203 181 214 187 179 220 347
200% or More 406 386 378 359 364 452 316 346 336 329 373 396 551
EDUCATION LEVEL                          
< High School nc nc nc nc nc nc nc 131 132 142 135 147 255
High School Graduate nc nc nc nc nc nc nc 190 216 188 210 209 395
Some College/Associate’s Degree nc nc nc nc nc nc nc 251 258 255 266 270 414
College Graduate nc nc nc nc nc nc nc 229 239 247 276 289 359
HEALTH INSURANCE4                          
Private 427 365 375 357 355 413 313 330 337 329 372 374 487
Medicaid/CHIP 165 172 220 198 205 243 221 192 208 223 202 228 379
Other5 313 263 291 262 284 334 263 258 243 273 241 267 474
No Coverage 153 149 175 150 169 202 116 90 88 102 103 96 149
* = 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 10.9D – Received Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Any Mental Illness; by Geographic and Socioeconomic Characteristics, Standard Errors of Percentages, 2008-2020
Geographic/Socioeconomic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 0.93 0.86 0.89 0.82 0.82 0.91 0.72 0.72 0.75 0.71 0.68 0.65 1.04
GEOGRAPHIC REGION                          
Northeast 2.22 1.85 2.00 2.07 1.84 1.98 1.66 1.68 1.68 1.76 1.64 1.62 2.36
Midwest 1.54 1.57 1.57 1.49 1.54 1.72 1.41 1.41 1.51 1.27 1.40 1.25 2.08
South 1.64 1.58 1.62 1.44 1.44 1.65 1.23 1.19 1.17 1.18 1.13 1.05 1.79
West 2.04 1.91 1.98 1.78 1.76 2.01 1.49 1.49 1.59 1.48 1.49 1.38 2.17
COUNTY TYPE2                          
Large Metro 1.34 1.24 1.28 1.23 1.14 1.26 1.02 1.01 1.03 1.01 0.98 0.95 1.50
Small Metro 1.64 1.55 1.56 1.32 1.45 1.52 1.23 1.21 1.34 1.15 1.23 1.05 1.83
Nonmetro 2.18 1.98 2.12 1.91 1.97 2.45 1.55 1.80 1.70 1.67 1.44 1.65 2.51
Urbanized 3.32 3.20 2.93 2.70 2.79 3.80 2.49 2.31 2.54 2.63 1.96 2.57 3.76
Less Urbanized 3.27 2.71 3.00 2.85 2.66 3.61 2.27 3.14 2.45 2.42 2.18 2.42 3.72
Completely Rural 5.67 5.75 * 5.84 * * 5.45 5.02 5.36 4.33 5.37 4.93 *
POVERTY LEVEL3                          
Less Than 100% 2.03 1.80 2.08 1.83 1.77 1.83 1.57 1.49 1.49 1.64 1.53 1.46 2.72
100-199% 2.00 1.77 1.79 1.66 1.86 1.82 1.47 1.45 1.47 1.41 1.43 1.43 2.25
200% or More 1.22 1.19 1.16 1.13 1.14 1.24 0.99 0.98 0.98 0.94 0.91 0.83 1.27
EDUCATION LEVEL                          
< High School nc nc nc nc nc nc nc 1.90 2.04 2.13 2.01 2.07 3.84
High School Graduate nc nc nc nc nc nc nc 1.41 1.49 1.43 1.46 1.33 2.29
Some College/Associate’s Degree nc nc nc nc nc nc nc 1.14 1.21 1.07 1.12 1.06 1.63
College Graduate nc nc nc nc nc nc nc 1.41 1.33 1.29 1.31 1.19 1.65
HEALTH INSURANCE4                          
Private 1.27 1.17 1.17 1.11 1.15 1.17 0.95 0.95 0.96 0.90 0.89 0.83 1.26
Medicaid/CHIP 2.40 2.15 2.54 2.24 2.27 2.11 1.67 1.58 1.53 1.50 1.50 1.42 2.33
Other5 2.59 2.33 2.17 2.07 1.82 2.24 1.66 1.59 1.78 1.78 1.70 1.63 2.64
No Coverage 1.65 1.63 1.80 1.61 1.70 2.04 1.52 1.57 1.62 1.79 1.66 1.48 2.21
* = 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 10.10C – Received Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Serious Mental Illness; by Demographic Characteristics, Standard Errors of Numbers in Thousands, 2008-2020
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 262 275 302 260 262 333 254 235 258 264 258 276 458
AGE GROUP                          
18-25 37 38 45 45 46 49 53 52 63 76 64 72 142
26 or Older 259 272 297 258 260 331 250 230 249 254 244 266 428
26-49 177 180 183 168 188 202 146 146 144 155 156 161 241
50 or Older 192 197 226 194 192 248 193 179 200 194 189 200 340
GENDER                          
Male 144 151 177 159 154 233 160 137 137 154 147 153 234
Female 217 229 234 206 209 229 185 189 211 199 207 227 372
HISPANIC ORIGIN AND RACE                          
Not Hispanic or Latino 251 267 275 252 247 314 237 224 219 246 242 251 436
White 234 252 243 234 225 282 213 207 208 235 220 226 393
Black or African American 59 74 76 66 77 * 63 53 67 59 78 76 *
AIAN * * * * * * * * * * * * *
NHOPI * * * * * * * * * * * * *
Asian * * * * * * * * * * * * *
Two or More Races * * * * * * * * * * * * *
Hispanic or Latino * 71 * 61 104 109 93 77 133 80 86 111 122
* = 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 10.10D – Received Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Serious Mental Illness; by Demographic Characteristics, Standard Errors of Percentages, 2008-2020
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 1.76 1.68 1.67 1.70 1.65 1.78 1.33 1.33 1.34 1.27 1.24 1.18 1.96
AGE GROUP                          
18-25 2.28 2.20 2.32 2.27 2.14 2.30 2.13 2.14 2.05 1.94 1.72 1.76 2.63
26 or Older 2.01 1.92 1.89 1.94 1.92 2.02 1.52 1.56 1.55 1.51 1.49 1.42 2.41
26-49 2.08 2.06 2.05 2.20 2.27 2.29 1.72 1.68 1.57 1.60 1.55 1.42 2.39
50 or Older 4.33 3.74 3.74 3.60 3.62 3.51 2.59 3.09 3.16 3.08 3.30 3.17 5.17
GENDER                          
Male 3.06 2.98 3.17 2.85 2.84 3.37 2.53 2.41 2.36 2.24 2.27 2.19 3.18
Female 2.14 2.00 1.88 2.00 2.11 1.93 1.50 1.59 1.57 1.45 1.47 1.35 2.38
HISPANIC ORIGIN AND RACE                          
Not Hispanic or Latino 1.84 1.75 1.73 1.71 1.78 1.87 1.39 1.38 1.37 1.30 1.33 1.14 2.05
White 1.99 1.89 1.90 1.79 1.97 1.96 1.43 1.47 1.45 1.41 1.50 1.21 2.08
Black or African American 5.68 5.51 5.01 5.52 5.62 * 4.97 5.01 4.47 4.11 4.03 3.86 *
AIAN * * * * * * * * * * * * *
NHOPI * * * * * * * * * * * * *
Asian * * * * * * * * * * * * *
Two or More Races * * * * * * * * * * * * *
Hispanic or Latino * 5.59 * 5.68 4.89 5.32 4.24 4.34 4.32 4.09 3.45 3.95 5.33
* = 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 10.11C – Received Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Serious Mental Illness; by Geographic and Socioeconomic Characteristics, Standard Errors of Numbers in Thousands, 2008-2020
Geographic/Socioeconomic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 262 275 302 260 262 333 254 235 258 264 258 276 458
GEOGRAPHIC REGION                          
Northeast 117 106 112 100 104 118 102 101 107 99 102 119 150
Midwest 109 112 130 113 101 126 122 93 100 98 134 120 217
South 150 180 169 149 175 237 152 153 148 155 149 159 284
West 134 132 169 147 131 169 125 115 143 143 134 148 219
COUNTY TYPE2                          
Large Metro 193 216 214 182 192 270 190 179 187 187 178 219 324
Small Metro 152 151 150 151 161 168 141 131 158 149 160 150 271
Nonmetro 90 89 144 99 94 116 96 92 77 121 96 94 168
Urbanized * 54 * 62 59 * 58 56 46 83 64 58 *
Less Urbanized * 59 81 74 71 88 74 68 60 79 57 72 *
Completely Rural * * * * * * * * * * * * *
POVERTY LEVEL3                          
Less Than 100% 82 120 141 152 137 136 116 114 112 121 121 108 218
100-199% 132 109 120 113 130 133 120 102 129 112 112 137 227
200% or More 207 217 224 181 191 269 182 183 191 192 190 212 312
EDUCATION LEVEL                          
< High School nc nc nc nc nc nc nc 85 82 82 90 92 *
High School Graduate nc nc nc nc nc nc nc 99 132 126 122 120 261
Some College/Associate’s Degree nc nc nc nc nc nc nc 153 151 150 167 177 264
College Graduate nc nc nc nc nc nc nc 124 123 128 123 148 199
HEALTH INSURANCE4                          
Private 211 174 220 163 173 227 166 177 192 181 194 200 276
Medicaid/CHIP 105 121 141 140 121 127 125 115 133 135 127 154 229
Other5 138 165 148 145 168 216 155 155 140 165 145 154 312
No Coverage 79 94 113 98 104 111 71 59 63 61 69 64 99
* = 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 10.11D – Received Mental Health Services in Past Year: Among People Aged 18 or Older with Past Year Serious Mental Illness; by Geographic and Socioeconomic Characteristics, Standard Errors of Percentages, 2008-2020
Geographic/Socioeconomic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 1.76 1.68 1.67 1.70 1.65 1.78 1.33 1.33 1.34 1.27 1.24 1.18 1.96
GEOGRAPHIC REGION                          
Northeast 3.91 3.46 3.65 4.02 3.89 3.17 3.17 3.40 3.05 3.32 2.90 3.27 3.91
Midwest 2.96 2.91 3.05 2.62 2.80 2.92 2.48 2.69 2.43 2.30 2.45 2.22 3.35
South 3.26 3.21 3.08 3.13 2.74 3.22 2.22 2.21 2.17 2.05 2.07 1.98 3.89
West 3.84 3.91 3.47 3.61 3.77 4.27 3.03 3.10 2.97 2.67 2.71 2.33 3.51
COUNTY TYPE2                          
Large Metro 2.49 2.72 2.38 2.61 2.42 2.72 1.91 1.97 1.88 1.90 1.68 1.77 2.79
Small Metro 3.11 2.68 2.80 2.64 2.91 2.77 2.24 2.34 2.27 1.94 2.09 1.94 3.26
Nonmetro 4.23 3.33 4.27 3.43 3.60 3.78 2.92 3.22 2.98 2.67 3.08 2.68 5.09
Urbanized * 5.22 * 5.72 4.82 * 3.95 4.67 4.79 4.26 4.93 4.29 *
Less Urbanized * 4.92 5.51 4.82 4.94 4.43 4.64 4.77 4.15 3.62 4.20 3.39 *
Completely Rural * * * * * * * * * * * * *
POVERTY LEVEL3                          
Less Than 100% 3.67 3.24 3.52 3.31 3.40 3.10 2.37 2.83 2.65 2.45 2.60 2.40 4.92
100-199% 3.73 3.50 3.59 3.32 3.53 3.49 2.53 2.90 2.57 2.18 2.86 2.65 3.95
200% or More 2.38 2.39 2.26 2.49 2.49 2.54 1.95 1.77 1.98 1.73 1.68 1.52 2.39
EDUCATION LEVEL                          
< High School nc nc nc nc nc nc nc 4.34 4.37 3.97 4.25 3.97 *
High School Graduate nc nc nc nc nc nc nc 2.86 2.71 2.44 2.70 2.57 4.34
Some College/Associate’s Degree nc nc nc nc nc nc nc 2.04 1.97 1.75 1.90 1.80 2.68
College Graduate nc nc nc nc nc nc nc 2.63 2.43 2.44 2.57 2.11 2.74
HEALTH INSURANCE4                          
Private 2.43 2.39 2.17 2.55 2.52 2.57 1.90 1.81 1.90 1.67 1.68 1.54 2.49
Medicaid/CHIP 3.64 2.93 3.60 3.17 3.91 3.10 2.29 2.69 2.37 2.01 2.35 2.40 3.23
Other5 3.91 4.06 4.07 3.50 3.63 2.78 2.42 2.77 2.72 2.64 2.82 2.69 4.77
No Coverage 3.56 3.32 3.90 3.50 3.41 3.55 3.16 3.69 3.59 3.40 3.33 3.22 4.92
* = 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 10.12C – Received Mental Health Services in Past Year: Among People Aged 18 or Older with No Past Year Mental Illness; by Demographic Characteristics, Standard Errors of Numbers in Thousands, 2008-2020
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 503 467 479 460 510 491 405 410 403 474 427 444 675
AGE GROUP                          
