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Table 7.1C – Severity of Symptoms of Generalized Anxiety Disorder (GAD) in Past 2 Weeks: Among People Aged 12 to 17; by Demographic Characteristics, Standard Errors of 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 -- 175 -- 139 -- 109 -- 138 -- 93
AGE GROUP                    
12-13 -- 180 -- 85 -- 58 -- 78 -- 49
14-15 -- 182 -- 99 -- 80 -- 99 -- 59
16-17 -- 173 -- 113 -- 69 -- 87 -- 56
SEX                    
Male -- 116 -- 94 -- 66 -- 77 -- 45
Female -- 125 -- 105 -- 88 -- 110 -- 77
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino -- 150 -- 119 -- 89 -- 115 -- 79
AIAN -- 17 -- 9 -- 4 -- 7 -- 6
Asian -- 105 -- 43 -- 30 -- 37 -- 21
Black or African American -- 123 -- 64 -- 42 -- 50 -- 27
NHPI -- * -- * -- * -- * -- *
White -- 242 -- 133 -- 79 -- 109 -- 72
Two or More Races -- 42 -- 24 -- 17 -- 26 -- 20
Hispanic or Latino -- 90 -- 73 -- 63 -- 72 -- 47
* = 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 7.1D – Severity of Symptoms of Generalized Anxiety Disorder (GAD) in Past 2 Weeks: Among People Aged 12 to 17; by Demographic Characteristics, Standard Errors of 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 -- 0.68 -- 0.54 -- 0.42 -- 0.53 -- 0.36
AGE GROUP                    
12-13 -- 1.15 -- 0.91 -- 0.67 -- 0.87 -- 0.59
14-15 -- 1.22 -- 0.94 -- 0.83 -- 0.99 -- 0.66
16-17 -- 1.10 -- 0.99 -- 0.71 -- 0.87 -- 0.61
SEX                    
Male -- 0.87 -- 0.71 -- 0.49 -- 0.58 -- 0.34
Female -- 0.99 -- 0.83 -- 0.70 -- 0.87 -- 0.60
HISPANIC ORIGIN AND RACE                    
Not Hispanic or Latino -- 0.79 -- 0.62 -- 0.47 -- 0.60 -- 0.41
AIAN -- 4.48 -- 3.70 -- 1.64 -- 3.10 -- 2.70
Asian -- 3.20 -- 2.47 -- 1.87 -- 2.24 -- 1.35
Black or African American -- 1.76 -- 1.49 -- 1.09 -- 1.26 -- 0.72
NHPI -- * -- * -- * -- * -- *
White -- 0.94 -- 0.78 -- 0.56 -- 0.75 -- 0.55
Two or More Races -- 2.81 -- 2.04 -- 1.58 -- 2.18 -- 1.77
Hispanic or Latino -- 1.31 -- 1.05 -- 0.91 -- 1.04 -- 0.68
* = 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 7.2C – Severity of Symptoms of Generalized Anxiety Disorder (GAD) in Past 2 Weeks: Among People Aged 12 to 17; by Geographic and Socioeconomic Characteristics, Standard Errors of 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 -- 175 -- 139 -- 109 -- 138 -- 93
GEOGRAPHIC REGION                    
Northeast -- 76 -- 63 -- 46 -- 61 -- 40
Midwest -- 72 -- 56 -- 40 -- 56 -- 37
South -- 109 -- 90 -- 69 -- 90 -- 63
West -- 88 -- 71 -- 53 -- 66 -- 45
COUNTY TYPE                    
Large Metro -- 303 -- 151 -- 97 -- 129 -- 80
Small Metro -- 192 -- 111 -- 70 -- 93 -- 49
Nonmetro -- 127 -- 56 -- 35 -- 51 -- 33
Urbanized -- 91 -- 37 -- 25 -- 31 -- 16
Less Urbanized -- 89 -- 40 -- 23 -- 40 -- 29
Completely Rural -- 27 -- 17 -- 12 -- 17 -- 11
POVERTY LEVEL                    
Less Than 100% -- 172 -- 65 -- 54 -- 69 -- 41
100-199% -- 146 -- 79 -- 47 -- 63 -- 38
200% or More -- 278 -- 145 -- 98 -- 128 -- 77
HEALTH INSURANCE1                    
Private -- 276 -- 143 -- 95 -- 123 -- 77
Medicaid/CHIP -- 218 -- 107 -- 71 -- 94 -- 58
Other2 -- 65 -- 41 -- 27 -- 31 -- 14
No Coverage -- 63 -- 42 -- 18 -- 26 -- 17
* = 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 7.2D – Severity of Symptoms of Generalized Anxiety Disorder (GAD) in Past 2 Weeks: Among People Aged 12 to 17; by Geographic and Socioeconomic Characteristics, Standard Errors of 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 -- 0.68 -- 0.54 -- 0.42 -- 0.53 -- 0.36
GEOGRAPHIC REGION                    
Northeast -- 1.85 -- 1.55 -- 1.13 -- 1.50 -- 0.99
Midwest -- 1.33 -- 1.04 -- 0.75 -- 1.03 -- 0.68
South -- 1.05 -- 0.88 -- 0.67 -- 0.87 -- 0.61
West -- 1.43 -- 1.15 -- 0.87 -- 1.08 -- 0.74
COUNTY TYPE                    
Large Metro -- 0.94 -- 0.75 -- 0.60 -- 0.76 -- 0.51
Small Metro -- 1.13 -- 1.00 -- 0.67 -- 0.86 -- 0.56
Nonmetro -- 1.71 -- 1.33 -- 1.00 -- 1.34 -- 1.06
Urbanized -- 2.28 -- 1.96 -- 1.51 -- 1.79 -- 1.41
Less Urbanized -- 2.60 -- 1.94 -- 1.38 -- 2.12 -- 1.64
Completely Rural -- 6.16 -- 4.94 -- 4.19 -- 3.88 -- 3.70
POVERTY LEVEL                    
Less Than 100% -- 1.38 -- 1.08 -- 0.88 -- 1.06 -- 0.70
100-199% -- 1.40 -- 1.21 -- 0.83 -- 1.06 -- 0.68
200% or More -- 0.92 -- 0.72 -- 0.57 -- 0.71 -- 0.49
HEALTH INSURANCE1                    
