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Table 7.1A – Severity of Symptoms of Generalized Anxiety Disorder (GAD) in Past 2 Weeks: Among People Aged 12 to 17; by Demographic Characteristics, Numbers in Thousands, 2023 and 2024
Demographic Characteristic No or Minimal
(2023)
No or Minimal
(2024)
Mild
(2023)
Mild
(2024)
Moderate
(2023)
Moderate
(2024)
Moderate or Severe
(2023)
Moderate or Severe
(2024)
Severe
(2023)
Severe
(2024)
TOTAL -- 15,072 -- 6,003 -- 2,740 -- 4,876 -- 2,136
AGE GROUP                    
12-13 -- 5,166 -- 1,693 -- 674 -- 1,236 -- 563
14-15 -- 4,997 -- 2,090 -- 993 -- 1,778 -- 785
16-17 -- 4,909 -- 2,219 -- 1,073 -- 1,863 -- 789
SEX                    
Male -- 9,296 -- 2,559 -- 898 -- 1,420 -- 522
Female -- 5,776 -- 3,444 -- 1,842 -- 3,456 -- 1,614
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino -- 10,924 -- 4,488 -- 1,999 -- 3,637 -- 1,639
AIAN -- 138 -- 37 -- 17 -- 34 -- 17
Asian -- 968 -- 312 -- 150 -- 234 -- 84
Black or African American -- 2,213 -- 790 -- 357 -- 567 -- 210
NHPI -- * -- * -- * -- * -- *
White -- 7,025 -- 3,073 -- 1,343 -- 2,533 -- 1,190
Two or More Races -- 526 -- 253 -- 127 -- 263 -- 137
Hispanic or Latino -- 4,148 -- 1,515 -- 741 -- 1,239 -- 498
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: GAD symptom severity is based on the GAD-7 scale. GAD-7 scores indicate the following: 0 to 4 = no or minimal symptoms of GAD; 5 to 9 = mild symptoms; 10 to 14 = moderate symptoms; 15 to 21 = severe symptoms. The Moderate or Severe category includes respondents with a GAD-7 score of 10 or greater.
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, 2023 and 2024.
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Table 7.1B – Severity of Symptoms of Generalized Anxiety Disorder (GAD) in Past 2 Weeks: Among People Aged 12 to 17; by Demographic Characteristics, Percentages, 2023 and 2024
Demographic Characteristic No or Minimal
(2023)
No or Minimal
(2024)
Mild
(2023)
Mild
(2024)
Moderate
(2023)
Moderate
(2024)
Moderate or Severe
(2023)
Moderate or Severe
(2024)
Severe
(2023)
Severe
(2024)
TOTAL -- 58.1 -- 23.1 -- 10.6 -- 18.8 -- 8.2
AGE GROUP                    
12-13 -- 63.8 -- 20.9 -- 8.3 -- 15.3 -- 7.0
14-15 -- 56.4 -- 23.6 -- 11.2 -- 20.1 -- 8.8
16-17 -- 54.6 -- 24.7 -- 11.9 -- 20.7 -- 8.8
SEX                    
Male -- 70.0 -- 19.3 -- 6.8 -- 10.7 -- 3.9
Female -- 45.6 -- 27.2 -- 14.5 -- 27.3 -- 12.7
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino -- 57.3 -- 23.6 -- 10.5 -- 19.1 -- 8.6
AIAN -- 66.1 -- 17.8 -- 8.0 -- 16.1 -- 8.1
Asian -- 64.0 -- 20.6 -- 9.9 -- 15.5 -- 5.6
Black or African American -- 62.0 -- 22.1 -- 10.0 -- 15.9 -- 5.9
NHPI -- * -- * -- * -- * -- *
White -- 55.6 -- 24.3 -- 10.6 -- 20.1 -- 9.4
Two or More Races -- 50.5 -- 24.3 -- 12.1 -- 25.3 -- 13.1
Hispanic or Latino -- 60.1 -- 21.9 -- 10.7 -- 18.0 -- 7.2
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: GAD symptom severity is based on the GAD-7 scale. GAD-7 scores indicate the following: 0 to 4 = no or minimal symptoms of GAD; 5 to 9 = mild symptoms; 10 to 14 = moderate symptoms; 15 to 21 = severe symptoms. The Moderate or Severe category includes respondents with a GAD-7 score of 10 or greater.
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, 2023 and 2024.
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Table 7.2A – Severity of Symptoms of Generalized Anxiety Disorder (GAD) in Past 2 Weeks: Among People Aged 12 to 17; by Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2023 and 2024
Geographic/Socioeconomic Characteristic No or Minimal
(2023)
No or Minimal
(2024)
Mild
(2023)
Mild
(2024)
Moderate
(2023)
Moderate
(2024)
Moderate or Severe
(2023)
Moderate or Severe
(2024)
Severe
(2023)
Severe
(2024)
TOTAL -- 15,072 -- 6,003 -- 2,740 -- 4,876 -- 2,136
GEOGRAPHIC REGION                    
Northeast -- 2,328 -- 970 -- 449 -- 782 -- 332
Midwest -- 3,159 -- 1,237 -- 550 -- 1,014 -- 463
South -- 6,113 -- 2,304 -- 1,039 -- 1,907 -- 868
West -- 3,472 -- 1,492 -- 701 -- 1,174 -- 473
COUNTY TYPE                    
Large Metro -- 8,677 -- 3,321 -- 1,512 -- 2,690 -- 1,178
Small Metro -- 4,698 -- 2,051 -- 926 -- 1,618 -- 692
Nonmetro -- 1,697 -- 630 -- 303 -- 569 -- 266
Urbanized -- 696 -- 229 -- 131 -- 212 -- 80
Less Urbanized -- 874 -- 347 -- 145 -- 301 -- 156
Completely Rural -- 127 -- 54 -- 26 -- 56 -- 30
POVERTY LEVEL                    
Less Than 100% -- 3,411 -- 1,122 -- 542 -- 985 -- 442
100-199% -- 3,121 -- 1,264 -- 524 -- 935 -- 411
200% or More -- 8,540 -- 3,617 -- 1,674 -- 2,956 -- 1,283
HEALTH INSURANCE1                    
Private -- 8,338 -- 3,440 -- 1,647 -- 2,865 -- 1,217
Medicaid/CHIP -- 6,162 -- 2,302 -- 1,067 -- 1,985 -- 918
Other2 -- 793 -- 340 -- 166 -- 249 -- 84
No Coverage -- 755 -- 293 -- 80 -- 160 -- 80
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: GAD symptom severity is based on the GAD-7 scale. GAD-7 scores indicate the following: 0 to 4 = no or minimal symptoms of GAD; 5 to 9 = mild symptoms; 10 to 14 = moderate symptoms; 15 to 21 = severe symptoms. The Moderate or Severe category includes respondents with a GAD-7 score of 10 or greater.
1 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
2 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, 2023 and 2024.
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Table 7.2B – Severity of Symptoms of Generalized Anxiety Disorder (GAD) in Past 2 Weeks: Among People Aged 12 to 17; by Geographic and Socioeconomic Characteristics, Percentages, 2023 and 2024
Geographic/Socioeconomic Characteristic No or Minimal
(2023)
No or Minimal
(2024)
Mild
(2023)
Mild
(2024)
Moderate
(2023)
Moderate
(2024)
Moderate or Severe
(2023)
Moderate or Severe
(2024)
Severe
(2023)
Severe
(2024)
TOTAL -- 58.1 -- 23.1 -- 10.6 -- 18.8 -- 8.2
GEOGRAPHIC REGION                    
Northeast -- 57.1 -- 23.8 -- 11.0 -- 19.2 -- 8.1
Midwest -- 58.4 -- 22.9 -- 10.2 -- 18.7 -- 8.6
South -- 59.2 -- 22.3 -- 10.1 -- 18.5 -- 8.4
West -- 56.6 -- 24.3 -- 11.4 -- 19.1 -- 7.7
COUNTY TYPE                    
Large Metro -- 59.1 -- 22.6 -- 10.3 -- 18.3 -- 8.0
Small Metro -- 56.1 -- 24.5 -- 11.1 -- 19.3 -- 8.3
Nonmetro -- 58.6 -- 21.8 -- 10.5 -- 19.6 -- 9.2
Urbanized -- 61.2 -- 20.1 -- 11.6 -- 18.6 -- 7.1
Less Urbanized -- 57.4 -- 22.8 -- 9.5 -- 19.8 -- 10.2
Completely Rural -- 53.6 -- 22.8 -- 11.0 -- 23.6 -- 12.6
POVERTY LEVEL                    
Less Than 100% -- 61.8 -- 20.3 -- 9.8 -- 17.8 -- 8.0
100-199% -- 58.7 -- 23.8 -- 9.8 -- 17.6 -- 7.7
200% or More -- 56.5 -- 23.9 -- 11.1 -- 19.6 -- 8.5
HEALTH INSURANCE1                    
Private -- 56.9 -- 23.5 -- 11.3 -- 19.6 -- 8.3
Medicaid/CHIP -- 59.0 -- 22.0 -- 10.2 -- 19.0 -- 8.8
Other2 -- 57.3 -- 24.6 -- 12.0 -- 18.0 -- 6.0
No Coverage -- 62.5 -- 24.2 -- 6.7 -- 13.3 -- 6.6
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: GAD symptom severity is based on the GAD-7 scale. GAD-7 scores indicate the following: 0 to 4 = no or minimal symptoms of GAD; 5 to 9 = mild symptoms; 10 to 14 = moderate symptoms; 15 to 21 = severe symptoms. The Moderate or Severe category includes respondents with a GAD-7 score of 10 or greater.
1 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
2 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, 2023 and 2024.
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Table 7.3A – Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year: Among People Aged 12 to 17; by Demographic Characteristics, Numbers in Thousands, 2023 and 2024
Demographic Characteristic Had MDE1,2
(2023)
Had MDE1,2
(2024)
Had MDE with Severe Impairment1,3,4
(2023)
Had MDE with Severe Impairment1,3,4
(2024)
TOTAL 4,517b 3,840 3,358b 2,834
AGE GROUP        
12-13 896 767 618 567
14-15 1,682a 1,366 1,287b 1,000
16-17 1,939 1,706 1,453 1,267
SEX        
Male 1,207 1,082 845 735
Female 3,310b 2,758 2,513b 2,099
HISPANIC ORIGIN AND RACE        
Not Hispanic or Latino 3,348b 2,824 2,491b 2,055
AIAN 41 17 18 12
Asian 193 172 128 135
Black or African American 458 364 343 260
NHPI * * * *
White 2,431b 2,048 1,823b 1,483
Two or More Races 217 222 174 163
Hispanic or Latino 1,169 1,016 867 779
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
1 Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
2 Respondents with unknown past year major depressive episode (MDE) data were excluded.
3 Major depressive episode (MDE) with severe impairment is a subset of MDE. Impairment is based on the Sheehan Disability Scale role domains, which measure the impact of a disorder on a person’s life. Ratings greater than or equal to 7 on a scale of 0 to 10 in any of the role domains indicate severe impairment.
4 Respondents with unknown MDE data or 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, 2023 and 2024.
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Table 7.3B – Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year: Among People Aged 12 to 17; by Demographic Characteristics, Percentages, 2023 and 2024
Demographic Characteristic Had MDE1,2
(2023)
Had MDE1,2
(2024)
Had MDE with Severe Impairment1,3,4
(2023)
Had MDE with Severe Impairment1,3,4
(2024)
TOTAL 18.1b 15.4 13.5b 11.3
AGE GROUP        
12-13 11.9 10.1 8.2 7.4
14-15 19.1a 16.0 14.6a 11.7
16-17 22.7b 19.3 17.0a 14.3
SEX        
Male 9.4 8.4 6.6 5.7
Female 27.3b 22.6 20.8b 17.2
HISPANIC ORIGIN AND RACE        
Not Hispanic or Latino 18.2b 15.4 13.5b 11.2
AIAN 18.2 8.6 8.2 6.1
Asian 13.7 11.9 9.1 9.4
Black or African American 13.3 10.5 10.0a 7.5
NHPI * * * *
White 19.6b 16.8 14.7b 12.2
Two or More Races 24.4 22.2 19.6 16.4
Hispanic or Latino 18.0 15.4 13.3 11.8
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
1 Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
2 Respondents with unknown past year major depressive episode (MDE) data were excluded.
3 Major depressive episode (MDE) with severe impairment is a subset of MDE. Impairment is based on the Sheehan Disability Scale role domains, which measure the impact of a disorder on a person’s life. Ratings greater than or equal to 7 on a scale of 0 to 10 in any of the role domains indicate severe impairment.
4 Respondents with unknown MDE data or 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, 2023 and 2024.
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Table 7.4A – Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year: Among People Aged 12 to 17; by Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2023 and 2024
Geographic/Socioeconomic Characteristic Had MDE1,2
(2023)
Had MDE1,2
(2024)
Had MDE with Severe Impairment1,3,4
(2023)
Had MDE with Severe Impairment1,3,4
(2024)
TOTAL 4,517b 3,840 3,358b 2,834
GEOGRAPHIC REGION        
Northeast 623 563 482 449
Midwest 1,063b 818 792b 579
South 1,769a 1,482 1,324a 1,108
West 1,061 976 760 698
COUNTY TYPE        
Large Metro 2,609b 1,968 1,952b 1,475
Small Metro 1,317 1,401 951 1,019
Nonmetro 591 470 455a 339
Urbanized 210 187 163 138
Less Urbanized 338a 239 258a 164
Completely Rural * 45 35 37
POVERTY LEVEL        
Less Than 100% 813 765 612 567
100-199% 958a 768 741 607
200% or More 2,746b 2,307 2,006b 1,660
HEALTH INSURANCE5        
Private 2,566a 2,218 1,895a 1,633
Medicaid/CHIP 1,784 1,581 1,351 1,206
Other6 310b 163 253b 111
No Coverage 169 149 127 96
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
1 Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
2 Respondents with unknown past year major depressive episode (MDE) data were excluded.
3 Major depressive episode (MDE) with severe impairment is a subset of MDE. Impairment is based on the Sheehan Disability Scale role domains, which measure the impact of a disorder on a person’s life. Ratings greater than or equal to 7 on a scale of 0 to 10 in any of the role domains indicate severe impairment.
4 Respondents with unknown MDE data or unknown impairment data were excluded.
5 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
6 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, 2023 and 2024.
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Table 7.4B – Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year: Among People Aged 12 to 17; by Geographic and Socioeconomic Characteristics, Percentages, 2023 and 2024
Geographic/Socioeconomic Characteristic Had MDE1,2
(2023)
Had MDE1,2
(2024)
Had MDE with Severe Impairment1,3,4
(2023)
Had MDE with Severe Impairment1,3,4
(2024)
TOTAL 18.1b 15.4 13.5b 11.3
GEOGRAPHIC REGION        
Northeast 15.9 14.4 12.3 11.5
Midwest 20.4b 15.8 15.2b 11.2
South 17.9b 14.8 13.4a 11.1
West 17.9 16.6 12.8 11.9
COUNTY TYPE        
Large Metro 19.1b 14.0 14.3b 10.5
Small Metro 16.6 17.3 12.0 12.6
Nonmetro 18.1 16.7 14.0 12.1
Urbanized 17.9 16.7 13.9 12.4
Less Urbanized 18.8 16.2 14.4 11.2
Completely Rural * 19.8 11.6 16.4
POVERTY LEVEL        
Less Than 100% 15.0 14.4 11.3 10.7
100-199% 18.6a 15.0 14.4 11.9
200% or More 19.1b 15.8 14.0b 11.4
HEALTH INSURANCE5        
Private 18.9b 15.7 14.0b 11.6
Medicaid/CHIP 17.1 15.7 12.9 12.0
Other6 22.8b 12.1 18.6b 8.3
No Coverage 14.4 12.9 10.9 8.3
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
1 Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
2 Respondents with unknown past year major depressive episode (MDE) data were excluded.
3 Major depressive episode (MDE) with severe impairment is a subset of MDE. Impairment is based on the Sheehan Disability Scale role domains, which measure the impact of a disorder on a person’s life. Ratings greater than or equal to 7 on a scale of 0 to 10 in any of the role domains indicate severe impairment.
4 Respondents with unknown MDE data or unknown impairment data were excluded.
5 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
6 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, 2023 and 2024.
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Table 7.5A – Types and Locations of Mental Health Treatment and Other Services in Past Year: Among People Aged 12 to 17, by Age Group, Numbers in Thousands, 2023 and 2024
Type/Location of Treatment or Other Services Aged 12-17
(2023)
Aged 12-17
(2024)
Aged 12-13
(2023)
Aged 12-13
(2024)
Aged 14-15
(2023)
Aged 14-15
(2024)
Aged 16-17
(2023)
Aged 16-17
(2024)
MENTAL HEALTH TREATMENT OR OTHER SERVICES1 -- 7,874 -- 2,496 -- 2,647 -- 2,731
MENTAL HEALTH TREATMENT -- 7,393 -- 2,312 -- 2,520 -- 2,561
Inpatient -- 736 -- 220 -- 238 -- 279
Hospital -- 579 -- 161 -- 185 -- 233
Residential Mental Health Treatment Center -- 417 -- 120 -- 159 -- 138
Residential Drug or Alcohol Rehab or Treatment Center -- 127 -- 38 -- 67 -- 22
Some Other Place as an Inpatient -- 175 -- 74 -- 50 -- 51
Outpatient -- 5,525 -- 1,741 -- 1,849 -- 1,936
Mental Health Treatment Center -- 820 -- 221 -- 312 -- 287
Drug or Alcohol Rehab or Treatment Center -- 92 -- 13 -- 47 -- 32
Office of a Therapist, Psychologist, Psychiatrist, or Mental Health Professional -- 3,509 -- 954 -- 1,180 -- 1,375
General Medical Clinic or Doctor’s Office -- 1,779 -- 431 -- 654 -- 693
Hospital -- 458 -- 98 -- 176 -- 184
School’s Health or Counseling Center -- 2,941 -- 1,092 -- 981 -- 868
Some Other Place as an Outpatient -- 263 -- 71 -- 119 -- 72
Outpatient, Other Than General Medical Clinic or Doctor’s Office -- 5,170 -- 1,646 -- 1,714 -- 1,810
Prescription Medication 3,604 3,343 955 883 1,293 1,167 1,355 1,293
Telehealth Treatment2 3,677 3,389 848 941 1,410a 1,164 1,419 1,283
Prison, Jail, or Juvenile Detention Center 314 312 104 97 106 121 103 93
OTHER SERVICES                
Support Services                
Support Group 1,926 1,745 565 691 775b 522 586 533
Peer Support Specialist or Recovery Coach 820 793 181 260 327 255 313 278
Emergency Room/Department 706 684 210 208 284 208 212 268
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Changes were made to the inpatient and outpatient mental health treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: Mental health treatment includes treatment for mental health, emotions, or behavior through inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication; telehealth treatment; or treatment received in a prison, jail, or juvenile detention center.
NOTE: Respondents could indicate multiple types/locations for receiving mental health treatment or other services; thus, these response categories are not mutually exclusive.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
1 Other services include treatment for mental health, emotions, or behavior through support group services; peer support specialist or recovery coach services; or treatment received in an emergency room/department.
2 Respondents who reported that they received telehealth treatment (i.e., over the phone or through video) were not asked for the type or location of providers for the telehealth treatment they received.
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, 2023 and 2024.
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Table 7.5B – Types and Locations of Mental Health Treatment and Other Services in Past Year: Among People Aged 12 to 17, by Age Group, Percentages, 2023 and 2024
Type/Location of Treatment or Other Services Aged 12-17
(2023)
Aged 12-17
(2024)
Aged 12-13
(2023)
Aged 12-13
(2024)
Aged 14-15
(2023)
Aged 14-15
(2024)
Aged 16-17
(2023)
Aged 16-17
(2024)
MENTAL HEALTH TREATMENT OR OTHER SERVICES1 -- 30.3 -- 30.8 -- 29.9 -- 30.4
MENTAL HEALTH TREATMENT -- 28.5 -- 28.6 -- 28.4 -- 28.5
Inpatient -- 2.8 -- 2.7 -- 2.7 -- 3.1
Hospital -- 2.2 -- 2.0 -- 2.1 -- 2.6
Residential Mental Health Treatment Center -- 1.6 -- 1.5 -- 1.8 -- 1.5
Residential Drug or Alcohol Rehab or Treatment Center -- 0.5 -- 0.5 -- 0.8 -- 0.2
Some Other Place as an Inpatient -- 0.7 -- 0.9 -- 0.6 -- 0.6
Outpatient -- 21.3 -- 21.5 -- 20.9 -- 21.5
Mental Health Treatment Center -- 3.2 -- 2.7 -- 3.5 -- 3.2
Drug or Alcohol Rehab or Treatment Center -- 0.4 -- 0.2 -- 0.5 -- 0.4
Office of a Therapist, Psychologist, Psychiatrist, or Mental Health Professional -- 13.5 -- 11.8 -- 13.3 -- 15.3
General Medical Clinic or Doctor’s Office -- 6.9 -- 5.3 -- 7.4 -- 7.7
Hospital -- 1.8 -- 1.2 -- 2.0 -- 2.0
School’s Health or Counseling Center -- 11.3 -- 13.5 -- 11.1 -- 9.7
Some Other Place as an Outpatient -- 1.0 -- 0.9 -- 1.3 -- 0.8
Outpatient, Other Than General Medical Clinic or Doctor’s Office -- 19.9 -- 20.3 -- 19.3 -- 20.1
Prescription Medication 13.9 12.9 12.0 10.9 14.2 13.2 15.3 14.4
Telehealth Treatment2 14.2 13.1 10.7 11.6 15.5a 13.1 16.1 14.3
Prison, Jail, or Juvenile Detention Center 1.2 1.2 1.3 1.2 1.2 1.4 1.2 1.0
OTHER SERVICES                
Support Services                
Support Group 7.4 6.7 7.1 8.5 8.5b 5.9 6.6 5.9
Peer Support Specialist or Recovery Coach 3.2 3.1 2.3 3.2 3.6 2.9 3.5 3.1
Emergency Room/Department 2.7 2.6 2.6 2.6 3.1 2.3 2.4 3.0
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Changes were made to the inpatient and outpatient mental health treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: Mental health treatment includes treatment for mental health, emotions, or behavior through inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication; telehealth treatment; or treatment received in a prison, jail, or juvenile detention center.
NOTE: Respondents could indicate multiple types/locations for receiving mental health treatment or other services; thus, these response categories are not mutually exclusive.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
1 Other services include treatment for mental health, emotions, or behavior through support group services; peer support specialist or recovery coach services; or treatment received in an emergency room/department.
2 Respondents who reported that they received telehealth treatment (i.e., over the phone or through video) were not asked for the type or location of providers for the telehealth treatment they received.
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, 2023 and 2024.
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Table 7.6A – Types and Locations of Mental Health Treatment in Past Year: Among People Aged 12 to 17; by Demographic Characteristics, Numbers in Thousands, 2023 and 2024
Demographic Characteristic Mental Health Treatment
(2023)
Mental Health Treatment
(2024)
Inpatient
(2023)
Inpatient
(2024)
Outpatient
(2023)
Outpatient
(2024)
Prescription Medication
(2023)
Prescription Medication
(2024)
Telehealth Treatment1
(2023)
Telehealth Treatment1
(2024)
Prison, Jail, or Juvenile Detention Center
(2023)
Prison, Jail, or Juvenile Detention Center
(2024)
TOTAL -- 7,393 -- 736 -- 5,525 3,604 3,343 3,677 3,389 314 312
AGE GROUP                        
12-13 -- 2,312 -- 220 -- 1,741 955 883 848 941 104 97
14-15 -- 2,520 -- 238 -- 1,849 1,293 1,167 1,410a 1,164 106 121
16-17 -- 2,561 -- 279 -- 1,936 1,355 1,293 1,419 1,283 103 93
SEX                        
Male -- 2,943 -- 301 -- 1,926 1,443 1,359 1,302 1,169 129 149
Female -- 4,450 -- 435 -- 3,600 2,161 1,984 2,375 2,220 184 163
HISPANIC ORIGIN AND RACE                        
Not Hispanic or Latino -- 5,718 -- 518 -- 4,241 2,926 2,815 2,861 2,661 227 248
AIAN -- 57 -- 12 -- 30 37 28 34 19 3 9
Asian -- 242 -- 27 -- 211 48 52 128 98 3 1
Black or African American -- 736 -- 116 -- 516 243 262 250 236 52 57
NHPI -- * -- * -- * * 2 * 1 * *
White -- 4,291 -- 318 -- 3,170 2,407 2,313 2,284 2,116 156 156
Two or More Races -- 375 -- 42 -- 301 186 157 160 191 13 24
Hispanic or Latino -- 1,675 -- 218 -- 1,285 678a 529 816 727 87 64
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Changes were made to the inpatient and outpatient mental health treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: Mental health treatment includes treatment for mental health, emotions, or behavior through inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication; telehealth treatment; or treatment received in a prison, jail, or juvenile detention center.
NOTE: Respondents could indicate multiple types/locations for receiving mental health treatment; thus, these response categories are not mutually exclusive.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
1 Respondents who reported that they received telehealth treatment (i.e., over the phone or through video) were not asked for the type or location of providers for the telehealth treatment they received.
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, 2023 and 2024.
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Table 7.6B – Types and Locations of Mental Health Treatment in Past Year: Among People Aged 12 to 17; by Demographic Characteristics, Percentages, 2023 and 2024
Demographic Characteristic Mental Health Treatment
(2023)
Mental Health Treatment
(2024)
Inpatient
(2023)
Inpatient
(2024)
Outpatient
(2023)
Outpatient
(2024)
Prescription Medication
(2023)
Prescription Medication
(2024)
Telehealth Treatment1
(2023)
Telehealth Treatment1
(2024)
Prison, Jail, or Juvenile Detention Center
(2023)
Prison, Jail, or Juvenile Detention Center
(2024)
TOTAL -- 28.5 -- 2.8 -- 21.3 13.9 12.9 14.2 13.1 1.2 1.2
AGE GROUP                        
12-13 -- 28.6 -- 2.7 -- 21.5 12.0 10.9 10.7 11.6 1.3 1.2
14-15 -- 28.4 -- 2.7 -- 20.9 14.2 13.2 15.5a 13.1 1.2 1.4
16-17 -- 28.5 -- 3.1 -- 21.5 15.3 14.4 16.1 14.3 1.2 1.0
SEX                        
Male -- 22.2 -- 2.3 -- 14.5 10.9 10.2 9.8 8.8 1.0 1.1
Female -- 35.1 -- 3.4 -- 28.4 17.1 15.7 18.8 17.5 1.5 1.3
HISPANIC ORIGIN AND RACE                        
Not Hispanic or Latino -- 30.0 -- 2.7 -- 22.3 15.3 14.8 15.0 14.0 1.2 1.3
AIAN -- 27.2 -- 5.9 -- 14.2 15.6 13.5 14.7 9.2 1.1 4.3
Asian -- 16.0 -- 1.8 -- 13.9 3.3 3.5 8.8 6.4 0.2 0.1
Black or African American -- 20.6 -- 3.3 -- 14.4 6.8 7.4 6.9 6.6 1.4 1.6
NHPI -- * -- * -- * * 2.4 * 1.0 * *
White -- 34.0 -- 2.5 -- 25.1 18.8 18.3 17.8 16.8 1.2 1.2
Two or More Races -- 36.0 -- 4.0 -- 28.8 20.1 15.0 17.3 18.4 1.4 2.3
Hispanic or Latino -- 24.3 -- 3.2 -- 18.6 10.0a 7.7 12.0 10.5 1.3 0.9
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Changes were made to the inpatient and outpatient mental health treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: Mental health treatment includes treatment for mental health, emotions, or behavior through inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication; telehealth treatment; or treatment received in a prison, jail, or juvenile detention center.