18-25 73 71 69 73 68 74 83 73 77 78 79 85 149
26 or Older 494 455 475 451 502 485 393 403 396 464 420 433 654
26-49 234 242 245 268 253 275 186 201 188 212 196 218 324
50 or Older 419 385 402 366 436 400 342 348 349 396 376 379 574
GENDER                          
Male 310 265 275 292 312 276 248 239 247 270 247 261 412
Female 345 362 372 339 413 380 324 326 317 363 340 355 525
HISPANIC ORIGIN AND RACE                          
Not Hispanic or Latino 488 450 466 437 497 466 394 396 378 451 412 418 625
White 450 418 417 403 473 442 377 378 353 430 380 389 594
Black or African American 150 136 140 104 126 126 110 101 120 99 106 97 149
AIAN 22 * 17 12 26 14 19 24 21 19 26 27 27
NHOPI * * * 8 8 5 13 11 9 4 4 11 *
Asian 66 37 95 113 68 74 58 66 62 77 71 101 101
Two or More Races * 24 67 35 40 59 35 28 35 63 63 51 75
Hispanic or Latino 128 130 108 153 113 141 100 128 137 142 112 154 265
* = 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 10.12D – Received Mental Health Services in Past Year: Among People Aged 18 or Older with No Past Year Mental Illness; by Demographic Characteristics, Standard Errors of Percentages, 2008-2020
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 0.25 0.24 0.24 0.22 0.25 0.24 0.19 0.20 0.19 0.23 0.20 0.20 0.32
AGE GROUP                          
18-25 0.25 0.24 0.23 0.24 0.23 0.26 0.29 0.26 0.28 0.28 0.30 0.33 0.63
26 or Older 0.29 0.27 0.28 0.26 0.29 0.27 0.22 0.22 0.22 0.25 0.23 0.23 0.35
26-49 0.28 0.29 0.30 0.32 0.31 0.34 0.23 0.24 0.23 0.25 0.24 0.27 0.41
50 or Older 0.50 0.46 0.47 0.40 0.48 0.43 0.36 0.35 0.35 0.39 0.37 0.35 0.55
GENDER                          
Male 0.32 0.27 0.28 0.29 0.31 0.28 0.24 0.23 0.23 0.26 0.24 0.25 0.39
Female 0.36 0.37 0.38 0.34 0.40 0.37 0.31 0.31 0.30 0.34 0.33 0.33 0.50
HISPANIC ORIGIN AND RACE                          
Not Hispanic or Latino 0.29 0.26 0.27 0.25 0.28 0.27 0.22 0.22 0.21 0.26 0.23 0.23 0.36
White 0.33 0.31 0.31 0.29 0.34 0.32 0.28 0.28 0.26 0.31 0.29 0.28 0.44
Black or African American 0.67 0.59 0.62 0.45 0.55 0.53 0.45 0.40 0.48 0.39 0.42 0.39 0.58
AIAN 2.66 * 2.02 1.31 2.75 1.53 1.94 2.17 1.86 1.83 2.13 2.39 2.43
NHOPI * * * 1.18 1.14 0.77 1.87 2.12 0.95 0.58 0.57 1.34 *
Asian 0.76 0.43 1.03 1.12 0.68 0.68 0.53 0.54 0.51 0.64 0.57 0.80 0.80
Two or More Races * 1.41 2.99 1.44 1.52 2.23 1.34 1.04 1.16 2.02 1.84 1.61 2.39
Hispanic or Latino 0.49 0.49 0.39 0.51 0.38 0.46 0.32 0.39 0.42 0.41 0.33 0.44 0.76
* = 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 10.13C – Received Mental Health Services in Past Year: Among People Aged 18 or Older with No Past Year Mental Illness; by Geographic and Socioeconomic Characteristics, Standard Errors of Numbers in Thousands, 2008-2020
Geographic/Socioeconomic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 503 467 479 460 510 491 405 410 403 474 427 444 675
GEOGRAPHIC REGION                          
Northeast 192 171 201 187 184 206 205 180 182 195 198 182 341
Midwest 173 185 183 184 187 207 181 169 205 186 193 200 302
South 311 309 291 298 328 298 246 242 244 309 265 269 403
West 306 239 265 241 290 257 184 216 181 240 198 246 295
COUNTY TYPE2                          
Large Metro 408 346 366 344 398 383 321 321 339 378 338 359 533
Small Metro 271 269 267 264 265 292 228 231 217 234 229 264 359
Nonmetro 152 160 165 155 174 133 123 117 118 123 175 144 251
Urbanized 93 92 127 102 126 95 88 79 85 94 130 96 137
Less Urbanized 118 126 101 128 129 91 77 79 83 83 111 97 191
Completely Rural 29 63 33 30 37 38 40 44 38 36 48 45 91
POVERTY LEVEL3                          
Less Than 100% 144 126 136 132 163 144 118 109 145 142 124 122 285
100-199% 206 187 201 166 197 179 163 171 165 172 154 181 273
200% or More 443 404 422 421 452 431 346 353 345 402 386 395 545
EDUCATION LEVEL                          
< High School nc nc nc nc nc nc nc 116 136 120 119 114 247
High School Graduate nc nc nc nc nc nc nc 190 182 188 170 195 374
Some College/Associate’s Degree nc nc nc nc nc nc nc 225 215 253 235 246 322
College Graduate nc nc nc nc nc nc nc 268 272 305 297 291 357
HEALTH INSURANCE4                          
Private 450 379 413 403 441 436 343 349 347 405 373 388 523
Medicaid/CHIP 158 154 140 138 136 124 130 125 168 160 126 164 317
Other5 300 282 277 252 307 293 276 245 269 256 285 299 447
No Coverage 88 105 105 118 133 125 85 65 66 93 57 69 106
* = 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 10.13D – Received Mental Health Services in Past Year: Among People Aged 18 or Older with No Past Year Mental Illness; by Geographic and Socioeconomic Characteristics, Standard Errors of Percentages, 2008-2020
Geographic/Socioeconomic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 0.25 0.24 0.24 0.22 0.25 0.24 0.19 0.20 0.19 0.23 0.20 0.20 0.32
GEOGRAPHIC REGION                          
Northeast 0.55 0.48 0.56 0.49 0.49 0.57 0.54 0.48 0.49 0.52 0.53 0.47 0.92
Midwest 0.41 0.43 0.42 0.41 0.42 0.48 0.41 0.39 0.44 0.42 0.44 0.44 0.70
South 0.43 0.43 0.39 0.39 0.42 0.38 0.32 0.31 0.30 0.38 0.32 0.33 0.50
West 0.65 0.53 0.59 0.52 0.64 0.54 0.37 0.44 0.37 0.49 0.42 0.48 0.62
COUNTY TYPE2                          
Large Metro 0.37 0.32 0.33 0.31 0.35 0.33 0.27 0.27 0.28 0.32 0.29 0.29 0.46
Small Metro 0.46 0.45 0.43 0.39 0.43 0.45 0.36 0.35 0.35 0.37 0.36 0.37 0.56
Nonmetro 0.53 0.53 0.59 0.51 0.55 0.44 0.40 0.41 0.38 0.39 0.52 0.47 0.79
Urbanized 0.82 0.74 0.99 0.87 0.95 0.70 0.64 0.60 0.63 0.66 0.88 0.73 1.08
Less Urbanized 0.80 0.81 0.72 0.78 0.84 0.66 0.54 0.59 0.52 0.53 0.71 0.69 1.24
Completely Rural 1.09 2.02 1.28 0.95 1.21 1.10 1.37 1.20 1.16 1.07 1.48 1.11 2.10
POVERTY LEVEL3                          
Less Than 100% 0.72 0.58 0.59 0.52 0.58 0.54 0.44 0.39 0.51 0.53 0.47 0.50 1.01
100-199% 0.60 0.52 0.52 0.43 0.53 0.47 0.43 0.43 0.40 0.43 0.39 0.47 0.76
200% or More 0.31 0.30 0.31 0.30 0.33 0.30 0.25 0.25 0.24 0.27 0.27 0.26 0.38
EDUCATION LEVEL                          
< High School nc nc nc nc nc nc nc 0.40 0.49 0.46 0.46 0.46 1.03
High School Graduate nc nc nc nc nc nc nc 0.36 0.35 0.36 0.33 0.39 0.65
Some College/Associate’s Degree nc nc nc nc nc nc nc 0.37 0.33 0.40 0.38 0.38 0.53
College Graduate nc nc nc nc nc nc nc 0.40 0.40 0.42 0.41 0.40 0.55
HEALTH INSURANCE4                          
Private 0.32 0.27 0.31 0.29 0.31 0.31 0.24 0.24 0.23 0.28 0.25 0.26 0.39
Medicaid/CHIP 1.13 1.06 0.89 0.79 0.83 0.72 0.59 0.48 0.63 0.58 0.48 0.63 1.06
Other5 0.64 0.61 0.59 0.52 0.61 0.57 0.53 0.43 0.46 0.43 0.48 0.49 0.70
No Coverage 0.33 0.36 0.34 0.39 0.45 0.42 0.36 0.32 0.35 0.49 0.30 0.34 0.49
* = 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 10.14C – 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, Standard Errors of Numbers in Thousands, 2008-2020
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 433 371 397 373 407 460 340 352 343 339 373 381 589
AGE GROUP                          
18-25 59 57 55 63 66 69 70 68 73 95 78 100 158
26 or Older 425 364 395 367 399 460 329 345 333 318 360 372 579
26-49 227 238 232 228 239 258 184 191 184 191 208 214 357
50 or Older 367 282 311 288 311 368 276 275 272 251 287 286 428
GENDER                          
Male 211 243 237 213 197 236 195 200 189 191 204 219 318
Female 368 286 314 316 347 381 276 280 275 282 301 297 477
HISPANIC ORIGIN AND RACE                          
Not Hispanic or Latino 421 353 372 363 389 421 332 333 323 323 350 355 525
White 397 338 359 340 362 395 288 301 307 298 323 336 486
Black or African American 117 80 108 104 133 136 115 100 75 86 91 91 183
AIAN * * * * * * * * * * * * *
NHOPI * * * * * * * * * * * * *
Asian 28 47 34 69 36 48 98 72 63 48 67 51 80
Two or More Races * * 26 * 36 * 47 45 40 35 32 49 *
Hispanic or Latino 91 108 129 108 107 178 100 93 104 115 125 119 229
* = 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 10.14D – 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, Standard Errors of Percentages, 2008-2020
Demographic Characteristic 20081 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 1.06 0.94 0.95 0.93 0.92 1.03 0.79 0.81 0.81 0.77 0.79 0.73 1.23
AGE GROUP                          
18-25 1.00 1.01 0.98 1.02 1.00 1.07 1.12 0.97 1.04 1.09 0.98 1.09 1.88
26 or Older 1.22 1.09 1.10 1.08 1.08 1.21 0.90 0.95 0.94 0.91 0.94 0.88 1.44
26-49 1.16 1.18 1.18 1.24 1.22 1.25 0.96 0.98 0.96 0.96 0.95 0.87 1.52
50 or Older 2.53 2.08 2.09 1.87 1.84 2.20 1.60 1.71 1.67 1.67 1.75 1.69 2.66
GENDER                          
Male 1.49 1.54 1.51 1.42 1.31 1.58 1.24 1.22 1.20 1.18 1.22 1.17 1.92
Female 1.38 1.19 1.24 1.26 1.20 1.34 1.03 1.08 1.04 1.01 1.02 0.95 1.54
HISPANIC ORIGIN AND RACE                          
Not Hispanic or Latino 1.14 1.01 1.02 0.99 0.98 1.08 0.86 0.87 0.90 0.85 0.86 0.79 1.30
White 1.28 1.12 1.16 1.14 1.11 1.23 0.95 0.97 1.03 0.95 0.97 0.89 1.45
Black or African American 2.66 2.14 2.67 2.56 2.82 2.98 2.54 2.35 2.01 2.05 2.10 1.96 3.99
AIAN * * * * * * * * * * * * *
NHOPI * * * * * * * * * * * * *
Asian 2.59 3.95 2.82 4.75 2.65 4.08 5.42 4.49 3.83 2.77 3.22 2.90 4.32
Two or More Races * * 5.51 * 5.49 * 5.08 4.98 4.47 4.01 3.86 4.13 *
Hispanic or Latino 2.06 2.33 2.86 2.50 2.42 3.05 1.93 1.91 2.02 2.05 1.91 1.83 3.14
* = 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 10.15C – Type of Mental Health Service Received in Past Year: Among People Aged 18 or Older; by Age Group, Standard Errors of 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 570 561 554 573 578 605 646 603 616 594 653 674 541 552 557 608 591 606 880
Inpatient 123 150 149 177 129 173 221 154 154 148 148 164 148 147 144 138 144 163 242
18-25 25 28 33 30 28 31 34 32 31 31 34 36 37 42 38 43 41 42 63
26 or Older 121 148 144 174 127 172 219 151 151 143 145 159 145 139 136 134 138 156 231
26-49 93 95 88 97 94 107 89 107 84 88 74 102 75 73 79 71 82 84 135
50 or Older 76 113 117 142 91 136 205 108 128 107 127 120 127 122 109 116 109 124 188