Private -- 0.93 -- 0.74 -- 0.57 -- 0.71 -- 0.50
Medicaid/CHIP -- 1.01 -- 0.87 -- 0.62 -- 0.81 -- 0.54
Other2 -- 2.73 -- 2.42 -- 1.82 -- 2.06 -- 1.05
No Coverage -- 3.15 -- 2.83 -- 1.44 -- 1.97 -- 1.38
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
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 7.3C – Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year: Among People Aged 12 to 17; by Demographic Characteristics, Standard Errors of 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 128 119 118 109
AGE GROUP        
12-13 59 58 49 51
14-15 93 85 82 69
16-17 95 85 85 75
SEX        
Male 71 63 64 54
Female 102 99 97 89
HISPANIC ORIGIN AND RACE        
Not Hispanic or Latino 104 98 98 87
AIAN 13 5 5 5
Asian 29 36 24 30
Black or African American 47 39 36 31
NHPI * * * *
White 114 98 102 79
Two or More Races 23 27 22 23
Hispanic or Latino 77 65 70 65
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
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 7.3D – Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year: Among People Aged 12 to 17; by Demographic Characteristics, Standard Errors of 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 0.52 0.48 0.48 0.44
AGE GROUP        
12-13 0.72 0.71 0.62 0.63
14-15 0.92 0.89 0.84 0.77
16-17 0.96 0.83 0.91 0.77
SEX        
Male 0.55 0.49 0.50 0.42
Female 0.84 0.81 0.80 0.73
HISPANIC ORIGIN AND RACE        
Not Hispanic or Latino 0.56 0.53 0.53 0.48
AIAN 5.04 2.46 2.20 2.35
Asian 1.87 2.24 1.55 1.94
Black or African American 1.20 1.02 0.96 0.82
NHPI * * * *
White 0.72 0.66 0.70 0.59
Two or More Races 2.27 2.36 2.16 2.09
Hispanic or Latino 1.18 0.99 1.08 0.99
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
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 7.3P – Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year: Among People Aged 12 to 17; by Demographic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
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 0.0000   0.0005  
AGE GROUP        
12-13 0.0584   0.3650  
14-15 0.0171   0.0117  
16-17 0.0096   0.0261  
SEX        
Male 0.1623   0.1767  
Female 0.0000   0.0006  
HISPANIC ORIGIN AND RACE        
Not Hispanic or Latino 0.0001   0.0003  
AIAN 0.0820   0.5184  
Asian 0.5058   0.9153  
Black or African American 0.0754   0.0446  
NHPI *   *  
White 0.0019   0.0026  
Two or More Races 0.5253   0.2899  
Hispanic or Latino 0.0913   0.2928  
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
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 7.4C – Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year: Among People Aged 12 to 17; by Geographic and Socioeconomic Characteristics, Standard Errors of 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 128 119 118 109
GEOGRAPHIC REGION        
Northeast 45 51 41 47
Midwest 58 49 50 42
South 88 76 83 70
West 60 59 53 56
COUNTY TYPE        
Large Metro 131 108 114 90
Small Metro 75 84 60 70
Nonmetro 54 41 47 35
Urbanized 28 26 23 21
Less Urbanized 44 32 40 26
Completely Rural * 12 14 12
POVERTY LEVEL        
Less Than 100% 57 57 48 49
100-199% 70 55 63 48
200% or More 121 116 103 94
HEALTH INSURANCE5        
Private 124 115 106 96
Medicaid/CHIP 89 81 77 69
Other6 40 21 40 16
No Coverage 27 24 23 19
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
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 7.4D – Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year: Among People Aged 12 to 17; by Geographic and Socioeconomic Characteristics, Standard Errors of 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 0.52 0.48 0.48 0.44
GEOGRAPHIC REGION        
Northeast 1.14 1.31 1.05 1.21
Midwest 1.11 0.94 0.96 0.81
South 0.89 0.75 0.84 0.70
West 1.01 1.01 0.90 0.95
COUNTY TYPE        
Large Metro 0.74 0.65 0.70 0.57
Small Metro 0.81 0.83 0.70 0.81
Nonmetro 1.28 1.41 1.18 1.19
Urbanized 2.00 2.37 1.67 1.94
Less Urbanized 1.70 1.91 1.67 1.65
Completely Rural * 3.92 4.37 3.88
POVERTY LEVEL        
Less Than 100% 1.00 1.01 0.87 0.91
100-199% 1.24 0.97 1.15 0.87
200% or More 0.66 0.67 0.61 0.59
HEALTH INSURANCE5        
Private 0.76 0.68 0.70 0.61
Medicaid/CHIP 0.76 0.75 0.67 0.67
Other6 2.47 1.58 2.52 1.25
No Coverage 2.16 1.89 1.89 1.58
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