NOTE: Respondents could indicate multiple types/locations for receiving mental health treatment; thus, these response categories are not mutually exclusive.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
1 Respondents who reported that they received telehealth treatment (i.e., over the phone or through video) were not asked for the type or location of providers for the telehealth treatment they received.
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, 2023 and 2024.
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Table 7.7A – Types and Locations of Mental Health Treatment in Past Year: Among People Aged 12 to 17; by Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2023 and 2024
Geographic/Socioeconomic Characteristic Mental Health Treatment
(2023)
Mental Health Treatment
(2024)
Inpatient
(2023)
Inpatient
(2024)
Outpatient
(2023)
Outpatient
(2024)
Prescription Medication
(2023)
Prescription Medication
(2024)
Telehealth Treatment1
(2023)
Telehealth Treatment1
(2024)
Prison, Jail, or Juvenile Detention Center
(2023)
Prison, Jail, or Juvenile Detention Center
(2024)
TOTAL -- 7,393 -- 736 -- 5,525 3,604 3,343 3,677 3,389 314 312
GEOGRAPHIC REGION                        
Northeast -- 1,303 -- 121 -- 989 555 573 644 714 63 56
Midwest -- 1,673 -- 118 -- 1,241 947 839 854 724 92a 43
South -- 2,738 -- 327 -- 1,990 1,424 1,295 1,323 1,134 120 153
West -- 1,678 -- 171 -- 1,305 679 637 857 816 39 60
COUNTY TYPE                        
Large Metro -- 4,100 -- 349 -- 3,120 1,855 1,698 2,212 1,973 151 128
Small Metro -- 2,491 -- 269 -- 1,840 1,228 1,223 1,073 1,054 107 153
Nonmetro -- 802 -- 118 -- 565 521 423 391 362 56 31
Urbanized -- 299 -- 38 -- 203 193 150 143 140 22 16
Less Urbanized -- 462 -- 76 -- 329 282 248 205 199 31 14
Completely Rural -- 41 -- 4 -- 33 * 25 44 24 3 <1
POVERTY LEVEL                        
Less Than 100% -- 1,534 -- 263 -- 1,119 586 666 584 606 73 122
100-199% -- 1,366 -- 170 -- 1,026 668 557 639 612 67 59
200% or More -- 4,493 -- 303 -- 3,381 2,350 2,120 2,453 2,171 174 131
HEALTH INSURANCE2                        
Private -- 4,361 -- 262 -- 3,353 2,170 2,020 2,291 2,117 162 107
Medicaid/CHIP -- 2,997 -- 466 -- 2,180 1,475 1,366 1,335 1,279 182 204
Other3 -- 378 -- 50 -- 251 189 176 220 157 4 19
No Coverage -- 206 -- 31 -- 159 86 70 115 94 12 15
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Changes were made to the inpatient and outpatient mental health treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: Mental health treatment includes treatment for mental health, emotions, or behavior through inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication; telehealth treatment; or treatment received in a prison, jail, or juvenile detention center.
NOTE: Respondents could indicate multiple types/locations for receiving mental health treatment; thus, these response categories are not mutually exclusive.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
1 Respondents who reported that they received telehealth treatment (i.e., over the phone or through video) were not asked for the type or location of providers for the telehealth treatment they received.
2 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
3 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, 2023 and 2024.
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Table 7.7B – Types and Locations of Mental Health Treatment in Past Year: Among People Aged 12 to 17; by Geographic and Socioeconomic Characteristics, Percentages, 2023 and 2024
Geographic/Socioeconomic Characteristic Mental Health Treatment
(2023)
Mental Health Treatment
(2024)
Inpatient
(2023)
Inpatient
(2024)
Outpatient
(2023)
Outpatient
(2024)
Prescription Medication
(2023)
Prescription Medication
(2024)
Telehealth Treatment1
(2023)
Telehealth Treatment1
(2024)
Prison, Jail, or Juvenile Detention Center
(2023)
Prison, Jail, or Juvenile Detention Center
(2024)
TOTAL -- 28.5 -- 2.8 -- 21.3 13.9 12.9 14.2 13.1 1.2 1.2
GEOGRAPHIC REGION                        
Northeast -- 31.9 -- 3.0 -- 24.3 13.6 14.0 15.8 17.5 1.5 1.4
Midwest -- 30.9 -- 2.2 -- 22.9 17.4 15.5 15.7 13.4 1.7a 0.8
South -- 26.5 -- 3.2 -- 19.3 13.9 12.5 12.9a 11.0 1.2 1.5
West -- 27.3 -- 2.8 -- 21.3 11.0 10.4 13.9 13.3 0.6 1.0
COUNTY TYPE                        
Large Metro -- 27.9 -- 2.4 -- 21.2 13.0 11.6 15.5a 13.4 1.1 0.9
Small Metro -- 29.8 -- 3.2 -- 22.0 14.8 14.6 13.0 12.6 1.3 1.8
Nonmetro -- 27.7 -- 4.1 -- 19.5 15.4 14.6 11.5 12.5 1.6 1.1
Urbanized -- 26.3 -- 3.3 -- 17.8 15.8 13.2 11.7 12.3 1.8 1.4
Less Urbanized -- 30.3 -- 5.0 -- 21.6 15.1 16.3 11.0 13.1 1.7 1.0
Completely Rural -- 17.3 -- 1.5 -- 14.1 * 10.5 14.3 10.1 0.9 <0.1
POVERTY LEVEL                        
Less Than 100% -- 27.8 -- 4.8 -- 20.3 10.3 12.1 10.2 11.0 1.3 2.2
100-199% -- 25.7 -- 3.2 -- 19.3 12.5 10.5 11.9 11.5 1.3 1.1
200% or More -- 29.7 -- 2.0 -- 22.4 15.8a 14.0 16.5a 14.4 1.2 0.9
HEALTH INSURANCE2                        
Private -- 29.8 -- 1.8 -- 22.9 15.5 13.8 16.4a 14.5 1.2 0.7
Medicaid/CHIP -- 28.7 -- 4.5 -- 20.9 13.5 13.1 12.2 12.2 1.7 2.0
Other3 -- 27.4 -- 3.6 -- 18.1 13.5 12.7 15.8 11.4 0.3 1.4
No Coverage -- 17.0 -- 2.5 -- 13.1 6.9 5.8 9.2 7.7 0.9 1.3
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Changes were made to the inpatient and outpatient mental health treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: Mental health treatment includes treatment for mental health, emotions, or behavior through inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication; telehealth treatment; or treatment received in a prison, jail, or juvenile detention center.
NOTE: Respondents could indicate multiple types/locations for receiving mental health treatment; thus, these response categories are not mutually exclusive.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
1 Respondents who reported that they received telehealth treatment (i.e., over the phone or through video) were not asked for the type or location of providers for the telehealth treatment they received.
2 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
3 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, 2023 and 2024.
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Table 7.8A – Received Mental Health Treatment in Past Year: Among People Aged 12 to 17; by Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment and Demographic Characteristics, Numbers in Thousands, 2023 and 2024
Demographic Characteristic Aged 12-171
(2023)
Aged 12-171
(2024)
Had MDE2,3
(2023)
Had MDE2,3
(2024)
Had MDE with Severe Impairment2,4,5
(2023)
Had MDE with Severe Impairment2,4,5
(2024)
No MDE2,3
(2023)
No MDE2,3
(2024)
TOTAL -- 7,393 -- 2,327 -- 1,775 -- 4,671
AGE GROUP                
12-13 -- 2,312 -- 466 -- 351 -- 1,627
14-15 -- 2,520 -- 841 -- 646 -- 1,562
16-17 -- 2,561 -- 1,019 -- 778 -- 1,482
SEX                
Male -- 2,943 -- 552 -- 383 -- 2,238
Female -- 4,450 -- 1,774 -- 1,392 -- 2,433
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino -- 5,718 -- 1,786 -- 1,343 -- 3,654
AIAN -- 57 -- * -- * -- 39
Asian -- 242 -- * -- * -- 153
Black or African American -- 736 -- 163 -- 121 -- 532
NHPI -- * -- * -- * -- *
White -- 4,291 -- 1,385 -- 1,033 -- 2,697
Two or More Races -- 375 -- 143 -- 108 -- 215
Hispanic or Latino -- 1,675 -- 540 -- 431 -- 1,017
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Changes were made to the inpatient and outpatient mental health treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: Mental health treatment includes treatment for mental health, emotions, or behavior through inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication; telehealth treatment; or treatment received in a prison, jail, or juvenile detention center.
1 The aged 12-17 column includes respondents with unknown MDE data and respondents with unknown MDE with severe impairment data.
2 Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
3 Respondents with unknown past year major depressive episode (MDE) data were excluded.
4 Major depressive episode (MDE) with severe impairment is a subset of MDE. Impairment is based on the Sheehan Disability Scale role domains, which measure the impact of a disorder on a person’s life. Ratings greater than or equal to 7 on a scale of 0 to 10 in any of the role domains indicate severe impairment.
5 Respondents with unknown MDE data or 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, 2023 and 2024.
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Table 7.8B – Received Mental Health Treatment in Past Year: Among People Aged 12 to 17; by Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment and Demographic Characteristics, Percentages, 2023 and 2024
Demographic Characteristic Aged 12-171
(2023)
Aged 12-171
(2024)
Had MDE2,3
(2023)
Had MDE2,3
(2024)
Had MDE with Severe Impairment2,4,5
(2023)
Had MDE with Severe Impairment2,4,5
(2024)
No MDE2,3
(2023)
No MDE2,3
(2024)
TOTAL -- 28.5 -- 60.6 -- 62.6 -- 22.1
AGE GROUP                
12-13 -- 28.6 -- 60.7 -- 61.8 -- 23.7
14-15 -- 28.4 -- 61.6 -- 64.6 -- 21.8
16-17 -- 28.5 -- 59.7 -- 61.4 -- 20.8
SEX                
Male -- 22.2 -- 51.1 -- 52.1 -- 19.1
Female -- 35.1 -- 64.3 -- 66.3 -- 25.8
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino -- 30.0 -- 63.3 -- 65.4 -- 23.5
AIAN -- 27.2 -- * -- * -- 21.4
Asian -- 16.0 -- * -- * -- 12.0
Black or African American -- 20.6 -- 44.7 -- 46.4 -- 17.2
NHPI -- * -- * -- * -- *
White -- 34.0 -- 67.7 -- 69.7 -- 26.5
Two or More Races -- 36.0 -- 64.5 -- 65.8 -- 27.7
Hispanic or Latino -- 24.3 -- 53.2 -- 55.4 -- 18.2
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Changes were made to the inpatient and outpatient mental health treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: Mental health treatment includes treatment for mental health, emotions, or behavior through inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication; telehealth treatment; or treatment received in a prison, jail, or juvenile detention center.
1 The aged 12-17 column includes respondents with unknown MDE data and respondents with unknown MDE with severe impairment data.
2 Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
3 Respondents with unknown past year major depressive episode (MDE) data were excluded.
4 Major depressive episode (MDE) with severe impairment is a subset of MDE. Impairment is based on the Sheehan Disability Scale role domains, which measure the impact of a disorder on a person’s life. Ratings greater than or equal to 7 on a scale of 0 to 10 in any of the role domains indicate severe impairment.
5 Respondents with unknown MDE data or 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, 2023 and 2024.
250529
Table 7.9A – Received Mental Health Treatment in Past Year: Among People Aged 12 to 17; by Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment and Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2023 and 2024
Geographic/Socioeconomic Characteristic Aged 12-171
(2023)
Aged 12-171
(2024)
Had MDE2,3
(2023)
Had MDE2,3
(2024)
Had MDE with Severe Impairment2,4,5
(2023)
Had MDE with Severe Impairment2,4,5
(2024)
No MDE2,3
(2023)
No MDE2,3
(2024)
TOTAL -- 7,393 -- 2,327 -- 1,775 -- 4,671
GEOGRAPHIC REGION                
Northeast -- 1,303 -- 394 -- 327 -- 849
Midwest -- 1,673 -- 513 -- 385 -- 1,074
South -- 2,738 -- 813 -- 608 -- 1,792
West -- 1,678 -- 606 -- 455 -- 956
COUNTY TYPE                
Large Metro -- 4,100 -- 1,198 -- 917 -- 2,662
Small Metro -- 2,491 -- 866 -- 660 -- 1,511
Nonmetro -- 802 -- 263 -- 198 -- 498
Urbanized -- 299 -- * -- * -- 185
Less Urbanized -- 462 -- 146 -- * -- 285
Completely Rural -- 41 -- * -- * -- *
POVERTY LEVEL                
Less Than 100% -- 1,534 -- 450 -- 350 -- 997
100-199% -- 1,366 -- 420 -- 338 -- 863
200% or More -- 4,493 -- 1,457 -- 1,087 -- 2,812
HEALTH INSURANCE6                
Private -- 4,361 -- 1,360 -- 1,031 -- 2,784
Medicaid/CHIP -- 2,997 -- 978 -- 778 -- 1,838
Other7 -- 378 -- * -- * -- 279
No Coverage -- 206 -- * -- * -- 125
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Changes were made to the inpatient and outpatient mental health treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: Mental health treatment includes treatment for mental health, emotions, or behavior through inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication; telehealth treatment; or treatment received in a prison, jail, or juvenile detention center.
1 The aged 12-17 column includes respondents with unknown MDE data and respondents with unknown MDE with severe impairment data.
2 Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
3 Respondents with unknown past year major depressive episode (MDE) data were excluded.
4 Major depressive episode (MDE) with severe impairment is a subset of MDE. Impairment is based on the Sheehan Disability Scale role domains, which measure the impact of a disorder on a person’s life. Ratings greater than or equal to 7 on a scale of 0 to 10 in any of the role domains indicate severe impairment.
5 Respondents with unknown MDE data or unknown impairment data were excluded.
6 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
7 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, 2023 and 2024.
250529
Table 7.9B – Received Mental Health Treatment in Past Year: Among People Aged 12 to 17; by Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment and Geographic and Socioeconomic Characteristics, Percentages, 2023 and 2024
Geographic/Socioeconomic Characteristic Aged 12-171
(2023)
Aged 12-171
(2024)
Had MDE2,3
(2023)
Had MDE2,3
(2024)
Had MDE with Severe Impairment2,4,5
(2023)
Had MDE with Severe Impairment2,4,5
(2024)
No MDE2,3
(2023)
No MDE2,3
(2024)
TOTAL -- 28.5 -- 60.6 -- 62.6 -- 22.1
GEOGRAPHIC REGION                
Northeast -- 31.9 -- 70.0 -- 72.8 -- 25.4
Midwest -- 30.9 -- 62.6 -- 66.5 -- 24.5
South -- 26.5 -- 54.9 -- 54.9 -- 21.0
West -- 27.3 -- 62.1 -- 65.2 -- 19.5
COUNTY TYPE                
Large Metro -- 27.9 -- 60.8 -- 62.1 -- 22.0
Small Metro -- 29.8 -- 61.8 -- 64.7 -- 22.5
Nonmetro -- 27.7 -- 55.9 -- 58.4 -- 21.2
Urbanized -- 26.3 -- * -- * -- 19.9
Less Urbanized -- 30.3 -- 61.2 -- * -- 23.1
Completely Rural -- 17.3 -- * -- * -- *
POVERTY LEVEL                
Less Than 100% -- 27.8 -- 58.8 -- 61.8 -- 21.9
100-199% -- 25.7 -- 54.8 -- 55.6 -- 19.9
200% or More -- 29.7 -- 63.1 -- 65.5 -- 22.9
HEALTH INSURANCE6                
Private -- 29.8 -- 61.3 -- 63.1 -- 23.4
Medicaid/CHIP -- 28.7 -- 61.9 -- 64.5 -- 21.7
Other7 -- 27.4 -- * -- * -- 23.6
No Coverage -- 17.0 -- * -- * -- 12.5
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Changes were made to the inpatient and outpatient mental health treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: Mental health treatment includes treatment for mental health, emotions, or behavior through inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication; telehealth treatment; or treatment received in a prison, jail, or juvenile detention center.
1 The aged 12-17 column includes respondents with unknown MDE data and respondents with unknown MDE with severe impairment data.
2 Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
3 Respondents with unknown past year major depressive episode (MDE) data were excluded.
4 Major depressive episode (MDE) with severe impairment is a subset of MDE. Impairment is based on the Sheehan Disability Scale role domains, which measure the impact of a disorder on a person’s life. Ratings greater than or equal to 7 on a scale of 0 to 10 in any of the role domains indicate severe impairment.
5 Respondents with unknown MDE data or unknown impairment data were excluded.
6 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
7 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, 2023 and 2024.
250529
Table 7.10A – Received Mental Health Treatment as an Inpatient in Past Year: Among People Aged 12 to 17; by Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment and Demographic Characteristics, Numbers in Thousands, 2023 and 2024
Demographic Characteristic Aged 12-171
(2023)
Aged 12-171
(2024)
Had MDE2,3
(2023)
Had MDE2,3
(2024)
Had MDE with Severe Impairment2,4,5
(2023)
Had MDE with Severe Impairment2,4,5
(2024)
No MDE2,3
(2023)
No MDE2,3
(2024)
TOTAL -- 736 -- 274 -- 228 -- 397
AGE GROUP                
12-13 -- 220 -- 58 -- 50 -- 128
14-15 -- 238 -- 93 -- 80 -- 133
16-17 -- 279 -- 123 -- 99 -- 136
SEX                
Male -- 301 -- 77 -- 50 -- 205
Female -- 435 -- 197 -- 179 -- 192
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino -- 518 -- 201 -- 157 -- 266
AIAN -- 12 -- * -- * -- 9
Asian -- 27 -- * -- * -- 20
Black or African American -- 116 -- 17 -- 14 -- 90
NHPI -- * -- * -- * -- *
White -- 318 -- 156 -- 117 -- 132
Two or More Races -- 42 -- 19 -- 19 -- 13
Hispanic or Latino -- 218 -- 73 -- 71 -- 131
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Changes were made to the inpatient and outpatient mental health treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
1 The aged 12-17 column includes respondents with unknown MDE data and respondents with unknown MDE with severe impairment data.
2 Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
3 Respondents with unknown past year major depressive episode (MDE) data were excluded.
4 Major depressive episode (MDE) with severe impairment is a subset of MDE. Impairment is based on the Sheehan Disability Scale role domains, which measure the impact of a disorder on a person’s life. Ratings greater than or equal to 7 on a scale of 0 to 10 in any of the role domains indicate severe impairment.
5 Respondents with unknown MDE data or 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, 2023 and 2024.
250529
Table 7.10B – Received Mental Health Treatment as an Inpatient in Past Year: Among People Aged 12 to 17; by Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment and Demographic Characteristics, Percentages, 2023 and 2024
Demographic Characteristic Aged 12-171
(2023)
Aged 12-171
(2024)
Had MDE2,3
(2023)
Had MDE2,3
(2024)
Had MDE with Severe Impairment2,4,5
(2023)
Had MDE with Severe Impairment2,4,5
(2024)
No MDE2,3
(2023)
No MDE2,3
(2024)
TOTAL -- 2.8 -- 7.1 -- 8.0 -- 1.9
AGE GROUP                
12-13 -- 2.7 -- 7.6 -- 8.8 -- 1.9
14-15 -- 2.7 -- 6.8 -- 8.0 -- 1.9
16-17 -- 3.1 -- 7.2 -- 7.8 -- 1.9
SEX                
Male -- 2.3 -- 7.1 -- 6.7 -- 1.7
Female -- 3.4 -- 7.1 -- 8.5 -- 2.0
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino -- 2.7 -- 7.1 -- 7.7 -- 1.7
AIAN -- 5.9 -- * -- * -- 4.9
Asian -- 1.8 -- * -- * -- 1.5
Black or African American -- 3.3 -- 4.7 -- 5.5 -- 2.9
NHPI -- * -- * -- * -- *
White -- 2.5 -- 7.6 -- 7.9 -- 1.3
Two or More Races -- 4.0 -- 8.4 -- 11.4 -- 1.6
Hispanic or Latino -- 3.2 -- 7.2 -- 9.1 -- 2.3
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Changes were made to the inpatient and outpatient mental health treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
1 The aged 12-17 column includes respondents with unknown MDE data and respondents with unknown MDE with severe impairment data.
2 Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
3 Respondents with unknown past year major depressive episode (MDE) data were excluded.
4 Major depressive episode (MDE) with severe impairment is a subset of MDE. Impairment is based on the Sheehan Disability Scale role domains, which measure the impact of a disorder on a person’s life. Ratings greater than or equal to 7 on a scale of 0 to 10 in any of the role domains indicate severe impairment.
5 Respondents with unknown MDE data or 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, 2023 and 2024.
250529
Table 7.11A – Received Mental Health Treatment as an Inpatient in Past Year: Among People Aged 12 to 17; by Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment and Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2023 and 2024
Geographic/Socioeconomic Characteristic Aged 12-171
(2023)
Aged 12-171
(2024)
Had MDE2,3
(2023)
Had MDE2,3
(2024)
Had MDE with Severe Impairment2,4,5
(2023)
Had MDE with Severe Impairment2,4,5
(2024)
No MDE2,3
(2023)
No MDE2,3
(2024)
TOTAL -- 736 -- 274 -- 228 -- 397
GEOGRAPHIC REGION                
Northeast -- 121 -- 35 -- 35 -- 78
Midwest -- 118 -- 44 -- 32 -- 61
South -- 327 -- 111 -- 91 -- 181
West -- 171 -- 83 -- 71 -- 76
COUNTY TYPE                
Large Metro -- 349 -- 139 -- 112 -- 179
Small Metro -- 269 -- 87 -- 80 -- 165
Nonmetro -- 118 -- 48 -- 36 -- 53
Urbanized -- 38 -- * -- 7 -- 22
Less Urbanized -- 76 -- 29 -- * -- 30
Completely Rural -- 4 -- * -- * -- 1
POVERTY LEVEL                
Less Than 100% -- 263 -- 67 -- 52 -- 180
100-199% -- 170 -- 75 -- 73 -- 79
200% or More -- 303 -- 132 -- 103 -- 138
HEALTH INSURANCE6                
Private -- 262 -- 113 -- 98 -- 120
Medicaid/CHIP -- 466 -- 162 -- 137 -- 261
Other7 -- 50 -- * -- 1 -- 39
No Coverage -- 31 -- * -- * -- 16
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Changes were made to the inpatient and outpatient mental health treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
1 The aged 12-17 column includes respondents with unknown MDE data and respondents with unknown MDE with severe impairment data.
2 Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
3 Respondents with unknown past year major depressive episode (MDE) data were excluded.
4 Major depressive episode (MDE) with severe impairment is a subset of MDE. Impairment is based on the Sheehan Disability Scale role domains, which measure the impact of a disorder on a person’s life. Ratings greater than or equal to 7 on a scale of 0 to 10 in any of the role domains indicate severe impairment.
5 Respondents with unknown MDE data or unknown impairment data were excluded.
6 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
7 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, 2023 and 2024.
250529
Table 7.11B – Received Mental Health Treatment as an Inpatient in Past Year: Among People Aged 12 to 17; by Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment and Geographic and Socioeconomic Characteristics, Percentages, 2023 and 2024
Geographic/Socioeconomic Characteristic Aged 12-171
(2023)
Aged 12-171
(2024)
Had MDE2,3
(2023)
Had MDE2,3
(2024)
Had MDE with Severe Impairment2,4,5
(2023)
Had MDE with Severe Impairment2,4,5
(2024)
No MDE2,3
(2023)
No MDE2,3
(2024)
TOTAL -- 2.8 -- 7.1 -- 8.0 -- 1.9
GEOGRAPHIC REGION                
Northeast -- 3.0 -- 6.3 -- 7.8 -- 2.3
Midwest -- 2.2 -- 5.4 -- 5.5 -- 1.4
South -- 3.2 -- 7.5 -- 8.2 -- 2.1
West -- 2.8 -- 8.5 -- 10.1 -- 1.5
COUNTY TYPE                
Large Metro -- 2.4 -- 7.0 -- 7.6 -- 1.5
Small Metro -- 3.2 -- 6.2 -- 7.9 -- 2.5
Nonmetro -- 4.1 -- 10.2 -- 10.5 -- 2.2
Urbanized -- 3.3 -- * -- 4.9 -- 2.4
Less Urbanized -- 5.0 -- 12.3 -- * -- 2.4
Completely Rural -- 1.5 -- * -- * -- 0.3
POVERTY LEVEL                
Less Than 100% -- 4.8 -- 8.8 -- 9.2 -- 4.0
100-199% -- 3.2 -- 9.7 -- 12.0 -- 1.8
200% or More -- 2.0 -- 5.7 -- 6.2 -- 1.1
HEALTH INSURANCE6                
Private -- 1.8 -- 5.1 -- 6.0 -- 1.0
Medicaid/CHIP -- 4.5 -- 10.2 -- 11.4 -- 3.1
Other7 -- 3.6 -- * -- 1.1 -- 3.3
No Coverage -- 2.5 -- * -- * -- 1.6
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Changes were made to the inpatient and outpatient mental health treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
1 The aged 12-17 column includes respondents with unknown MDE data and respondents with unknown MDE with severe impairment data.
2 Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
3 Respondents with unknown past year major depressive episode (MDE) data were excluded.
4 Major depressive episode (MDE) with severe impairment is a subset of MDE. Impairment is based on the Sheehan Disability Scale role domains, which measure the impact of a disorder on a person’s life. Ratings greater than or equal to 7 on a scale of 0 to 10 in any of the role domains indicate severe impairment.
5 Respondents with unknown MDE data or unknown impairment data were excluded.
6 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
7 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, 2023 and 2024.