Outpatient1,2 445 398 413 433 438 423 456 420 448 437 435 492 383 400 385 431 442 466 656
18-25 65 66 66 70 74 70 70 68 70 76 77 75 87 84 89 100 102 110 176
26 or Older 439 391 409 425 428 416 446 413 441 429 432 487 366 392 370 417 420 447 627
26-49 294 281 268 269 269 280 259 265 273 275 258 285 198 215 213 219 233 249 388
50 or Older 309 280 296 331 323 332 360 320 337 337 341 392 307 320 301 336 335 347 488
Prescription Medication 528 529 500 529 536 565 602 564 557 570 612 638 500 512 515 548 541 537 810
18-25 68 78 74 75 79 78 79 77 82 86 87 94 104 93 102 114 100 113 201
26 or Older 520 528 498 522 531 558 593 556 555 559 604 629 487 502 507 521 529 519 780
26-49 317 322 305 306 343 317 319 329 324 328 351 359 252 259 257 270 267 277 439
50 or Older 405 409 396 420 392 445 491 461 468 449 502 514 421 411 432 436 445 435 655
* = 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 10.15D – Type of Mental Health Service Received in Past Year: Among People Aged 18 or Older; by Age Group, Standard Errors of 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 0.27 0.26 0.26 0.26 0.26 0.27 0.29 0.27 0.27 0.26 0.28 0.28 0.23 0.23 0.23 0.25 0.24 0.24 0.36
Inpatient 0.06 0.07 0.07 0.08 0.06 0.08 0.10 0.07 0.07 0.06 0.06 0.07 0.06 0.06 0.06 0.06 0.06 0.07 0.10
18-25 0.08 0.09 0.10 0.09 0.08 0.09 0.10 0.10 0.09 0.09 0.10 0.11 0.11 0.12 0.11 0.12 0.12 0.13 0.19
26 or Older 0.07 0.08 0.08 0.09 0.07 0.09 0.11 0.08 0.08 0.07 0.07 0.08 0.07 0.07 0.07 0.06 0.06 0.07 0.11
26-49 0.09 0.10 0.09 0.10 0.09 0.11 0.09 0.11 0.09 0.09 0.08 0.10 0.08 0.07 0.08 0.07 0.08 0.08 0.14
50 or Older 0.10 0.14 0.14 0.17 0.10 0.15 0.22 0.11 0.13 0.11 0.12 0.11 0.12 0.11 0.10 0.10 0.10 0.11 0.16
Outpatient1,2 0.21 0.19 0.19 0.20 0.20 0.19 0.20 0.19 0.20 0.19 0.19 0.21 0.16 0.17 0.16 0.18 0.18 0.19 0.27
18-25 0.21 0.21 0.21 0.22 0.23 0.21 0.21 0.20 0.21 0.22 0.22 0.22 0.25 0.24 0.26 0.29 0.30 0.33 0.54
26 or Older 0.25 0.22 0.22 0.23 0.23 0.22 0.23 0.21 0.23 0.22 0.22 0.24 0.18 0.19 0.18 0.20 0.20 0.21 0.30
26-49 0.29 0.28 0.27 0.27 0.27 0.28 0.26 0.27 0.28 0.28 0.26 0.29 0.20 0.22 0.22 0.22 0.23 0.25 0.40
50 or Older 0.39 0.35 0.36 0.39 0.37 0.37 0.39 0.34 0.35 0.34 0.33 0.37 0.29 0.29 0.27 0.30 0.30 0.30 0.43
Prescription Medication 0.25 0.25 0.23 0.24 0.24 0.25 0.27 0.25 0.24 0.25 0.26 0.27 0.21 0.21 0.21 0.22 0.22 0.22 0.33
18-25 0.22 0.25 0.23 0.23 0.24 0.24 0.24 0.23 0.24 0.25 0.25 0.27 0.30 0.27 0.30 0.33 0.30 0.34 0.62
26 or Older 0.29 0.29 0.27 0.28 0.28 0.29 0.31 0.29 0.28 0.28 0.30 0.31 0.24 0.24 0.24 0.25 0.25 0.24 0.37
26-49 0.32 0.32 0.31 0.31 0.34 0.32 0.32 0.33 0.33 0.33 0.36 0.37 0.26 0.26 0.26 0.27 0.27 0.27 0.45
50 or Older 0.51 0.51 0.48 0.49 0.45 0.50 0.53 0.49 0.49 0.45 0.49 0.49 0.39 0.38 0.39 0.39 0.39 0.38 0.57
* = 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 10.16C – Type of Mental Health Service Received in Past Year: Among People Aged 18 or Older with Past Year Any Mental Illness; by Age Group, Standard Errors of 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 507 467 510 452 490 558 423 429 455 442 470 485 700
Inpatient 211 121 104 130 121 128 115 115 111 112 110 128 175
18-25 24 28 21 26 27 28 26 32 32 38 34 38 57
26 or Older 209 118 103 127 121 125 113 108 105 106 106 123 164
26-49 81 95 79 76 61 79 69 65 68 62 72 71 135
50 or Older 194 70 64 98 105 97 94 92 78 83 77 97 93
Outpatient2 361 347 368 348 345 427 297 325 313 321 357 372 552
18-25 55 55 58 65 68 64 73 69 79 94 88 105 164
26 or Older 355 341 362 344 338 424 288 318 298 308 335 357 525
26-49 222 225 222 219 213 246 162 187 186 189 207 213 342
50 or Older 281 251 274 271 258 338 234 249 225 241 254 267 399
Prescription Medication 460 422 488 428 446 533 398 391 418 416 422 428 651
18-25 60 61 64 67 73 74 82 75 83 104 88 107 186
26 or Older 455 417 483 420 440 531 388 385 406 393 405 415 629
26-49 274 285 285 255 290 304 211 220 219 228 244 246 391
50 or Older 373 307 369 334 339 420 318 303 327 308 314 323 499
* = 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 10.16D – Type of Mental Health Service Received in Past Year: Among People Aged 18 or Older with Past Year Any Mental Illness; by Age Group, Standard Errors of 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 0.93 0.86 0.89 0.82 0.82 0.91 0.72 0.72 0.75 0.71 0.68 0.65 1.04
Inpatient 0.51 0.29 0.25 0.31 0.28 0.29 0.26 0.26 0.24 0.24 0.23 0.25 0.33
18-25 0.39 0.45 0.35 0.40 0.39 0.40 0.37 0.42 0.41 0.42 0.36 0.38 0.55
26 or Older 0.60 0.33 0.29 0.36 0.32 0.34 0.30 0.29 0.28 0.28 0.27 0.29 0.38
26-49 0.38 0.43 0.38 0.38 0.30 0.37 0.34 0.31 0.32 0.28 0.30 0.28 0.52
50 or Older 1.42 0.50 0.44 0.63 0.65 0.60 0.56 0.59 0.48 0.53 0.48 0.59 0.55
Outpatient2 0.78 0.74 0.78 0.74 0.68 0.84 0.61 0.63 0.60 0.59 0.59 0.59 0.91
18-25 0.80 0.80 0.82 0.84 0.84 0.82 0.92 0.82 0.84 0.86 0.80 0.82 1.33
26 or Older 0.90 0.85 0.89 0.87 0.79 0.98 0.70 0.74 0.70 0.71 0.70 0.71 1.08
26-49 0.89 0.90 0.92 0.98 0.89 0.99 0.71 0.77 0.74 0.75 0.73 0.70 1.12
50 or Older 1.85 1.63 1.63 1.60 1.40 1.83 1.26 1.41 1.28 1.37 1.33 1.42 2.12
Prescription Medication 0.91 0.82 0.90 0.82 0.79 0.91 0.71 0.71 0.72 0.69 0.65 0.62 1.01
18-25 0.84 0.88 0.89 0.92 0.88 0.90 1.00 0.85 0.87 0.90 0.84 0.84 1.44
26 or Older 1.07 0.96 1.04 0.96 0.92 1.07 0.81 0.84 0.84 0.83 0.79 0.75 1.19
26-49 1.07 1.08 1.07 1.05 1.10 1.11 0.81 0.86 0.83 0.82 0.79 0.74 1.27
50 or Older 2.25 1.84 1.94 1.77 1.65 1.92 1.46 1.49 1.54 1.61 1.55 1.52 2.36
* = 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 10.17C – Type of Mental Health Service Received in Past Year: Among People Aged 18 or Older with Past Year Serious Mental Illness; by Age Group, Standard Errors of 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 262 275 302 260 262 333 254 235 258 264 258 276 458
Inpatient 114 86 72 104 74 96 88 72 79 76 77 96 136
18-25 15 22 14 16 18 20 18 22 22 30 25 30 47
26 or Older 113 83 70 101 74 95 86 68 77 70 75 92 127
26-49 59 75 56 59 42 66 46 49 51 52 48 60 95
50 or Older 93 35 43 77 60 66 73 48 52 47 58 68 83
Outpatient2 218 234 244 214 205 289 186 187 194 197 216 222 383
18-25 31 32 38 38 37 39 45 44 52 59 56 60 106
26 or Older 215 232 240 212 203 287 182 182 186 192 207 213 362
26-49 151 149 146 134 142 170 114 116 122 125 126 133 200
50 or Older 153 169 180 161 146 225 140 135 135 144 162 156 294
Prescription Medication 253 264 284 249 253 323 241 221 248 255 239 256 435
18-25 31 33 42 39 42 45 46 46 55 66 57 64 132
26 or Older 251 262 281 247 251 319 237 218 241 245 229 248 408
26-49 168 172 176 157 181 190 136 133 137 147 149 150 226
50 or Older 191 193 212 187 186 242 180 171 197 192 177 189 329
* = 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 10.17D – Type of Mental Health Service Received in Past Year: Among People Aged 18 or Older with Past Year Serious Mental Illness; by Age Group, Standard Errors of 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 1.76 1.68 1.67 1.70 1.65 1.78 1.33 1.33 1.34 1.27 1.24 1.18 1.96
Inpatient 1.29 0.98 0.77 1.11 0.77 0.93 0.85 0.71 0.73 0.65 0.66 0.70 0.93
18-25 1.18 1.81 1.06 1.19 1.18 1.27 1.05 1.17 1.06 1.10 0.90 1.01 1.37
26 or Older 1.50 1.10 0.88 1.26 0.89 1.07 1.00 0.82 0.89 0.77 0.83 0.86 1.13
26-49 1.19 1.44 1.04 1.17 0.82 1.22 0.93 0.95 0.93 0.89 0.79 0.83 1.30
50 or Older 3.65 1.47 1.50 2.61 1.90 1.93 2.07 1.51 1.67 1.50 1.97 1.95 2.08
Outpatient2 1.86 1.97 1.89 1.78 1.68 1.97 1.39 1.44 1.40 1.27 1.29 1.24 1.97
18-25 2.05 2.27 2.30 2.20 2.08 2.13 2.12 2.10 1.88 1.82 1.70 1.64 2.46
26 or Older 2.16 2.24 2.17 2.04 1.94 2.24 1.64 1.71 1.67 1.58 1.58 1.51 2.43
26-49 2.23 2.21 2.13 2.17 2.23 2.33 1.74 1.78 1.70 1.64 1.53 1.45 2.22
50 or Older 4.66 4.74 4.48 4.14 3.62 4.21 3.15 3.25 3.56 3.33 3.69 3.48 5.49
Prescription Medication 1.81 1.77 1.80 1.80 1.65 1.91 1.42 1.43 1.42 1.34 1.31 1.23 2.05
18-25 2.12 2.22 2.31 2.22 2.09 2.21 2.02 2.03 2.00 1.91 1.71 1.76 2.70
26 or Older 2.07 2.01 2.06 2.05 1.91 2.16 1.64 1.70 1.65 1.58 1.60 1.49 2.51
26-49 2.22 2.17 2.15 2.26 2.25 2.42 1.79 1.78 1.68 1.68 1.64 1.46 2.42
50 or Older 4.32 4.00 4.10 3.76 3.66 3.74 2.89 3.27 3.29 3.26 3.54 3.31 5.30
* = 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 10.18C – Locations of Outpatient Mental Health Services: Among People Aged 18 or Older Who Received Outpatient Mental Health Services in Past Year; Standard Errors of 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 184 178 189 236 205 191 210 179 197 221 211 240 195 199 197 220 202 223 378
Office of a Private Therapist, Psychologist, Psychiatrist,
   Social Worker, or Counselor - Not Part of a Clinic		 363 341 293 309 323 331 360 327 357 330 343 401 300 328 312 357 379 370 495
Doctor’s Office - Not Part of a Clinic 225 209 228 185 209 220 221 238 208 186 206 207 152 171 147 178 170 189 227
Outpatient Medical Clinic 116 129 125 126 132 138 155 139 110 129 107 145 103 96 111 99 106 105 200
Partial Day Hospital or Day Treatment Program 54 58 60 70 53 88 43 65 53 59 63 40 50 52 36 46 39 60 95
School or University Setting/Clinic/Center1 30 21 18 18 17 15 21 18 16 14 19 19 20 19 23 28 23 25 28
Some Other Place2 58 51 60 36 55 72 49 48 67 63 50 71 59 59 51 70 66 80 123
* = 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 10.18D – Locations of Outpatient Mental Health Services: Among People Aged 18 or Older Who Received Outpatient Mental Health Services in Past Year; Standard Errors of 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 1.06 1.09 1.10 1.34 1.25 1.16 1.21 1.15 1.18 1.26 1.20 1.36 1.02 1.02 1.02 1.06 0.94 0.95 1.48
Office of a Private Therapist, Psychologist, Psychiatrist,
   Social Worker, or Counselor - Not Part of a Clinic		 1.52 1.51 1.39 1.41 1.49 1.49 1.48 1.55 1.46 1.39 1.42 1.57 1.21 1.19 1.20 1.23 1.11 1.07 1.54