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 7.4P – Major Depressive Episode (MDE) or MDE with Severe Impairment in Past Year: Among People Aged 12 to 17; by Geographic and Socioeconomic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
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 0.0000   0.0005  
GEOGRAPHIC REGION        
Northeast 0.3521   0.5732  
Midwest 0.0008   0.0006  
South 0.0062   0.0277  
West 0.3638   0.4602  
COUNTY TYPE        
Large Metro 0.0000   0.0000  
Small Metro 0.5327   0.5631  
Nonmetro 0.4450   0.2562  
Urbanized 0.6970   0.5668  
Less Urbanized 0.2844   0.1660  
Completely Rural *   0.3979  
POVERTY LEVEL        
Less Than 100% 0.6783   0.6294  
100-199% 0.0261   0.0844  
200% or More 0.0002   0.0010  
HEALTH INSURANCE5        
Private 0.0009   0.0062  
Medicaid/CHIP 0.2009   0.3259  
Other6 0.0003   0.0003  
No Coverage 0.5975   0.2909  
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
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 7.5C – Types and Locations of Mental Health Treatment and Other Services in Past Year: Among People Aged 12 to 17, by Age Group, Standard Errors of 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 -- 154 -- 115 -- 111 -- 124
MENTAL HEALTH TREATMENT -- 151 -- 112 -- 108 -- 120
Inpatient -- 55 -- 29 -- 32 -- 37
Hospital -- 52 -- 27 -- 29 -- 35
Residential Mental Health Treatment Center -- 42 -- 23 -- 28 -- 26
Residential Drug or Alcohol Rehab or Treatment Center -- 28 -- 16 -- 22 -- 8
Some Other Place as an Inpatient -- 26 -- 18 -- 12 -- 14
Outpatient -- 132 -- 94 -- 91 -- 103
Mental Health Treatment Center -- 60 -- 32 -- 36 -- 33
Drug or Alcohol Rehab or Treatment Center -- 23 -- 6 -- 21 -- 9
Office of a Therapist, Psychologist, Psychiatrist, or Mental Health Professional -- 118 -- 67 -- 75 -- 87
General Medical Clinic or Doctor’s Office -- 88 -- 39 -- 63 -- 56
Hospital -- 46 -- 19 -- 30 -- 29
School’s Health or Counseling Center -- 100 -- 69 -- 61 -- 61
Some Other Place as an Outpatient -- 30 -- 16 -- 22 -- 16
Outpatient, Other Than General Medical Clinic or Doctor’s Office -- 131 -- 92 -- 84 -- 100
Prescription Medication 127 114 66 61 81 73 81 79
Telehealth Treatment2 123 121 62 71 85 73 89 86
Prison, Jail, or Juvenile Detention Center 38 36 22 21 25 23 19 20
OTHER SERVICES                
Support Services                
Support Group 84 85 47 56 59 44 52 49
Peer Support Specialist or Recovery Coach 57 52 25 33 36 28 39 34
Emergency Room/Department 53 55 30 30 35 29 29 37
* = 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.
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 7.5D – Types and Locations of Mental Health Treatment and Other Services in Past Year: Among People Aged 12 to 17, by Age Group, Standard Errors of 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 -- 0.59 -- 1.09 -- 0.96 -- 1.10
MENTAL HEALTH TREATMENT -- 0.58 -- 1.07 -- 0.95 -- 1.09
Inpatient -- 0.21 -- 0.36 -- 0.35 -- 0.40
Hospital -- 0.20 -- 0.33 -- 0.32 -- 0.38
Residential Mental Health Treatment Center -- 0.16 -- 0.28 -- 0.31 -- 0.28
Residential Drug or Alcohol Rehab or Treatment Center -- 0.11 -- 0.20 -- 0.24 -- 0.09
Some Other Place as an Inpatient -- 0.10 -- 0.22 -- 0.13 -- 0.15
Outpatient -- 0.51 -- 0.96 -- 0.86 -- 0.97
Mental Health Treatment Center -- 0.23 -- 0.38 -- 0.40 -- 0.37
Drug or Alcohol Rehab or Treatment Center -- 0.09 -- 0.07 -- 0.23 -- 0.10
Office of a Therapist, Psychologist, Psychiatrist, or Mental Health Professional -- 0.45 -- 0.79 -- 0.75 -- 0.86
General Medical Clinic or Doctor’s Office -- 0.34 -- 0.45 -- 0.66 -- 0.60
Hospital -- 0.18 -- 0.23 -- 0.34 -- 0.32
School’s Health or Counseling Center -- 0.39 -- 0.76 -- 0.65 -- 0.64
Some Other Place as an Outpatient -- 0.12 -- 0.19 -- 0.25 -- 0.17
Outpatient, Other Than General Medical Clinic or Doctor’s Office -- 0.51 -- 0.97 -- 0.81 -- 0.95
Prescription Medication 0.49 0.44 0.77 0.68 0.81 0.75 0.82 0.80
Telehealth Treatment2 0.47 0.47 0.73 0.80 0.84 0.77 0.89 0.87
Prison, Jail, or Juvenile Detention Center 0.15 0.14 0.27 0.25 0.28 0.26 0.22 0.22
OTHER SERVICES                
Support Services                
Support Group 0.32 0.33 0.57 0.65 0.59 0.49 0.55 0.52
Peer Support Specialist or Recovery Coach 0.22 0.20 0.31 0.39 0.39 0.31 0.42 0.36
Emergency Room/Department 0.21 0.21 0.38 0.36 0.37 0.33 0.32 0.40
* = 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.