250529
Table 7.12A – Received Mental Health Treatment as an Outpatient in Past Year: Among People Aged 12 to 17; by Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment and Demographic Characteristics, Numbers in Thousands, 2023 and 2024
Demographic Characteristic Aged 12-171
(2023)
Aged 12-171
(2024)
Had MDE2,3
(2023)
Had MDE2,3
(2024)
Had MDE with Severe Impairment2,4,5
(2023)
Had MDE with Severe Impairment2,4,5
(2024)
No MDE2,3
(2023)
No MDE2,3
(2024)
TOTAL -- 5,525 -- 1,952 -- 1,508 -- 3,275
AGE GROUP                
12-13 -- 1,741 -- 404 -- 304 -- 1,155
14-15 -- 1,849 -- 709 -- 537 -- 1,059
16-17 -- 1,936 -- 839 -- 666 -- 1,061
SEX                
Male -- 1,926 -- 419 -- 289 -- 1,395
Female -- 3,600 -- 1,534 -- 1,219 -- 1,880
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino -- 4,241 -- 1,481 -- 1,129 -- 2,555
AIAN -- 30 -- * -- * -- 20
Asian -- 211 -- * -- * -- 129
Black or African American -- 516 -- 138 -- 99 -- 344
NHPI -- * -- * -- * -- *
White -- 3,170 -- 1,148 -- 870 -- 1,870
Two or More Races -- 301 -- 112 -- * -- 178
Hispanic or Latino -- 1,285 -- 471 -- 379 -- 721
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Changes were made to the inpatient and outpatient mental health treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
1 The aged 12-17 column includes respondents with unknown MDE data and respondents with unknown MDE with severe impairment data.
2 Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
3 Respondents with unknown past year major depressive episode (MDE) data were excluded.
4 Major depressive episode (MDE) with severe impairment is a subset of MDE. Impairment is based on the Sheehan Disability Scale role domains, which measure the impact of a disorder on a person’s life. Ratings greater than or equal to 7 on a scale of 0 to 10 in any of the role domains indicate severe impairment.
5 Respondents with unknown MDE data or 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, 2023 and 2024.
250529
Table 7.12B – Received Mental Health Treatment as an Outpatient in Past Year: Among People Aged 12 to 17; by Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment and Demographic Characteristics, Percentages, 2023 and 2024
Demographic Characteristic Aged 12-171
(2023)
Aged 12-171
(2024)
Had MDE2,3
(2023)
Had MDE2,3
(2024)
Had MDE with Severe Impairment2,4,5
(2023)
Had MDE with Severe Impairment2,4,5
(2024)
No MDE2,3
(2023)
No MDE2,3
(2024)
TOTAL -- 21.3 -- 50.8 -- 53.2 -- 15.5
AGE GROUP                
12-13 -- 21.5 -- 52.6 -- 53.7 -- 16.9
14-15 -- 20.9 -- 51.9 -- 53.7 -- 14.8
16-17 -- 21.5 -- 49.2 -- 52.6 -- 14.9
SEX                
Male -- 14.5 -- 38.7 -- 39.3 -- 11.9
Female -- 28.4 -- 55.6 -- 58.1 -- 20.0
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino -- 22.3 -- 52.5 -- 54.9 -- 16.4
AIAN -- 14.2 -- * -- * -- 11.0
Asian -- 13.9 -- * -- * -- 10.1
Black or African American -- 14.4 -- 37.8 -- 38.2 -- 11.1
NHPI -- * -- * -- * -- *
White -- 25.1 -- 56.1 -- 58.7 -- 18.4
Two or More Races -- 28.8 -- 50.5 -- * -- 22.9
Hispanic or Latino -- 18.6 -- 46.4 -- 48.6 -- 12.9
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Changes were made to the inpatient and outpatient mental health treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
1 The aged 12-17 column includes respondents with unknown MDE data and respondents with unknown MDE with severe impairment data.
2 Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
3 Respondents with unknown past year major depressive episode (MDE) data were excluded.
4 Major depressive episode (MDE) with severe impairment is a subset of MDE. Impairment is based on the Sheehan Disability Scale role domains, which measure the impact of a disorder on a person’s life. Ratings greater than or equal to 7 on a scale of 0 to 10 in any of the role domains indicate severe impairment.
5 Respondents with unknown MDE data or 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, 2023 and 2024.
250529
Table 7.13A – Received Mental Health Treatment as an Outpatient in Past Year: Among People Aged 12 to 17; by Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment and Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2023 and 2024
Geographic/Socioeconomic Characteristic Aged 12-171
(2023)
Aged 12-171
(2024)
Had MDE2,3
(2023)
Had MDE2,3
(2024)
Had MDE with Severe Impairment2,4,5
(2023)
Had MDE with Severe Impairment2,4,5
(2024)
No MDE2,3
(2023)
No MDE2,3
(2024)
TOTAL -- 5,525 -- 1,952 -- 1,508 -- 3,275
GEOGRAPHIC REGION                
Northeast -- 989 -- 321 -- 269 -- 633
Midwest -- 1,241 -- 423 -- 316 -- 743
South -- 1,990 -- 676 -- 514 -- 1,203
West -- 1,305 -- 532 -- 409 -- 696
COUNTY TYPE                
Large Metro -- 3,120 -- 1,023 -- 828 -- 1,923
Small Metro -- 1,840 -- 714 -- 519 -- 1,034
Nonmetro -- 565 -- 215 -- 162 -- 318
Urbanized -- 203 -- * -- * -- 119
Less Urbanized -- 329 -- 126 -- * -- 174
Completely Rural -- 33 -- * -- * -- *
POVERTY LEVEL                
Less Than 100% -- 1,119 -- 392 -- 308 -- 667
100-199% -- 1,026 -- 346 -- 275 -- 614
200% or More -- 3,381 -- 1,215 -- 925 -- 1,994
HEALTH INSURANCE6                
Private -- 3,353 -- 1,140 -- 883 -- 2,047
Medicaid/CHIP -- 2,180 -- 818 -- 653 -- 1,225
Other7 -- 251 -- * -- * -- 169
No Coverage -- 159 -- * -- * -- 86
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Changes were made to the inpatient and outpatient mental health treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
1 The aged 12-17 column includes respondents with unknown MDE data and respondents with unknown MDE with severe impairment data.
2 Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
3 Respondents with unknown past year major depressive episode (MDE) data were excluded.
4 Major depressive episode (MDE) with severe impairment is a subset of MDE. Impairment is based on the Sheehan Disability Scale role domains, which measure the impact of a disorder on a person’s life. Ratings greater than or equal to 7 on a scale of 0 to 10 in any of the role domains indicate severe impairment.
5 Respondents with unknown MDE data or unknown impairment data were excluded.
6 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
7 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, 2023 and 2024.
250529
Table 7.13B – Received Mental Health Treatment as an Outpatient in Past Year: Among People Aged 12 to 17; by Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment and Geographic and Socioeconomic Characteristics, Percentages, 2023 and 2024
Geographic/Socioeconomic Characteristic Aged 12-171
(2023)
Aged 12-171
(2024)
Had MDE2,3
(2023)
Had MDE2,3
(2024)
Had MDE with Severe Impairment2,4,5
(2023)
Had MDE with Severe Impairment2,4,5
(2024)
No MDE2,3
(2023)
No MDE2,3
(2024)
TOTAL -- 21.3 -- 50.8 -- 53.2 -- 15.5
GEOGRAPHIC REGION                
Northeast -- 24.3 -- 57.0 -- 59.9 -- 18.9
Midwest -- 22.9 -- 51.7 -- 54.6 -- 17.0
South -- 19.3 -- 45.6 -- 46.4 -- 14.1
West -- 21.3 -- 54.5 -- 58.6 -- 14.2
COUNTY TYPE                
Large Metro -- 21.2 -- 52.0 -- 56.1 -- 15.9
Small Metro -- 22.0 -- 51.0 -- 50.9 -- 15.4
Nonmetro -- 19.5 -- 45.6 -- 47.6 -- 13.5
Urbanized -- 17.8 -- * -- * -- 12.7
Less Urbanized -- 21.6 -- 52.9 -- * -- 14.1
Completely Rural -- 14.1 -- * -- * -- *
POVERTY LEVEL                
Less Than 100% -- 20.3 -- 51.2 -- 54.3 -- 14.7
100-199% -- 19.3 -- 45.0 -- 45.3 -- 14.2
200% or More -- 22.4 -- 52.6 -- 55.7 -- 16.2
HEALTH INSURANCE6                
Private -- 22.9 -- 51.4 -- 54.0 -- 17.2
Medicaid/CHIP -- 20.9 -- 51.7 -- 54.1 -- 14.5
Other7 -- 18.1 -- * -- * -- 14.3
No Coverage -- 13.1 -- * -- * -- 8.6
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Changes were made to the inpatient and outpatient mental health treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
1 The aged 12-17 column includes respondents with unknown MDE data and respondents with unknown MDE with severe impairment data.
2 Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
3 Respondents with unknown past year major depressive episode (MDE) data were excluded.
4 Major depressive episode (MDE) with severe impairment is a subset of MDE. Impairment is based on the Sheehan Disability Scale role domains, which measure the impact of a disorder on a person’s life. Ratings greater than or equal to 7 on a scale of 0 to 10 in any of the role domains indicate severe impairment.
5 Respondents with unknown MDE data or unknown impairment data were excluded.
6 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
7 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, 2023 and 2024.
250529
Table 7.14A – Received Mental Health Treatment through Prescription Medication in Past Year: Among People Aged 12 to 17; by Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment and Demographic Characteristics, Numbers in Thousands, 2023 and 2024
Demographic Characteristic Aged 12-171
(2023)
Aged 12-171
(2024)
Had MDE2,3
(2023)
Had MDE2,3
(2024)
Had MDE with Severe Impairment2,4,5
(2023)
Had MDE with Severe Impairment2,4,5
(2024)
No MDE2,3
(2023)
No MDE2,3
(2024)
TOTAL 3,604 3,343 1,454a 1,197 1,213b 914 2,042 1,958
AGE GROUP                
12-13 955 883 225 155 175 119 685 658
14-15 1,293 1,167 522 476 448 369 730 617
16-17 1,355 1,293 708 566 590a 426 627 683
SEX                
Male 1,443 1,359 317 292 249 186 1,075 1,002
Female 2,161 1,984 1,138a 905 965b 728 967 955
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 2,926 2,815 1,178 997 960a 740 1,653 1,662
AIAN 37 28 * * * * 28 19
Asian 48 52 * * * * 23 11
Black or African American 243 262 82 58 66 43 144 196
NHPI * 2 * * * * * 2
White 2,407 2,313 986 826 801a 611 1,348 1,356
Two or More Races 186 157 74 67 65 49 109 79
Hispanic or Latino 678a 529 276 199 253 174 389 295
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
1 The aged 12-17 column includes respondents with unknown MDE data and respondents with unknown MDE with severe impairment data.
2 Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
3 Respondents with unknown past year major depressive episode (MDE) data were excluded.
4 Major depressive episode (MDE) with severe impairment is a subset of MDE. Impairment is based on the Sheehan Disability Scale role domains, which measure the impact of a disorder on a person’s life. Ratings greater than or equal to 7 on a scale of 0 to 10 in any of the role domains indicate severe impairment.
5 Respondents with unknown MDE data or 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, 2023 and 2024.
250529
Table 7.14B – Received Mental Health Treatment through Prescription Medication in Past Year: Among People Aged 12 to 17; by Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment and Demographic Characteristics, Percentages, 2023 and 2024
Demographic Characteristic Aged 12-171
(2023)
Aged 12-171
(2024)
Had MDE2,3
(2023)
Had MDE2,3
(2024)
Had MDE with Severe Impairment2,4,5
(2023)
Had MDE with Severe Impairment2,4,5
(2024)
No MDE2,3
(2023)
No MDE2,3
(2024)
TOTAL 13.9 12.9 32.2 31.2 36.1 32.2 10.0 9.3
AGE GROUP                
12-13 12.0 10.9 25.1 20.2 28.4 20.9 10.3 9.6
14-15 14.2 13.2 31.0 34.9 34.8 37.0 10.2 8.6
16-17 15.3 14.4 36.5 33.1 40.6 33.6 9.5 9.6
SEX                
Male 10.9 10.2 26.2 27.0 29.4 25.3 9.3 8.5
Female 17.1 15.7 34.4 32.8 38.4 34.7 11.0 10.1
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 15.3 14.8 35.2 35.3 38.6 36.0 11.0 10.7
AIAN 15.6 13.5 * * * * 15.1 10.4
Asian 3.3 3.5 * * * * 1.9 0.9
Black or African American 6.8 7.4 17.8 16.0 19.2 16.5 4.8 6.3
NHPI * 2.4 * * * * * 2.1
White 18.8 18.3 40.6 40.3 43.9 41.2 13.6 13.3
Two or More Races 20.1 15.0 34.1 30.0 37.3 29.9 16.2a 10.2
Hispanic or Latino 10.0a 7.7 23.6 19.6 29.2 22.4 7.3 5.3
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
1 The aged 12-17 column includes respondents with unknown MDE data and respondents with unknown MDE with severe impairment data.
2 Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
3 Respondents with unknown past year major depressive episode (MDE) data were excluded.
4 Major depressive episode (MDE) with severe impairment is a subset of MDE. Impairment is based on the Sheehan Disability Scale role domains, which measure the impact of a disorder on a person’s life. Ratings greater than or equal to 7 on a scale of 0 to 10 in any of the role domains indicate severe impairment.
5 Respondents with unknown MDE data or 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, 2023 and 2024.
250529
Table 7.15A – Received Mental Health Treatment through Prescription Medication in Past Year: Among People Aged 12 to 17; by Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment and Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2023 and 2024
Geographic/Socioeconomic Characteristic Aged 12-171
(2023)
Aged 12-171
(2024)
Had MDE2,3
(2023)
Had MDE2,3
(2024)
Had MDE with Severe Impairment2,4,5
(2023)
Had MDE with Severe Impairment2,4,5
(2024)
No MDE2,3
(2023)
No MDE2,3
(2024)
TOTAL 3,604 3,343 1,454a 1,197 1,213b 914 2,042 1,958
GEOGRAPHIC REGION                
Northeast 555 573 163 184 137 139 362 353
Midwest 947 839 410b 259 334b 199 521 531
South 1,424 1,295 572 457 487a 336 807 783
West 679 637 309 298 255 240 352 291
COUNTY TYPE                
Large Metro 1,855 1,698 746 575 642b 425 1,053 1,028
Small Metro 1,228 1,223 495 472 402 375 691 682
Nonmetro 521 423 214a 150 169 114 298 247
Urbanized 193 150 85 60 72 * 103 85
Less Urbanized 282 248 107 84 82 * 174 144
Completely Rural * 25 * * * * * *
POVERTY LEVEL                
Less Than 100% 586 666 223 183 190 145 333a 437
100-199% 668 557 279 196 242 169 376 321
200% or More 2,350 2,120 952 818 782a 599 1,333 1,199
HEALTH INSURANCE6                
Private 2,170 2,020 897 747 744a 566 1,218 1,177
Medicaid/CHIP 1,475 1,366 595 479 510a 384 824 783
Other7 189 176 91 * * 29 97 117
No Coverage 86 70 18 * * * 65 44
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
1 The aged 12-17 column includes respondents with unknown MDE data and respondents with unknown MDE with severe impairment data.
2 Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
3 Respondents with unknown past year major depressive episode (MDE) data were excluded.
4 Major depressive episode (MDE) with severe impairment is a subset of MDE. Impairment is based on the Sheehan Disability Scale role domains, which measure the impact of a disorder on a person’s life. Ratings greater than or equal to 7 on a scale of 0 to 10 in any of the role domains indicate severe impairment.
5 Respondents with unknown MDE data or unknown impairment data were excluded.
6 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
7 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, 2023 and 2024.
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Table 7.15B – Received Mental Health Treatment through Prescription Medication in Past Year: Among People Aged 12 to 17; by Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment and Geographic and Socioeconomic Characteristics, Percentages, 2023 and 2024
Geographic/Socioeconomic Characteristic Aged 12-171
(2023)
Aged 12-171
(2024)
Had MDE2,3
(2023)
Had MDE2,3
(2024)
Had MDE with Severe Impairment2,4,5
(2023)
Had MDE with Severe Impairment2,4,5
(2024)
No MDE2,3
(2023)
No MDE2,3
(2024)
TOTAL 13.9 12.9 32.2 31.2 36.1 32.2 10.0 9.3
GEOGRAPHIC REGION                
Northeast 13.6 14.0 26.2 32.6 28.4 31.0 11.0 10.6
Midwest 17.4 15.5 38.6 31.6 42.2 34.4 12.5 12.1
South 13.9 12.5 32.3 30.8 36.8 30.3 10.0 9.2
West 11.0 10.4 29.1 30.5 33.6 34.3 7.2 5.9
COUNTY TYPE                
Large Metro 13.0 11.6 28.6 29.2 32.9 28.8 9.5 8.5
Small Metro 14.8 14.6 37.6 33.7 42.3 36.7 10.4 10.2
Nonmetro 15.4 14.6 36.2 31.9 37.2 33.7 11.1 10.5
Urbanized 15.8 13.2 40.7 31.9 43.9 * 10.7 9.1
Less Urbanized 15.1 16.3 31.6 35.1 31.8 * 11.9 11.7
Completely Rural * 10.5 * * * * * *
POVERTY LEVEL                
Less Than 100% 10.3 12.1 27.5 23.9 31.0 25.7 7.2a 9.6
100-199% 12.5 10.5 29.1 25.5 32.6 27.9 9.0 7.4
200% or More 15.8a 14.0 34.7 35.5 39.0 36.1 11.5 9.8
HEALTH INSURANCE6                
Private 15.5 13.8 35.0 33.7 39.3 34.7 11.1 9.9
Medicaid/CHIP 13.5 13.1 33.4 30.3 37.7 31.9 9.5 9.3
Other7 13.5 12.7 29.5 * * 26.4 9.2 9.9
No Coverage 6.9 5.8 10.6 * * * 6.5 4.4
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
1 The aged 12-17 column includes respondents with unknown MDE data and respondents with unknown MDE with severe impairment data.
2 Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
3 Respondents with unknown past year major depressive episode (MDE) data were excluded.
4 Major depressive episode (MDE) with severe impairment is a subset of MDE. Impairment is based on the Sheehan Disability Scale role domains, which measure the impact of a disorder on a person’s life. Ratings greater than or equal to 7 on a scale of 0 to 10 in any of the role domains indicate severe impairment.
5 Respondents with unknown MDE data or unknown impairment data were excluded.
6 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
7 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, 2023 and 2024.
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Table 7.16A – Received Mental Health Treatment through Telehealth in Past Year: Among People Aged 12 to 17; by Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment and Demographic Characteristics, Numbers in Thousands, 2023 and 2024
Demographic Characteristic Aged 12-171
(2023)
Aged 12-171
(2024)
Had MDE2,3
(2023)
Had MDE2,3
(2024)
Had MDE with Severe Impairment2,4,5
(2023)
Had MDE with Severe Impairment2,4,5
(2024)
No MDE2,3
(2023)
No MDE2,3
(2024)
TOTAL 3,677 3,389 1,519a 1,274 1,256b 981 2,011 1,934
AGE GROUP                
12-13 848 941 235 247 182 192 552 609
14-15 1,410a 1,164 595a 438 507a 357 758 670
16-17 1,419 1,283 689 589 566a 432 702 656
SEX                
Male 1,302 1,169 319 288 244 181 912 822
Female 2,375 2,220 1,200a 986 1,012a 801 1,100 1,112
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 2,861 2,661 1,190a 989 968b 747 1,559 1,526
AIAN 34 19 * * * * 21 13
Asian 128 98 * * * * 64 43
Black or African American 250 236 84 59 72a 33 155 170
NHPI * 1 * * * * * <1
White 2,284 2,116 959a 780 770a 598 1,242 1,212
Two or More Races 160 191 80 93 71 68 77 88
Hispanic or Latino 816 727 329 284 288 234 453 408
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Respondents who reported that they received telehealth treatment (i.e., over the phone or through video) were not asked for the type or location of providers for the telehealth treatment they received.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
1 The aged 12-17 column includes respondents with unknown MDE data and respondents with unknown MDE with severe impairment data.
2 Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
3 Respondents with unknown past year major depressive episode (MDE) data were excluded.
4 Major depressive episode (MDE) with severe impairment is a subset of MDE. Impairment is based on the Sheehan Disability Scale role domains, which measure the impact of a disorder on a person’s life. Ratings greater than or equal to 7 on a scale of 0 to 10 in any of the role domains indicate severe impairment.
5 Respondents with unknown MDE data or 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, 2023 and 2024.
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Table 7.16B – Received Mental Health Treatment through Telehealth in Past Year: Among People Aged 12 to 17; by Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment and Demographic Characteristics, Percentages, 2023 and 2024
Demographic Characteristic Aged 12-171
(2023)
Aged 12-171
(2024)
Had MDE2,3
(2023)
Had MDE2,3
(2024)
Had MDE with Severe Impairment2,4,5
(2023)
Had MDE with Severe Impairment2,4,5
(2024)
No MDE2,3
(2023)
No MDE2,3
(2024)
TOTAL 14.2 13.1 33.6 33.2 37.4 34.6 9.9 9.1
AGE GROUP                
12-13 10.7 11.6 26.2 32.1 29.5 33.9 8.3 8.9
14-15 15.5a 13.1 35.4 32.1 39.4 35.7 10.6 9.3
16-17 16.1 14.3 35.5 34.5 39.0 34.1 10.6 9.2
SEX                
Male 9.8 8.8 26.4 26.6 28.9 24.5 7.9 7.0
Female 18.8 17.5 36.3 35.7 40.3 38.2 12.5 11.8
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 15.0 14.0 35.5 35.0 38.9 36.3 10.3 9.8
AIAN 14.7 9.2 * * * * 11.7 7.0
Asian 8.8 6.4 * * * * 5.3 3.4
Black or African American 6.9 6.6 18.3 16.1 21.1 12.9 5.2 5.5
NHPI * 1.0 * * * * * 0.5
White 17.8 16.8 39.5 38.1 42.2 40.3 12.5 11.9
Two or More Races 17.3 18.4 37.0 41.9 40.9 41.7 11.4 11.3
Hispanic or Latino 12.0 10.5 28.2 28.0 33.2 30.1 8.5 7.3
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Respondents who reported that they received telehealth treatment (i.e., over the phone or through video) were not asked for the type or location of providers for the telehealth treatment they received.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
1 The aged 12-17 column includes respondents with unknown MDE data and respondents with unknown MDE with severe impairment data.
2 Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
3 Respondents with unknown past year major depressive episode (MDE) data were excluded.
4 Major depressive episode (MDE) with severe impairment is a subset of MDE. Impairment is based on the Sheehan Disability Scale role domains, which measure the impact of a disorder on a person’s life. Ratings greater than or equal to 7 on a scale of 0 to 10 in any of the role domains indicate severe impairment.
5 Respondents with unknown MDE data or 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, 2023 and 2024.
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Table 7.17A – Received Mental Health Treatment through Telehealth in Past Year: Among People Aged 12 to 17; by Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment and Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2023 and 2024
Geographic/Socioeconomic Characteristic Aged 12-171
(2023)
Aged 12-171
(2024)
Had MDE2,3
(2023)
Had MDE2,3
(2024)
Had MDE with Severe Impairment2,4,5
(2023)
Had MDE with Severe Impairment2,4,5
(2024)
No MDE2,3
(2023)
No MDE2,3
(2024)
TOTAL 3,677 3,389 1,519a 1,274 1,256b 981 2,011 1,934
GEOGRAPHIC REGION                
Northeast 644 714 204 267 177 205 410 408
Midwest 854 724 385b 250 303a 199 427 440
South 1,323 1,134 502 431 414 322 760 661
West 857 816 427 325 362 256 414 425
COUNTY TYPE                
Large Metro 2,212 1,973 881a 690 728b 518 1,226 1,179
Small Metro 1,073 1,054 475 444 404 351 566 552
Nonmetro 391 362 163 139 124 112 220 203
Urbanized 143 140 59 62 50 * 79 74
Less Urbanized 205 199 85 71 59 56 118 112
Completely Rural 44 24 * * * * 23 *
POVERTY LEVEL                
Less Than 100% 584 606 220 208 193 153 332 366
100-199% 639 612 237 215 196 167 366 357
200% or More 2,453 2,171 1,062a 850 867a 661 1,313 1,212
HEALTH INSURANCE6                
Private 2,291 2,117 975 788 793 632 1,241 1,220
Medicaid/CHIP 1,335 1,279 535 489 460 370 741 710
Other7 220 157 87 * * 27 116 107
No Coverage 115 94 * * * * 76 49
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Respondents who reported that they received telehealth treatment (i.e., over the phone or through video) were not asked for the type or location of providers for the telehealth treatment they received.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
1 The aged 12-17 column includes respondents with unknown MDE data and respondents with unknown MDE with severe impairment data.
2 Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
3 Respondents with unknown past year major depressive episode (MDE) data were excluded.
4 Major depressive episode (MDE) with severe impairment is a subset of MDE. Impairment is based on the Sheehan Disability Scale role domains, which measure the impact of a disorder on a person’s life. Ratings greater than or equal to 7 on a scale of 0 to 10 in any of the role domains indicate severe impairment.
5 Respondents with unknown MDE data or unknown impairment data were excluded.
6 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
7 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, 2023 and 2024.
250529
Table 7.17B – Received Mental Health Treatment through Telehealth in Past Year: Among People Aged 12 to 17; by Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment and Geographic and Socioeconomic Characteristics, Percentages, 2023 and 2024
Geographic/Socioeconomic Characteristic Aged 12-171
(2023)
Aged 12-171
(2024)
Had MDE2,3
(2023)
Had MDE2,3
(2024)
Had MDE with Severe Impairment2,4,5
(2023)
Had MDE with Severe Impairment2,4,5
(2024)
No MDE2,3
(2023)
No MDE2,3
(2024)
TOTAL 14.2 13.1 33.6 33.2 37.4 34.6 9.9 9.1
GEOGRAPHIC REGION                
Northeast 15.8 17.5 32.8a 47.4 36.8 45.6 12.5 12.2
Midwest 15.7 13.4 36.2 30.6 38.2 34.4 10.3 10.1
South 12.9a 11.0 28.4 29.1 31.2 29.0 9.4 7.8
West 13.9 13.3 40.3 33.3 47.6a 36.6 8.5 8.7
COUNTY TYPE                
Large Metro 15.5a 13.4 33.8 35.0 37.3 35.1 11.1 9.7
Small Metro 13.0 12.6 36.1 31.7 42.5a 34.5 8.5 8.2
Nonmetro 11.5 12.5 27.6 29.6 27.3 33.0 8.2 8.7
Urbanized 11.7 12.3 28.2 33.3 30.7 * 8.2 7.9
Less Urbanized 11.0 13.1 25.2 29.7 22.8 33.9 8.1 9.1
Completely Rural 14.3 10.1 * * * * 8.9 *
POVERTY LEVEL                
Less Than 100% 10.2 11.0 27.1 27.2 31.6 26.9 7.2 8.0
100-199% 11.9 11.5 24.8 28.1 26.4 27.6 8.7 8.2
200% or More 16.5a 14.4 38.7 36.8 43.2 39.8 11.3 9.9
HEALTH INSURANCE6                
Private 16.4a 14.5 38.0 35.5 41.9 38.7 11.3 10.2
Medicaid/CHIP 12.2 12.2 30.0 31.0 34.1 30.7 8.5 8.4
Other7 15.8 11.4 28.1 * * 24.1 11.1 9.0
No Coverage 9.2 7.7 * * * * 7.6 4.9
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Respondents who reported that they received telehealth treatment (i.e., over the phone or through video) were not asked for the type or location of providers for the telehealth treatment they received.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
1 The aged 12-17 column includes respondents with unknown MDE data and respondents with unknown MDE with severe impairment data.