Doctor’s Office - Not Part of a Clinic 1.30 1.18 1.27 1.13 1.21 1.27 1.31 1.41 1.21 1.08 1.17 1.23 0.88 0.91 0.80 0.87 0.82 0.83 0.99
Outpatient Medical Clinic 0.72 0.83 0.77 0.81 0.85 0.86 0.95 0.93 0.71 0.79 0.67 0.90 0.62 0.54 0.63 0.52 0.52 0.49 0.90
Partial Day Hospital or Day Treatment Program 0.36 0.39 0.40 0.46 0.35 0.57 0.28 0.45 0.35 0.37 0.40 0.26 0.31 0.31 0.21 0.25 0.20 0.29 0.44
School or University Setting/Clinic/Center1 0.19 0.14 0.12 0.12 0.12 0.10 0.14 0.12 0.10 0.10 0.12 0.12 0.13 0.11 0.14 0.16 0.12 0.12 0.13
Some Other Place2 0.38 0.34 0.39 0.24 0.38 0.47 0.32 0.34 0.44 0.41 0.32 0.45 0.36 0.35 0.30 0.38 0.34 0.38 0.57
* = 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 10.19C – 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; Standard Errors of 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 155 156 179 189 166 227 175 161 159 176 173 191 360
Office of a Private Therapist, Psychologist, Psychiatrist,
   Social Worker, or Counselor - Not Part of a Clinic		 268 256 267 242 248 328 214 250 237 244 277 277 418
Doctor’s Office - Not Part of a Clinic 186 201 160 164 167 174 116 150 122 144 141 136 188
Outpatient Medical Clinic 121 114 88 92 94 120 83 79 85 75 81 91 197
Partial Day Hospital or Day Treatment Program 41 59 46 54 61 37 39 47 30 43 38 59 56
School or University Setting/Clinic/Center2 17 16 11 13 17 15 18 16 19 22 18 20 29
Some Other Place3 42 41 58 52 39 55 47 48 45 55 49 62 78
* = 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 10.19D – 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; Standard Errors of 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 1.45 1.51 1.61 1.67 1.47 1.78 1.32 1.30 1.25 1.26 1.20 1.17 1.94
Office of a Private Therapist, Psychologist, Psychiatrist,
   Social Worker, or Counselor - Not Part of a Clinic		 1.77 1.90 1.84 1.67 1.77 2.01 1.46 1.44 1.40 1.43 1.34 1.24 1.84
Doctor’s Office - Not Part of a Clinic 1.72 1.83 1.46 1.44 1.52 1.51 1.05 1.20 1.02 1.08 1.05 0.90 1.20
Outpatient Medical Clinic 1.19 1.17 0.87 0.90 0.93 1.10 0.76 0.69 0.75 0.62 0.63 0.64 1.27
Partial Day Hospital or Day Treatment Program 0.43 0.62 0.48 0.54 0.62 0.35 0.37 0.43 0.28 0.36 0.30 0.42 0.38
School or University Setting/Clinic/Center2 0.18 0.18 0.11 0.13 0.17 0.14 0.17 0.15 0.17 0.19 0.15 0.14 0.20
Some Other Place3 0.44 0.45 0.60 0.53 0.40 0.52 0.44 0.43 0.41 0.46 0.40 0.45 0.53
* = 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 10.20C – 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; Standard Errors of 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 105 102 116 125 108 156 112 106 110 117 128 137 265
Office of a Private Therapist, Psychologist, Psychiatrist,
   Social Worker, or Counselor - Not Part of a Clinic		 167 152 188 148 151 232 135 138 148 140 163 162 273
Doctor’s Office - Not Part of a Clinic 105 140 101 109 99 94 76 98 71 94 92 72 127
Outpatient Medical Clinic 65 86 69 60 67 68 60 51 57 52 54 55 165
Partial Day Hospital or Day Treatment Program 30 38 39 44 48 25 30 31 24 34 30 36 54
School or University Setting/Clinic/Center2 10 12 6 7 6 7 14 9 9 15 12 10 11
Some Other Place3 17 18 16 45 34 38 25 40 26 34 36 48 73
* = 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 10.20D – 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; Standard Errors of 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 2.52 2.53 2.58 2.68 2.56 2.78 2.00 2.06 2.03 1.85 2.11 1.85 3.07
Office of a Private Therapist, Psychologist, Psychiatrist,
   Social Worker, or Counselor - Not Part of a Clinic		 2.66 2.96 2.79 2.63 2.82 2.99 2.15 2.19 2.16 2.10 2.09 1.84 2.97
Doctor’s Office - Not Part of a Clinic 2.45 2.99 2.33 2.33 2.34 1.93 1.67 2.04 1.46 1.61 1.65 1.18 1.89
Outpatient Medical Clinic 1.64 2.12 1.66 1.47 1.71 1.42 1.31 1.16 1.25 1.00 1.03 0.94 2.44
Partial Day Hospital or Day Treatment Program 0.80 1.01 0.97 1.09 1.27 0.54 0.69 0.74 0.56 0.66 0.60 0.61 0.85
School or University Setting/Clinic/Center2 0.26 0.33 0.15 0.17 0.17 0.15 0.34 0.21 0.21 0.30 0.24 0.18 0.17
Some Other Place3 0.45 0.47 0.41 1.16 0.91 0.82 0.58 0.92 0.58 0.68 0.71 0.81 1.15
* = 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 10.21C – Perceived Unmet Need for Mental Health Services in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Standard Errors of 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 330 317 348 360 328 330 322 373 358 338 354 356 292 281 291 338 322 349 634
AGE GROUP                                      
18-25 75 76 75 73 77 75 84 79 80 85 79 85 95 95 105 114 115 124 239
26 or Older 317 311 335 347 317 320 310 364 347 322 341 343 277 263 262 308 297 313 579
26-49 251 236 250 230 233 238 234 245 234 246 238 244 188 181 182 200 205 216 366
50 or Older 202 186 204 243 216 209 206 268 247 196 241 227 198 189 194 214 207 219 444
GENDER                                      
Male 206 181 211 237 211 192 208 213 193 185 200 200 169 167 172 187 177 185 394
Female 255 262 254 259 254 269 249 294 289 279 285 288 227 224 229 263 273 288 488
HISPANIC ORIGIN AND RACE                                      
Not Hispanic or Latino 314 296 326 327 314 303 304 348 320 323 329 311 272 266 267 316 296 320 551
White 270 280 286 263 275 283 290 311 305 280 297 279 253 249 248 300 281 294 497
Black or African American 171 101 134 190 115 102 116 165 101 102 131 118 103 90 88 84 90 104 245
AIAN 30 13 11 23 14 14 19 21 22 34 42 19 13 24 15 17 19 27 47
NHOPI 15 9 * * * * 8 11 5 8 7 16 7 9 5 * 11 23 9
Asian 36 42 40 41 60 44 47 74 42 72 55 41 53 50 58 63 51 84 110
Two or More Races 44 43 50 33 81 52 37 38 40 76 54 48 44 48 36 46 37 55 114
Hispanic or Latino 108 116 106 142 105 123 115 120 156 101 118 172 96 104 111 98 132 142 300
* = 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 10.21D – Perceived Unmet Need for Mental Health Services in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Standard Errors of 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 0.16 0.15 0.16 0.17 0.15 0.15 0.14 0.16 0.16 0.15 0.15 0.15 0.12 0.12 0.12 0.14 0.13 0.14 0.26
AGE GROUP                                      
18-25 0.24 0.24 0.23 0.23 0.23 0.23 0.25 0.24 0.24 0.25 0.23 0.24 0.27 0.27 0.31 0.34 0.34 0.37 0.73
26 or Older 0.18 0.17 0.18 0.19 0.17 0.17 0.16 0.19 0.18 0.16 0.17 0.17 0.14 0.13 0.13 0.15 0.14 0.15 0.27
26-49 0.25 0.24 0.25 0.23 0.23 0.24 0.23 0.25 0.24 0.25 0.24 0.25 0.19 0.18 0.18 0.20 0.20 0.21 0.37
50 or Older 0.26 0.23 0.25 0.29 0.25 0.23 0.22 0.28 0.26 0.20 0.24 0.22 0.19 0.17 0.18 0.19 0.18 0.19 0.39
GENDER                                      
Male 0.20 0.18 0.20 0.23 0.20 0.18 0.19 0.19 0.17 0.17 0.18 0.18 0.15 0.14 0.15 0.16 0.15 0.15 0.33
Female 0.23 0.24 0.23 0.23 0.22 0.23 0.21 0.25 0.24 0.23 0.23 0.23 0.18 0.18 0.18 0.21 0.21 0.22 0.38
HISPANIC ORIGIN AND RACE                                      
Not Hispanic or Latino 0.17 0.16 0.17 0.17 0.16 0.16 0.16 0.18 0.16 0.16 0.16 0.15 0.13 0.13 0.13 0.15 0.14 0.15 0.27
White 0.17 0.18 0.19 0.17 0.17 0.18 0.18 0.19 0.19 0.18 0.19 0.18 0.15 0.16 0.15 0.18 0.17 0.19 0.31
Black or African American 0.70 0.41 0.53 0.73 0.44 0.39 0.45 0.60 0.37 0.38 0.46 0.41 0.35 0.31 0.29 0.27 0.30 0.32 0.80
AIAN 2.35 1.24 1.04 2.05 1.45 1.34 1.99 1.91 1.97 2.50 2.76 1.53 1.02 1.81 1.12 1.23 1.33 1.89 3.32
NHOPI 1.99 2.12 * * * * 0.97 1.51 0.74 1.00 0.74 2.05 0.72 1.48 0.49 * 1.29 2.16 1.04
Asian 0.45 0.48 0.45 0.46 0.65 0.46 0.48 0.72 0.40 0.62 0.48 0.34 0.42 0.37 0.43 0.44 0.36 0.56 0.79
Two or More Races 2.03 1.92 2.25 1.46 3.31 2.14 1.47 1.50 1.45 2.18 1.56 1.41 1.17 1.21 0.88 1.14 0.90 1.23 2.34
Hispanic or Latino 0.43 0.45 0.40 0.51 0.37 0.42 0.38 0.39 0.49 0.30 0.34 0.48 0.26 0.28 0.29 0.25 0.33 0.35 0.75
* = 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 10.22C – 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, Standard Errors of 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 296 328 322 298 318 320 252 245 259 303 296 320 604
18-25 75 69 74 77 81 77 84 87 97 110 111 129 255
26 or Older 288 321 312 286 306 308 244 234 231 279 269 281 542
26-49 222 230 211 224 232 220 172 173 171 189 197 210 365
50 or Older 181 209 227 179 205 207 172 164 170 190 176 180 402
SERIOUS MENTAL ILLNESS 199 205 226 204 200 207 174 150 178 192 181 218 405
18-25 40 37 45 50 42 45 53 52 64 71 71 80 155
26 or Older 194 202 221 195 195 202 169 145 165 181 164 202 361
26-49 138 148 152 148 153 157 121 113 116 127 129 134 223
50 or Older 144 131 158 124 132 124 117 94 118 119 104 142 282
* = 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 10.22D – 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, Standard Errors of 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 0.66 0.70 0.70 0.66 0.63 0.65 0.52 0.52 0.52 0.58 0.54 0.57 0.95
18-25 0.97 0.94 0.93 0.93 0.91 0.93 0.99 0.95 0.95 0.96 0.90 0.99 1.63
26 or Older 0.76 0.81 0.80 0.75 0.72 0.75 0.59 0.60 0.57 0.67 0.62 0.63 1.07
26-49 0.92 0.93 0.90 0.95 0.94 0.93 0.73 0.74 0.71 0.74 0.71 0.70 1.16
50 or Older 1.32 1.40 1.44 1.13 1.15 1.21 0.96 1.01 0.99 1.15 1.06 1.07 2.08
SERIOUS MENTAL ILLNESS 1.84 1.81 1.81 1.72 1.69 1.80 1.45 1.31 1.44 1.33 1.31 1.26 2.10
18-25 2.31 2.32 2.27 2.35 2.13 2.08 2.12 2.00 2.06 1.79 1.71 1.62 2.52
26 or Older 2.13 2.07 2.09 1.95 1.96 2.06 1.68 1.53 1.67 1.62 1.58 1.52 2.57
26-49 2.26 2.20 2.20 2.13 2.28 2.35 1.82 1.79 1.67 1.60 1.66 1.46 2.53
50 or Older 4.63 4.42 4.29 3.75 3.41 3.49 2.93 2.64 3.33 3.27 3.33 3.47 5.39
* = 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 10.23C – 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, Standard Errors of 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 225 250 212 243 254 246 234 256 286 244 261 274 223 204 217 239 252 270 415
18-25 48 48 51 51 53 46 58 54 54 55 57 57 63 64 71 84 77 89 157
26 or Older 215 243 207 237 247 243 228 249 281 236 253 267 217 200 204 225 236 250 390
26-49 175 186 160 161 179 187 168 184 185 180 174 182 137 140 140 144 154 164 272