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 7.5P – Types and Locations of Mental Health Treatment and Other Services in Past Year: Among People Aged 12 to 17, by Age Group, P Values from Tests of Differences of Percentages, 2024 Versus 2023
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 --   --   --   --  
MENTAL HEALTH TREATMENT --   --   --   --  
Inpatient --   --   --   --  
Hospital --   --   --   --  
Residential Mental Health Treatment Center --   --   --   --  
Residential Drug or Alcohol Rehab or Treatment Center --   --   --   --  
Some Other Place as an Inpatient --   --   --   --  
Outpatient --   --   --   --  
Mental Health Treatment Center --   --   --   --  
Drug or Alcohol Rehab or Treatment Center --   --   --   --  
Office of a Therapist, Psychologist, Psychiatrist, or Mental Health Professional --   --   --   --  
General Medical Clinic or Doctor’s Office --   --   --   --  
Hospital --   --   --   --  
School’s Health or Counseling Center --   --   --   --  
Some Other Place as an Outpatient --   --   --   --  
Outpatient, Other Than General Medical Clinic or Doctor’s Office --   --   --   --  
Prescription Medication 0.1177   0.2953   0.3464   0.3985  
Telehealth Treatment2 0.0835   0.3695   0.0416   0.1411  
Prison, Jail, or Juvenile Detention Center 0.9705   0.7715   0.5947   0.6820  
OTHER SERVICES                
Support Services                
Support Group 0.1355   0.0973   0.0008   0.3433  
Peer Support Specialist or Recovery Coach 0.7096   0.0664   0.1593   0.4164  
Emergency Room/Department 0.7533   0.8856   0.1218   0.2673  
* = 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.
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 7.6C – Types and Locations of Mental Health Treatment in Past Year: Among People Aged 12 to 17; by Demographic Characteristics, Standard Errors of 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 -- 151 -- 55 -- 132 127 114 123 121 38 36
AGE GROUP                        
12-13 -- 112 -- 29 -- 94 66 61 62 71 22 21
14-15 -- 108 -- 32 -- 91 81 73 85 73 25 23
16-17 -- 120 -- 37 -- 103 81 79 89 86 19 20
SEX                        
Male -- 101 -- 37 -- 85 76 72 78 68 25 28
Female -- 109 -- 42 -- 105 100 89 97 94 29 25
HISPANIC ORIGIN AND RACE                        
Not Hispanic or Latino -- 135 -- 44 -- 118 110 105 107 105 31 32
AIAN -- 8 -- 3 -- 5 7 6 7 4 1 5
Asian -- 38 -- 10 -- 36 16 16 28 25 2 1
Black or African American -- 57 -- 23 -- 44 30 35 32 31 13 18
NHPI -- * -- * -- * * 1 * 1 * *
White -- 164 -- 36 -- 133 115 109 111 110 29 25
Two or More Races -- 32 -- 10 -- 29 24 21 23 25 5 9
Hispanic or Latino -- 80 -- 33 -- 72 60 46 69 58 24 17
* = 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.
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 7.6D – Types and Locations of Mental Health Treatment in Past Year: Among People Aged 12 to 17; by Demographic Characteristics, Standard Errors of 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 -- 0.58 -- 0.21 -- 0.51 0.49 0.44 0.47 0.47 0.15 0.14
AGE GROUP                        
12-13 -- 1.07 -- 0.36 -- 0.96 0.77 0.68 0.73 0.80 0.27 0.25
14-15 -- 0.95 -- 0.35 -- 0.86 0.81 0.75 0.84 0.77 0.28 0.26
16-17 -- 1.09 -- 0.40 -- 0.97 0.82 0.80 0.89 0.87 0.22 0.22
SEX                        
Male -- 0.76 -- 0.28 -- 0.64 0.58 0.55 0.59 0.51 0.19 0.21
Female -- 0.86 -- 0.33 -- 0.83 0.79 0.70 0.76 0.74 0.23 0.19
HISPANIC ORIGIN AND RACE                        
Not Hispanic or Latino -- 0.71 -- 0.23 -- 0.62 0.57 0.55 0.56 0.55 0.16 0.17
AIAN -- 3.88 -- 1.50 -- 2.57 2.74 2.79 2.85 1.90 0.45 2.27
Asian -- 2.33 -- 0.66 -- 2.22 1.04 1.04 1.74 1.61 0.13 0.10
Black or African American -- 1.38 -- 0.62 -- 1.12 0.78 0.93 0.85 0.84 0.36 0.51
NHPI -- * -- * -- * * 1.43 * 0.63 * *
White -- 0.93 -- 0.28 -- 0.81 0.76 0.72 0.72 0.73 0.22 0.20
Two or More Races -- 2.50 -- 0.95 -- 2.41 2.26 1.95 2.20 2.04 0.55 0.86
Hispanic or Latino -- 1.17 -- 0.47 -- 1.05 0.88 0.67 1.02 0.84 0.35 0.24
* = 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.