2 Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
3 Respondents with unknown past year major depressive episode (MDE) data were excluded.
4 Major depressive episode (MDE) with severe impairment is a subset of MDE. Impairment is based on the Sheehan Disability Scale role domains, which measure the impact of a disorder on a person’s life. Ratings greater than or equal to 7 on a scale of 0 to 10 in any of the role domains indicate severe impairment.
5 Respondents with unknown MDE data or unknown impairment data were excluded.
6 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
7 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, 2023 and 2024.
250529
Table 7.18A – Perceived Unmet Need for Mental Health Treatment in Past Year: Among People Aged 12 to 17 Who Did Not Receive Mental Health Treatment in Past Year; by Demographic Characteristics, Numbers in Thousands, 2023 and 2024
Demographic Characteristic Among People Aged 12 to 17 Who Did Not Receive Mental Health Treatment in Past Year
Any Perceived Unmet Need
(2023)
Any Perceived Unmet Need
(2024)
Sought Treatment
(2023)
Sought Treatment
(2024)
Did Not Seek Treatment but Thought Should Get Treatment
(2023)
Did Not Seek Treatment but Thought Should Get Treatment
(2024)
Did Not Perceive Need for Mental Health Treatment
(2023)
Did Not Perceive Need for Mental Health Treatment
(2024)
TOTAL -- 1,715 -- 288 -- 1,426 -- 16,546
AGE GROUP                
12-13 -- 364 -- 39 -- 326 -- 5,273
14-15 -- 571 -- 76 -- 495 -- 5,664
16-17 -- 780 -- 174 -- 606 -- 5,608
SEX                
Male -- 489 -- 95 -- 394 -- 9,657
Female -- 1,226 -- 193 -- 1,033 -- 6,888
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino -- 1,285 -- 239 -- 1,047 -- 11,824
AIAN -- 8 -- 3 -- 5 -- 143
Asian -- 115 -- 32 -- 83 -- 1,138
Black or African American -- 165 -- 22 -- 143 -- 2,617
NHPI -- * -- * -- * -- *
White -- 886 -- 170 -- 716 -- 7,339
Two or More Races -- 111 -- 12 -- 98 -- 543
Hispanic or Latino -- 429 -- 50 -- 380 -- 4,722
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Changes were made to the inpatient and outpatient mental health treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: Mental health treatment includes treatment for mental health, emotions, or behavior through inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication; telehealth treatment; or treatment received in a prison, jail, or juvenile detention center.
NOTE: Respondents were classified as having a perceived unmet need for mental health treatment (MH Tx) if they did not receive MH Tx in the past year and sought or thought they should get treatment. Respondents with unknown information for perceptions of need for MH Tx 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, 2023 and 2024.
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Table 7.18B – Perceived Unmet Need for Mental Health Treatment in Past Year: Among People Aged 12 to 17 Who Did Not Receive Mental Health Treatment in Past Year; by Demographic Characteristics, Percentages, 2023 and 2024
Demographic Characteristic Among People Aged 12 to 17 Who Did Not Receive Mental Health Treatment in Past Year
Any Perceived Unmet Need
(2023)
Any Perceived Unmet Need
(2024)
Sought Treatment
(2023)
Sought Treatment
(2024)
Did Not Seek Treatment but Thought Should Get Treatment
(2023)
Did Not Seek Treatment but Thought Should Get Treatment
(2024)
Did Not Perceive Need for Mental Health Treatment
(2023)
Did Not Perceive Need for Mental Health Treatment
(2024)
TOTAL -- 9.4 -- 1.6 -- 7.8 -- 90.6
AGE GROUP                
12-13 -- 6.5 -- 0.7 -- 5.8 -- 93.5
14-15 -- 9.2 -- 1.2 -- 7.9 -- 90.8
16-17 -- 12.2 -- 2.7 -- 9.5 -- 87.8
SEX                
Male -- 4.8 -- 0.9 -- 3.9 -- 95.2
Female -- 15.1 -- 2.4 -- 12.7 -- 84.9
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino -- 9.8 -- 1.8 -- 8.0 -- 90.2
AIAN -- 5.3 -- 2.0 -- 3.3 -- 94.7
Asian -- 9.2 -- 2.5 -- 6.7 -- 90.8
Black or African American -- 5.9 -- 0.8 -- 5.1 -- 94.1
NHPI -- * -- * -- * -- *
White -- 10.8 -- 2.1 -- 8.7 -- 89.2
Two or More Races -- 16.9 -- 1.8 -- 15.1 -- 83.1
Hispanic or Latino -- 8.3 -- 1.0 -- 7.4 -- 91.7
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Changes were made to the inpatient and outpatient mental health treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: Mental health treatment includes treatment for mental health, emotions, or behavior through inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication; telehealth treatment; or treatment received in a prison, jail, or juvenile detention center.
NOTE: Respondents were classified as having a perceived unmet need for mental health treatment (MH Tx) if they did not receive MH Tx in the past year and sought or thought they should get treatment. Respondents with unknown information for perceptions of need for MH Tx 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, 2023 and 2024.
250529
Table 7.19A – Perceived Unmet Need for Mental Health Treatment in Past Year: Among People Aged 12 to 17 Who Did Not Receive Mental Health Treatment in Past Year; by Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2023 and 2024
Geographic/Socioeconomic Characteristic Among People Aged 12 to 17 Who Did Not Receive Mental Health Treatment in Past Year
Any Perceived Unmet Need
(2023)
Any Perceived Unmet Need
(2024)
Sought Treatment
(2023)
Sought Treatment
(2024)
Did Not Seek Treatment but Thought Should Get Treatment
(2023)
Did Not Seek Treatment but Thought Should Get Treatment
(2024)
Did Not Perceive Need for Mental Health Treatment
(2023)
Did Not Perceive Need for Mental Health Treatment
(2024)
TOTAL -- 1,715 -- 288 -- 1,426 -- 16,546
GEOGRAPHIC REGION                
Northeast -- 255 -- 52 -- 203 -- 2,454
Midwest -- 314 -- 48 -- 266 -- 3,367
South -- 750 -- 120 -- 630 -- 6,746
West -- 396 -- 69 -- 327 -- 3,978
COUNTY TYPE                
Large Metro -- 1,005 -- 154 -- 851 -- 9,393
Small Metro -- 549 -- 103 -- 446 -- 5,240
Nonmetro -- 161 -- 31 -- 130 -- 1,913
Urbanized -- 74 -- 14 -- 59 -- 758
Less Urbanized -- 71 -- 15 -- 56 -- 976
Completely Rural -- * -- * -- * -- *
POVERTY LEVEL                
Less Than 100% -- 245 -- 41 -- 204 -- 3,658
100-199% -- 332 -- 59 -- 273 -- 3,565
200% or More -- 1,138 -- 188 -- 950 -- 9,323
HEALTH INSURANCE1                
Private -- 1,183 -- 177 -- 1,006 -- 8,964
Medicaid/CHIP -- 491 -- 94 -- 397 -- 6,810
Other2 -- 77 -- 11 -- 66 -- 894
No Coverage -- 70 -- 20 -- 51 -- 924
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Changes were made to the inpatient and outpatient mental health treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: Mental health treatment includes treatment for mental health, emotions, or behavior through inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication; telehealth treatment; or treatment received in a prison, jail, or juvenile detention center.
NOTE: Respondents were classified as having a perceived unmet need for mental health treatment (MH Tx) if they did not receive MH Tx in the past year and sought or thought they should get treatment. Respondents with unknown information for perceptions of need for MH Tx were excluded.
1 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
2 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, 2023 and 2024.
250529
Table 7.19B – Perceived Unmet Need for Mental Health Treatment in Past Year: Among People Aged 12 to 17 Who Did Not Receive Mental Health Treatment in Past Year; by Geographic and Socioeconomic Characteristics, Percentages, 2023 and 2024
Geographic/Socioeconomic Characteristic Among People Aged 12 to 17 Who Did Not Receive Mental Health Treatment in Past Year
Any Perceived Unmet Need
(2023)
Any Perceived Unmet Need
(2024)
Sought Treatment
(2023)
Sought Treatment
(2024)
Did Not Seek Treatment but Thought Should Get Treatment
(2023)
Did Not Seek Treatment but Thought Should Get Treatment
(2024)
Did Not Perceive Need for Mental Health Treatment
(2023)
Did Not Perceive Need for Mental Health Treatment
(2024)
TOTAL -- 9.4 -- 1.6 -- 7.8 -- 90.6
GEOGRAPHIC REGION                
Northeast -- 9.4 -- 1.9 -- 7.5 -- 90.6
Midwest -- 8.5 -- 1.3 -- 7.2 -- 91.5
South -- 10.0 -- 1.6 -- 8.4 -- 90.0
West -- 9.1 -- 1.6 -- 7.5 -- 90.9
COUNTY TYPE                
Large Metro -- 9.7 -- 1.5 -- 8.2 -- 90.3
Small Metro -- 9.5 -- 1.8 -- 7.7 -- 90.5
Nonmetro -- 7.8 -- 1.5 -- 6.3 -- 92.2
Urbanized -- 8.9 -- 1.7 -- 7.1 -- 91.1
Less Urbanized -- 6.8 -- 1.5 -- 5.4 -- 93.2
Completely Rural -- * -- * -- * -- *
POVERTY LEVEL                
Less Than 100% -- 6.3 -- 1.0 -- 5.2 -- 93.7
100-199% -- 8.5 -- 1.5 -- 7.0 -- 91.5
200% or More -- 10.9 -- 1.8 -- 9.1 -- 89.1
HEALTH INSURANCE1                
Private -- 11.7 -- 1.7 -- 9.9 -- 88.3
Medicaid/CHIP -- 6.7 -- 1.3 -- 5.4 -- 93.3
Other2 -- 7.9 -- 1.1 -- 6.8 -- 92.1
No Coverage -- 7.1 -- 2.0 -- 5.1 -- 92.9
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Changes were made to the inpatient and outpatient mental health treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: Mental health treatment includes treatment for mental health, emotions, or behavior through inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication; telehealth treatment; or treatment received in a prison, jail, or juvenile detention center.
NOTE: Respondents were classified as having a perceived unmet need for mental health treatment (MH Tx) if they did not receive MH Tx in the past year and sought or thought they should get treatment. Respondents with unknown information for perceptions of need for MH Tx were excluded.
1 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
2 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, 2023 and 2024.
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Table 7.20A – Perceived Unmet Need for Mental Health Treatment in Past Year: Among People Aged 12 to 17 with Past Year Major Depressive Episode Who Did Not Receive Mental Health Treatment in Past Year; by Demographic Characteristics, Numbers in Thousands, 2023 and 2024
Demographic Characteristic Among People Aged 12 to 17 with Past Year Major Depressive Episode Who Did Not Receive Mental Health Treatment in Past Year
Any Perceived Unmet Need
(2023)
Any Perceived Unmet Need
(2024)
Sought Treatment
(2023)
Sought Treatment
(2024)
Did Not Seek Treatment but Thought Should Get Treatment
(2023)
Did Not Seek Treatment but Thought Should Get Treatment
(2024)
Did Not Perceive Need for Mental Health Treatment
(2023)
Did Not Perceive Need for Mental Health Treatment
(2024)
TOTAL -- 637 -- 123 -- 513 -- 864
AGE GROUP                
12-13 -- 123 -- * -- 108 -- 168
14-15 -- 228 -- 40 -- 187 -- 295
16-17 -- 286 -- 67 -- 218 -- 401
SEX                
Male -- 142 -- 29 -- 113 -- 387
Female -- 495 -- 94 -- 400 -- 478
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino -- 460 -- 107 -- 353 -- 571
AIAN -- * -- * -- * -- *
Asian -- * -- * -- * -- *
Black or African American -- 52 -- 7 -- 46 -- 149
NHPI -- * -- * -- * -- *
White -- 326 -- 81 -- 244 -- 330
Two or More Races -- * -- * -- * -- *
Hispanic or Latino -- 177 -- 16 -- 161 -- 293
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Changes were made to the inpatient and outpatient mental health treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: Mental health treatment includes treatment for mental health, emotions, or behavior through inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication; telehealth treatment; or treatment received in a prison, jail, or juvenile detention center.
NOTE: Respondents were classified as having a perceived unmet need for mental health treatment (MH Tx) if they did not receive MH Tx in the past year and sought or thought they should get treatment. Respondents with unknown information for perceptions of need for MH Tx were excluded.
NOTE: Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
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, 2023 and 2024.
250529
Table 7.20B – Perceived Unmet Need for Mental Health Treatment in Past Year: Among People Aged 12 to 17 with Past Year Major Depressive Episode Who Did Not Receive Mental Health Treatment in Past Year; by Demographic Characteristics, Percentages, 2023 and 2024
Demographic Characteristic Among People Aged 12 to 17 with Past Year Major Depressive Episode Who Did Not Receive Mental Health Treatment in Past Year
Any Perceived Unmet Need
(2023)
Any Perceived Unmet Need
(2024)
Sought Treatment
(2023)
Sought Treatment
(2024)
Did Not Seek Treatment but Thought Should Get Treatment
(2023)
Did Not Seek Treatment but Thought Should Get Treatment
(2024)
Did Not Perceive Need for Mental Health Treatment
(2023)
Did Not Perceive Need for Mental Health Treatment
(2024)
TOTAL -- 42.4 -- 8.1 -- 34.2 -- 57.6
AGE GROUP                
12-13 -- 42.3 -- * -- 36.9 -- 57.7
14-15 -- 43.5 -- 7.7 -- 35.8 -- 56.5
16-17 -- 41.6 -- 9.8 -- 31.8 -- 58.4
SEX                
Male -- 26.8 -- 5.5 -- 21.3 -- 73.2
Female -- 50.9 -- 9.6 -- 41.2 -- 49.1
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino -- 44.6 -- 10.3 -- 34.2 -- 55.4
AIAN -- * -- * -- * -- *
Asian -- * -- * -- * -- *
Black or African American -- 26.0 -- 3.3 -- 22.8 -- 74.0
NHPI -- * -- * -- * -- *
White -- 49.6 -- 12.3 -- 37.3 -- 50.4
Two or More Races -- * -- * -- * -- *
Hispanic or Latino -- 37.6 -- 3.4 -- 34.2 -- 62.4
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Changes were made to the inpatient and outpatient mental health treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: Mental health treatment includes treatment for mental health, emotions, or behavior through inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication; telehealth treatment; or treatment received in a prison, jail, or juvenile detention center.
NOTE: Respondents were classified as having a perceived unmet need for mental health treatment (MH Tx) if they did not receive MH Tx in the past year and sought or thought they should get treatment. Respondents with unknown information for perceptions of need for MH Tx were excluded.
NOTE: Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
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, 2023 and 2024.
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Table 7.21A – Perceived Unmet Need for Mental Health Treatment in Past Year: Among People Aged 12 to 17 with Past Year Major Depressive Episode Who Did Not Receive Mental Health Treatment in Past Year; by Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2023 and 2024
Geographic/Socioeconomic Characteristic Among People Aged 12 to 17 with Past Year Major Depressive Episode Who Did Not Receive Mental Health Treatment in Past Year
Any Perceived Unmet Need
(2023)
Any Perceived Unmet Need
(2024)
Sought Treatment
(2023)
Sought Treatment
(2024)
Did Not Seek Treatment but Thought Should Get Treatment
(2023)
Did Not Seek Treatment but Thought Should Get Treatment
(2024)
Did Not Perceive Need for Mental Health Treatment
(2023)
Did Not Perceive Need for Mental Health Treatment
(2024)
TOTAL -- 637 -- 123 -- 513 -- 864
GEOGRAPHIC REGION                
Northeast -- * -- * -- * -- *
Midwest -- 108 -- 24 -- 84 -- 196
South -- 312 -- 65 -- 247 -- 351
West -- 135 -- 25 -- 110 -- 230
COUNTY TYPE                
Large Metro -- 358 -- 67 -- 291 -- 408
Small Metro -- 199 -- 32 -- 167 -- 329
Nonmetro -- 80 -- 24 -- 55 -- 128
Urbanized -- * -- * -- 14 -- *
Less Urbanized -- * -- * -- * -- *
Completely Rural -- * -- * -- * -- *
POVERTY LEVEL                
Less Than 100% -- 116 -- 14 -- 102 -- 195
100-199% -- 118 -- 20 -- 97 -- 224
200% or More -- 403 -- 89 -- 314 -- 445
HEALTH INSURANCE1                
Private -- 411 -- 75 -- 336 -- 446
Medicaid/CHIP -- 209 -- 34 -- 175 -- 384
Other2 -- * -- * -- * -- *
No Coverage -- * -- * -- * -- *
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Changes were made to the inpatient and outpatient mental health treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: Mental health treatment includes treatment for mental health, emotions, or behavior through inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication; telehealth treatment; or treatment received in a prison, jail, or juvenile detention center.
NOTE: Respondents were classified as having a perceived unmet need for mental health treatment (MH Tx) if they did not receive MH Tx in the past year and sought or thought they should get treatment. Respondents with unknown information for perceptions of need for MH Tx were excluded.
NOTE: Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
NOTE: Respondents with unknown past year major depressive episode (MDE) data were excluded.
1 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
2 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, 2023 and 2024.
250529
Table 7.21B – Perceived Unmet Need for Mental Health Treatment in Past Year: Among People Aged 12 to 17 with Past Year Major Depressive Episode Who Did Not Receive Mental Health Treatment in Past Year; by Geographic and Socioeconomic Characteristics, Percentages, 2023 and 2024
Geographic/Socioeconomic Characteristic Among People Aged 12 to 17 with Past Year Major Depressive Episode Who Did Not Receive Mental Health Treatment in Past Year
Any Perceived Unmet Need
(2023)
Any Perceived Unmet Need
(2024)
Sought Treatment
(2023)
Sought Treatment
(2024)
Did Not Seek Treatment but Thought Should Get Treatment
(2023)
Did Not Seek Treatment but Thought Should Get Treatment
(2024)
Did Not Perceive Need for Mental Health Treatment
(2023)
Did Not Perceive Need for Mental Health Treatment
(2024)
TOTAL -- 42.4 -- 8.1 -- 34.2 -- 57.6
GEOGRAPHIC REGION                
Northeast -- * -- * -- * -- *
Midwest -- 35.6 -- 7.8 -- 27.7 -- 64.4
South -- 47.1 -- 9.8 -- 37.3 -- 52.9
West -- 37.0 -- 6.8 -- 30.1 -- 63.0
COUNTY TYPE                
Large Metro -- 46.7 -- 8.7 -- 37.9 -- 53.3
Small Metro -- 37.7 -- 5.9 -- 31.7 -- 62.3
Nonmetro -- 38.4 -- 11.8 -- 26.6 -- 61.6
Urbanized -- * -- * -- 17.4 -- *
Less Urbanized -- * -- * -- * -- *
Completely Rural -- * -- * -- * -- *
POVERTY LEVEL                
Less Than 100% -- 37.3 -- 4.5 -- 32.7 -- 62.7
100-199% -- 34.5 -- 5.9 -- 28.5 -- 65.5
200% or More -- 47.5 -- 10.4 -- 37.0 -- 52.5
HEALTH INSURANCE1                
Private -- 48.0 -- 8.7 -- 39.2 -- 52.0
Medicaid/CHIP -- 35.2 -- 5.6 -- 29.5 -- 64.8
Other2 -- * -- * -- * -- *
No Coverage -- * -- * -- * -- *
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Changes were made to the inpatient and outpatient mental health treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: Mental health treatment includes treatment for mental health, emotions, or behavior through inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication; telehealth treatment; or treatment received in a prison, jail, or juvenile detention center.
NOTE: Respondents were classified as having a perceived unmet need for mental health treatment (MH Tx) if they did not receive MH Tx in the past year and sought or thought they should get treatment. Respondents with unknown information for perceptions of need for MH Tx were excluded.
NOTE: Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
NOTE: Respondents with unknown past year major depressive episode (MDE) data were excluded.
1 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
2 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, 2023 and 2024.
250529
Table 7.22A – Perceived Unmet Need for Mental Health Treatment in Past Year: Among People Aged 12 to 17 with Past Year Major Depressive Episode with Severe Impairment Who Did Not Receive Mental Health Treatment in Past Year; by Demographic Characteristics, Numbers in Thousands, 2023 and 2024
Demographic Characteristic Among People Aged 12 to 17 with Past Year Major Depressive Episode with Severe Impairment Who Did Not Receive Mental Health Treatment in Past Year
Any Perceived Unmet Need
(2023)
Any Perceived Unmet Need
(2024)
Sought Treatment
(2023)
Sought Treatment
(2024)
Did Not Seek Treatment but Thought Should Get Treatment
(2023)
Did Not Seek Treatment but Thought Should Get Treatment
(2024)
Did Not Perceive Need for Mental Health Treatment
(2023)
Did Not Perceive Need for Mental Health Treatment
(2024)
TOTAL -- 506 -- 113 -- 393 -- 542
AGE GROUP                
12-13 -- * -- * -- * -- *
14-15 -- 175 -- 39 -- 136 -- 177
16-17 -- 236 -- 61 -- 175 -- 253
SEX                
Male -- 98 -- 27 -- 71 -- 254
Female -- 408 -- 86 -- 322 -- 288
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino -- 358 -- 99 -- 260 -- 347
AIAN -- * -- * -- * -- *
Asian -- * -- * -- * -- *
Black or African American -- * -- * -- * -- *
NHPI -- * -- * -- * -- *
White -- 242 -- 74 -- 168 -- 201
Two or More Races -- * -- * -- * -- *
Hispanic or Latino -- 148 -- 14 -- 134 -- 195
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Changes were made to the inpatient and outpatient mental health treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: Mental health treatment includes treatment for mental health, emotions, or behavior through inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication; telehealth treatment; or treatment received in a prison, jail, or juvenile detention center.
NOTE: Respondents were classified as having a perceived unmet need for mental health treatment (MH Tx) if they did not receive MH Tx in the past year and sought or thought they should get treatment. Respondents with unknown information for perceptions of need for MH Tx were excluded.
NOTE: Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
NOTE: Major depressive episode (MDE) with severe impairment is a subset of MDE. Impairment is based on the Sheehan Disability Scale role domains, which measure the impact of a disorder on a person’s life. Ratings greater than or equal to 7 on a scale of 0 to 10 in any of the role domains indicate severe impairment.
NOTE: Respondents with unknown MDE data or 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, 2023 and 2024.
250529
Table 7.22B – Perceived Unmet Need for Mental Health Treatment in Past Year: Among People Aged 12 to 17 with Past Year Major Depressive Episode with Severe Impairment Who Did Not Receive Mental Health Treatment in Past Year; by Demographic Characteristics, Percentages, 2023 and 2024
Demographic Characteristic Among People Aged 12 to 17 with Past Year Major Depressive Episode with Severe Impairment Who Did Not Receive Mental Health Treatment in Past Year
Any Perceived Unmet Need
(2023)
Any Perceived Unmet Need
(2024)
Sought Treatment
(2023)
Sought Treatment
(2024)
Did Not Seek Treatment but Thought Should Get Treatment
(2023)
Did Not Seek Treatment but Thought Should Get Treatment
(2024)
Did Not Perceive Need for Mental Health Treatment
(2023)
Did Not Perceive Need for Mental Health Treatment
(2024)
TOTAL -- 48.3 -- 10.7 -- 37.5 -- 51.7
AGE GROUP                
12-13 -- * -- * -- * -- *
14-15 -- 49.7 -- 11.1 -- 38.5 -- 50.3
16-17 -- 48.3 -- 12.4 -- 35.9 -- 51.7
SEX                
Male -- 27.8 -- 7.7 -- 20.1 -- 72.2
Female -- 58.6 -- 12.1 -- 46.3 -- 41.4
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino -- 50.8 -- 13.9 -- 36.8 -- 49.2
AIAN -- * -- * -- * -- *
Asian -- * -- * -- * -- *
Black or African American -- * -- * -- * -- *
NHPI -- * -- * -- * -- *
White -- 54.5 -- 16.4 -- 37.9 -- 45.5
Two or More Races -- * -- * -- * -- *
Hispanic or Latino -- 43.2 -- 4.1 -- 39.0 -- 56.8
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Changes were made to the inpatient and outpatient mental health treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: Mental health treatment includes treatment for mental health, emotions, or behavior through inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication; telehealth treatment; or treatment received in a prison, jail, or juvenile detention center.
NOTE: Respondents were classified as having a perceived unmet need for mental health treatment (MH Tx) if they did not receive MH Tx in the past year and sought or thought they should get treatment. Respondents with unknown information for perceptions of need for MH Tx were excluded.
NOTE: Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
NOTE: Major depressive episode (MDE) with severe impairment is a subset of MDE. Impairment is based on the Sheehan Disability Scale role domains, which measure the impact of a disorder on a person’s life. Ratings greater than or equal to 7 on a scale of 0 to 10 in any of the role domains indicate severe impairment.
NOTE: Respondents with unknown MDE data or 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, 2023 and 2024.