50 or Older 131 143 132 171 167 155 160 167 203 158 189 182 169 147 154 167 172 180 275
DID NOT RECEIVE MENTAL HEALTH SERVICES 256 215 264 265 213 226 226 280 223 223 252 226 195 187 197 232 212 234 489
18-25 61 67 64 62 59 65 68 68 64 71 68 66 79 74 83 91 99 108 208
26 or Older 247 208 252 254 204 214 214 269 214 211 241 216 176 175 175 207 188 201 434
26-49 186 168 196 174 158 161 171 168 147 174 176 166 135 116 126 144 152 160 280
50 or Older 159 119 156 186 135 134 136 218 153 114 152 135 107 127 120 138 117 134 348
* = 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 10.23D – 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, Standard Errors of 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 1.48 1.55 1.46 1.59 1.53 1.51 1.52 1.51 1.61 1.49 1.56 1.58 1.22 1.22 1.22 1.18 1.13 1.07 1.58
18-25 1.39 1.43 1.53 1.46 1.48 1.50 1.60 1.59 1.53 1.58 1.63 1.59 1.73 1.57 1.54 1.50 1.34 1.26 2.00
26 or Older 1.88 1.97 1.87 2.04 1.93 1.89 1.94 1.87 2.02 1.90 1.94 2.00 1.47 1.59 1.57 1.55 1.49 1.39 2.08
26-49 1.81 2.00 1.81 1.98 2.01 1.90 1.95 1.84 1.98 2.04 2.01 2.03 1.62 1.52 1.56 1.53 1.49 1.36 2.05
50 or Older 5.46 5.06 5.96 5.45 4.61 4.86 5.45 4.91 4.51 4.17 4.16 4.38 2.81 3.78 3.62 3.48 3.42 3.61 5.35
DID NOT RECEIVE MENTAL HEALTH SERVICES 1.48 1.55 1.46 1.59 1.53 1.51 1.52 1.51 1.61 1.49 1.56 1.58 1.22 1.22 1.22 1.18 1.13 1.07 1.58
18-25 1.39 1.43 1.53 1.46 1.48 1.50 1.60 1.59 1.53 1.58 1.63 1.59 1.73 1.57 1.54 1.50 1.34 1.26 2.00
26 or Older 1.88 1.97 1.87 2.04 1.93 1.89 1.94 1.87 2.02 1.90 1.94 2.00 1.47 1.59 1.57 1.55 1.49 1.39 2.08
26-49 1.81 2.00 1.81 1.98 2.01 1.90 1.95 1.84 1.98 2.04 2.01 2.03 1.62 1.52 1.56 1.53 1.49 1.36 2.05
50 or Older 5.46 5.06 5.96 5.45 4.61 4.86 5.45 4.91 4.51 4.17 4.16 4.38 2.81 3.78 3.62 3.48 3.42 3.61 5.35
* = 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 10.24C – 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, Standard Errors of 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		 219 236 269 219 244 261 198 195 199 219 227 248 418
18-25 49 45 48 48 52 51 56 57 68 75 68 82 152
26 or Older 215 232 263 213 237 255 195 192 185 207 214 229 391
26-49 156 171 174 161 168 171 125 134 128 138 146 156 272
50 or Older 153 154 189 146 170 174 151 135 140 149 152 156 277
DID NOT RECEIVE MENTAL
HEALTH SERVICES		 179 210 186 191 203 180 164 152 154 196 177 195 426
18-25 54 53 52 54 58 54 61 65 63 76 83 91 191
26 or Older 171 201 177 182 196 171 150 138 138 178 157 165 370
26-49 148 145 119 152 159 132 119 102 108 126 130 143 244
50 or Older 87 137 129 98 111 112 86 96 89 121 92 101 286
* = 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 10.24D – 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, Standard Errors of 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		 1.65 1.66 1.82 1.65 1.72 1.77 1.43 1.38 1.29 1.28 1.22 1.14 1.84
18-25 1.92 1.98 1.85 1.86 1.96 1.92 2.01 1.94 1.78 1.66 1.53 1.42 2.38
26 or Older 2.05 1.99 2.21 2.03 2.12 2.18 1.72 1.73 1.64 1.67 1.61 1.46 2.38
26-49 2.17 2.05 2.16 2.23 2.28 2.25 1.87 1.71 1.69 1.70 1.68 1.52 2.33
50 or Older 5.05 5.05 4.88 4.49 4.38 4.70 3.19 4.00 3.71 3.80 3.76 3.88 5.85
DID NOT RECEIVE MENTAL
HEALTH SERVICES		 1.65 1.66 1.82 1.65 1.72 1.77 1.43 1.38 1.29 1.28 1.22 1.14 1.84
18-25 1.92 1.98 1.85 1.86 1.96 1.92 2.01 1.94 1.78 1.66 1.53 1.42 2.38
26 or Older 2.05 1.99 2.21 2.03 2.12 2.18 1.72 1.73 1.64 1.67 1.61 1.46 2.38
26-49 2.17 2.05 2.16 2.23 2.28 2.25 1.87 1.71 1.69 1.70 1.68 1.52 2.33
50 or Older 5.05 5.05 4.88 4.49 4.38 4.70 3.19 4.00 3.71 3.80 3.76 3.88 5.85
* = 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 10.25C – 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, Standard Errors of 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		 168 180 200 164 164 162 148 131 147 159 151 179 310
18-25 27 27 34 36 33 35 39 38 47 54 49 55 114
26 or Older 165 178 196 159 160 159 144 128 138 151 140 169 287
26-49 115 122 126 115 124 120 91 94 96 101 105 110 158
50 or Older * * * * * * 110 * * 109 * 126 *
DID NOT RECEIVE MENTAL
HEALTH SERVICES		 102 96 100 112 124 122 99 76 88 99 106 115 246
18-25 29 26 29 29 28 31 36 36 39 45 50 56 100
26 or Older 96 91 95 108 122 119 91 68 81 88 91 102 218
26-49 74 83 77 86 99 96 73 59 59 71 76 80 151
50 or Older * * * * * * 52 * * 51 * 64 *
* = 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 10.25D – 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, Standard Errors of 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		 2.39 2.21 2.32 2.31 2.57 2.49 2.01 1.81 1.78 1.67 1.74 1.50 2.68
18-25 3.21 3.28 3.12 3.01 3.11 3.11 2.95 3.05 2.65 2.41 2.26 2.18 3.56
26 or Older 2.74 2.46 2.68 2.78 3.10 3.06 2.33 2.13 2.23 2.10 2.19 1.93 3.49
26-49 2.93 2.88 2.86 3.00 3.44 3.41 2.52 2.33 2.34 2.24 2.33 2.02 3.25
50 or Older * * * * * * 4.32 * * 4.76 * 4.83 *
DID NOT RECEIVE MENTAL
HEALTH SERVICES		 2.39 2.21 2.32 2.31 2.57 2.49 2.01 1.81 1.78 1.67 1.74 1.50 2.68
18-25 3.21 3.28 3.12 3.01 3.11 3.11 2.95 3.05 2.65 2.41 2.26 2.18 3.56
26 or Older 2.74 2.46 2.68 2.78 3.10 3.06 2.33 2.13 2.23 2.10 2.19 1.93 3.49
26-49 2.93 2.88 2.86 3.00 3.44 3.41 2.52 2.33 2.34 2.24 2.33 2.02 3.25
50 or Older * * * * * * 4.32 * * 4.76 * 4.83 *
* = 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 10.26C – Major Depressive Episode in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Standard Errors of Numbers in Thousands, 2005-2020
Demographic Characteristic 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 408 385 406 406 413 436 414 436 443 348 368 368 383 379 385 674
AGE GROUP                                
18-25 83 76 78 81 82 85 84 93 89 100 97 107 117 115 124 228
26 or Older 396 382 393 402 405 429 402 426 438 330 348 352 362 356 360 616
26-49 268 290 255 263 255 262 271 265 279 203 205 202 224 225 221 366
50 or Older 273 255 301 319 300 332 298 347 326 259 280 278 267 274 275 479
GENDER                                
Male 231 241 255 241 248 277 245 266 276 212 211 211 227 227 240 358
Female 321 294 313 332 332 328 333 334 351 274 299 301 296 303 310 528
HISPANIC ORIGIN AND RACE                                
Not Hispanic or Latino 375 367 383 381 390 406 387 393 415 324 342 341 359 351 347 629
White 335 344 358 370 385 374 372 368 406 291 316 328 341 339 330 582
Black or African American 153 142 132 128 129 124 128 148 114 111 104 111 102 127 123 269
AIAN 20 25 36 13 17 27 35 35 42 15 26 30 21 25 30 21
NHOPI 17 15 * * * * 15 * 7 22 10 27 13 22 12 *
Asian 59 56 55 76 60 74 79 64 88 89 82 58 68 71 80 116
Two or More Races 36 58 54 49 45 73 43 41 66 56 61 47 49 55 68 109
Hispanic or Latino 150 115 146 149 145 164 144 182 178 136 115 158 127 140 170 247
* = 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 10.26D – Major Depressive Episode in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Standard Errors of Percentages, 2005-2020
Demographic Characteristic 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 0.19 0.18 0.18 0.18 0.18 0.19 0.18 0.19 0.19 0.15 0.15 0.15 0.16 0.15 0.16 0.27
AGE GROUP                                
18-25 0.26 0.23 0.24 0.25 0.24 0.25 0.25 0.27 0.26 0.29 0.28 0.31 0.34 0.34 0.37 0.69
26 or Older 0.22 0.20 0.21 0.21 0.21 0.22 0.20 0.21 0.22 0.16 0.17 0.17 0.17 0.17 0.17 0.28
26-49 0.27 0.29 0.26 0.27 0.26 0.27 0.28 0.27 0.29 0.21 0.21 0.21 0.23 0.23 0.22 0.36
50 or Older 0.32 0.29 0.34 0.35 0.32 0.35 0.30 0.34 0.31 0.24 0.26 0.25 0.24 0.24 0.24 0.41
GENDER                                
Male 0.22 0.23 0.24 0.22 0.23 0.25 0.22 0.24 0.24 0.19 0.18 0.18 0.19 0.19 0.20 0.30
Female 0.29 0.26 0.27 0.29 0.28 0.28 0.28 0.28 0.29 0.22 0.24 0.24 0.23 0.24 0.24 0.41
HISPANIC ORIGIN AND RACE                                
Not Hispanic or Latino 0.20 0.19 0.20 0.20 0.20 0.21 0.20 0.20 0.21 0.16 0.17 0.17 0.17 0.17 0.17 0.30
White 0.22 0.22 0.22 0.23 0.23 0.23 0.23 0.22 0.25 0.18 0.20 0.20 0.21 0.21 0.20 0.36
Black or African American 0.58 0.53 0.50 0.48 0.46 0.47 0.48 0.52 0.40 0.38 0.35 0.37 0.34 0.41 0.40 0.84
AIAN 1.84 2.41 3.13 1.35 1.58 2.47 2.66 2.53 3.16 1.25 2.01 2.10 1.56 1.77 2.14 1.55
NHOPI 2.68 1.89 * * * * 1.78 * 0.98 2.38 1.75 2.45 1.46 2.34 1.25 *
Asian 0.67 0.60 0.59 0.77 0.61 0.72 0.72 0.54 0.72 0.71 0.61 0.45 0.49 0.49 0.56 0.81
Two or More Races 1.67 2.46 2.23 1.97 1.75 2.57 1.33 1.23 1.74 1.44 1.54 1.13 1.22 1.25 1.47 2.25
Hispanic or Latino 0.55 0.40 0.50 0.50 0.47 0.52 0.43 0.53 0.50 0.37 0.31 0.42 0.32 0.35 0.42 0.60
* = 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 10.27C – Major Depressive Episode with Severe Impairment in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Standard Errors of Numbers in Thousands, 2009-2020
Demographic Characteristic 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 309 347 344 353 355 284 295 299 297 311 331 578
AGE GROUP                        
18-25 67 70 68 72 76 83 81 91 98 93 101 190
26 or Older 300 338 335 349 353 273 279 283 280 293 316 518
26-49 206 207 227 220 229 162 168 158 179 189 184 320
50 or Older 213 266 236 285 256 219 222 236 206 222 236 400
GENDER                        
Male 183 218 196 225 231 177 168 168 180 184 200 317
Female 246 264 273 267 276 226 241 244 228 244 259 448
HISPANIC ORIGIN AND RACE                        
Not Hispanic or Latino 289 314 326 315 324 263 278 263 278 286 299 532
White 278 287 297 283 307 232 252 246 257 266 279 494
Black or African American 94 101 112 118 93 83 78 91 87 102 103 211
AIAN 16 21 35 33 19 12 24 21 20 22 29 20
NHOPI * 7 9 * 7 9 9 17 13 22 8 2
Asian 46 48 76 52 83 83 55 44 58 53 65 91
Two or More Races 36 23 39 35 62 50 56 40 41 42 50 91
Hispanic or Latino 110 147 102 155 154 115 88 149 93 115 134 212
* = 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 10.27D – Major Depressive Episode with Severe Impairment in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Standard Errors of Percentages, 2009-2020