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 7.6P – Types and Locations of Mental Health Treatment in Past Year: Among People Aged 12 to 17; by Demographic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
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 --   --   --   0.1177   0.0835   0.9705  
AGE GROUP                        
12-13 --   --   --   0.2953   0.3695   0.7715  
14-15 --   --   --   0.3464   0.0416   0.5947  
16-17 --   --   --   0.3985   0.1411   0.6820  
SEX                        
Male --   --   --   0.4088   0.1855   0.6069  
Female --   --   --   0.1728   0.2423   0.5800  
HISPANIC ORIGIN AND RACE                        
Not Hispanic or Latino --   --   --   0.5010   0.2005   0.6251  
AIAN --   --   --   0.6063   0.1102   0.1606  
Asian --   --   --   0.9237   0.3207   0.5322  
Black or African American --   --   --   0.6273   0.7844   0.7998  
NHPI --   --   --   *   *   *  
White --   --   --   0.6507   0.2985   0.9588  
Two or More Races --   --   --   0.0913   0.7293   0.3792  
Hispanic or Latino --   --   --   0.0378   0.2721   0.4149  
* = 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.
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 7.7C – Types and Locations of Mental Health Treatment in Past Year: Among People Aged 12 to 17; by Geographic and Socioeconomic Characteristics, Standard Errors of 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 -- 151 -- 55 -- 132 127 114 123 121 38 36
GEOGRAPHIC REGION                        
Northeast -- 69 -- 22 -- 62 44 54 45 61 21 18
Midwest -- 63 -- 20 -- 57 57 52 53 45 19 10
South -- 98 -- 37 -- 85 86 73 80 64 24 24
West -- 78 -- 30 -- 67 51 51 63 66 12 16
COUNTY TYPE                        
Large Metro -- 169 -- 41 -- 136 113 100 123 118 31 23
Small Metro -- 116 -- 31 -- 96 78 71 68 70 20 26
Nonmetro -- 65 -- 23 -- 50 47 44 37 35 14 9
Urbanized -- 42 -- 12 -- 30 24 22 19 22 9 7
Less Urbanized -- 49 -- 19 -- 39 36 37 28 27 11 6
Completely Rural -- 13 -- 2 -- 12 * 10 18 10 2 <1
POVERTY LEVEL                        
Less Than 100% -- 85 -- 33 -- 70 43 55 52 54 13 26
100-199% -- 81 -- 29 -- 70 57 47 55 56 21 15
200% or More -- 165 -- 37 -- 136 123 105 118 115 31 22
HEALTH INSURANCE2                        
Private -- 170 -- 35 -- 141 117 106 115 115 30 18
Medicaid/CHIP -- 115 -- 41 -- 93 85 75 81 77 33 31
Other3 -- 45 -- 17 -- 35 30 25 35 29 2 13
No Coverage -- 31 -- 14 -- 26 19 20 27 23 6 10
* = 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.
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 7.7D – Types and Locations of Mental Health Treatment in Past Year: Among People Aged 12 to 17; by Geographic and Socioeconomic Characteristics, Standard Errors of 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 -- 0.58 -- 0.21 -- 0.51 0.49 0.44 0.47 0.47 0.15 0.14
GEOGRAPHIC REGION                        
Northeast -- 1.69 -- 0.53 -- 1.51 1.09 1.32 1.10 1.51 0.51 0.45
Midwest -- 1.16 -- 0.37 -- 1.05 1.06 0.95 0.98 0.83 0.36 0.18
South -- 0.95 -- 0.35 -- 0.82 0.84 0.71 0.78 0.62 0.24 0.23
West -- 1.26 -- 0.48 -- 1.09 0.84 0.83 1.02 1.08 0.19 0.26
COUNTY TYPE                        
Large Metro -- 0.83 -- 0.28 -- 0.72 0.67 0.60 0.70 0.70 0.22 0.16
Small Metro -- 1.00 -- 0.35 -- 0.88 0.86 0.73 0.70 0.72 0.25 0.30
Nonmetro -- 1.31 -- 0.71 -- 1.16 1.24 1.27 0.99 1.11 0.42 0.31
Urbanized -- 1.96 -- 0.90 -- 1.63 1.78 1.94 1.55 1.95 0.72 0.62
Less Urbanized -- 1.86 -- 1.17 -- 1.67 1.63 1.82 1.31 1.45 0.58 0.37
Completely Rural -- 4.24 -- 0.91 -- 4.06 * 3.36 2.99 3.20 0.65 0.04
POVERTY LEVEL                        
Less Than 100% -- 1.23 -- 0.56 -- 1.07 0.75 0.92 0.87 0.88 0.23 0.46
100-199% -- 1.24 -- 0.52 -- 1.12 0.99 0.84 0.96 0.94 0.39 0.28
200% or More -- 0.79 -- 0.24 -- 0.70 0.70 0.61 0.65 0.66 0.21 0.15
HEALTH INSURANCE2                        
Private -- 0.85 -- 0.24 -- 0.76 0.72 0.64 0.70 0.68 0.21 0.12
Medicaid/CHIP -- 0.88 -- 0.37 -- 0.76 0.73 0.68 0.69 0.68 0.30 0.29
Other3 -- 2.71 -- 1.17 -- 2.25 1.98 1.66 2.26 1.92 0.17 0.91
No Coverage -- 2.21 -- 1.10 -- 1.97 1.46 1.60 1.99 1.80 0.46 0.78
* = 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.
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.