250529
Table 7.23A – Perceived Unmet Need for Mental Health Treatment in Past Year: Among People Aged 12 to 17 with Past Year Major Depressive Episode with Severe Impairment Who Did Not Receive Mental Health Treatment in Past Year; by Geographic and Socioeconomic Characteristics, Numbers in Thousands, 2023 and 2024
Geographic/Socioeconomic Characteristic Among People Aged 12 to 17 with Past Year Major Depressive Episode with Severe Impairment Who Did Not Receive Mental Health Treatment in Past Year
Any Perceived Unmet Need
(2023)
Any Perceived Unmet Need
(2024)
Sought Treatment
(2023)
Sought Treatment
(2024)
Did Not Seek Treatment but Thought Should Get Treatment
(2023)
Did Not Seek Treatment but Thought Should Get Treatment
(2024)
Did Not Perceive Need for Mental Health Treatment
(2023)
Did Not Perceive Need for Mental Health Treatment
(2024)
TOTAL -- 506 -- 113 -- 393 -- 542
GEOGRAPHIC REGION                
Northeast -- * -- * -- * -- *
Midwest -- 84 -- 18 -- 66 -- 108
South -- 248 -- 62 -- 186 -- 246
West -- * -- 24 -- 84 -- *
COUNTY TYPE                
Large Metro -- 286 -- 66 -- 219 -- 268
Small Metro -- 159 -- 25 -- 135 -- 193
Nonmetro -- 61 -- * -- * -- 80
Urbanized -- * -- * -- * -- *
Less Urbanized -- * -- * -- * -- *
Completely Rural -- * -- * -- * -- *
POVERTY LEVEL                
Less Than 100% -- 105 -- 14 -- 91 -- 108
100-199% -- 98 -- 17 -- 82 -- 165
200% or More -- 302 -- 82 -- 220 -- 269
HEALTH INSURANCE1                
Private -- 310 -- 68 -- 243 -- 291
Medicaid/CHIP -- 181 -- 32 -- 149 -- 238
Other2 -- * -- * -- * -- *
No Coverage -- * -- * -- * -- *
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Changes were made to the inpatient and outpatient mental health treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: Mental health treatment includes treatment for mental health, emotions, or behavior through inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication; telehealth treatment; or treatment received in a prison, jail, or juvenile detention center.
NOTE: Respondents were classified as having a perceived unmet need for mental health treatment (MH Tx) if they did not receive MH Tx in the past year and sought or thought they should get treatment. Respondents with unknown information for perceptions of need for MH Tx were excluded.
NOTE: Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
NOTE: Major depressive episode (MDE) with severe impairment is a subset of MDE. Impairment is based on the Sheehan Disability Scale role domains, which measure the impact of a disorder on a person’s life. Ratings greater than or equal to 7 on a scale of 0 to 10 in any of the role domains indicate severe impairment.
NOTE: Respondents with unknown MDE data or unknown impairment data were excluded.
1 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
2 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, 2023 and 2024.
250529
Table 7.23B – Perceived Unmet Need for Mental Health Treatment in Past Year: Among People Aged 12 to 17 with Past Year Major Depressive Episode with Severe Impairment Who Did Not Receive Mental Health Treatment in Past Year; by Geographic and Socioeconomic Characteristics, Percentages, 2023 and 2024
Geographic/Socioeconomic Characteristic Among People Aged 12 to 17 with Past Year Major Depressive Episode with Severe Impairment Who Did Not Receive Mental Health Treatment in Past Year
Any Perceived Unmet Need
(2023)
Any Perceived Unmet Need
(2024)
Sought Treatment
(2023)
Sought Treatment
(2024)
Did Not Seek Treatment but Thought Should Get Treatment
(2023)
Did Not Seek Treatment but Thought Should Get Treatment
(2024)
Did Not Perceive Need for Mental Health Treatment
(2023)
Did Not Perceive Need for Mental Health Treatment
(2024)
TOTAL -- 48.3 -- 10.7 -- 37.5 -- 51.7
GEOGRAPHIC REGION                
Northeast -- * -- * -- * -- *
Midwest -- 43.8 -- 9.2 -- 34.5 -- 56.2
South -- 50.2 -- 12.4 -- 37.7 -- 49.8
West -- * -- 10.0 -- 35.3 -- *
COUNTY TYPE                
Large Metro -- 51.6 -- 11.9 -- 39.6 -- 48.4
Small Metro -- 45.3 -- 6.8 -- 38.3 -- 54.7
Nonmetro -- 43.1 -- * -- * -- 56.9
Urbanized -- * -- * -- * -- *
Less Urbanized -- * -- * -- * -- *
Completely Rural -- * -- * -- * -- *
POVERTY LEVEL                
Less Than 100% -- 49.4 -- 6.6 -- 42.7 -- 50.6
100-199% -- 37.4 -- 6.3 -- 30.9 -- 62.6
200% or More -- 52.9 -- 14.3 -- 38.6 -- 47.1
HEALTH INSURANCE1                
Private -- 51.6 -- 11.2 -- 40.4 -- 48.4
Medicaid/CHIP -- 43.1 -- 7.4 -- 35.6 -- 56.9
Other2 -- * -- * -- * -- *
No Coverage -- * -- * -- * -- *
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Changes were made to the inpatient and outpatient mental health treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: Mental health treatment includes treatment for mental health, emotions, or behavior through inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication; telehealth treatment; or treatment received in a prison, jail, or juvenile detention center.
NOTE: Respondents were classified as having a perceived unmet need for mental health treatment (MH Tx) if they did not receive MH Tx in the past year and sought or thought they should get treatment. Respondents with unknown information for perceptions of need for MH Tx were excluded.
NOTE: Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
NOTE: Major depressive episode (MDE) with severe impairment is a subset of MDE. Impairment is based on the Sheehan Disability Scale role domains, which measure the impact of a disorder on a person’s life. Ratings greater than or equal to 7 on a scale of 0 to 10 in any of the role domains indicate severe impairment.
NOTE: Respondents with unknown MDE data or unknown impairment data were excluded.
1 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
2 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, 2023 and 2024.
250529
Table 7.24A – Detailed Reasons for Not Receiving Mental Health Treatment in Past Year: Among People Aged 12 to 17 Who Did Not Receive Mental Health Treatment and Had a Perceived Unmet Need for Mental Health Treatment in Past Year; by Past Year Treatment-Seeking Behavior, Numbers in Thousands, 2023 and 2024
Reason Did Not Receive Mental Health Treatment Among People Aged 12 to 17 Who Did Not Receive Mental Health Treatment and Had a Perceived Unmet Need for Mental Health Treatment in Past Year
Any Perceived Unmet Need
(2023)
Any Perceived Unmet Need
(2024)
Sought Treatment
(2023)
Sought Treatment
(2024)
Did Not Seek Treatment but Thought Should Get Treatment
(2023)
Did Not Seek Treatment but Thought Should Get Treatment
(2024)
Thought It Would Cost Too Much -- 543 -- 92 -- 451
Did Not Have Health Insurance Coverage for Mental Health Treatment -- 170 -- 33 -- 137
Health Insurance Would Not Pay Enough of Costs for Treatment -- 174 -- 31 -- 143
Did Not Know How or Where to Get Treatment -- 754 -- 125 -- 628
Could Not Find Treatment Program or Healthcare Professional They Wanted to Go to -- 375 -- 83 -- 292
No Openings in Treatment Program or with Healthcare Professional They Wanted to Go to -- 114 -- 51 -- 64
Had Problems with Things Like Transportation, Childcare, or Getting Appointments at Times That Worked for Them -- 304 -- 71 -- 233
Did Not Have Enough Time for Treatment -- 510 -- 111 -- 399
Worried That Information Would Not Be Kept Private -- 830 -- 120 -- 710
Worried about What People Would Think or Say if They Got Treatment -- 890 -- 117 -- 773
Thought That if People Knew They Were in Treatment, Bad Things Would Happen, Like Losing Their Job, Home, or Children -- 196 -- 31 -- 166
Not Ready to Start Treatment -- 694 -- 86 -- 608
Thought They Should Have Been Able to Handle Their Mental Health, Emotions, or Behavior on Their Own -- 1,358 -- * -- 1,169
Thought Their Family, Friends, or Religious Group Would Not Like It if They Got Treatment -- 630 -- 75 -- 555
Afraid of Being Committed to Hospital or Forced into Treatment against Their Will -- 558 -- 106 -- 452
Thought They Would Be Told They Needed to Take Medication -- 486 -- 94 -- 392
Did Not Think Treatment Would Help Them -- 753 -- 137 -- 615
Thought No One Would Care if They Got Better -- 586 -- 85 -- 502
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Changes were made to the inpatient and outpatient mental health treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: Mental health treatment includes treatment for mental health, emotions, or behavior through inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication; telehealth treatment; or treatment received in a prison, jail, or juvenile detention center.
NOTE: Respondents could indicate multiple reasons for not receiving mental health treatment; thus, these response categories are not mutually exclusive. Respondents with unknown reason for not receiving treatment data were excluded.
NOTE: Respondents were classified as having a perceived unmet need for mental health treatment (MH Tx) if they did not receive MH Tx in the past year and sought or thought they should get treatment. Respondents with unknown information for perceptions of need for MH Tx 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, 2023 and 2024.
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Table 7.24B – Detailed Reasons for Not Receiving Mental Health Treatment in Past Year: Among People Aged 12 to 17 Who Did Not Receive Mental Health Treatment and Had a Perceived Unmet Need for Mental Health Treatment in Past Year; by Past Year Treatment-Seeking Behavior, Percentages, 2023 and 2024
Reason Did Not Receive Mental Health Treatment Among People Aged 12 to 17 Who Did Not Receive Mental Health Treatment and Had a Perceived Unmet Need for Mental Health Treatment in Past Year
Any Perceived Unmet Need
(2023)
Any Perceived Unmet Need
(2024)
Sought Treatment
(2023)
Sought Treatment
(2024)
Did Not Seek Treatment but Thought Should Get Treatment
(2023)
Did Not Seek Treatment but Thought Should Get Treatment
(2024)
Thought It Would Cost Too Much -- 31.8 -- 31.8 -- 31.9
Did Not Have Health Insurance Coverage for Mental Health Treatment -- 10.6 -- 12.3 -- 10.3
Health Insurance Would Not Pay Enough of Costs for Treatment -- 10.9 -- 11.2 -- 10.9
Did Not Know How or Where to Get Treatment -- 44.4 -- 43.4 -- 44.6
Could Not Find Treatment Program or Healthcare Professional They Wanted to Go to -- 22.3 -- 31.0 -- 20.6
No Openings in Treatment Program or with Healthcare Professional They Wanted to Go to -- 6.9 -- 18.0 -- 4.6
Had Problems with Things Like Transportation, Childcare, or Getting Appointments at Times That Worked for Them -- 17.9 -- 24.7 -- 16.5
Did Not Have Enough Time for Treatment -- 30.2 -- 38.5 -- 28.4
Worried That Information Would Not Be Kept Private -- 48.6 -- 41.8 -- 50.0
Worried about What People Would Think or Say if They Got Treatment -- 52.6 -- 40.6 -- 55.1
Thought That if People Knew They Were in Treatment, Bad Things Would Happen, Like Losing Their Job, Home, or Children -- 11.6 -- 10.9 -- 11.8
Not Ready to Start Treatment -- 41.4 -- 30.6 -- 43.5
Thought They Should Have Been Able to Handle Their Mental Health, Emotions, or Behavior on Their Own -- 79.9 -- * -- 82.3
Thought Their Family, Friends, or Religious Group Would Not Like It if They Got Treatment -- 37.0 -- 26.1 -- 39.2
Afraid of Being Committed to Hospital or Forced into Treatment against Their Will -- 32.8 -- 36.8 -- 31.9
Thought They Would Be Told They Needed to Take Medication -- 28.8 -- 32.6 -- 28.0
Did Not Think Treatment Would Help Them -- 44.7 -- 47.7 -- 44.0
Thought No One Would Care if They Got Better -- 34.9 -- 30.2 -- 35.8
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Changes were made to the inpatient and outpatient mental health treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: Mental health treatment includes treatment for mental health, emotions, or behavior through inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication; telehealth treatment; or treatment received in a prison, jail, or juvenile detention center.
NOTE: Respondents could indicate multiple reasons for not receiving mental health treatment; thus, these response categories are not mutually exclusive. Respondents with unknown reason for not receiving treatment data were excluded.
NOTE: Respondents were classified as having a perceived unmet need for mental health treatment (MH Tx) if they did not receive MH Tx in the past year and sought or thought they should get treatment. Respondents with unknown information for perceptions of need for MH Tx 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, 2023 and 2024.
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Table 7.25A – Detailed Reasons for Not Receiving Mental Health Treatment in Past Year: Among People Aged 12 to 17 with Major Depressive Episode Who Did Not Receive Mental Health Treatment and Had a Perceived Unmet Need for Mental Health Treatment in Past Year; by Past Year Treatment-Seeking Behavior, Numbers in Thousands, 2023 and 2024
Reason Did Not Receive Mental Health Treatment Among People Aged 12 to 17 with Major Depressive Episode Who Did Not Receive Mental Health Treatment and Had a Perceived Unmet Need for Mental Health Treatment in Past Year
Any Perceived Unmet Need
(2023)
Any Perceived Unmet Need
(2024)
Sought Treatment
(2023)
Sought Treatment
(2024)
Did Not Seek Treatment but Thought Should Get Treatment
(2023)
Did Not Seek Treatment but Thought Should Get Treatment
(2024)
Thought It Would Cost Too Much -- 249 -- * -- 202
Did Not Have Health Insurance Coverage for Mental Health Treatment -- 85 -- * -- 71
Health Insurance Would Not Pay Enough of Costs for Treatment -- 89 -- * -- 68
Did Not Know How or Where to Get Treatment -- 323 -- * -- 256
Could Not Find Treatment Program or Healthcare Professional They Wanted to Go to -- 179 -- * -- 126
No Openings in Treatment Program or with Healthcare Professional They Wanted to Go to -- 52 -- * -- 28
Had Problems with Things Like Transportation, Childcare, or Getting Appointments at Times That Worked for Them -- 142 -- * -- 104
Did Not Have Enough Time for Treatment -- 197 -- * -- 133
Worried That Information Would Not Be Kept Private -- 412 -- * -- 340
Worried about What People Would Think or Say if They Got Treatment -- 447 -- * -- 380
Thought That if People Knew They Were in Treatment, Bad Things Would Happen, Like Losing Their Job, Home, or Children -- 132 -- * -- 104
Not Ready to Start Treatment -- 287 -- * -- 225
Thought They Should Have Been Able to Handle Their Mental Health, Emotions, or Behavior on Their Own -- 576 -- * -- 476
Thought Their Family, Friends, or Religious Group Would Not Like It if They Got Treatment -- 313 -- * -- 270
Afraid of Being Committed to Hospital or Forced into Treatment against Their Will -- 340 -- * -- 272
Thought They Would Be Told They Needed to Take Medication -- 292 -- * -- 229
Did Not Think Treatment Would Help Them -- 372 -- * -- 289
Thought No One Would Care if They Got Better -- 360 -- * -- 288
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Changes were made to the inpatient and outpatient mental health treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: Mental health treatment includes treatment for mental health, emotions, or behavior through inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication; telehealth treatment; or treatment received in a prison, jail, or juvenile detention center.
NOTE: Respondents could indicate multiple reasons for not receiving mental health treatment; thus, these response categories are not mutually exclusive. Respondents with unknown reason for not receiving treatment data were excluded.
NOTE: Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
NOTE: Respondents with unknown past year major depressive episode (MDE) data were excluded.
NOTE: Respondents were classified as having a perceived unmet need for mental health treatment (MH Tx) if they did not receive MH Tx in the past year and sought or thought they should get treatment. Respondents with unknown information for perceptions of need for MH Tx 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, 2023 and 2024.
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Table 7.25B – Detailed Reasons for Not Receiving Mental Health Treatment in Past Year: Among People Aged 12 to 17 with Major Depressive Episode Who Did Not Receive Mental Health Treatment and Had a Perceived Unmet Need for Mental Health Treatment in Past Year; by Past Year Treatment-Seeking Behavior, Percentages, 2023 and 2024
Reason Did Not Receive Mental Health Treatment Among People Aged 12 to 17 with Major Depressive Episode Who Did Not Receive Mental Health Treatment and Had a Perceived Unmet Need for Mental Health Treatment in Past Year
Any Perceived Unmet Need
(2023)
Any Perceived Unmet Need
(2024)
Sought Treatment
(2023)
Sought Treatment
(2024)
Did Not Seek Treatment but Thought Should Get Treatment
(2023)
Did Not Seek Treatment but Thought Should Get Treatment
(2024)
Thought It Would Cost Too Much -- 39.1 -- * -- 39.3
Did Not Have Health Insurance Coverage for Mental Health Treatment -- 14.1 -- * -- 14.5
Health Insurance Would Not Pay Enough of Costs for Treatment -- 14.7 -- * -- 14.0
Did Not Know How or Where to Get Treatment -- 51.2 -- * -- 50.3
Could Not Find Treatment Program or Healthcare Professional They Wanted to Go to -- 28.6 -- * -- 24.7
No Openings in Treatment Program or with Healthcare Professional They Wanted to Go to -- 8.3 -- * -- 5.6
Had Problems with Things Like Transportation, Childcare, or Getting Appointments at Times That Worked for Them -- 22.6 -- * -- 20.5
Did Not Have Enough Time for Treatment -- 31.5 -- * -- 26.4
Worried That Information Would Not Be Kept Private -- 64.9 -- * -- 66.4
Worried about What People Would Think or Say if They Got Treatment -- 70.5 -- * -- 74.3
Thought That if People Knew They Were in Treatment, Bad Things Would Happen, Like Losing Their Job, Home, or Children -- 20.9 -- * -- 20.5
Not Ready to Start Treatment -- 45.7 -- * -- 44.5
Thought They Should Have Been Able to Handle Their Mental Health, Emotions, or Behavior on Their Own -- 90.5 -- * -- 92.8
Thought Their Family, Friends, or Religious Group Would Not Like It if They Got Treatment -- 49.4 -- * -- 52.9
Afraid of Being Committed to Hospital or Forced into Treatment against Their Will -- 53.7 -- * -- 53.4
Thought They Would Be Told They Needed to Take Medication -- 46.4 -- * -- 45.4
Did Not Think Treatment Would Help Them -- 58.7 -- * -- 56.6
Thought No One Would Care if They Got Better -- 56.9 -- * -- 56.6
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Changes were made to the inpatient and outpatient mental health treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: Mental health treatment includes treatment for mental health, emotions, or behavior through inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication; telehealth treatment; or treatment received in a prison, jail, or juvenile detention center.
NOTE: Respondents could indicate multiple reasons for not receiving mental health treatment; thus, these response categories are not mutually exclusive. Respondents with unknown reason for not receiving treatment data were excluded.
NOTE: Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
NOTE: Respondents with unknown past year major depressive episode (MDE) data were excluded.
NOTE: Respondents were classified as having a perceived unmet need for mental health treatment (MH Tx) if they did not receive MH Tx in the past year and sought or thought they should get treatment. Respondents with unknown information for perceptions of need for MH Tx 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, 2023 and 2024.
250529
Table 7.26A – Detailed Reasons for Not Receiving Mental Health Treatment in Past Year: Among People Aged 12 to 17 with Major Depressive Episode with Severe Impairment Who Did Not Receive Mental Health Treatment and Had a Perceived Unmet Need for Mental Health Treatment in Past Year; by Past Year Treatment-Seeking Behavior, Numbers in Thousands, 2023 and 2024
Reason Did Not Receive Mental Health Treatment Among People Aged 12 to 17 with Major Depressive Episode with Severe Impairment Who Did Not Receive Mental Health Treatment and Had a Perceived Unmet Need for Mental Health Treatment in Past Year
Any Perceived Unmet Need
(2023)
Any Perceived Unmet Need
(2024)
Sought Treatment
(2023)
Sought Treatment
(2024)
Did Not Seek Treatment but Thought Should Get Treatment
(2023)
Did Not Seek Treatment but Thought Should Get Treatment
(2024)
Thought It Would Cost Too Much -- 198 -- * -- 154
Did Not Have Health Insurance Coverage for Mental Health Treatment -- 82 -- * -- 68
Health Insurance Would Not Pay Enough of Costs for Treatment -- 85 -- * -- 64
Did Not Know How or Where to Get Treatment -- 258 -- * -- 195
Could Not Find Treatment Program or Healthcare Professional They Wanted to Go to -- 160 -- * -- 114
No Openings in Treatment Program or with Healthcare Professional They Wanted to Go to -- 46 -- * -- 25
Had Problems with Things Like Transportation, Childcare, or Getting Appointments at Times That Worked for Them -- 125 -- * -- 89
Did Not Have Enough Time for Treatment -- 172 -- * -- 114
Worried That Information Would Not Be Kept Private -- 341 -- * -- 277
Worried about What People Would Think or Say if They Got Treatment -- 345 -- * -- 284
Thought That if People Knew They Were in Treatment, Bad Things Would Happen, Like Losing Their Job, Home, or Children -- 119 -- * -- 93
Not Ready to Start Treatment -- 231 -- * -- 172
Thought They Should Have Been Able to Handle Their Mental Health, Emotions, or Behavior on Their Own -- 454 -- * -- 365
Thought Their Family, Friends, or Religious Group Would Not Like It if They Got Treatment -- 247 -- * -- 211
Afraid of Being Committed to Hospital or Forced into Treatment against Their Will -- 284 -- * -- 221
Thought They Would Be Told They Needed to Take Medication -- 247 -- * -- 189
Did Not Think Treatment Would Help Them -- 301 -- * -- 227
Thought No One Would Care if They Got Better -- 308 -- * -- 242
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Changes were made to the inpatient and outpatient mental health treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: Mental health treatment includes treatment for mental health, emotions, or behavior through inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication; telehealth treatment; or treatment received in a prison, jail, or juvenile detention center.
NOTE: Respondents could indicate multiple reasons for not receiving mental health treatment; thus, these response categories are not mutually exclusive. Respondents with unknown reason for not receiving treatment data were excluded.
NOTE: Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
NOTE: Major depressive episode (MDE) with severe impairment is a subset of MDE. Impairment is based on the Sheehan Disability Scale role domains, which measure the impact of a disorder on a person’s life. Ratings greater than or equal to 7 on a scale of 0 to 10 in any of the role domains indicate severe impairment.
NOTE: Respondents with unknown MDE data or unknown impairment data were excluded.
NOTE: Respondents were classified as having a perceived unmet need for mental health treatment (MH Tx) if they did not receive MH Tx in the past year and sought or thought they should get treatment. Respondents with unknown information for perceptions of need for MH Tx 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, 2023 and 2024.
250529
Table 7.26B – Detailed Reasons for Not Receiving Mental Health Treatment in Past Year: Among People Aged 12 to 17 with Major Depressive Episode with Severe Impairment Who Did Not Receive Mental Health Treatment and Had a Perceived Unmet Need for Mental Health Treatment in Past Year; by Past Year Treatment-Seeking Behavior, Percentages, 2023 and 2024
Reason Did Not Receive Mental Health Treatment Among People Aged 12 to 17 with Major Depressive Episode with Severe Impairment Who Did Not Receive Mental Health Treatment and Had a Perceived Unmet Need for Mental Health Treatment in Past Year
Any Perceived Unmet Need
(2023)
Any Perceived Unmet Need
(2024)
Sought Treatment
(2023)
Sought Treatment
(2024)
Did Not Seek Treatment but Thought Should Get Treatment
(2023)
Did Not Seek Treatment but Thought Should Get Treatment
(2024)
Thought It Would Cost Too Much -- 39.1 -- * -- 39.1
Did Not Have Health Insurance Coverage for Mental Health Treatment -- 17.0 -- * -- 17.9
Health Insurance Would Not Pay Enough of Costs for Treatment -- 17.6 -- * -- 17.0
Did Not Know How or Where to Get Treatment -- 51.4 -- * -- 50.4
Could Not Find Treatment Program or Healthcare Professional They Wanted to Go to -- 32.2 -- * -- 29.1
No Openings in Treatment Program or with Healthcare Professional They Wanted to Go to -- 9.3 -- * -- 6.4
Had Problems with Things Like Transportation, Childcare, or Getting Appointments at Times That Worked for Them -- 25.1 -- * -- 23.0
Did Not Have Enough Time for Treatment -- 34.8 -- * -- 29.8
Worried That Information Would Not Be Kept Private -- 67.4 -- * -- 70.5
Worried about What People Would Think or Say if They Got Treatment -- 68.5 -- * -- 72.6
Thought That if People Knew They Were in Treatment, Bad Things Would Happen, Like Losing Their Job, Home, or Children -- 23.7 -- * -- 24.0
Not Ready to Start Treatment -- 46.3 -- * -- 44.7
Thought They Should Have Been Able to Handle Their Mental Health, Emotions, or Behavior on Their Own -- 89.8 -- * -- 92.9
Thought Their Family, Friends, or Religious Group Would Not Like It if They Got Treatment -- 49.1 -- * -- 54.1
Afraid of Being Committed to Hospital or Forced into Treatment against Their Will -- 56.6 -- * -- 56.8
Thought They Would Be Told They Needed to Take Medication -- 49.2 -- * -- 48.7
Did Not Think Treatment Would Help Them -- 59.7 -- * -- 58.2
Thought No One Would Care if They Got Better -- 61.0 -- * -- 61.7
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Changes were made to the inpatient and outpatient mental health treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: Mental health treatment includes treatment for mental health, emotions, or behavior through inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication; telehealth treatment; or treatment received in a prison, jail, or juvenile detention center.
NOTE: Respondents could indicate multiple reasons for not receiving mental health treatment; thus, these response categories are not mutually exclusive. Respondents with unknown reason for not receiving treatment data were excluded.
NOTE: Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
NOTE: Major depressive episode (MDE) with severe impairment is a subset of MDE. Impairment is based on the Sheehan Disability Scale role domains, which measure the impact of a disorder on a person’s life. Ratings greater than or equal to 7 on a scale of 0 to 10 in any of the role domains indicate severe impairment.
NOTE: Respondents with unknown MDE data or unknown impairment data were excluded.
NOTE: Respondents were classified as having a perceived unmet need for mental health treatment (MH Tx) if they did not receive MH Tx in the past year and sought or thought they should get treatment. Respondents with unknown information for perceptions of need for MH Tx 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, 2023 and 2024.
250529
Table 7.27A – Substance Use in Past Year: Among People Aged 12 to 17; by Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment, Numbers in Thousands, 2023 and 2024
Substance Had MDE1,2
(2023)
Had MDE1,2
(2024)
Had MDE with Severe Impairment1,3,4
(2023)
Had MDE with Severe Impairment1,3,4
(2024)
Had No MDE1,2
(2023)
Had No MDE1,2
(2024)
ILLICIT DRUGS5 1,282 1,251 1,011 982 2,372 2,506
Marijuana 990 961 791 767 1,777 1,648
Cocaine 27 22 26 21 24 45
Crack * 6 * 6 <1 1
Heroin * 4 * 4 * 5
Hallucinogens 151 155 143 115 207 247
LSD 67 54 62 41 66 56
PCP 10 * 10 * 5 1
Ecstasy 18 26 18 23 33 31
Psilocybin -- 120 -- 100 -- 188
Inhalants6 -- 275 -- 219 -- 628
Methamphetamine 17 7 17 6 17 49
Misuse of Prescription Psychotherapeutics 278 217 228 173 480 407
Pain Relievers 159 122 137 112 389 287
Prescription Opioids 138 102 119 92 350 277
Stimulants 123 67 107a 49 97 129
Tranquilizers or Sedatives 89 93 70 65 76 77
Tranquilizers 66 68 53 48 47 57
Sedatives 29 31 23 22 36 32
Benzodiazepines 64 49 53 46 41 57
Opioids5,7 138 106 119 97 350 277
Central Nervous System Stimulants 132 84 116 65 135 197
Illicit Drugs Other Than Marijuana5,6,8 -- 554 -- 434 -- 1,192
TOBACCO PRODUCT USE OR NICOTINE VAPING9 1,205 1,115 999 855 2,352 2,224
Tobacco Products9 390 414 320 317 796 786
Cigarettes 327 295 271 224 514 485
Daily Cigarettes -- -- -- -- -- --
Smokeless Tobacco 39a 91 20b 70 162 185
Cigars 87 137 74 113 296 315
Pipe Tobacco9 -- -- -- -- -- --
Nicotine Vaping 1,155 1,050 957 819 2,134 2,042
ALCOHOL 1,429a 1,190 1,108 929 2,799 2,956
Binge Alcohol Use -- -- -- -- -- --
Heavy Alcohol Use -- -- -- -- -- --
OPIOIDS INCLUDING ILLEGALLY MADE FENTANYL7 139 106 120 97 358 309
Illegally Made Fentanyl 21 * 21 * 13 38
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
1 Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
2 Respondents with unknown past year major depressive episode (MDE) data were excluded.
3 Major depressive episode (MDE) with severe impairment is a subset of MDE. Impairment is based on the Sheehan Disability Scale role domains, which measure the impact of a disorder on a person’s life. Ratings greater than or equal to 7 on a scale of 0 to 10 in any of the role domains indicate severe impairment.