Demographic Characteristic 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 0.14 0.15 0.15 0.15 0.15 0.12 0.12 0.12 0.12 0.13 0.13 0.23
AGE GROUP                        
18-25 0.20 0.21 0.20 0.21 0.22 0.24 0.23 0.27 0.29 0.28 0.30 0.57
26 or Older 0.16 0.17 0.17 0.18 0.18 0.13 0.14 0.14 0.13 0.14 0.15 0.24
26-49 0.21 0.21 0.23 0.23 0.24 0.17 0.17 0.16 0.18 0.19 0.18 0.32
50 or Older 0.23 0.28 0.24 0.28 0.25 0.21 0.21 0.22 0.18 0.20 0.21 0.35
GENDER                        
Male 0.17 0.20 0.18 0.20 0.20 0.15 0.15 0.14 0.15 0.16 0.17 0.26
Female 0.21 0.23 0.23 0.22 0.23 0.18 0.19 0.19 0.18 0.19 0.20 0.35
HISPANIC ORIGIN AND RACE                        
Not Hispanic or Latino 0.15 0.16 0.17 0.16 0.16 0.13 0.14 0.13 0.14 0.14 0.14 0.26
White 0.17 0.18 0.19 0.18 0.19 0.15 0.16 0.15 0.16 0.16 0.17 0.31
Black or African American 0.34 0.39 0.43 0.42 0.33 0.29 0.27 0.31 0.29 0.34 0.34 0.68
AIAN 1.56 1.97 2.66 2.45 1.51 1.02 1.88 1.56 1.48 1.57 2.09 1.49
NHOPI * 1.16 1.01 * 0.97 0.94 1.55 1.59 1.40 2.29 0.85 0.25
Asian 0.46 0.47 0.69 0.45 0.69 0.65 0.41 0.34 0.41 0.36 0.45 0.64
Two or More Races 1.43 0.90 1.20 1.03 1.65 1.31 1.42 0.98 1.02 0.98 1.11 1.87
Hispanic or Latino 0.36 0.46 0.30 0.45 0.44 0.32 0.24 0.39 0.24 0.29 0.33 0.51
* = 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 10.28C – Received Treatment for Depression in Past Year: Among People Aged 18 or Older with Major Depressive Episode in Past Year; by Demographic Characteristics, Standard Errors of Numbers in Thousands, 2009-2020
Demographic Characteristic 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 365 383 358 390 370 303 314 335 334 333 342 550
AGE GROUP                        
18-25 57 65 64 70 67 73 73 78 93 91 103 186
26 or Older 359 380 350 385 373 295 306 322 323 312 327 512
26-49 223 219 234 228 234 170 172 176 188 191 196 296
50 or Older 266 301 270 317 292 238 257 256 252 254 255 407
GENDER                        
Male 209 230 210 215 226 184 169 178 189 185 194 289
Female 287 305 297 306 306 241 266 273 260 271 278 455
HISPANIC ORIGIN AND RACE                        
Not Hispanic or Latino 348 348 344 353 358 283 301 307 314 317 313 525
White 327 325 326 314 338 255 276 282 294 290 285 474
Black or African American 95 91 97 116 98 85 83 95 86 107 98 *
AIAN * * * * * * * * * * * *
NHOPI * * * * * * * * * * * *
Asian * * * * * * * * 43 46 57 *
Two or More Races * * * * * 49 56 36 41 50 48 *
Hispanic or Latino 105 156 103 152 145 111 96 134 101 117 133 153
* = 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 10.28D – Received Treatment for Depression in Past Year: Among People Aged 18 or Older with Major Depressive Episode in Past Year; by Demographic Characteristics, Standard Errors of Percentages, 2009-2020
Demographic Characteristic 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 1.31 1.25 1.24 1.24 1.22 1.03 1.08 1.09 1.01 0.96 0.94 1.58
AGE GROUP                        
18-25 1.57 1.57 1.64 1.52 1.50 1.64 1.58 1.45 1.40 1.36 1.35 2.05
26 or Older 1.54 1.47 1.45 1.50 1.50 1.22 1.29 1.26 1.24 1.19 1.18 2.00
26-49 1.72 1.69 1.74 1.75 1.80 1.36 1.36 1.35 1.36 1.37 1.25 2.25
50 or Older 2.83 2.55 2.50 2.52 2.64 2.04 2.32 2.23 2.15 2.18 2.34 3.64
GENDER                        
Male 2.35 2.40 2.22 2.25 2.36 1.92 1.90 1.98 1.79 1.76 1.68 2.63
Female 1.58 1.43 1.46 1.43 1.45 1.19 1.21 1.23 1.17 1.15 1.11 1.93
HISPANIC ORIGIN AND RACE                        
Not Hispanic or Latino 1.34 1.30 1.24 1.25 1.31 1.06 1.13 1.13 1.03 1.04 1.02 1.63
White 1.44 1.42 1.27 1.35 1.46 1.16 1.22 1.19 1.15 1.19 1.07 1.70
Black or African American 4.17 4.13 4.34 4.06 3.98 3.66 3.70 3.57 3.07 3.00 2.93 *
AIAN * * * * * * * * * * * *
NHOPI * * * * * * * * * * * *
Asian * * * * * * * * 5.62 5.15 5.78 *
Two or More Races * * * * * 3.84 5.50 5.20 4.59 5.19 4.81 *
Hispanic or Latino 4.12 4.20 4.40 4.14 4.27 3.28 3.13 3.69 3.06 2.80 2.54 4.32
* = 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 10.29C – 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, Standard Errors of Numbers in Thousands, 2009-2020
Demographic Characteristic 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 283 306 298 324 318 255 265 276 259 285 298 483
AGE GROUP                        
18-25 48 53 54 58 58 63 59 67 80 73 84 164
26 or Older 278 302 293 320 318 250 259 264 248 267 288 439
26-49 191 174 198 199 196 138 148 142 147 160 169 256
50 or Older 197 238 214 262 246 206 213 222 198 209 218 357
GENDER                        
Male 159 183 172 191 202 148 138 149 152 159 161 264
Female 230 246 241 253 261 213 225 223 201 227 241 396
HISPANIC ORIGIN AND RACE                        
Not Hispanic or Latino 269 269 287 285 302 234 251 244 240 262 269 465
White 251 253 264 250 283 206 230 224 223 234 244 418
Black or African American 79 76 94 93 85 64 57 80 74 87 82 204
AIAN * * * * * * * * * * * *
NHOPI * * * * * * * * * * * *
Asian * * * * * * * * * * * *
Two or More Races * * * * * 47 * * 38 * 38 *
Hispanic or Latino 85 139 77 142 123 100 76 129 78 97 115 136
* = 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 10.29D – 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, Standard Errors of Percentages, 2009-2020
Demographic Characteristic 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 1.49 1.47 1.44 1.47 1.36 1.19 1.22 1.23 1.13 1.18 1.07 1.75
AGE GROUP                        
18-25 1.95 1.94 2.08 1.89 1.80 2.02 1.98 1.75 1.82 1.65 1.61 2.38
26 or Older 1.72 1.73 1.69 1.75 1.65 1.40 1.40 1.41 1.34 1.43 1.29 2.24
26-49 1.97 1.89 1.96 2.14 2.12 1.68 1.63 1.52 1.62 1.67 1.43 2.58
50 or Older 3.20 3.01 3.00 2.91 2.48 2.17 2.26 2.57 2.18 2.43 2.55 3.95
GENDER                        
Male 2.77 2.87 2.44 2.66 2.87 2.31 2.16 2.27 2.06 2.17 2.02 3.06
Female 1.70 1.66 1.73 1.64 1.45 1.30 1.41 1.38 1.29 1.39 1.16 2.12
HISPANIC ORIGIN AND RACE                        
Not Hispanic or Latino 1.47 1.51 1.42 1.50 1.29 1.23 1.29 1.23 1.16 1.21 1.10 1.80
White 1.58 1.59 1.38 1.65 1.43 1.34 1.35 1.30 1.26 1.34 1.16 1.98
Black or African American 4.82 5.14 4.62 5.06 4.32 4.55 4.37 3.94 3.46 3.73 3.47 4.69
AIAN * * * * * * * * * * * *
NHOPI * * * * * * * * * * * *
Asian * * * * * * * * * * * *
Two or More Races * * * * * 4.15 * * 4.97 * 5.59 *
Hispanic or Latino 5.41 4.99 5.30 4.59 5.22 3.97 3.45 4.71 3.89 3.58 3.19 5.35
* = 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 10.30C – Had Serious Thoughts of Suicide in Past Year: Among People Aged 18 or Older; by Detailed Age Category, Standard Errors of Numbers in Thousands, 2008-2020
Age Category 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 299 299 311 299 305 340 281 280 267 289 282 300 499
18-25 74 66 75 85 79 85 87 91 96 108 100 102 185
18-20 52 47 56 61 62 62 61 62 78 75 70 81 127
21-25 60 51 59 61 60 62 69 74 72 87 85 86 155
26 or Older 292 292 296 284 294 327 263 267 247 262 257 278 450
26-49 193 200 201 169 208 207 167 165 154 163 170 182 282
26-29 82 80 94 78 90 88 71 81 74 88 90 98 137
30-34 74 92 86 63 84 106 78 73 78 74 80 92 141
35-39 93 103 72 86 94 89 68 71 72 74 75 82 127
40-44 88 81 88 83 97 88 73 68 60 73 69 69 119
45-49 94 98 111 93 100 85 69 70 70 63 63 71 124
50 or Older 210 215 214 229 214 271 194 209 193 210 189 210 331
50-54 121 118 111 131 103 209 106 102 108 77 96 91 162
55-59 118 118 114 124 95 117 109 98 89 107 86 104 155
60-64 77 67 93 84 109 83 80 79 74 84 82 91 145
65 or Older 104 107 124 106 123 109 102 121 109 136 102 128 200
* = 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 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 10.30D – Had Serious Thoughts of Suicide in Past Year: Among People Aged 18 or Older; by Detailed Age Category, Standard Errors of Percentages, 2008-2020
Age Category 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 0.13 0.13 0.14 0.13 0.13 0.14 0.12 0.12 0.11 0.12 0.11 0.12 0.20
18-25 0.23 0.20 0.22 0.25 0.23 0.24 0.25 0.26 0.28 0.32 0.30 0.31 0.56
18-20 0.37 0.32 0.39 0.41 0.41 0.44 0.44 0.45 0.56 0.53 0.49 0.57 0.96
21-25 0.29 0.25 0.27 0.28 0.27 0.28 0.31 0.32 0.31 0.38 0.37 0.38 0.67
26 or Older 0.15 0.15 0.15 0.14 0.15 0.16 0.13 0.13 0.12 0.12 0.12 0.13 0.21
26-49 0.19 0.20 0.20 0.17 0.21 0.21 0.17 0.17 0.16 0.16 0.17 0.18 0.28
26-29 0.47 0.47 0.54 0.44 0.51 0.51 0.41 0.46 0.42 0.47 0.49 0.52 0.75
30-34 0.39 0.46 0.43 0.32 0.42 0.51 0.36 0.34 0.36 0.34 0.35 0.40 0.59
35-39 0.45 0.50 0.37 0.44 0.47 0.46 0.34 0.36 0.34 0.35 0.34 0.37 0.56
40-44 0.41 0.39 0.42 0.40 0.47 0.41 0.36 0.33 0.31 0.36 0.35 0.35 0.61
45-49 0.41 0.43 0.48 0.42 0.46 0.42 0.33 0.33 0.34 0.31 0.32 0.35 0.62
50 or Older 0.23 0.23 0.22 0.23 0.21 0.26 0.18 0.19 0.17 0.19 0.17 0.18 0.28
50-54 0.55 0.52 0.50 0.57 0.43 0.88 0.44 0.43 0.49 0.37 0.46 0.44 0.79
55-59 0.65 0.62 0.58 0.65 0.46 0.56 0.52 0.46 0.41 0.49 0.40 0.49 0.70
60-64 0.51 0.43 0.56 0.46 0.63 0.47 0.46 0.41 0.39 0.42 0.40 0.44 0.69
65 or Older 0.28 0.28 0.32 0.27 0.29 0.25 0.23 0.26 0.23 0.28 0.20 0.24 0.37
* = 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 10.31C – Had Serious Thoughts of Suicide in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Standard Errors of Numbers in Thousands, 2008-2020
Demographic Characteristic 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 299 299 311 299 305 340 281 280 267 289 282 300 499
AGE GROUP                          
18-25 74 66 75 85 79 85 87 91 96 108 100 102 185
26 or Older 292 292 296 284 294 327 263 267 247 262 257 278 450
26-49 193 200 201 169 208 207 167 165 154 163 170 182 282
50 or Older 210 215 214 229 214 271 194 209 193 210 189 210 331
GENDER                          
Male 206 204 235 194 208 241 202 197 198 207 198 202 318
Female 210 211 216 228 221 236 183 199 182 203 199 213 354
HISPANIC ORIGIN AND RACE                          
Not Hispanic or Latino 282 280 297 288 282 315 257 261 244 273 264 273 460