250529
Table 7.7P – Types and Locations of Mental Health Treatment in Past Year: Among People Aged 12 to 17; by Geographic and Socioeconomic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
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 --   --   --   0.1177   0.0835   0.9705  
GEOGRAPHIC REGION                        
Northeast --   --   --   0.8071   0.3562   0.7961  
Midwest --   --   --   0.1759   0.0659   0.0201  
South --   --   --   0.2214   0.0434   0.3429  
West --   --   --   0.5641   0.6602   0.2684  
COUNTY TYPE                        
Large Metro --   --   --   0.0976   0.0293   0.4805  
Small Metro --   --   --   0.8316   0.7006   0.1722  
Nonmetro --   --   --   0.6692   0.5234   0.2668  
Urbanized --   --   --   0.3327   0.8140   0.7126  
Less Urbanized --   --   --   0.6412   0.2930   0.2999  
Completely Rural --   --   --   *   0.3723   0.1925  
POVERTY LEVEL                        
Less Than 100% --   --   --   0.1317   0.5451   0.0683  
100-199% --   --   --   0.1354   0.7408   0.7713  
200% or More --   --   --   0.0470   0.0205   0.2246  
HEALTH INSURANCE2                        
Private --   --   --   0.0722   0.0496   0.0830  
Medicaid/CHIP --   --   --   0.6873   0.9624   0.5018  
Other3 --   --   --   0.7533   0.1474   0.2366  
No Coverage --   --   --   0.6164   0.6049   0.7122  
* = 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.
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 7.8C – 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, Standard Errors of 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 -- 151 -- 104 -- 88 -- 154
AGE GROUP                
12-13 -- 112 -- 45 -- 39 -- 91
14-15 -- 108 -- 66 -- 53 -- 85
16-17 -- 120 -- 68 -- 59 -- 87
SEX                
Male -- 101 -- 50 -- 41 -- 105
Female -- 109 -- 92 -- 77 -- 108
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino -- 135 -- 89 -- 72 -- 135
AIAN -- 8 -- * -- * -- 6
Asian -- 38 -- * -- * -- 27
Black or African American -- 57 -- 26 -- 20 -- 45
NHPI -- * -- * -- * -- *
White -- 164 -- 80 -- 63 -- 123
Two or More Races -- 32 -- 21 -- 16 -- 23
Hispanic or Latino -- 80 -- 53 -- 51 -- 76
* = 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 7.8D – 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, Standard Errors of 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 -- 0.58 -- 1.57 -- 1.80 -- 0.59
AGE GROUP                
12-13 -- 1.07 -- 3.28 -- 4.23 -- 1.10
14-15 -- 0.95 -- 2.78 -- 3.13 -- 0.99
16-17 -- 1.09 -- 2.45 -- 2.75 -- 1.07
SEX                
Male -- 0.76 -- 3.12 -- 3.79 -- 0.76
Female -- 0.86 -- 1.80 -- 2.00 -- 0.95
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino -- 0.71 -- 1.78 -- 2.02 -- 0.72
AIAN -- 3.88 -- * -- * -- 3.45
Asian -- 2.33 -- * -- * -- 2.04
Black or African American -- 1.38 -- 4.93 -- 5.67 -- 1.30
NHPI -- * -- * -- * -- *
White -- 0.93 -- 2.06 -- 2.32 -- 0.96
Two or More Races -- 2.50 -- 4.77 -- 5.24 -- 2.60
Hispanic or Latino -- 1.17 -- 3.37 -- 3.96 -- 1.19
* = 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 7.9C – 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, Standard Errors of 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 -- 151 -- 104 -- 88 -- 154
GEOGRAPHIC REGION                
Northeast -- 69 -- 51 -- 45 -- 76
Midwest -- 63 -- 40 -- 34 -- 70
South -- 98 -- 63 -- 49 -- 100
West -- 78 -- 57 -- 50 -- 71
COUNTY TYPE                
Large Metro -- 169 -- 82 -- 70 -- 127
Small Metro -- 116 -- 63 -- 50 -- 82
Nonmetro -- 65 -- 29 -- 24 -- 53
Urbanized -- 42 -- * -- * -- 35
Less Urbanized -- 49 -- 24 -- * -- 38
Completely Rural -- 13 -- * -- * -- *
POVERTY LEVEL                
Less Than 100% -- 85 -- 45 -- 38 -- 69
100-199% -- 81 -- 42 -- 35 -- 62
200% or More -- 165 -- 87 -- 73 -- 122
HEALTH INSURANCE6                
Private -- 170 -- 84 -- 70 -- 124
Medicaid/CHIP -- 115 -- 65 -- 56 -- 89
Other7 -- 45 -- * -- * -- 40
No Coverage -- 31 -- * -- * -- 24
* = 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.
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Table 7.9D – 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, Standard Errors of 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 -- 0.58 -- 1.57 -- 1.80 -- 0.59
GEOGRAPHIC REGION                
Northeast -- 1.69 -- 4.07 -- 4.40 -- 1.69
Midwest -- 1.16 -- 2.86 -- 3.46 -- 1.28
South -- 0.95 -- 2.65 -- 3.01 -- 0.94
West -- 1.26 -- 3.37 -- 3.86 -- 1.22
COUNTY TYPE                
Large Metro -- 0.83 -- 2.44 -- 2.75 -- 0.85
Small Metro -- 1.00 -- 2.31 -- 2.68 -- 1.01
Nonmetro -- 1.31 -- 4.05 -- 4.89 -- 1.41
Urbanized -- 1.96 -- * -- * -- 2.03
Less Urbanized -- 1.86 -- 5.88 -- * -- 2.13
Completely Rural -- 4.24 -- * -- * -- *
POVERTY LEVEL                
Less Than 100% -- 1.23 -- 2.99 -- 3.57 -- 1.28
100-199% -- 1.24 -- 3.51 -- 3.96 -- 1.27
200% or More -- 0.79 -- 2.12 -- 2.44 -- 0.80
HEALTH INSURANCE6                
Private -- 0.85 -- 2.22 -- 2.55 -- 0.85
Medicaid/CHIP -- 0.88 -- 2.23 -- 2.56 -- 0.89
Other7 -- 2.71 -- * -- * -- 2.90
No Coverage -- 2.21 -- * -- * -- 2.22
* = 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.