4 Respondents with unknown MDE data or unknown impairment data were excluded.
5 Does not include illegally made fentanyl (IMF).
6 Changes were made to the inhalant questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
7 Some 2023 estimates may differ from previously published estimates due to updates in how opioids are defined beginning in 2024. See Chapter 4 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
8 Illicit drugs other than marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
9 Information about past year use of pipe tobacco was not collected. Tobacco product use (as well as tobacco product use or nicotine vaping) in the past year exclude past year pipe tobacco use, but include past month pipe tobacco use.
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, 2023 and 2024.
250529
Table 7.27B – Substance Use in Past Year: Among People Aged 12 to 17; by Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment, Percentages, 2023 and 2024
Substance Had MDE1,2
(2023)
Had MDE1,2
(2024)
Had MDE with Severe Impairment1,3,4
(2023)
Had MDE with Severe Impairment1,3,4
(2024)
Had No MDE1,2
(2023)
Had No MDE1,2
(2024)
ILLICIT DRUGS5 28.4a 32.6 30.1 34.6 11.6 11.8
Marijuana 21.9 25.0 23.6 27.0 8.7 7.8
Cocaine 0.6 0.6 0.8 0.7 0.1 0.2
Crack * 0.2 * 0.2 <0.1 <0.1
Heroin * 0.1 * 0.2 * <0.1
Hallucinogens 3.3 4.0 4.3 4.1 1.0 1.2
LSD 1.5 1.4 1.8 1.4 0.3 0.3
PCP 0.2 * 0.3 * <0.1 <0.1
Ecstasy 0.4 0.7 0.5 0.8 0.2 0.1
Psilocybin -- 3.1 -- 3.5 -- 0.9
Inhalants6 -- 7.1 -- 7.7 -- 3.0
Methamphetamine 0.4 0.2 0.5 0.2 0.1 0.2
Misuse of Prescription Psychotherapeutics 6.2 5.6 6.8 6.1 2.4 1.9
Pain Relievers 3.5 3.2 4.1 3.9 1.9a 1.4
Prescription Opioids 3.1 2.7 3.5 3.3 1.7 1.3
Stimulants 2.7 1.7 3.2 1.7 0.5 0.6
Tranquilizers or Sedatives 2.0 2.4 2.1 2.3 0.4 0.4
Tranquilizers 1.5 1.8 1.6 1.7 0.2 0.3
Sedatives 0.6 0.8 0.7 0.8 0.2 0.2
Benzodiazepines 1.4 1.3 1.6 1.6 0.2 0.3
Opioids5,7 3.1 2.8 3.5 3.4 1.7 1.3
Central Nervous System Stimulants 2.9 2.2 3.4 2.3 0.7 0.9
Illicit Drugs Other Than Marijuana5,6,8 -- 14.4 -- 15.3 -- 5.6
TOBACCO PRODUCT USE OR NICOTINE VAPING9 26.7 29.0 29.7 30.2 11.5 10.5
Tobacco Products9 8.6 10.8 9.5 11.2 3.9 3.7
Cigarettes 7.3 7.7 8.1 7.9 2.5 2.3
Daily Cigarettes -- -- -- -- -- --
Smokeless Tobacco 0.9b 2.4 0.6b 2.5 0.8 0.9
Cigars 1.9a 3.6 2.2 4.0 1.5 1.5
Pipe Tobacco9 -- -- -- -- -- --
Nicotine Vaping 25.6 27.4 28.5 28.9 10.5 9.6
ALCOHOL 31.6 31.0 33.0 32.8 13.7 14.0
Binge Alcohol Use -- -- -- -- -- --
Heavy Alcohol Use -- -- -- -- -- --
OPIOIDS INCLUDING ILLEGALLY MADE FENTANYL7 3.1 2.8 3.6 3.4 1.8 1.5
Illegally Made Fentanyl 0.5 * 0.6 * 0.1 0.2
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
1 Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
2 Respondents with unknown past year major depressive episode (MDE) data were excluded.
3 Major depressive episode (MDE) with severe impairment is a subset of MDE. Impairment is based on the Sheehan Disability Scale role domains, which measure the impact of a disorder on a person’s life. Ratings greater than or equal to 7 on a scale of 0 to 10 in any of the role domains indicate severe impairment.
4 Respondents with unknown MDE data or unknown impairment data were excluded.
5 Does not include illegally made fentanyl (IMF).
6 Changes were made to the inhalant questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
7 Some 2023 estimates may differ from previously published estimates due to updates in how opioids are defined beginning in 2024. See Chapter 4 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
8 Illicit drugs other than marijuana excludes respondents who used only marijuana but includes those who used marijuana in addition to other illicit drugs.
9 Information about past year use of pipe tobacco was not collected. Tobacco product use (as well as tobacco product use or nicotine vaping) in the past year exclude past year pipe tobacco use, but include past month pipe tobacco use.
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, 2023 and 2024.
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Table 7.28A – Major Depressive Episode in Past Year: Among People Aged 12 to 17; by Past Year Substance Use Disorder and Demographic Characteristics, Numbers in Thousands, 2023 and 2024
Substance Use Disorder/Age Group Total
(2023)
Total
(2024)
Male
(2023)
Male
(2024)
Female
(2023)
Female
(2024)
SUBSTANCE USE DISORDER 856 792 178 247 678 545
12-13 61 * 4 * * *
14-15 280 217 50 * 230 166
16-17 515 506 124 191 391 315
Drug Use Disorder 712 696 154 217 559 479
12-13 58 * * * * *
14-15 243 197 46 * 197 147
16-17 411 436 103 161 308 275
Alcohol Use Disorder 341 328 63 76 279 251
12-13 * * * * * *
14-15 * * * * * *
16-17 221 220 * * 181 *
NO SUBSTANCE USE DISORDER 3,660b 3,047 1,029a 834 2,631b 2,213
12-13 834 698 206 156 628 542
14-15 1,402a 1,149 419a 294 983 855
16-17 1,424a 1,201 404 384 1,020a 816
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
NOTE: Respondents with unknown past year major depressive episode (MDE) data were excluded.
NOTE: Substance use disorder is based on DSM-5 criteria. See the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details on who was eligible to receive questions on substance use disorder.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
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, 2023 and 2024.
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Table 7.28B – Major Depressive Episode in Past Year: Among People Aged 12 to 17; by Past Year Substance Use Disorder and Demographic Characteristics, Percentages, 2023 and 2024
Substance Use Disorder/Age Group Total
(2023)
Total
(2024)
Male
(2023)
Male
(2024)
Female
(2023)
Female
(2024)
SUBSTANCE USE DISORDER 41.1 41.0 21.9 30.0 53.2 49.2
12-13 33.2 * 5.6 * * *
14-15 36.9 41.5 16.4 * 50.5 47.1
16-17 45.1 41.9 28.3 32.7 55.6 50.6
Drug Use Disorder 42.2 42.8 23.9 30.7 53.5 52.3
12-13 36.0 * * * * *
14-15 38.9 44.0 18.9 * 51.8 49.2
16-17 45.7 43.7 30.8 33.1 54.5 54.0
Alcohol Use Disorder 47.1 44.3 24.7 30.9 59.2 51.0
12-13 * * * * * *
14-15 * * * * * *
16-17 50.7 45.1 * * 62.9 *
NO SUBSTANCE USE DISORDER 16.0b 13.2 8.6a 7.0 24.3b 20.0
12-13 11.3a 9.4 5.1 4.1 18.9a 15.0
14-15 17.4a 14.3 10.0a 6.9 25.4 22.7
16-17 19.2b 15.7 10.7 9.7 28.0b 22.1
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
NOTE: Respondents with unknown past year major depressive episode (MDE) data were excluded.
NOTE: Substance use disorder is based on DSM-5 criteria. See the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details on who was eligible to receive questions on substance use disorder.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
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, 2023 and 2024.
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Table 7.29A – Major Depressive Episode with Severe Impairment in Past Year: Among People Aged 12 to 17; by Past Year Substance Use Disorder and Demographic Characteristics, Numbers in Thousands, 2023 and 2024
Substance Use Disorder/Age Group Total
(2023)
Total
(2024)
Male
(2023)
Male
(2024)
Female
(2023)
Female
(2024)
SUBSTANCE USE DISORDER 717 632 144 204 573a 428
12-13 51 * * * * *
14-15 248a 158 42 * 206a 126
16-17 418 413 99 166 319 247
Drug Use Disorder 602 557 122 181 480 376
12-13 48 * * * * *
14-15 217a 145 40 * 177a 112
16-17 337 357 79 143 258 214
Alcohol Use Disorder 287 265 51 61 236 204
12-13 * * * * * *
14-15 * 60 * * * *
16-17 178 177 * * * 121
NO SUBSTANCE USE DISORDER 2,641b 2,202 701a 531 1,940a 1,671
12-13 567 507 136 102 432 405
14-15 1,039a 842 293a 182 745 660
16-17 1,035 854 272 248 763 606
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
NOTE: Major depressive episode (MDE) with severe impairment is a subset of MDE. Impairment is based on the Sheehan Disability Scale role domains, which measure the impact of a disorder on a person’s life. Ratings greater than or equal to 7 on a scale of 0 to 10 in any of the role domains indicate severe impairment.
NOTE: Respondents with unknown MDE data or unknown impairment data were excluded.
NOTE: Substance use disorder is based on DSM-5 criteria. See the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details on who was eligible to receive questions on substance use disorder.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
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, 2023 and 2024.
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Table 7.29B – Major Depressive Episode with Severe Impairment in Past Year: Among People Aged 12 to 17; by Past Year Substance Use Disorder and Demographic Characteristics, Percentages, 2023 and 2024
Substance Use Disorder/Age Group Total
(2023)
Total
(2024)
Male
(2023)
Male
(2024)
Female
(2023)
Female
(2024)
SUBSTANCE USE DISORDER 34.5 32.8 17.7 24.7 45.2 38.9
12-13 27.8 * * * * *
14-15 32.8 30.3 14.0 * 45.4 35.6
16-17 36.6 34.4 22.5 28.4 45.4 40.1
Drug Use Disorder 35.8 34.4 19.0 25.5 46.1 41.4
12-13 29.8 * * * * *
14-15 34.9 32.2 16.4 * 47.0 37.6
16-17 37.4 36.0 23.6 29.3 45.6 42.5
Alcohol Use Disorder 39.8 35.9 20.2 24.9 50.4 41.4
12-13 * * * * * *
14-15 * 30.8 * * * *
16-17 40.8 36.3 * * * 41.0
NO SUBSTANCE USE DISORDER 11.6b 9.6 5.8a 4.4 17.9b 15.1
12-13 7.7 6.8 3.4 2.7 13.0 11.2
14-15 12.9a 10.5 7.0a 4.3 19.3 17.6
16-17 14.0a 11.2 7.2 6.3 20.9a 16.4
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
NOTE: Major depressive episode (MDE) with severe impairment is a subset of MDE. Impairment is based on the Sheehan Disability Scale role domains, which measure the impact of a disorder on a person’s life. Ratings greater than or equal to 7 on a scale of 0 to 10 in any of the role domains indicate severe impairment.
NOTE: Respondents with unknown MDE data or unknown impairment data were excluded.
NOTE: Substance use disorder is based on DSM-5 criteria. See the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details on who was eligible to receive questions on substance use disorder.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
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, 2023 and 2024.
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Table 7.30A – Substance Use Disorder in Past Year: Among People Aged 12 to 17; by Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment and Demographic Characteristics, Numbers in Thousands, 2023 and 2024
MDE/Demographic Characteristic No Substance Use Disorder No Substance Use Disorder Substance Use Disorder
Drugs Drugs Marijuana Marijuana Opioids1 Opioids1 Alcohol Alcohol Both Drugs and Alcohol Both Drugs and Alcohol Substance Use Disorder Substance Use Disorder
2023 2024 2023 2024 2023 2024 2023 2024 2023 2024 2023 2024 2023 2024
TOTAL2 23,723 23,928 1,780 1,705 1,223 1,219 230 267 757 775 345 456 2,192 2,024
MDE3,4 3,660b 3,047 712 696 481 511 81 107 341 328 198 231 856 792
Age Group                            
12-13 834 698 58 62 24 30 15 27 9 30 6 23 61 69
14-15 1,402a 1,149 243 197 141 135 39 33 112 77 75 57 280 217
16-17 1,424a 1,201 411 436 316 346 27 47 221 220 117 151 515 506
Sex                            
Male 1,029a 834 154 217 115 154 16 28 63 76 38 46 178 247
Female 2,631b 2,213 559 479 366 357 65 79 279 251 159 185 678 545
MDE with Severe Impairment5,6 2,641b 2,202 602 557 401 409 62 94 287 265 172 191 717 632
Age Group                            
12-13 567 507 48 56 21 27 12 24 9 28 6 22 51 61
14-15 1,039a 842 217a 145 125 93 26 32 101 60 70 47 248a 158
16-17 1,035 854 337 357 254 289 25 38 178 177 96 122 418 413
Sex                            
Male 701a 531 122 181 89 127 15 27 51 61 29 38 144 204
Female 1,940a 1,671 480 376 311 282 47 67 236 204 143 153 573a 428
NO MDE3,4 19,171 20,020 975 928 668 656 137 150 383 411 128 199 1,229 1,141
Age Group                            
12-13 6,519 6,717 104 116 21 29 44 44 21 24 1 5 123 135
14-15 6,663 6,861 382a 251 240a 155 48 51 147 119 51 64 479b 306
16-17 5,989 6,442 489 561 407 471 45 55 215 268 76 130 627 700
Sex                            
Male 10,958 11,157 488 492 330 353 60 48 190 170 45 83 634 579
Female 8,213a 8,863 486 437 338 302 77 102 192 241 83 115 596 563
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Substance use disorder is based on DSM-5 criteria. See the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details on who was eligible to receive questions on substance use disorder.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
1 Some 2023 estimates may differ from previously published estimates due to updates in how opioids are defined beginning in 2024. See Chapter 4 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
2 The total row includes respondents with unknown past year MDE data.
3 Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
4 Respondents with unknown past year major depressive episode (MDE) data were excluded.
5 Major depressive episode (MDE) with severe impairment is a subset of MDE. Impairment is based on the Sheehan Disability Scale role domains, which measure the impact of a disorder on a person’s life. Ratings greater than or equal to 7 on a scale of 0 to 10 in any of the role domains indicate severe impairment.
6 Respondents with unknown MDE data or 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, 2023 and 2024.
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Table 7.30B – Substance Use Disorder in Past Year: Among People Aged 12 to 17; by Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment and Demographic Characteristics, Percentages, 2023 and 2024
MDE/Demographic Characteristic No Substance Use Disorder No Substance Use Disorder Substance Use Disorder
Drugs Drugs Marijuana Marijuana Opioids1 Opioids1 Alcohol Alcohol Both Drugs and Alcohol Both Drugs and Alcohol Substance Use Disorder Substance Use Disorder
2023 2024 2023 2024 2023 2024 2023 2024 2023 2024 2023 2024 2023 2024
TOTAL2 91.5 92.2 6.9 6.6 4.7 4.7 0.9 1.0 2.9 3.0 1.3 1.8 8.5 7.8
MDE3,4 81.0 79.4 15.8 18.1 10.7 13.3 1.8 2.8 7.6 8.5 4.4 6.0 19.0 20.6
Age Group                            
12-13 93.1 91.0 6.5 8.1 2.7 4.0 1.7 3.5 1.0 3.9 0.6 3.0 6.9 9.0
14-15 83.4 84.1 14.5 14.5 8.4 9.9 2.3 2.4 6.6 5.7 4.5 4.2 16.6 15.9
16-17 73.4 70.4 21.2 25.6 16.3 20.3 1.4 2.7 11.4 12.9 6.0 8.8 26.6 29.6
Sex                            
Male 85.2a 77.1 12.7a 20.1 9.5 14.3 1.3 2.6 5.2 7.0 3.2 4.3 14.8a 22.9
Female 79.5 80.2 16.9 17.4 11.1 12.9 2.0 2.9 8.4 9.1 4.8 6.7 20.5 19.8
MDE with Severe Impairment5,6 78.6 77.7 17.9 19.7 11.9 14.4 1.9 3.3 8.6 9.4 5.1 6.7 21.4 22.3
Age Group                            
12-13 91.8 89.3 7.7 9.8 3.4 4.8 1.9 4.2 1.5 4.9 0.9 4.0 8.2 10.7
14-15 80.7 84.2 16.9 14.5 9.7 9.3 2.0 3.2 7.8 6.0 5.4 4.7 19.3 15.8
16-17 71.2 67.4 23.2 28.2 17.5 22.8 1.7 3.0 12.2 14.0 6.6 9.6 28.8 32.6
Sex                            
Male 83.0a 72.3 14.4a 24.6 10.6 17.3 1.8 3.6 6.0 8.3 3.4 5.2 17.0a 27.7
Female 77.2 79.6 19.1 17.9 12.4 13.4 1.9 3.2 9.4 9.7 5.7 7.3 22.8 20.4
NO MDE3,4 94.0 94.6 4.8 4.4 3.3 3.1 0.7 0.7 1.9 1.9 0.6 0.9 6.0 5.4
Age Group                            
12-13 98.1 98.0 1.6 1.7 0.3 0.4 0.7 0.6 0.3 0.4 <0.1 0.1 1.9 2.0
14-15 93.3b 95.7 5.3b 3.5 3.4a 2.2 0.7 0.7 2.1 1.7 0.7 0.9 6.7b 4.3
16-17 90.5 90.2 7.4 7.9 6.1 6.6 0.7 0.8 3.2 3.8 1.2 1.8 9.5 9.8
Sex                            
Male 94.5 95.1 4.2 4.2 2.8 3.0 0.5 0.4 1.6 1.4 0.4 0.7 5.5 4.9
Female 93.2 94.0 5.5 4.6 3.8 3.2 0.9 1.1 2.2 2.6 0.9 1.2 6.8 6.0
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Substance use disorder is based on DSM-5 criteria. See the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details on who was eligible to receive questions on substance use disorder.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
1 Some 2023 estimates may differ from previously published estimates due to updates in how opioids are defined beginning in 2024. See Chapter 4 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
2 The total row includes respondents with unknown past year MDE data.
3 Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
4 Respondents with unknown past year major depressive episode (MDE) data were excluded.
5 Major depressive episode (MDE) with severe impairment is a subset of MDE. Impairment is based on the Sheehan Disability Scale role domains, which measure the impact of a disorder on a person’s life. Ratings greater than or equal to 7 on a scale of 0 to 10 in any of the role domains indicate severe impairment.
6 Respondents with unknown MDE data or 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, 2023 and 2024.
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Table 7.31A – Substance Use Disorder or Major Depressive Episode (MDE) and Substance Use Disorder or MDE with Severe Impairment in Past Year: Among People Aged 12 to 17; by Demographic Characteristics, Numbers in Thousands, 2023 and 2024
Demographic Characteristic Substance Use Disorder or MDE1,2
(2023)
Substance Use Disorder or MDE1,2
(2024)
Substance Use Disorder or MDE with Severe Impairment1,3,4
(2023)
Substance Use Disorder or MDE with Severe Impairment1,3,4
(2024)
TOTAL 5,852b 5,071 4,832b 4,226
AGE GROUP        
12-13 1,054 937 787 745
14-15 2,191b 1,699 1,827b 1,392
16-17 2,607 2,435 2,218 2,089
SEX        
Male 1,881 1,694 1,553 1,391
Female 3,971b 3,377 3,279b 2,835
HISPANIC ORIGIN AND RACE        
Not Hispanic or Latino 4,231b 3,713 3,469b 3,074
AIAN 54 27 32 23
Asian 237 208 177 172
Black or African American 650 579 549 499
NHPI * 2 * 2
White 3,007a 2,592 2,470a 2,130
Two or More Races 275 305 236 247
Hispanic or Latino 1,621a 1,358 1,364 1,152
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Substance use disorder is based on DSM-5 criteria. See the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details on who was eligible to receive questions on substance use disorder.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
1 Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
2 Respondents with unknown past year major depressive episode (MDE) data were excluded.
3 Major depressive episode (MDE) with severe impairment is a subset of MDE. Impairment is based on the Sheehan Disability Scale role domains, which measure the impact of a disorder on a person’s life. Ratings greater than or equal to 7 on a scale of 0 to 10 in any of the role domains indicate severe impairment.
4 Respondents with unknown MDE data or 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, 2023 and 2024.
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Table 7.31B – Substance Use Disorder or Major Depressive Episode (MDE) and Substance Use Disorder or MDE with Severe Impairment in Past Year: Among People Aged 12 to 17; by Demographic Characteristics, Percentages, 2023 and 2024
Demographic Characteristic Substance Use Disorder or MDE1,2
(2023)
Substance Use Disorder or MDE1,2
(2024)
Substance Use Disorder or MDE with Severe Impairment1,3,4
(2023)
Substance Use Disorder or MDE with Severe Impairment1,3,4
(2024)
TOTAL 23.4b 20.2 19.3b 16.8
AGE GROUP        
12-13 13.9 12.2 10.4 9.7
14-15 24.7b 19.8 20.7b 16.3
16-17 30.3 27.4 25.8 23.5
SEX        
Male 14.7 13.2 12.1 10.8
Female 32.6b 27.6 26.9b 23.2
HISPANIC ORIGIN AND RACE        
Not Hispanic or Latino 22.9b 20.1 18.8b 16.7
AIAN 23.6 13.6 13.9 11.6
Asian 16.9 14.4 12.6 11.9
Black or African American 18.8 16.7 15.9 14.4
NHPI * 3.4 * 3.0
White 24.2b 21.1 19.9a 17.4
Two or More Races 30.4 30.2 26.1 24.6
Hispanic or Latino 24.8a 20.5 20.9a 17.4
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Substance use disorder is based on DSM-5 criteria. See the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details on who was eligible to receive questions on substance use disorder.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
1 Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
2 Respondents with unknown past year major depressive episode (MDE) data were excluded.
3 Major depressive episode (MDE) with severe impairment is a subset of MDE. Impairment is based on the Sheehan Disability Scale role domains, which measure the impact of a disorder on a person’s life. Ratings greater than or equal to 7 on a scale of 0 to 10 in any of the role domains indicate severe impairment.
4 Respondents with unknown MDE data or 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, 2023 and 2024.
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Table 7.32A – Co-Occurring Substance Use Disorder and Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year: Among People Aged 12 to 17; by Sex, Numbers in Thousands, 2023 and 2024
Co-Occurring Substance Use Disorder and MDE Total
(2023)
Total
(2024)
Male
(2023)
Male
(2024)
Female
(2023)
Female
(2024)
Substance Use Disorder and MDE 856 792 178 247 678a 545
Substance Use Disorder and MDE with Severe Impairment1,2 717 632 144 204 573a 428
Drug Use Disorder and MDE 712 696 154 217 559 479
Drug Use Disorder and MDE with Severe Impairment1,2 602 557 122 181 480 376
Alcohol Use Disorder and MDE 341 328 63 76 279 251
Alcohol Use Disorder and MDE with Severe Impairment1,2 287 265 51 61 236 204
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Substance use disorder is based on DSM-5 criteria. See the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details on who was eligible to receive questions on substance use disorder.
NOTE: Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
NOTE: Respondents with unknown past year major depressive episode (MDE) data were excluded.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
1 Major depressive episode (MDE) with severe impairment is a subset of MDE. Impairment is based on the Sheehan Disability Scale role domains, which measure the impact of a disorder on a person’s life. Ratings greater than or equal to 7 on a scale of 0 to 10 in any of the role domains indicate severe impairment.
2 Respondents with unknown MDE data or 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, 2023 and 2024.
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Table 7.32B – Co-Occurring Substance Use Disorder and Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year: Among People Aged 12 to 17; by Sex, Percentages, 2023 and 2024
Co-Occurring Substance Use Disorder and MDE Total
(2023)
Total
(2024)
Male
(2023)
Male
(2024)
Female
(2023)
Female
(2024)
Substance Use Disorder and MDE 3.4 3.2 1.4 1.9 5.6a 4.5
Substance Use Disorder and MDE with Severe Impairment1,2 2.9 2.5 1.1 1.6 4.7a 3.5
Drug Use Disorder and MDE 2.9 2.8 1.2 1.7 4.6 3.9
Drug Use Disorder and MDE with Severe Impairment1,2 2.4 2.2 1.0 1.4 4.0 3.1
Alcohol Use Disorder and MDE 1.4 1.3 0.5 0.6 2.3 2.1
Alcohol Use Disorder and MDE with Severe Impairment1,2 1.2 1.1 0.4 0.5 2.0 1.7
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Substance use disorder is based on DSM-5 criteria. See the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details on who was eligible to receive questions on substance use disorder.
NOTE: Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
NOTE: Respondents with unknown past year major depressive episode (MDE) data were excluded.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
1 Major depressive episode (MDE) with severe impairment is a subset of MDE. Impairment is based on the Sheehan Disability Scale role domains, which measure the impact of a disorder on a person’s life. Ratings greater than or equal to 7 on a scale of 0 to 10 in any of the role domains indicate severe impairment.