White 265 256 269 267 258 294 231 232 228 248 245 249 430
Black or African American 88 89 103 86 99 95 77 99 85 91 94 88 152
AIAN 9 13 24 55 20 15 18 19 12 13 18 22 35
NHOPI 18 * 14 * 6 15 5 10 11 31 13 8 10
Asian 44 38 72 69 79 87 64 55 52 77 52 70 71
Two or More Races 38 48 24 25 31 54 49 41 41 57 41 34 93
Hispanic or Latino 92 112 76 84 120 127 100 105 106 92 111 135 195
* = 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 10.31D – Had Serious Thoughts of Suicide in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Standard Errors of Percentages, 2008-2020
Demographic Characteristic 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 0.13 0.13 0.14 0.13 0.13 0.14 0.12 0.12 0.11 0.12 0.11 0.12 0.20
AGE GROUP                          
18-25 0.23 0.20 0.22 0.25 0.23 0.24 0.25 0.26 0.28 0.32 0.30 0.31 0.56
26 or Older 0.15 0.15 0.15 0.14 0.15 0.16 0.13 0.13 0.12 0.12 0.12 0.13 0.21
26-49 0.19 0.20 0.20 0.17 0.21 0.21 0.17 0.17 0.16 0.16 0.17 0.18 0.28
50 or Older 0.23 0.23 0.22 0.23 0.21 0.26 0.18 0.19 0.17 0.19 0.17 0.18 0.28
GENDER                          
Male 0.19 0.19 0.21 0.17 0.18 0.21 0.18 0.17 0.17 0.17 0.17 0.17 0.26
Female 0.18 0.18 0.18 0.19 0.18 0.19 0.15 0.16 0.14 0.16 0.16 0.17 0.27
HISPANIC ORIGIN AND RACE                          
Not Hispanic or Latino 0.15 0.14 0.15 0.15 0.14 0.16 0.13 0.13 0.12 0.13 0.13 0.13 0.22
White 0.16 0.16 0.17 0.17 0.16 0.18 0.15 0.15 0.14 0.15 0.15 0.15 0.27
Black or African American 0.34 0.32 0.38 0.32 0.36 0.34 0.28 0.34 0.28 0.30 0.30 0.29 0.49
AIAN 0.92 1.24 2.17 3.72 1.50 1.21 1.31 1.52 0.84 1.07 1.23 1.59 2.47
NHOPI 2.21 * 2.13 * 0.63 1.93 0.53 1.62 1.04 3.13 1.42 0.78 1.15
Asian 0.46 0.38 0.69 0.61 0.65 0.72 0.51 0.42 0.39 0.55 0.35 0.49 0.49
Two or More Races 1.48 1.87 0.96 0.78 0.90 1.45 1.26 1.05 1.01 1.34 0.94 0.80 1.89
Hispanic or Latino 0.30 0.36 0.24 0.25 0.35 0.36 0.27 0.28 0.28 0.23 0.28 0.33 0.47
* = 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 10.32C – Had Serious Thoughts of Suicide in Past Year: Among People Aged 18 or Older; by Geographic and Socioeconomic Characteristics, Standard Errors of Numbers in Thousands, 2008-2020
Geographic/Socioeconomic Characteristic 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 299 299 311 299 305 340 281 280 267 289 282 300 499
GEOGRAPHIC REGION                          
Northeast 123 115 121 125 127 128 108 128 114 112 103 135 180
Midwest 127 129 130 127 115 130 129 118 115 119 120 131 235
South 178 178 193 178 196 225 161 172 154 172 171 171 311
West 156 167 156 165 147 185 148 142 155 164 155 166 247
COUNTY TYPE1                          
Large Metro 237 239 242 234 242 277 220 231 215 234 229 237 363
Small Metro 174 159 161 178 172 178 150 154 159 166 157 181 286
Nonmetro 87 100 128 105 119 126 112 103 90 121 107 108 200
Urbanized 42 67 76 59 73 99 72 72 64 80 85 76 162
Less Urbanized 72 69 97 80 74 83 85 69 59 91 68 81 111
Completely Rural 26 30 42 39 52 26 30 31 29 38 31 25 34
POVERTY LEVEL2                          
Less Than 100% 108 134 123 159 133 149 122 125 135 125 130 121 208
100-199% 137 132 141 135 175 144 144 140 142 132 125 155 271
200% or More 232 238 242 226 223 288 203 212 201 235 227 219 362
EDUCATION LEVEL                          
< High School nc nc nc nc nc nc nc 122 114 95 96 101 187
High School Graduate nc nc nc nc nc nc nc 138 125 142 145 148 274
Some College/Associate’s Degree nc nc nc nc nc nc nc 164 163 181 165 189 283
College Graduate nc nc nc nc nc nc nc 141 139 160 150 164 218
HEALTH INSURANCE3                          
Private 230 231 233 221 210 262 195 217 202 229 219 224 356
Medicaid/CHIP 112 125 117 125 122 111 125 141 137 126 128 153 232
Other4 157 144 184 152 185 200 152 163 148 171 138 165 275
No Coverage 112 123 120 139 156 143 99 90 100 91 103 96 159
* = 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 10.32D – Had Serious Thoughts of Suicide in Past Year: Among People Aged 18 or Older; by Geographic and Socioeconomic Characteristics, Standard Errors of Percentages, 2008-2020
Geographic/Socioeconomic Characteristic 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 0.13 0.13 0.14 0.13 0.13 0.14 0.12 0.12 0.11 0.12 0.11 0.12 0.20
GEOGRAPHIC REGION                          
Northeast 0.30 0.27 0.29 0.30 0.30 0.30 0.25 0.30 0.26 0.26 0.24 0.31 0.41
Midwest 0.26 0.26 0.26 0.25 0.23 0.26 0.25 0.23 0.22 0.23 0.23 0.25 0.45
South 0.22 0.22 0.23 0.21 0.23 0.26 0.18 0.19 0.17 0.19 0.18 0.18 0.33
West 0.30 0.32 0.30 0.31 0.27 0.34 0.26 0.25 0.27 0.28 0.26 0.28 0.41
COUNTY TYPE1                          
Large Metro 0.19 0.19 0.19 0.18 0.18 0.21 0.16 0.16 0.15 0.16 0.16 0.16 0.26
Small Metro 0.25 0.22 0.23 0.23 0.23 0.24 0.21 0.20 0.21 0.21 0.20 0.22 0.36
Nonmetro 0.24 0.29 0.38 0.30 0.32 0.34 0.29 0.30 0.23 0.32 0.28 0.29 0.51
Urbanized 0.30 0.46 0.53 0.45 0.48 0.62 0.45 0.51 0.42 0.47 0.47 0.50 1.03
Less Urbanized 0.40 0.39 0.58 0.45 0.42 0.48 0.45 0.41 0.30 0.47 0.39 0.44 0.61
Completely Rural 0.73 0.84 1.21 1.08 1.34 0.68 0.77 0.68 0.75 1.11 0.85 0.49 0.70
POVERTY LEVEL2                          
Less Than 100% 0.41 0.47 0.41 0.46 0.35 0.41 0.33 0.33 0.38 0.35 0.36 0.37 0.55
100-199% 0.33 0.30 0.29 0.28 0.37 0.31 0.30 0.28 0.28 0.27 0.25 0.32 0.56
200% or More 0.14 0.15 0.16 0.15 0.14 0.18 0.13 0.13 0.12 0.14 0.13 0.13 0.21
EDUCATION LEVEL                          
< High School nc nc nc nc nc nc nc 0.35 0.35 0.31 0.31 0.33 0.65
High School Graduate nc nc nc nc nc nc nc 0.22 0.20 0.24 0.23 0.24 0.40
Some College/Associate’s Degree nc nc nc nc nc nc nc 0.22 0.21 0.23 0.21 0.24 0.37
College Graduate nc nc nc nc nc nc nc 0.19 0.18 0.19 0.18 0.20 0.28
HEALTH INSURANCE3                          
Private 0.15 0.15 0.15 0.14 0.14 0.16 0.12 0.13 0.12 0.14 0.13 0.13 0.22
Medicaid/CHIP 0.59 0.63 0.54 0.52 0.52 0.45 0.41 0.40 0.38 0.34 0.35 0.41 0.57
Other4 0.30 0.27 0.34 0.27 0.31 0.33 0.24 0.25 0.22 0.25 0.20 0.24 0.37
No Coverage 0.32 0.33 0.31 0.35 0.39 0.38 0.33 0.34 0.41 0.39 0.42 0.36 0.58
* = 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 10.33C – Made Any Suicide Plans in Past Year: Among People Aged 18 or Older; by Detailed Age Category, Standard Errors of Numbers in Thousands, 2008-2020
Age Category 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 155 157 168 157 156 166 138 138 127 148 155 152 238
18-25 39 41 41 44 47 50 49 54 56 67 58 62 107
18-20 29 29 28 28 37 35 36 41 40 48 39 44 84
21-25 27 29 31 35 31 35 38 39 42 49 43 49 85
26 or Older 148 150 164 148 152 156 130 127 114 131 147 142 203
26-49 99 94 91 102 120 120 85 78 85 90 100 91 162
26-29 40 34 32 54 50 55 35 40 35 43 58 46 77
30-34 44 34 42 26 32 62 35 38 47 38 42 46 47
35-39 51 49 29 47 62 51 42 32 42 39 49 38 70
40-44 43 46 49 50 58 45 36 31 37 40 33 39 63
45-49 47 46 44 45 59 46 36 34 35 41 38 37 86
50 or Older 108 117 134 111 101 98 98 101 78 94 105 107 115
50-54 82 69 74 72 47 47 41 65 45 41 65 40 83
55-59 47 56 61 68 43 58 54 40 34 48 53 55 33
60-64 29 37 50 32 56 37 54 34 43 42 41 55 42
65 or Older 49 37 81 42 56 54 54 56 36 64 41 60 60
* = 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 10.33D – Made Any Suicide Plans in Past Year: Among People Aged 18 or Older; by Detailed Age Category, Standard Errors of Percentages, 2008-2020
Age Category 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 0.07 0.07 0.07 0.07 0.07 0.07 0.06 0.06 0.05 0.06 0.06 0.06 0.09
18-25 0.12 0.12 0.12 0.13 0.14 0.14 0.14 0.16 0.16 0.20 0.17 0.19 0.32
18-20 0.22 0.21 0.20 0.20 0.28 0.26 0.27 0.31 0.31 0.36 0.30 0.33 0.67
21-25 0.14 0.14 0.15 0.16 0.15 0.16 0.17 0.18 0.19 0.23 0.20 0.23 0.39
26 or Older 0.08 0.08 0.08 0.07 0.08 0.08 0.06 0.06 0.05 0.06 0.07 0.07 0.09
26-49 0.10 0.10 0.09 0.10 0.12 0.12 0.09 0.08 0.09 0.09 0.10 0.09 0.16
26-29 0.23 0.20 0.19 0.32 0.29 0.32 0.21 0.23 0.20 0.24 0.32 0.25 0.43
30-34 0.24 0.17 0.21 0.13 0.16 0.30 0.17 0.18 0.22 0.17 0.19 0.21 0.21
35-39 0.25 0.24 0.15 0.24 0.32 0.26 0.21 0.17 0.21 0.19 0.22 0.18 0.32
40-44 0.20 0.22 0.24 0.25 0.29 0.21 0.18 0.15 0.19 0.20 0.17 0.20 0.32
45-49 0.21 0.20 0.20 0.21 0.28 0.23 0.18 0.16 0.17 0.20 0.20 0.18 0.44
50 or Older 0.12 0.12 0.14 0.11 0.10 0.09 0.09 0.09 0.07 0.08 0.09 0.09 0.10
50-54 0.37 0.31 0.34 0.31 0.20 0.20 0.17 0.28 0.21 0.20 0.31 0.19 0.42
55-59 0.26 0.30 0.32 0.36 0.21 0.28 0.26 0.19 0.15 0.22 0.25 0.26 0.15
60-64 0.19 0.24 0.30 0.17 0.33 0.21 0.31 0.18 0.23 0.21 0.20 0.27 0.20
65 or Older 0.13 0.10 0.21 0.11 0.13 0.13 0.12 0.12 0.08 0.13 0.08 0.11 0.11
* = 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 10.34C – Made Any Suicide Plans in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Standard Errors of Numbers in Thousands, 2008-2020
Demographic Characteristic 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 155 157 168 157 156 166 138 138 127 148 155 152 238
AGE GROUP                          
18-25 39 41 41 44 47 50 49 54 56 67 58 62 107
26 or Older 148 150 164 148 152 156 130 127 114 131 147 142 203
26-49 99 94 91 102 120 120 85 78 85 90 100 91 162
50 or Older 108 117 134 111 101 98 98 101 78 94 105 107 115
GENDER                          
Male 110 111 119 106 116 105 97 99 91 109 110 92 160
Female 113 100 117 115 106 124 99 94 95 108 109 121 163
HISPANIC ORIGIN AND RACE                          
Not Hispanic or Latino 143 149 164 149 146 151 127 129 118 138 144 129 216
White 134 140 145 126 131 136 117 121 102 114 122 113 193
Black or African American 42 48 64 43 50 60 52 39 51 42 63 45 82
AIAN 6 9 7 * 10 8 7 16 7 10 8 4 12
NHOPI 5 4 0 1 2 12 4 * 2 * 5 5 5
Asian 9 16 48 54 49 17 33 18 19 59 30 35 17
Two or More Races 26 15 14 14 15 16 20 19 29 21 27 18 48
Hispanic or Latino 59 48 31 52 64 67 48 54 46 50 59 77 95
* = 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 10.34D – Made Any Suicide Plans in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Standard Errors of Percentages, 2008-2020