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Table 7.10C – 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, Standard Errors of 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 -- 55 -- 36 -- 32 -- 39
AGE GROUP                
12-13 -- 29 -- 15 -- 14 -- 23
14-15 -- 32 -- 24 -- 22 -- 21
16-17 -- 37 -- 24 -- 21 -- 22
SEX                
Male -- 37 -- 20 -- 14 -- 30
Female -- 42 -- 30 -- 29 -- 25
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino -- 44 -- 26 -- 21 -- 30
AIAN -- 3 -- * -- * -- 3
Asian -- 10 -- * -- * -- 9
Black or African American -- 23 -- 8 -- 7 -- 19
NHPI -- * -- * -- * -- *
White -- 36 -- 24 -- 18 -- 22
Two or More Races -- 10 -- 6 -- 6 -- 5
Hispanic or Latino -- 33 -- 24 -- 24 -- 24
* = 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.
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Table 7.10D – 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, Standard Errors of 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 -- 0.21 -- 0.90 -- 1.08 -- 0.18
AGE GROUP                
12-13 -- 0.36 -- 1.86 -- 2.40 -- 0.33
14-15 -- 0.35 -- 1.67 -- 2.08 -- 0.29
16-17 -- 0.40 -- 1.34 -- 1.56 -- 0.31
SEX                
Male -- 0.28 -- 1.78 -- 1.91 -- 0.25
Female -- 0.33 -- 1.06 -- 1.33 -- 0.27
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino -- 0.23 -- 0.92 -- 1.03 -- 0.19
AIAN -- 1.50 -- * -- * -- 1.56
Asian -- 0.66 -- * -- * -- 0.68
Black or African American -- 0.62 -- 2.03 -- 2.68 -- 0.60
NHPI -- * -- * -- * -- *
White -- 0.28 -- 1.16 -- 1.23 -- 0.21
Two or More Races -- 0.95 -- 2.64 -- 3.55 -- 0.63
Hispanic or Latino -- 0.47 -- 2.22 -- 2.81 -- 0.42
* = 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.
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Table 7.11C – 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, Standard Errors of 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 -- 55 -- 36 -- 32 -- 39
GEOGRAPHIC REGION                
Northeast -- 22 -- 14 -- 14 -- 17
Midwest -- 20 -- 12 -- 9 -- 14
South -- 37 -- 19 -- 16 -- 28
West -- 30 -- 25 -- 23 -- 18
COUNTY TYPE                
Large Metro -- 41 -- 30 -- 26 -- 25
Small Metro -- 31 -- 17 -- 17 -- 27
Nonmetro -- 23 -- 13 -- 11 -- 13
Urbanized -- 12 -- * -- 3 -- 10
Less Urbanized -- 19 -- 10 -- * -- 9
Completely Rural -- 2 -- * -- * -- 1
POVERTY LEVEL                
Less Than 100% -- 33 -- 18 -- 15 -- 27
100-199% -- 29 -- 17 -- 17 -- 19
200% or More -- 37 -- 27 -- 24 -- 22
HEALTH INSURANCE6                
Private -- 35 -- 25 -- 24 -- 21
Medicaid/CHIP -- 41 -- 25 -- 23 -- 30
Other7 -- 17 -- * -- 1 -- 13
No Coverage -- 14 -- * -- * -- 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.
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 7.11D – 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, Standard Errors of 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 -- 0.21 -- 0.90 -- 1.08 -- 0.18
GEOGRAPHIC REGION                
Northeast -- 0.53 -- 2.41 -- 3.01 -- 0.51
Midwest -- 0.37 -- 1.39 -- 1.56 -- 0.33
South -- 0.35 -- 1.24 -- 1.37 -- 0.32
West -- 0.48 -- 2.38 -- 3.03 -- 0.35
COUNTY TYPE                
Large Metro -- 0.28 -- 1.45 -- 1.71 -- 0.21
Small Metro -- 0.35 -- 1.19 -- 1.57 -- 0.38
Nonmetro -- 0.71 -- 2.60 -- 3.01 -- 0.50
Urbanized -- 0.90 -- * -- 2.39 -- 0.83
Less Urbanized -- 1.17 -- 4.03 -- * -- 0.70
Completely Rural -- 0.91 -- * -- * -- 0.29
POVERTY LEVEL                
Less Than 100% -- 0.56 -- 2.17 -- 2.46 -- 0.55
100-199% -- 0.52 -- 2.08 -- 2.64 -- 0.45
200% or More -- 0.24 -- 1.13 -- 1.39 -- 0.18
HEALTH INSURANCE6                
Private -- 0.24 -- 1.09 -- 1.40 -- 0.18
Medicaid/CHIP -- 0.37 -- 1.52 -- 1.76 -- 0.34
Other7 -- 1.17 -- * -- 0.70 -- 1.11
No Coverage -- 1.10 -- * -- * -- 0.88
* = 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 7.12C – 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, Standard Errors of 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 -- 132 -- 97 -- 82 -- 119
AGE GROUP                
12-13 -- 94 -- 42 -- 37 -- 72
14-15 -- 91 -- 62 -- 49 -- 67
16-17 -- 103 -- 62 -- 54 -- 74
SEX                
Male -- 85 -- 45 -- 37 -- 80
Female -- 105 -- 87 -- 73 -- 92
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino -- 118 -- 83 -- 68 -- 110