2 Respondents with unknown MDE data or 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, 2023 and 2024.
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Table 7.33A – Substance Use Disorder (SUD) Severity Level for Specific Substances in Past Year: Among People Aged 12 to 17; by Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment, Numbers in Thousands, 2023 and 2024
Substance Use Disorder Severity Level Aged 12-171
(2023)
Aged 12-171
(2024)
Had MDE2,3
(2023)
Had MDE2,3
(2024)
Had MDE with Severe Impairment2,4,5
(2023)
Had MDE with Severe Impairment2,4,5
(2024)
No MDE2,3
(2023)
No MDE2,3
(2024)
TOTAL 25,915 25,952 4,517b 3,840 3,358b 2,834 20,400 21,161
Substance Use Disorder 2,192 2,024 856 792 717 632 1,229 1,141
Mild SUD 1,224a 992 395 329 309 252 772 613
Moderate SUD 446 496 191 197 163 157 231 274
Severe SUD 522 535 270 267 245 222 225 254
No SUD 23,723 23,928 3,660b 3,047 2,641b 2,202 19,171 20,020
Drug Use Disorder 1,780 1,705 712 696 602 557 975 928
Mild SUD 968 830 304 284 241 221 618 502
Moderate SUD 367 420 175 185 147 147 171 212
Severe SUD 445 455 233 227 214 189 186 215
No SUD 24,135 24,247 3,804b 3,144 2,756b 2,277 19,425 20,232
Marijuana Use Disorder 1,223 1,219 481 511 401 409 668 656
Mild SUD 546 437 165 151 126 118 351 266
Moderate SUD 284 368 126 146 103 113 141 203
Severe SUD 392 414 190 215 171 179 176 186
No SUD 24,693 24,732 4,035b 3,328 2,957b 2,425 19,732 20,505
Opioid Use Disorder6 230 267 81 107 62 94 137 150
Mild SUD 174 210 55 75 40 69 114 126
Moderate SUD 23 28 9 20 6 15 12 8
Severe SUD 33 28 16 11 16 9 11 17
No SUD 25,685 25,685 4,436b 3,733 3,295b 2,740 20,263 21,011
Alcohol Use Disorder 757 775 341 328 287 265 383 411
Mild SUD 488 406 222 172 188 131 247 222
Moderate SUD 135a 220 49 84 36 72 82 119
Severe SUD 134 149 70 72 64 63 54 70
No SUD 25,159 25,176 4,175b 3,512 3,070b 2,569 20,017 20,750
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Substance use disorder is based on DSM-5 criteria. See the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details on who was eligible to receive questions on substance use disorder.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
1 The aged 12-17 column includes respondents with unknown MDE data and respondents with unknown MDE with severe impairment data.
2 Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
3 Respondents with unknown past year major depressive episode (MDE) data were excluded.
4 Major depressive episode (MDE) with severe impairment is a subset of MDE. Impairment is based on the Sheehan Disability Scale role domains, which measure the impact of a disorder on a person’s life. Ratings greater than or equal to 7 on a scale of 0 to 10 in any of the role domains indicate severe impairment.
5 Respondents with unknown MDE data or unknown impairment data were excluded.
6 Some 2023 estimates may differ from previously published estimates due to updates in how opioids are defined beginning in 2024. See Chapter 4 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
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, 2023 and 2024.
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Table 7.33B – Substance Use Disorder (SUD) Severity Level for Specific Substances in Past Year: Among People Aged 12 to 17; by Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment, Percentages, 2023 and 2024
Substance Use Disorder Severity Level Aged 12-171
(2023)
Aged 12-171
(2024)
Had MDE2,3
(2023)
Had MDE2,3
(2024)
Had MDE with Severe Impairment2,4,5
(2023)
Had MDE with Severe Impairment2,4,5
(2024)
No MDE2,3
(2023)
No MDE2,3
(2024)
TOTAL 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0
Substance Use Disorder 8.5 7.8 19.0 20.6 21.4 22.3 6.0 5.4
Mild SUD 4.7a 3.8 8.7 8.6 9.2 8.9 3.8a 2.9
Moderate SUD 1.7 1.9 4.2 5.1 4.9 5.6 1.1 1.3
Severe SUD 2.0 2.1 6.0 7.0 7.3 7.8 1.1 1.2
No SUD 91.5 92.2 81.0 79.4 78.6 77.7 94.0 94.6
Drug Use Disorder 6.9 6.6 15.8 18.1 17.9 19.7 4.8 4.4
Mild SUD 3.7 3.2 6.7 7.4 7.2 7.8 3.0 2.4
Moderate SUD 1.4 1.6 3.9 4.8 4.4 5.2 0.8 1.0
Severe SUD 1.7 1.8 5.2 5.9 6.4 6.7 0.9 1.0
No SUD 93.1 93.4 84.2 81.9 82.1 80.3 95.2 95.6
Marijuana Use Disorder 4.7 4.7 10.7 13.3 11.9 14.4 3.3 3.1
Mild SUD 2.1 1.7 3.6 3.9 3.8 4.2 1.7 1.3
Moderate SUD 1.1 1.4 2.8 3.8 3.1 4.0 0.7 1.0
Severe SUD 1.5 1.6 4.2 5.6 5.1 6.3 0.9 0.9
No SUD 95.3 95.3 89.3 86.7 88.1 85.6 96.7 96.9
Opioid Use Disorder6 0.9 1.0 1.8 2.8 1.9 3.3 0.7 0.7
Mild SUD 0.7 0.8 1.2 2.0 1.2 2.4 0.6 0.6
Moderate SUD 0.1 0.1 0.2 0.5 0.2 0.5 0.1 <0.1
Severe SUD 0.1 0.1 0.4 0.3 0.5 0.3 0.1 0.1
No SUD 99.1 99.0 98.2 97.2 98.1 96.7 99.3 99.3
Alcohol Use Disorder 2.9 3.0 7.6 8.5 8.6 9.4 1.9 1.9
Mild SUD 1.9 1.6 4.9 4.5 5.6 4.6 1.2 1.1
Moderate SUD 0.5a 0.8 1.1 2.2 1.1a 2.5 0.4 0.6
Severe SUD 0.5 0.6 1.5 1.9 1.9 2.2 0.3 0.3
No SUD 97.1 97.0 92.4 91.5 91.4 90.6 98.1 98.1
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Substance use disorder is based on DSM-5 criteria. See the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details on who was eligible to receive questions on substance use disorder.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
1 The aged 12-17 column includes respondents with unknown MDE data and respondents with unknown MDE with severe impairment data.
2 Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
3 Respondents with unknown past year major depressive episode (MDE) data were excluded.
4 Major depressive episode (MDE) with severe impairment is a subset of MDE. Impairment is based on the Sheehan Disability Scale role domains, which measure the impact of a disorder on a person’s life. Ratings greater than or equal to 7 on a scale of 0 to 10 in any of the role domains indicate severe impairment.
5 Respondents with unknown MDE data or unknown impairment data were excluded.
6 Some 2023 estimates may differ from previously published estimates due to updates in how opioids are defined beginning in 2024. See Chapter 4 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
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, 2023 and 2024.
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Table 7.34A – Received Substance Use Treatment and/or Mental Health Treatment in Past Year: Among People Aged 12 to 17; by Past Year Substance Use Disorder and Major Depressive Episode (MDE) and MDE with Severe Impairment and Age Group, Numbers in Thousands, 2023 and 2024
Substance Use Disorder/MDE/Age Group Received Substance Use Treatment (SU Tx) OR Mental Health Treatment (MH Tx)
(2023)
Received Substance Use Treatment (SU Tx) OR Mental Health Treatment (MH Tx)
(2024)
Received SU Tx BUT NOT MH Tx
(2023)
Received SU Tx BUT NOT MH Tx
(2024)
Received MH Tx BUT NOT SU Tx
(2023)
Received MH Tx BUT NOT SU Tx
(2024)
Received SU Tx AND MH Tx
(2023)
Received SU Tx AND MH Tx
(2024)
Received NEITHER SU Tx NOR MH Tx
(2023)
Received NEITHER SU Tx NOR MH Tx
(2024)
Substance Use Disorder and MDE -- 571 -- 8 -- 420 -- 143 -- 221
12-13 -- * -- * -- * -- * -- *
14-15 -- 157 -- <1 -- * -- 46 -- 60
16-17 -- 353 -- 2 -- 260 -- 91 -- 152
Substance Use Disorder and MDE with Severe Impairment1,2 -- 467 -- 7 -- 330 -- 130 -- 165
12-13 -- * -- * -- * -- * -- *
14-15 -- * -- * -- 66 -- 44 -- *
16-17 -- 304 -- 2 -- 221 -- 81 -- 109
Substance Use Disorder and No MDE -- 484 -- 45 -- 327 -- 112 -- 657
12-13 -- * -- * -- * -- 17 -- *
14-15 -- 153 -- 16 -- 102 -- 35 -- 153
16-17 -- 237 -- 24 -- 152 -- 60 -- 463
MDE and No Substance Use Disorder -- 1,784 -- 21 -- 1,711 -- 53 -- 1,264
12-13 -- 411 -- <1 -- 401 -- 10 -- 287
14-15 -- 688 -- 4 -- 656 -- 28 -- 460
16-17 -- 685 -- 16 -- 654 -- 15 -- 516
No Substance Use Disorder and No MDE -- 4,422 -- 189 -- 4,110 -- 123 -- 15,598
12-13 -- 1,601 -- 64 -- 1,504 -- 34 -- 5,116
14-15 -- 1,507 -- 82 -- 1,389 -- 36 -- 5,354
16-17 -- 1,314 -- 44 -- 1,217 -- 53 -- 5,128
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Changes were made to the inpatient and outpatient substance use treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: Changes were made to the inpatient and outpatient mental health treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: Substance use disorder is based on DSM-5 criteria. See the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details on who was eligible to receive questions on substance use disorder.
NOTE: Substance use treatment includes treatment for drug or alcohol use through inpatient treatment/counseling; outpatient treatment/counseling; medications for alcohol or opioid use disorder; telehealth treatment; or treatment received in a prison, jail, or juvenile detention center. Substance use treatment questions are asked of respondents who used drugs or alcohol in their lifetime.
NOTE: The substance use treatment measures have added uncertainty because of the high proportion of respondents in the “substance unspecified” category for substance use treatment. See the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: Mental health treatment includes treatment for mental health, emotions, or behavior through inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication; telehealth treatment; or treatment received in a prison, jail, or juvenile detention center.
NOTE: Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
NOTE: Respondents with unknown past year major depressive episode (MDE) data were excluded.
1 Major depressive episode (MDE) with severe impairment is a subset of MDE. Impairment is based on the Sheehan Disability Scale role domains, which measure the impact of a disorder on a person’s life. Ratings greater than or equal to 7 on a scale of 0 to 10 in any of the role domains indicate severe impairment.
2 Respondents with unknown MDE data or 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, 2023 and 2024.
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Table 7.34B – Received Substance Use Treatment and/or Mental Health Treatment in Past Year: Among People Aged 12 to 17; by Past Year Substance Use Disorder and Major Depressive Episode (MDE) and MDE with Severe Impairment and Age Group, Percentages, 2023 and 2024
Substance Use Disorder/MDE/Age Group Received Substance Use Treatment (SU Tx) OR Mental Health Treatment (MH Tx)
(2023)
Received Substance Use Treatment (SU Tx) OR Mental Health Treatment (MH Tx)
(2024)
Received SU Tx BUT NOT MH Tx
(2023)
Received SU Tx BUT NOT MH Tx
(2024)
Received MH Tx BUT NOT SU Tx
(2023)
Received MH Tx BUT NOT SU Tx
(2024)
Received SU Tx AND MH Tx
(2023)
Received SU Tx AND MH Tx
(2024)
Received NEITHER SU Tx NOR MH Tx
(2023)
Received NEITHER SU Tx NOR MH Tx
(2024)
Substance Use Disorder and MDE -- 72.1 -- 1.0 -- 53.0 -- 18.1 -- 27.9
12-13 -- * -- * -- * -- * -- *
14-15 -- 72.4 -- 0.1 -- * -- 21.2 -- 27.6
16-17 -- 69.9 -- 0.4 -- 51.4 -- 18.1 -- 30.1
Substance Use Disorder and MDE with Severe Impairment1,2 -- 73.9 -- 1.2 -- 52.2 -- 20.6 -- 26.1
12-13 -- * -- * -- * -- * -- *
14-15 -- * -- * -- 41.4 -- 27.8 -- *
16-17 -- 73.6 -- 0.5 -- 53.5 -- 19.6 -- 26.4
Substance Use Disorder and No MDE -- 42.4 -- 4.0 -- 28.6 -- 9.8 -- 57.6
12-13 -- * -- * -- * -- 12.7 -- *
14-15 -- 50.0 -- 5.2 -- 33.4 -- 11.4 -- 50.0
16-17 -- 33.8 -- 3.5 -- 21.8 -- 8.6 -- 66.2
MDE and No Substance Use Disorder -- 58.5 -- 0.7 -- 56.1 -- 1.7 -- 41.5
12-13 -- 58.9 -- <0.1 -- 57.4 -- 1.4 -- 41.1
14-15 -- 59.9 -- 0.3 -- 57.1 -- 2.5 -- 40.1
16-17 -- 57.0 -- 1.4 -- 54.4 -- 1.2 -- 43.0
No Substance Use Disorder and No MDE -- 22.1 -- 0.9 -- 20.5 -- 0.6 -- 77.9
12-13 -- 23.8 -- 0.9 -- 22.4 -- 0.5 -- 76.2
14-15 -- 22.0 -- 1.2 -- 20.2 -- 0.5 -- 78.0
16-17 -- 20.4 -- 0.7 -- 18.9 -- 0.8 -- 79.6
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Changes were made to the inpatient and outpatient substance use treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: Changes were made to the inpatient and outpatient mental health treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: Substance use disorder is based on DSM-5 criteria. See the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details on who was eligible to receive questions on substance use disorder.
NOTE: Substance use treatment includes treatment for drug or alcohol use through inpatient treatment/counseling; outpatient treatment/counseling; medications for alcohol or opioid use disorder; telehealth treatment; or treatment received in a prison, jail, or juvenile detention center. Substance use treatment questions are asked of respondents who used drugs or alcohol in their lifetime.
NOTE: The substance use treatment measures have added uncertainty because of the high proportion of respondents in the “substance unspecified” category for substance use treatment. See the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: Mental health treatment includes treatment for mental health, emotions, or behavior through inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication; telehealth treatment; or treatment received in a prison, jail, or juvenile detention center.
NOTE: Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
NOTE: Respondents with unknown past year major depressive episode (MDE) data were excluded.
1 Major depressive episode (MDE) with severe impairment is a subset of MDE. Impairment is based on the Sheehan Disability Scale role domains, which measure the impact of a disorder on a person’s life. Ratings greater than or equal to 7 on a scale of 0 to 10 in any of the role domains indicate severe impairment.
2 Respondents with unknown MDE data or 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, 2023 and 2024.
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Table 7.35A – Had Serious Thoughts of Suicide in Past Year: Among People Aged 12 to 17; by Demographic Characteristics, Numbers in Thousands, 2023 and 2024
Demographic Characteristic HAD SERIOUS THOUGHTS OF SUICIDE
Yes No Not Sure/Don’t Know Don’t Want to Answer/Refuse
2023 2024 2023 2024 2023 2024 2023 2024
TOTAL 3,189b 2,613 18,880b 19,794 2,065a 1,740 1,696 1,754
AGE GROUP                
12-13 641 661 6,066 6,229 607 540 607 651
14-15 1,325b 917 6,442 6,731 711 612 631 587
16-17 1,223 1,035 6,371 6,834 747 588 458 516
SEX                
Male 1,038a 831 10,729a 11,056 802 665 633 687
Female 2,151b 1,782 8,151b 8,738 1,263 1,074 1,063 1,067
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 2,377b 1,972 13,864b 14,478 1,503a 1,242 1,313 1,321
AIAN 30 16 156 155 20 13 28 *
Asian 152 141 1,045 1,175 152 105 102 93
Black or African American 354 314 2,636 2,687 278 224 310 331
NHPI * * * * 3 * 3 *
White 1,675b 1,347 9,353 9,701 959 807 798 758
Two or More Races 162 146 601 694 91 90 73 111
Hispanic or Latino 812 641 5,016a 5,316 562 498 382 433
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: For youth suicidality measures, responses of “Yes,” “No,” “Not Sure,” “Don’t Know,” “Don’t Want to Answer,” and “Refuse” are categorized as valid, known data. Respondents with unknown suicidality data for other categories were excluded.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
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, 2023 and 2024.
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Table 7.35B – Had Serious Thoughts of Suicide in Past Year: Among People Aged 12 to 17; by Demographic Characteristics, Percentages, 2023 and 2024
Demographic Characteristic HAD SERIOUS THOUGHTS OF SUICIDE
Yes No Not Sure/Don’t Know Don’t Want to Answer/Refuse
2023 2024 2023 2024 2023 2024 2023 2024
TOTAL 12.3b 10.1 73.1b 76.4 8.0a 6.7 6.6 6.8
AGE GROUP                
12-13 8.1 8.2 76.6 77.1 7.7 6.7 7.7 8.1
14-15 14.5b 10.4 70.7b 76.1 7.8 6.9 6.9 6.6
16-17 13.9a 11.5 72.4a 76.2 8.5a 6.6 5.2 5.8
SEX                
Male 7.9a 6.3 81.3a 83.5 6.1 5.0 4.8 5.2
Female 17.0b 14.1 64.5b 69.0 10.0 8.5 8.4 8.4
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 12.5b 10.4 72.7b 76.1 7.9a 6.5 6.9 6.9
AIAN 12.8 7.6 66.7 74.3 8.5 6.3 12.0 *
Asian 10.5 9.3 72.0 77.6 10.5 6.9 7.0 6.2
Black or African American 9.9 8.8 73.7 75.6 7.8 6.3 8.7 9.3
NHPI * * * * 3.2 * 3.2 *
White 13.1b 10.7 73.2b 76.9 7.5 6.4 6.2 6.0
Two or More Races 17.5 14.0 64.9 66.7 9.8 8.6 7.8 10.6
Hispanic or Latino 12.0a 9.3 74.1 77.2 8.3 7.2 5.6 6.3
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: For youth suicidality measures, responses of “Yes,” “No,” “Not Sure,” “Don’t Know,” “Don’t Want to Answer,” and “Refuse” are categorized as valid, known data. Respondents with unknown suicidality data for other categories were excluded.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
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, 2023 and 2024.
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Table 7.36A – Made Any Suicide Plans in Past Year: Among People Aged 12 to 17; by Demographic Characteristics, Numbers in Thousands, 2023 and 2024
Demographic Characteristic MADE ANY SUICIDE PLANS
Yes No Not Sure/Don’t Know Don’t Want to Answer/Refuse
2023 2024 2023 2024 2023 2024 2023 2024
TOTAL 1,457b 1,186 22,044b 22,580 908b 668 1,420 1,466
AGE GROUP                
12-13 265 327 6,915 6,995 278 198 463 560
14-15 656b 385 7,559 7,683 337 295 557 484
16-17 536 474 7,570 7,902 294a 176 400 422
SEX                
Male 377 356 11,929 12,051 356 263 539 570
Female 1,080b 830 10,115b 10,529 552a 405 882 896
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 1,046 923 16,240a 16,550 672b 444 1,099 1,096
AIAN 10 12 193 163 11 7 21 *
Asian 85 56 1,219 1,363 54 19 93 76
Black or African American 184 175 2,992 3,009 146a 84 255 289
NHPI * <1 * 79 1 * * 1
White 684 601 11,035 11,093 422a 294 645 624
Two or More Races 77 78 729 843 38 40 84 79
Hispanic or Latino 411a 264 5,804a 6,030 237 224 321 370
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: For youth suicidality measures, responses of “Yes,” “No,” “Not Sure,” “Don’t Know,” “Don’t Want to Answer,” and “Refuse” are categorized as valid, known data. Respondents with unknown suicidality data for other categories were excluded.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
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, 2023 and 2024.
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Table 7.36B – Made Any Suicide Plans in Past Year: Among People Aged 12 to 17; by Demographic Characteristics, Percentages, 2023 and 2024
Demographic Characteristic MADE ANY SUICIDE PLANS
Yes No Not Sure/Don’t Know Don’t Want to Answer/Refuse
2023 2024 2023 2024 2023 2024 2023 2024
TOTAL 5.6b 4.6 85.3b 87.2 3.5b 2.6 5.5 5.7
AGE GROUP                
12-13 3.3 4.0 87.3 86.6 3.5a 2.4 5.8 6.9
14-15 7.2b 4.4 83.0b 86.8 3.7 3.3 6.1 5.5
16-17 6.1 5.3 86.0 88.1 3.3b 2.0 4.5 4.7
SEX                
Male 2.9 2.7 90.4 91.0 2.7 2.0 4.1 4.3
Female 8.6b 6.6 80.1b 83.2 4.4a 3.2 7.0 7.1
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 5.5 4.9 85.2b 87.0 3.5b 2.3 5.8 5.8
AIAN 4.2 5.8 82.2 78.0 4.6 3.3 9.0 *
Asian 5.8 3.7 84.0a 90.0 3.7 1.2 6.4 5.0
Black or African American 5.1 4.9 83.6 84.6 4.1a 2.4 7.1 8.1
NHPI * <0.1 * 96.7 1.2 * * 1.6
White 5.3 4.8 86.3a 88.0 3.3a 2.3 5.0 4.9
Two or More Races 8.3 7.5 78.6 81.0 4.1 3.8 9.0 7.6
Hispanic or Latino 6.1a 3.8 85.7 87.5 3.5 3.3 4.7 5.4
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: For youth suicidality measures, responses of “Yes,” “No,” “Not Sure,” “Don’t Know,” “Don’t Want to Answer,” and “Refuse” are categorized as valid, known data. Respondents with unknown suicidality data for other categories were excluded.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
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, 2023 and 2024.
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Table 7.37A – Attempted Suicide in Past Year: Among People Aged 12 to 17; by Demographic Characteristics, Numbers in Thousands, 2023 and 2024
Demographic Characteristic ATTEMPTED SUICIDE
Yes No Not Sure/Don’t Know Don’t Want to Answer/Refuse
2023 2024 2023 2024 2023 2024 2023 2024
TOTAL 856a 700 23,234a 23,524 533 431 1,207 1,246
AGE GROUP                
12-13 185 210 7,211 7,241 143 136 382 493
14-15 385b 219 8,057 8,085 179 174 489a 369
16-17 286 271 7,966 8,198 210a 121 337 384
SEX                
Male 207 220 12,312 12,327 215 198 468 495
Female 649b 480 10,922a 11,197 317 233 740 751
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 631 529 17,135 17,200 372 301 918 983
AIAN 9 9 204 167 8 4 13 *
Asian 44 27 1,313 1,407 17 23 76 57
Black or African American 137 121 3,072 3,106 115 73 254 256
NHPI * * * * <1 * 2 *
White 395 333 11,676 11,524 204 169 510 587
Two or More Races 40 38 796 917 28 32 62 54
Hispanic or Latino 225 171 6,099b 6,324 160 130 289 263
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: For youth suicidality measures, responses of “Yes,” “No,” “Not Sure,” “Don’t Know,” “Don’t Want to Answer,” and “Refuse” are categorized as valid, known data. Respondents with unknown suicidality data for other categories were excluded.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
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, 2023 and 2024.
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Table 7.37B – Attempted Suicide in Past Year: Among People Aged 12 to 17; by Demographic Characteristics, Percentages, 2023 and 2024
Demographic Characteristic ATTEMPTED SUICIDE
Yes No Not Sure/Don’t Know Don’t Want to Answer/Refuse
2023 2024 2023 2024 2023 2024 2023 2024
TOTAL 3.3a 2.7 89.9 90.8 2.1 1.7 4.7 4.8
AGE GROUP                
12-13 2.3 2.6 91.0 89.6 1.8 1.7 4.8 6.1
14-15 4.2b 2.5 88.4b 91.4 2.0 2.0 5.4 4.2
16-17 3.3 3.0 90.5 91.4 2.4a 1.3 3.8 4.3
SEX                
Male 1.6 1.7 93.3 93.1 1.6 1.5 3.5 3.7
Female 5.1b 3.8 86.5a 88.4 2.5 1.8 5.9 5.9
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 3.3 2.8 89.9 90.5 2.0 1.6 4.8 5.2
AIAN 3.8 4.4 87.1 80.3 3.6 1.8 5.5 *
Asian 3.0 1.8 90.5 92.9 1.2 1.5 5.3 3.8
Black or African American 3.8 3.4 85.9 87.4 3.2 2.0 7.1 7.2
NHPI * * * * 0.6 * 2.9 *
White 3.1 2.6 91.3 91.4 1.6 1.3 4.0 4.7
Two or More Races 4.3 3.7 85.9 88.1 3.0 3.0 6.7 5.2
Hispanic or Latino 3.3 2.5 90.0 91.8 2.4 1.9 4.3 3.8
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: For youth suicidality measures, responses of “Yes,” “No,” “Not Sure,” “Don’t Know,” “Don’t Want to Answer,” and “Refuse” are categorized as valid, known data. Respondents with unknown suicidality data for other categories were excluded.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
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, 2023 and 2024.
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Table 7.38A – Had Serious Thoughts of Suicide, Made Any Suicide Plans, or Attempted Suicide in Past Year: Among People Aged 12 to 17; by Demographic Characteristics, Numbers in Thousands, 2023 and 2024
Demographic Characteristic HAD SERIOUS THOUGHTS OF SUICIDE, MADE ANY SUICIDE PLANS, OR ATTEMPTED SUICIDE
Any of These Suicidality Measures None of These Suicidality Measures Unknown
2023 2024 2023 2024 2023 2024
TOTAL 3,344b 2,800 18,678b 19,593 3,809 3,508
AGE GROUP            
12-13 690 714 5,999 6,152 1,232 1,215
14-15 1,390b 976 6,368 6,680 1,351 1,191
16-17 1,264 1,110 6,310 6,761 1,226 1,102
SEX            
Male 1,097a 893 10,654a 10,937 1,451 1,409
Female 2,247b 1,907 8,024b 8,656 2,358 2,099
HISPANIC ORIGIN AND RACE            
Not Hispanic or Latino 2,489b 2,107 13,715b 14,314 2,853 2,592
AIAN 31 18 153 149 51 41
Asian 160 153 1,034 1,172 256 188
Black or African American 374 345 2,597 2,645 605 567
NHPI * * * * 5 *
White 1,744b 1,421 9,272 9,606 1,770 1,585
Two or More Races 171 161 589 675 166 205
Hispanic or Latino 855 693 4,963a 5,279 955 916
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: The “any of these suicidality measures” category includes respondents with one or more “yes” responses to suicidal thoughts, plans, or attempts, regardless of whether they had one or more unknown responses for these measures. The “none of these suicidality measures” category includes respondents with “no” responses to all three measures. The “unknown” category includes respondents who did not respond “yes” to any of the three suicidality questions and who responded “not sure/don’t know” or “don’t want to answer/refuse” to any of the three suicidality questions. Respondents with unknown suicide data other than these categories were excluded.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
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, 2023 and 2024.