Demographic Characteristic 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 0.07 0.07 0.07 0.07 0.07 0.07 0.06 0.06 0.05 0.06 0.06 0.06 0.09
AGE GROUP                          
18-25 0.12 0.12 0.12 0.13 0.14 0.14 0.14 0.16 0.16 0.20 0.17 0.19 0.32
26 or Older 0.08 0.08 0.08 0.07 0.08 0.08 0.06 0.06 0.05 0.06 0.07 0.07 0.09
26-49 0.10 0.10 0.09 0.10 0.12 0.12 0.09 0.08 0.09 0.09 0.10 0.09 0.16
50 or Older 0.12 0.12 0.14 0.11 0.10 0.09 0.09 0.09 0.07 0.08 0.09 0.09 0.10
GENDER                          
Male 0.10 0.10 0.11 0.09 0.10 0.09 0.08 0.08 0.08 0.09 0.09 0.08 0.13
Female 0.10 0.09 0.10 0.10 0.09 0.10 0.08 0.08 0.08 0.08 0.09 0.09 0.13
HISPANIC ORIGIN AND RACE                          
Not Hispanic or Latino 0.07 0.08 0.08 0.08 0.07 0.07 0.06 0.06 0.06 0.07 0.07 0.06 0.10
White 0.09 0.09 0.09 0.08 0.08 0.09 0.07 0.08 0.07 0.07 0.08 0.07 0.12
Black or African American 0.16 0.18 0.24 0.16 0.18 0.22 0.19 0.13 0.18 0.14 0.21 0.15 0.27
AIAN 0.61 0.83 0.65 * 0.72 0.61 0.55 1.26 0.50 0.81 0.55 0.30 0.86
NHOPI 0.68 0.49 0.02 0.16 0.22 1.58 0.41 * 0.21 * 0.59 0.50 0.54
Asian 0.09 0.17 0.46 0.48 0.42 0.14 0.26 0.13 0.14 0.43 0.21 0.24 0.12
Two or More Races 1.03 0.62 0.55 0.44 0.45 0.45 0.56 0.49 0.72 0.50 0.63 0.42 1.01
Hispanic or Latino 0.20 0.16 0.10 0.15 0.18 0.19 0.13 0.14 0.12 0.13 0.15 0.19 0.23
* = 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 10.35C – Attempted Suicide in Past Year: Among People Aged 18 or Older; by Detailed Age Category, Standard Errors of Numbers in Thousands, 2008-2020
Age Category 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 105 91 108 110 103 118 76 100 96 97 101 93 131
18-25 32 31 30 35 41 35 36 44 45 48 44 45 77
18-20 25 20 21 22 33 26 22 32 35 36 31 33 63
21-25 18 24 22 26 24 22 30 32 30 33 32 32 52
26 or Older 100 85 103 103 95 112 67 90 84 87 91 83 105
26-49 67 63 59 64 75 83 54 57 53 53 59 58 89
26-29 30 23 14 32 35 32 21 24 25 23 24 27 68
30-34 36 25 28 20 25 52 22 28 29 20 25 30 29
35-39 22 36 16 30 33 36 25 21 27 32 36 21 28
40-44 29 23 32 31 33 34 23 28 18 17 22 24 29
45-49 29 31 33 29 38 26 30 25 20 23 23 22 31
50 or Older 76 57 81 81 64 72 40 73 65 68 66 56 52
50-54 67 24 31 54 26 25 25 45 27 36 44 19 46
55-59 28 31 30 57 29 46 31 36 41 26 41 29 5
60-64 16 28 38 2 23 32 14 27 25 25 10 11 24
65 or Older 18 31 58 18 45 38 24 37 34 40 27 43 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 10.35D – Attempted Suicide in Past Year: Among People Aged 18 or Older; by Detailed Age Category, Standard Errors of Percentages, 2008-2020
Age Category 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 0.05 0.04 0.05 0.05 0.04 0.05 0.03 0.04 0.04 0.04 0.04 0.04 0.05
18-25 0.10 0.09 0.09 0.10 0.12 0.10 0.10 0.13 0.13 0.14 0.13 0.14 0.23
18-20 0.19 0.14 0.15 0.16 0.25 0.19 0.17 0.24 0.27 0.28 0.24 0.25 0.50
21-25 0.09 0.12 0.11 0.13 0.12 0.10 0.14 0.15 0.14 0.15 0.15 0.16 0.25
26 or Older 0.05 0.04 0.05 0.05 0.05 0.06 0.03 0.04 0.04 0.04 0.04 0.04 0.05
26-49 0.07 0.06 0.06 0.07 0.08 0.09 0.06 0.06 0.05 0.05 0.06 0.06 0.09
26-29 0.18 0.14 0.09 0.19 0.21 0.19 0.13 0.14 0.14 0.13 0.14 0.15 0.38
30-34 0.20 0.13 0.14 0.11 0.13 0.26 0.10 0.13 0.14 0.09 0.11 0.14 0.13
35-39 0.11 0.18 0.08 0.15 0.17 0.19 0.13 0.11 0.13 0.16 0.17 0.10 0.13
40-44 0.13 0.11 0.15 0.15 0.16 0.16 0.12 0.14 0.09 0.09 0.11 0.12 0.15
45-49 0.13 0.14 0.15 0.13 0.18 0.13 0.15 0.12 0.10 0.11 0.12 0.11 0.16
50 or Older 0.08 0.06 0.08 0.08 0.06 0.07 0.04 0.07 0.06 0.06 0.06 0.05 0.04
50-54 0.31 0.11 0.14 0.24 0.11 0.11 0.10 0.20 0.13 0.17 0.21 0.09 0.23
55-59 0.16 0.17 0.16 0.30 0.14 0.22 0.15 0.17 0.19 0.12 0.19 0.14 0.03
60-64 0.11 0.18 0.23 0.01 0.14 0.18 0.08 0.14 0.13 0.13 0.05 0.05 0.12
65 or Older 0.05 0.08 0.15 0.05 0.11 0.09 0.05 0.08 0.07 0.08 0.05 0.08 0.01
* = 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 10.36C – Attempted Suicide in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Standard Errors of Numbers in Thousands, 2008-2020
Demographic Characteristic 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 105 91 108 110 103 118 76 100 96 97 101 93 131
AGE GROUP                          
18-25 32 31 30 35 41 35 36 44 45 48 44 45 77
26 or Older 100 85 103 103 95 112 67 90 84 87 91 83 105
26-49 67 63 59 64 75 83 54 57 53 53 59 58 89
50 or Older 76 57 81 81 64 72 40 73 65 68 66 56 52
GENDER                          
Male 62 60 74 65 71 66 51 71 64 58 61 53 78
Female 86 69 77 88 72 93 63 73 71 77 78 74 101
HISPANIC ORIGIN AND RACE                          
Not Hispanic or Latino 97 88 106 104 90 103 68 92 89 90 86 81 113
White 86 72 88 79 78 85 56 88 69 73 65 70 100
Black or African American 37 44 55 31 35 55 36 26 38 32 44 33 31
AIAN 3 7 7 * 9 6 7 6 2 4 5 2 *
NHOPI * 1 0 1 2 * 4 * 5 * 2 3 6
Asian 5 22 9 53 28 9 31 14 40 30 20 17 11
Two or More Races 20 13 9 8 11 7 11 10 10 14 18 14 26
Hispanic or Latino 41 22 23 36 50 52 33 38 34 36 52 44 66
* = 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 10.36D – Attempted Suicide in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Standard Errors of Percentages, 2008-2020
Demographic Characteristic 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 0.05 0.04 0.05 0.05 0.04 0.05 0.03 0.04 0.04 0.04 0.04 0.04 0.05
AGE GROUP                          
18-25 0.10 0.09 0.09 0.10 0.12 0.10 0.10 0.13 0.13 0.14 0.13 0.14 0.23
26 or Older 0.05 0.04 0.05 0.05 0.05 0.06 0.03 0.04 0.04 0.04 0.04 0.04 0.05
26-49 0.07 0.06 0.06 0.07 0.08 0.09 0.06 0.06 0.05 0.05 0.06 0.06 0.09
50 or Older 0.08 0.06 0.08 0.08 0.06 0.07 0.04 0.07 0.06 0.06 0.06 0.05 0.04
GENDER                          
Male 0.06 0.05 0.07 0.06 0.06 0.06 0.04 0.06 0.05 0.05 0.05 0.04 0.06
Female 0.07 0.06 0.06 0.07 0.06 0.08 0.05 0.06 0.06 0.06 0.06 0.06 0.08
HISPANIC ORIGIN AND RACE                          
Not Hispanic or Latino 0.05 0.05 0.05 0.05 0.05 0.05 0.03 0.05 0.04 0.04 0.04 0.04 0.05
White 0.06 0.05 0.06 0.05 0.05 0.05 0.04 0.06 0.04 0.05 0.04 0.04 0.06
Black or African American 0.14 0.16 0.21 0.12 0.13 0.20 0.13 0.09 0.13 0.11 0.15 0.11 0.10
AIAN 0.30 0.68 0.65 * 0.66 0.45 0.55 0.47 0.15 0.34 0.36 0.17 *
NHOPI * 0.14 0.05 0.16 0.21 * 0.41 * 0.48 * 0.17 0.31 0.62
Asian 0.05 0.22 0.09 0.48 0.24 0.07 0.24 0.10 0.30 0.22 0.14 0.12 0.08
Two or More Races 0.78 0.54 0.36 0.26 0.33 0.22 0.31 0.25 0.26 0.34 0.43 0.32 0.57
Hispanic or Latino 0.14 0.07 0.07 0.11 0.14 0.15 0.09 0.10 0.09 0.09 0.13 0.11 0.16
* = 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 10.37C – Serious Psychological Distress in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Standard Errors of Numbers in Thousands, 2005-2020
Demographic Characteristic 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 481 474 469 500 483 489 519 542 571 446 418 438 479 481 501 815
AGE GROUP                                
18-25 104 118 111 106 110 120 117 122 120 131 139 135 165 146 152 284
26 or Older 458 453 445 481 471 468 492 513 555 419 389 411 427 448 456 747
26-49 326 334 314 317 334 322 336 344 356 259 261 262 272 275 304 474
50 or Older 318 321 330 377 315 339 344 389 402 316 295 313 307 329 317 552
GENDER                                
Male 279 309 306 309 297 303 323 340 340 256 260 290 286 301 316 509
Female 384 352 366 381 379 378 387 402 440 346 316 334 364 362 372 590
HISPANIC ORIGIN AND RACE                                
Not Hispanic or Latino 427 440 431 472 451 447 474 486 516 422 387 387 445 440 442 721
White 392 417 410 473 438 420 411 451 453 372 362 376 426 432 420 673
Black or African American 194 167 179 165 165 179 156 223 207 165 136 143 147 161 179 302
AIAN 48 72 36 17 24 31 50 55 46 37 31 29 21 43 30 *
NHOPI * 30 15 * 26 * * * 15 34 18 23 29 37 26 16
Asian 87 107 83 117 75 84 130 119 135 112 94 108 112 106 108 144
Two or More Races 51 93 47 62 49 79 81 49 70 60 49 58 62 60 80 171
Hispanic or Latino 191 192 195 180 169 199 201 225 241 162 158 210 185 202 216 373
* = 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 10.37D – Serious Psychological Distress in Past Year: Among People Aged 18 or Older; by Demographic Characteristics, Standard Errors of Percentages, 2005-2020
Demographic Characteristic 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
TOTAL 0.22 0.22 0.21 0.22 0.21 0.21 0.22 0.23 0.24 0.19 0.17 0.18 0.19 0.19 0.20 0.32
AGE GROUP                                
18-25 0.32 0.36 0.34 0.32 0.33 0.35 0.34 0.35 0.35 0.38 0.40 0.39 0.48 0.43 0.45 0.85
26 or Older 0.25 0.24 0.23 0.25 0.24 0.24 0.25 0.26 0.27 0.20 0.19 0.20 0.20 0.21 0.21 0.34
26-49 0.33 0.33 0.31 0.32 0.34 0.33 0.34 0.35 0.36 0.26 0.26 0.26 0.27 0.27 0.30 0.47
50 or Older 0.37 0.37 0.37 0.41 0.33 0.35 0.34 0.38 0.38 0.30 0.27 0.28 0.27 0.29 0.27 0.47
GENDER                                
Male 0.27 0.29 0.29 0.28 0.27 0.27 0.29 0.30 0.30 0.22 0.22 0.25 0.24 0.25 0.26 0.42
Female 0.34 0.31 0.32 0.33 0.32 0.32 0.32 0.33 0.36 0.28 0.25 0.26 0.29 0.28 0.29 0.45
HISPANIC ORIGIN AND RACE                                
Not Hispanic or Latino 0.22 0.23 0.22 0.24 0.23 0.23 0.24 0.24 0.26 0.21 0.19 0.19 0.21 0.21 0.21 0.34
White 0.25 0.25 0.25 0.28 0.27 0.25 0.26 0.27 0.28 0.23 0.22 0.22 0.25 0.25 0.25 0.41
Black or African American 0.70 0.59 0.66 0.59 0.57 0.61 0.54 0.74 0.70 0.53 0.45 0.45 0.46 0.49 0.54 0.90
AIAN 3.80 4.72 3.07 1.79 2.27 2.68 3.50 3.63 3.22 2.29 2.32 1.82 1.72 2.82 2.14 *
NHOPI * 3.56 2.48 * 3.56 * * * 1.94 3.51 2.94 2.16 2.91 3.63 2.32 1.82
Asian 0.94 1.12 0.86 1.13 0.74 0.83 1.09 0.97 1.06 0.87 0.72 0.74 0.77 0.73 0.75 1.01
Two or More Races 2.21 3.57 1.99 2.34 1.91 2.67 2.28 1.51 1.87 1.56 1.30 1.38 1.47 1.38 1.68 3.12
Hispanic or Latino 0.69 0.66 0.66 0.59 0.54 0.63 0.59 0.65 0.67 0.44 0.42 0.55 0.47 0.50 0.52 0.89
* = 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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