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Table 7.38B – Had Serious Thoughts of Suicide, Made Any Suicide Plans, or Attempted Suicide in Past Year: Among People Aged 12 to 17; by Demographic Characteristics, Percentages, 2023 and 2024
Demographic Characteristic HAD SERIOUS THOUGHTS OF SUICIDE, MADE ANY SUICIDE PLANS, OR ATTEMPTED SUICIDE
Any of These Suicidality Measures None of These Suicidality Measures Unknown
2023 2024 2023 2024 2023 2024
TOTAL 12.9b 10.8 72.3b 75.6 14.7 13.5
AGE GROUP            
12-13 8.7 8.8 75.7 76.1 15.5 15.0
14-15 15.3b 11.0 69.9b 75.5 14.8 13.5
16-17 14.4 12.4 71.7a 75.3 13.9 12.3
SEX            
Male 8.3a 6.7 80.7 82.6 11.0 10.6
Female 17.8b 15.1 63.5b 68.4 18.7 16.6
HISPANIC ORIGIN AND RACE            
Not Hispanic or Latino 13.1b 11.1 72.0b 75.3 15.0 13.6
AIAN 13.2 8.5 65.2 71.7 21.7 19.7
Asian 11.0 10.1 71.3 77.5 17.6 12.4
Black or African American 10.5 9.7 72.6 74.4 16.9 15.9
NHPI * * * * 6.2 *
White 13.6b 11.3 72.5b 76.2 13.8 12.6
Two or More Races 18.5 15.5 63.6 64.9 17.9 19.7
Hispanic or Latino 12.6 10.1 73.3 76.6 14.1 13.3
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: The “any of these suicidality measures” category includes respondents with one or more “yes” responses to suicidal thoughts, plans, or attempts, regardless of whether they had one or more unknown responses for these measures. The “none of these suicidality measures” category includes respondents with “no” responses to all three measures. The “unknown” category includes respondents who did not respond “yes” to any of the three suicidality questions and who responded “not sure/don’t know” or “don’t want to answer/refuse” to any of the three suicidality questions. Respondents with unknown suicide data other than these categories were excluded.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
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, 2023 and 2024.
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Table 7.39A – Had Serious Thoughts of Suicide in Past Year: Among People Aged 12 to 17; by Past Year Major Depressive Episode, Receipt of Mental Health Treatment, Perceived Unmet Need for Mental Health Treatment, Substance Use Disorder, and Substance Use Treatment, Numbers in Thousands, 2023 and 2024
Past Year Mental Health or Substance Use Measure HAD SERIOUS THOUGHTS OF SUICIDE
Yes No Not Sure/Don’t Know Don’t Want to Answer/Refuse
2023 2024 2023 2024 2023 2024 2023 2024
MAJOR DEPRESSIVE EPISODE1                
Major Depressive Episode 2,031b 1,559 1,306 1,262 667a 523 513 497
No Major Depressive Episode 1,094 964 17,145 18,158 1,232 1,042 898 964
MENTAL HEALTH TREATMENT AND PERCEIVED UNMET NEED FOR TREATMENT2                
Mental Health Treatment -- 1,597 -- 4,302 -- 766 -- 724
No Mental Health Treatment -- 1,016 -- 15,492 -- 974 -- 1,030
Perceived Unmet Need for Treatment3 -- 423 -- 846 -- 237 -- 209
Did Not Seek Treatment and Did Not Think Should Get Treatment3 -- 587 -- 14,487 -- 681 -- 754
SUBSTANCE USE DISORDER4                
Substance Use Disorder 710 712 1,056 931 245 189 166 188
Alcohol Use Disorder 254 314 380 304 69 80 47 77
Drug Use Disorder 616 616 809 776 206 162 138 149
No Substance Use Disorder 2,479b 1,901 17,824 18,862 1,820 1,551 1,530 1,566
SUBSTANCE USE TREATMENT5,6                
Substance Use Treatment -- 201 -- 345 -- 86 -- 97
No Substance Use Treatment -- 2,412 -- 19,449 -- 1,654 -- 1,657
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Changes were made to the inpatient and outpatient substance use treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: Changes were made to the inpatient and outpatient mental health treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: For youth suicidality measures, responses of “Yes,” “No,” “Not Sure,” “Don’t Know,” “Don’t Want to Answer,” and “Refuse” are categorized as valid, known data. Respondents with unknown suicidality data for other categories were excluded.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
1 Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
2 Mental health treatment includes treatment for mental health, emotions, or behavior through inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication; telehealth treatment; or treatment received in a prison, jail, or juvenile detention center.
3 Respondents were classified as having a perceived unmet need for mental health treatment (MH Tx) if they did not receive MH Tx in the past year and sought or thought they should get treatment. Respondents with unknown information for perceptions of need for MH Tx were excluded.
4 Substance use disorder is based on DSM-5 criteria. See the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details on who was eligible to receive questions on substance use disorder.
5 Substance use treatment includes treatment for drug or alcohol use through inpatient treatment/counseling; outpatient treatment/counseling; medications for alcohol or opioid use disorder; telehealth treatment; or treatment received in a prison, jail, or juvenile detention center. Substance use treatment questions are asked of respondents who used drugs or alcohol in their lifetime.
6 The substance use treatment measures have added uncertainty because of the high proportion of respondents in the “substance unspecified” category for substance use treatment. See the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
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, 2023 and 2024.
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Table 7.39B – Had Serious Thoughts of Suicide in Past Year: Among People Aged 12 to 17; by Past Year Major Depressive Episode, Receipt of Mental Health Treatment, Perceived Unmet Need for Mental Health Treatment, Substance Use Disorder, and Substance Use Treatment, Percentages, 2023 and 2024
Past Year Mental Health or Substance Use Measure HAD SERIOUS THOUGHTS OF SUICIDE
Yes No Not Sure/Don’t Know Don’t Want to Answer/Refuse
2023 2024 2023 2024 2023 2024 2023 2024
MAJOR DEPRESSIVE EPISODE1                
Major Depressive Episode 45.0 40.6 28.9 32.9 14.8 13.6 11.3 12.9
No Major Depressive Episode 5.4 4.6 84.2a 85.9 6.0a 4.9 4.4 4.6
MENTAL HEALTH TREATMENT AND PERCEIVED UNMET NEED FOR TREATMENT2                
Mental Health Treatment -- 21.6 -- 58.2 -- 10.4 -- 9.8
No Mental Health Treatment -- 5.5 -- 83.7 -- 5.3 -- 5.6
Perceived Unmet Need for Treatment3 -- 24.7 -- 49.3 -- 13.8 -- 12.2
Did Not Seek Treatment and Did Not Think Should Get Treatment3 -- 3.6 -- 87.8 -- 4.1 -- 4.6
SUBSTANCE USE DISORDER4                
Substance Use Disorder 32.6 35.2 48.5 46.1 11.3 9.4 7.6 9.3
Alcohol Use Disorder 33.9 40.5 50.6a 39.2 9.2 10.4 6.3 9.9
Drug Use Disorder 34.8 36.2 45.7 45.6 11.6 9.5 7.8 8.7
No Substance Use Disorder 10.5b 8.0 75.4b 79.0 7.7a 6.5 6.5 6.6
SUBSTANCE USE TREATMENT5,6                
Substance Use Treatment -- 27.6 -- 47.4 -- 11.8 -- 13.3
No Substance Use Treatment -- 9.6 -- 77.3 -- 6.6 -- 6.6
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Changes were made to the inpatient and outpatient substance use treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: Changes were made to the inpatient and outpatient mental health treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: For youth suicidality measures, responses of “Yes,” “No,” “Not Sure,” “Don’t Know,” “Don’t Want to Answer,” and “Refuse” are categorized as valid, known data. Respondents with unknown suicidality data for other categories were excluded.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
1 Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
2 Mental health treatment includes treatment for mental health, emotions, or behavior through inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication; telehealth treatment; or treatment received in a prison, jail, or juvenile detention center.
3 Respondents were classified as having a perceived unmet need for mental health treatment (MH Tx) if they did not receive MH Tx in the past year and sought or thought they should get treatment. Respondents with unknown information for perceptions of need for MH Tx were excluded.
4 Substance use disorder is based on DSM-5 criteria. See the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details on who was eligible to receive questions on substance use disorder.
5 Substance use treatment includes treatment for drug or alcohol use through inpatient treatment/counseling; outpatient treatment/counseling; medications for alcohol or opioid use disorder; telehealth treatment; or treatment received in a prison, jail, or juvenile detention center. Substance use treatment questions are asked of respondents who used drugs or alcohol in their lifetime.
6 The substance use treatment measures have added uncertainty because of the high proportion of respondents in the “substance unspecified” category for substance use treatment. See the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
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, 2023 and 2024.
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Table 7.40A – Made Any Suicide Plans in Past Year: Among People Aged 12 to 17; by Past Year Major Depressive Episode, Receipt of Mental Health Treatment, Perceived Unmet Need for Mental Health Treatment, Substance Use Disorder, and Substance Use Treatment, Numbers in Thousands, 2023 and 2024
Past Year Mental Health or Substance Use Measure MADE ANY SUICIDE PLANS
Yes No Not Sure/Don’t Know Don’t Want to Answer/Refuse
2023 2024 2023 2024 2023 2024 2023 2024
MAJOR DEPRESSIVE EPISODE1                
Major Depressive Episode 989a 761 2,619 2,388 372a 245 537 445
No Major Depressive Episode 436 375 18,850 19,684 428a 286 655 782
MENTAL HEALTH TREATMENT AND PERCEIVED UNMET NEED FOR TREATMENT2                
Mental Health Treatment -- 758 -- 5,663 -- 326 -- 642
No Mental Health Treatment -- 428 -- 16,917 -- 343 -- 824
Perceived Unmet Need for Treatment3 -- 203 -- 1,260 -- 79 -- 172
Did Not Seek Treatment and Did Not Think Should Get Treatment3 -- 224 -- 15,460 -- 229 -- 595
SUBSTANCE USE DISORDER4                
Substance Use Disorder 444 413 1,429 1,339 121 99 184 170
Alcohol Use Disorder 170 190 491 462 31 48 58 74
Drug Use Disorder 385 376 1,126 1,128 109 71 148 127
No Substance Use Disorder 1,013b 773 20,616 21,242 787b 569 1,237 1,297
SUBSTANCE USE TREATMENT5,6                
Substance Use Treatment -- 125 -- 474 -- 40 -- 89
No Substance Use Treatment -- 1,061 -- 22,107 -- 628 -- 1,377
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Changes were made to the inpatient and outpatient substance use treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: Changes were made to the inpatient and outpatient mental health treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: For youth suicidality measures, responses of “Yes,” “No,” “Not Sure,” “Don’t Know,” “Don’t Want to Answer,” and “Refuse” are categorized as valid, known data. Respondents with unknown suicidality data for other categories were excluded.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
1 Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
2 Mental health treatment includes treatment for mental health, emotions, or behavior through inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication; telehealth treatment; or treatment received in a prison, jail, or juvenile detention center.
3 Respondents were classified as having a perceived unmet need for mental health treatment (MH Tx) if they did not receive MH Tx in the past year and sought or thought they should get treatment. Respondents with unknown information for perceptions of need for MH Tx were excluded.
4 Substance use disorder is based on DSM-5 criteria. See the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details on who was eligible to receive questions on substance use disorder.
5 Substance use treatment includes treatment for drug or alcohol use through inpatient treatment/counseling; outpatient treatment/counseling; medications for alcohol or opioid use disorder; telehealth treatment; or treatment received in a prison, jail, or juvenile detention center. Substance use treatment questions are asked of respondents who used drugs or alcohol in their lifetime.
6 The substance use treatment measures have added uncertainty because of the high proportion of respondents in the “substance unspecified” category for substance use treatment. See the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
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, 2023 and 2024.
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Table 7.40B – Made Any Suicide Plans in Past Year: Among People Aged 12 to 17; by Past Year Major Depressive Episode, Receipt of Mental Health Treatment, Perceived Unmet Need for Mental Health Treatment, Substance Use Disorder, and Substance Use Treatment, Percentages, 2023 and 2024
Past Year Mental Health or Substance Use Measure MADE ANY SUICIDE PLANS
Yes No Not Sure/Don’t Know Don’t Want to Answer/Refuse
2023 2024 2023 2024 2023 2024 2023 2024
MAJOR DEPRESSIVE EPISODE1                
Major Depressive Episode 21.9 19.8 58.0a 62.2 8.2 6.4 11.9 11.6
No Major Depressive Episode 2.1 1.8 92.5 93.2 2.1b 1.4 3.2 3.7
MENTAL HEALTH TREATMENT AND PERCEIVED UNMET NEED FOR TREATMENT2                
Mental Health Treatment -- 10.3 -- 76.6 -- 4.4 -- 8.7
No Mental Health Treatment -- 2.3 -- 91.4 -- 1.9 -- 4.5
Perceived Unmet Need for Treatment3 -- 11.9 -- 73.5 -- 4.6 -- 10.0
Did Not Seek Treatment and Did Not Think Should Get Treatment3 -- 1.4 -- 93.7 -- 1.4 -- 3.6
SUBSTANCE USE DISORDER4                
Substance Use Disorder 20.4 20.5 65.6 66.2 5.6 4.9 8.4 8.4
Alcohol Use Disorder 22.6 24.6 65.5 59.7 4.1 6.3 7.8 9.5
Drug Use Disorder 21.8 22.1 63.7 66.3 6.2 4.2 8.4 7.5
No Substance Use Disorder 4.3b 3.2 87.2b 89.0 3.3b 2.4 5.2 5.4
SUBSTANCE USE TREATMENT5,6                
Substance Use Treatment -- 17.1 -- 65.0 -- 5.6 -- 12.3
No Substance Use Treatment -- 4.2 -- 87.8 -- 2.5 -- 5.5
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Changes were made to the inpatient and outpatient substance use treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: Changes were made to the inpatient and outpatient mental health treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: For youth suicidality measures, responses of “Yes,” “No,” “Not Sure,” “Don’t Know,” “Don’t Want to Answer,” and “Refuse” are categorized as valid, known data. Respondents with unknown suicidality data for other categories were excluded.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
1 Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
2 Mental health treatment includes treatment for mental health, emotions, or behavior through inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication; telehealth treatment; or treatment received in a prison, jail, or juvenile detention center.
3 Respondents were classified as having a perceived unmet need for mental health treatment (MH Tx) if they did not receive MH Tx in the past year and sought or thought they should get treatment. Respondents with unknown information for perceptions of need for MH Tx were excluded.
4 Substance use disorder is based on DSM-5 criteria. See the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details on who was eligible to receive questions on substance use disorder.
5 Substance use treatment includes treatment for drug or alcohol use through inpatient treatment/counseling; outpatient treatment/counseling; medications for alcohol or opioid use disorder; telehealth treatment; or treatment received in a prison, jail, or juvenile detention center. Substance use treatment questions are asked of respondents who used drugs or alcohol in their lifetime.
6 The substance use treatment measures have added uncertainty because of the high proportion of respondents in the “substance unspecified” category for substance use treatment. See the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
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, 2023 and 2024.
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Table 7.41A – Attempted Suicide in Past Year: Among People Aged 12 to 17; by Past Year Major Depressive Episode, Receipt of Mental Health Treatment, Perceived Unmet Need for Mental Health Treatment, Substance Use Disorder, and Substance Use Treatment, Numbers in Thousands, 2023 and 2024
Past Year Mental Health or Substance Use Measure ATTEMPTED SUICIDE
Yes No Not Sure/Don’t Know Don’t Want to Answer/Refuse
2023 2024 2023 2024 2023 2024 2023 2024
MAJOR DEPRESSIVE EPISODE1                
Major Depressive Episode 591b 394 3,298a 2,922 217 145 411 378
No Major Depressive Episode 243 279 19,330 20,003 225 182 571 663
MENTAL HEALTH TREATMENT AND PERCEIVED UNMET NEED FOR TREATMENT2                
Mental Health Treatment -- 467 -- 6,144 -- 200 -- 577
No Mental Health Treatment -- 233 -- 17,380 -- 231 -- 669
Perceived Unmet Need for Treatment3 -- 88 -- 1,472 -- 32 -- 122
Did Not Seek Treatment and Did Not Think Should Get Treatment3 -- 144 -- 15,704 -- 175 -- 485
SUBSTANCE USE DISORDER4                
Substance Use Disorder 286 280 1,623 1,482 96 75 172 184
Alcohol Use Disorder 107 139 582 526 17 30 44 80
Drug Use Disorder 247 240 1,280 1,257 93 56 148 148
No Substance Use Disorder 570a 420 21,612 22,042 436 356 1,035 1,062
SUBSTANCE USE TREATMENT5,6                
Substance Use Treatment -- 110 -- 516 -- 20 -- 82
No Substance Use Treatment -- 590 -- 23,008 -- 411 -- 1,164
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Changes were made to the inpatient and outpatient substance use treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: Changes were made to the inpatient and outpatient mental health treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: For youth suicidality measures, responses of “Yes,” “No,” “Not Sure,” “Don’t Know,” “Don’t Want to Answer,” and “Refuse” are categorized as valid, known data. Respondents with unknown suicidality data for other categories were excluded.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
1 Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
2 Mental health treatment includes treatment for mental health, emotions, or behavior through inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication; telehealth treatment; or treatment received in a prison, jail, or juvenile detention center.
3 Respondents were classified as having a perceived unmet need for mental health treatment (MH Tx) if they did not receive MH Tx in the past year and sought or thought they should get treatment. Respondents with unknown information for perceptions of need for MH Tx were excluded.
4 Substance use disorder is based on DSM-5 criteria. See the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details on who was eligible to receive questions on substance use disorder.
5 Substance use treatment includes treatment for drug or alcohol use through inpatient treatment/counseling; outpatient treatment/counseling; medications for alcohol or opioid use disorder; telehealth treatment; or treatment received in a prison, jail, or juvenile detention center. Substance use treatment questions are asked of respondents who used drugs or alcohol in their lifetime.
6 The substance use treatment measures have added uncertainty because of the high proportion of respondents in the “substance unspecified” category for substance use treatment. See the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
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, 2023 and 2024.
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Table 7.41B – Attempted Suicide in Past Year: Among People Aged 12 to 17; by Past Year Major Depressive Episode, Receipt of Mental Health Treatment, Perceived Unmet Need for Mental Health Treatment, Substance Use Disorder, and Substance Use Treatment, Percentages, 2023 and 2024
Past Year Mental Health or Substance Use Measure ATTEMPTED SUICIDE
Yes No Not Sure/Don’t Know Don’t Want to Answer/Refuse
2023 2024 2023 2024 2023 2024 2023 2024
MAJOR DEPRESSIVE EPISODE1                
Major Depressive Episode 13.1 10.3 73.0 76.1 4.8 3.8 9.1 9.8
No Major Depressive Episode 1.2 1.3 94.9 94.7 1.1 0.9 2.8 3.1
MENTAL HEALTH TREATMENT AND PERCEIVED UNMET NEED FOR TREATMENT2                
Mental Health Treatment -- 6.3 -- 83.2 -- 2.7 -- 7.8
No Mental Health Treatment -- 1.3 -- 93.9 -- 1.2 -- 3.6
Perceived Unmet Need for Treatment3 -- 5.2 -- 85.9 -- 1.9 -- 7.1
Did Not Seek Treatment and Did Not Think Should Get Treatment3 -- 0.9 -- 95.1 -- 1.1 -- 2.9
SUBSTANCE USE DISORDER4                
Substance Use Disorder 13.2 13.8 74.5 73.3 4.4 3.7 7.9 9.1
Alcohol Use Disorder 14.3 17.9 77.6a 67.9 2.2 3.8 5.9 10.3
Drug Use Disorder 14.0 14.1 72.4 73.9 5.3 3.3 8.3 8.7
No Substance Use Disorder 2.4a 1.8 91.4 92.3 1.8 1.5 4.4 4.4
SUBSTANCE USE TREATMENT5,6                
Substance Use Treatment -- 15.1 -- 70.9 -- 2.8 -- 11.3
No Substance Use Treatment -- 2.3 -- 91.4 -- 1.6 -- 4.6
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: Changes were made to the inpatient and outpatient substance use treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: Changes were made to the inpatient and outpatient mental health treatment questions in 2024. See Chapter 3 of the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
NOTE: For youth suicidality measures, responses of “Yes,” “No,” “Not Sure,” “Don’t Know,” “Don’t Want to Answer,” and “Refuse” are categorized as valid, known data. Respondents with unknown suicidality data for other categories were excluded.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
1 Major depressive episode aligns with DSM-5 criteria, which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms.
2 Mental health treatment includes treatment for mental health, emotions, or behavior through inpatient treatment/counseling; outpatient treatment/counseling; use of prescription medication; telehealth treatment; or treatment received in a prison, jail, or juvenile detention center.
3 Respondents were classified as having a perceived unmet need for mental health treatment (MH Tx) if they did not receive MH Tx in the past year and sought or thought they should get treatment. Respondents with unknown information for perceptions of need for MH Tx were excluded.
4 Substance use disorder is based on DSM-5 criteria. See the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details on who was eligible to receive questions on substance use disorder.
5 Substance use treatment includes treatment for drug or alcohol use through inpatient treatment/counseling; outpatient treatment/counseling; medications for alcohol or opioid use disorder; telehealth treatment; or treatment received in a prison, jail, or juvenile detention center. Substance use treatment questions are asked of respondents who used drugs or alcohol in their lifetime.
6 The substance use treatment measures have added uncertainty because of the high proportion of respondents in the “substance unspecified” category for substance use treatment. See the 2024 National Survey on Drug Use and Health (NSDUH): Methodological Summary and Definitions for details.
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, 2023 and 2024.
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Table 7.42A – Attempted Suicide in Past Year: Among People Aged 12 to 17; Received Medical Attention for Suicide Attempt in Past Year and Stayed Overnight or Longer in a Hospital for Suicide Attempt in Past Year: Among People Aged 12 to 17 Who Attempted Suicide in Past Year; by Demographic Characteristics, Numbers in Thousands, 2023 and 2024
Suicidal Behavior/Treatment for Suicide Attempt Aged 12-17
(2023)
Aged 12-17
(2024)
Aged 12-13
(2023)
Aged 12-13
(2024)
Aged 14-15
(2023)
Aged 14-15
(2024)
Aged 16-17
(2023)
Aged 16-17
(2024)
Male
(2023)
Male
(2024)
Female
(2023)
Female
(2024)
ATTEMPTED SUICIDE                        
Yes 856a 700 185 210 385b 219 286 271 207 220 649b 480
No 23,234a 23,524 7,211 7,241 8,057 8,085 7,966 8,198 12,312 12,327 10,922a 11,197
Not Sure/Don’t Know 533 431 143 136 179 174 210a 121 215 198 317 233
Don’t Want to Answer/Refuse 1,207 1,246 382 493 489a 369 337 384 468 495 740 751
RECEIVED MEDICAL ATTENTION FOR SUICIDE ATTEMPT AMONG PEOPLE WHO ATTEMPTED SUICIDE                        
Yes 363 284 * * 169 * 119 96 * * 269a 172
No 440 387 * * 195 * * 169 * * 353 285
Not Sure/Don’t Know 26 8 5 * * * * 1 * * 7 6
Don’t Want to Answer/Refuse 27 21 5 * 15 6 * 4 6 4 21 17
STAYED OVERNIGHT OR LONGER IN A HOSPITAL FOR SUICIDE ATTEMPT AMONG PEOPLE WHO ATTEMPTED SUICIDE                        
Yes 199 177 36 * 93a 39 70 80 * * 133 100
No 603 486 139 * 271a 167 194 185 * * 488a 349
Not Sure/Don’t Know * 3 * * * * * * * * * 3
Don’t Want to Answer/Refuse 1 * 1 * * <1 * * * * 1 *
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: For youth suicidality measures, responses of “Yes,” “No,” “Not Sure,” “Don’t Know,” “Don’t Want to Answer,” and “Refuse” are categorized as valid, known data. Respondents with unknown suicidality data for other categories were excluded.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
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, 2023 and 2024.
250529
Table 7.42B – Attempted Suicide in Past Year: Among People Aged 12 to 17; Received Medical Attention for Suicide Attempt in Past Year and Stayed Overnight or Longer in a Hospital for Suicide Attempt in Past Year: Among People Aged 12 to 17 Who Attempted Suicide in Past Year; by Demographic Characteristics, Percentages, 2023 and 2024
Suicidal Behavior/Treatment for Suicide Attempt Aged 12-17
(2023)
Aged 12-17
(2024)
Aged 12-13
(2023)
Aged 12-13
(2024)
Aged 14-15
(2023)
Aged 14-15
(2024)
Aged 16-17
(2023)
Aged 16-17
(2024)
Male
(2023)
Male
(2024)
Female
(2023)
Female
(2024)
ATTEMPTED SUICIDE                        
Yes 3.3a 2.7 2.3 2.6 4.2b 2.5 3.3 3.0 1.6 1.7 5.1b 3.8
No 89.9 90.8 91.0 89.6 88.4b 91.4 90.5 91.4 93.3 93.1 86.5a 88.4
Not Sure/Don’t Know 2.1 1.7 1.8 1.7 2.0 2.0 2.4a 1.3 1.6 1.5 2.5 1.8
Don’t Want to Answer/Refuse 4.7 4.8 4.8 6.1 5.4 4.2 3.8 4.3 3.5 3.7 5.9 5.9
RECEIVED MEDICAL ATTENTION FOR SUICIDE ATTEMPT AMONG PEOPLE WHO ATTEMPTED SUICIDE                        
Yes 42.4 40.6 * * 44.0 * 41.6 35.6 * * 41.4 35.9
No 51.4 55.3 * * 50.6 * * 62.4 * * 54.3 59.4
Not Sure/Don’t Know 3.1 1.1 2.5 * * * * 0.5 * * 1.0 1.2
Don’t Want to Answer/Refuse 3.1 3.0 2.8 * 3.9 2.6 * 1.5 2.8 2.0 3.2 3.5
STAYED OVERNIGHT OR LONGER IN A HOSPITAL FOR SUICIDE ATTEMPT AMONG PEOPLE WHO ATTEMPTED SUICIDE                        
Yes 24.8 26.4 20.7 * 25.5 18.6 26.5 30.1 * * 21.4 21.8
No 75.1 72.4 79.0 * 74.5 79.8 73.5 69.9 * * 78.5 76.4
Not Sure/Don’t Know * 0.4 * * * * * * * * * 0.7
Don’t Want to Answer/Refuse 0.1 * 0.3 * * 0.2 * * * * 0.1 *
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
NOTE: For youth suicidality measures, responses of “Yes,” “No,” “Not Sure,” “Don’t Know,” “Don’t Want to Answer,” and “Refuse” are categorized as valid, known data. Respondents with unknown suicidality data for other categories were excluded.
a,b The difference between this estimate and the 2024 estimate is statistically significant at the .05 level (a) or .01 level (b). Rounding may make the estimates appear identical.
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, 2023 and 2024.

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