AIAN -- 5 -- * -- * -- 4
Asian -- 36 -- * -- * -- 26
Black or African American -- 44 -- 25 -- 19 -- 33
NHPI -- * -- * -- * -- *
White -- 133 -- 74 -- 60 -- 99
Two or More Races -- 29 -- 17 -- * -- 22
Hispanic or Latino -- 72 -- 50 -- 47 -- 59
* = 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 7.12D – 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, Standard Errors of 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 -- 0.51 -- 1.64 -- 1.90 -- 0.50
AGE GROUP                
12-13 -- 0.96 -- 3.40 -- 4.30 -- 0.92
14-15 -- 0.86 -- 2.95 -- 3.32 -- 0.83
16-17 -- 0.97 -- 2.52 -- 2.84 -- 0.93
SEX                
Male -- 0.64 -- 3.14 -- 3.79 -- 0.62
Female -- 0.83 -- 1.89 -- 2.10 -- 0.86
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino -- 0.62 -- 1.91 -- 2.18 -- 0.62
AIAN -- 2.57 -- * -- * -- 2.41
Asian -- 2.22 -- * -- * -- 1.93
Black or African American -- 1.12 -- 4.89 -- 5.46 -- 0.99
NHPI -- * -- * -- * -- *
White -- 0.81 -- 2.20 -- 2.54 -- 0.82
Two or More Races -- 2.41 -- 6.05 -- * -- 2.51
Hispanic or Latino -- 1.05 -- 3.38 -- 3.97 -- 0.98
* = 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 7.13C – 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, Standard Errors of 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 -- 132 -- 97 -- 82 -- 119
GEOGRAPHIC REGION                
Northeast -- 62 -- 47 -- 43 -- 65
Midwest -- 57 -- 37 -- 30 -- 56
South -- 85 -- 56 -- 43 -- 73
West -- 67 -- 55 -- 48 -- 54
COUNTY TYPE                
Large Metro -- 136 -- 77 -- 69 -- 99
Small Metro -- 96 -- 57 -- 42 -- 64
Nonmetro -- 50 -- 26 -- 21 -- 38
Urbanized -- 30 -- * -- * -- 25
Less Urbanized -- 39 -- 22 -- * -- 26
Completely Rural -- 12 -- * -- * -- *
POVERTY LEVEL                
Less Than 100% -- 70 -- 42 -- 36 -- 55
100-199% -- 70 -- 38 -- 32 -- 52
200% or More -- 136 -- 82 -- 68 -- 97
HEALTH INSURANCE6                
Private -- 141 -- 79 -- 67 -- 102
Medicaid/CHIP -- 93 -- 58 -- 50 -- 69
Other7 -- 35 -- * -- * -- 30
No Coverage -- 26 -- * -- * -- 19
* = 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 7.13D – 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, Standard Errors of 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 -- 0.51 -- 1.64 -- 1.90 -- 0.50
GEOGRAPHIC REGION                
Northeast -- 1.51 -- 5.03 -- 5.59 -- 1.51
Midwest -- 1.05 -- 2.95 -- 3.55 -- 1.11
South -- 0.82 -- 2.63 -- 2.94 -- 0.75
West -- 1.09 -- 3.46 -- 4.01 -- 1.02
COUNTY TYPE                
Large Metro -- 0.72 -- 2.55 -- 2.91 -- 0.71
Small Metro -- 0.88 -- 2.47 -- 2.81 -- 0.84
Nonmetro -- 1.16 -- 4.06 -- 4.80 -- 1.11
Urbanized -- 1.63 -- * -- * -- 1.65
Less Urbanized -- 1.67 -- 6.12 -- * -- 1.58
Completely Rural -- 4.06 -- * -- * -- *
POVERTY LEVEL                
Less Than 100% -- 1.07 -- 3.12 -- 3.64 -- 1.08
100-199% -- 1.12 -- 3.56 -- 3.94 -- 1.08
200% or More -- 0.70 -- 2.26 -- 2.63 -- 0.69
HEALTH INSURANCE6                
Private -- 0.76 -- 2.34 -- 2.72 -- 0.75
Medicaid/CHIP -- 0.76 -- 2.32 -- 2.65 -- 0.73
Other7 -- 2.25 -- * -- * -- 2.29
No Coverage -- 1.97 -- * -- * -- 1.83
* = 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 7.14C – 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, Standard Errors of 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 127 114 88 77 82 63 103 96
AGE GROUP                
12-13 66 61 32 22 28 20 57 54
14-15 81 73 51 55 49 43 60 48
16-17 81 79 57 51 53 43 53 57
SEX                
Male 76 72 39 40 36 30 73 63
Female 100 89 77 67 73 55 69 67
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 110 105 77 69 71 53 91 87
AIAN 7 6 * * * * 6 4
Asian 16 16 * * * * 12 4
Black or African American 30 35 18 18 16 13 23 27
NHPI * 1 * * * * * 1
White 115 109 72 63 67 48 84 81
Two or More Races 24 21 15 14 14 11 19 14
Hispanic or Latino 60 46 40 34 40 34 47 36
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
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 7.14D – 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, Standard Errors of 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 0.49 0.44 1.56 1.64 1.88 1.82 0.47 0.43
AGE GROUP                
12-13 0.77 0.68 3.11 2.58 3.66 3.16 0.80 0.74
14-15 0.81 0.75 2.45 2.97 2.95 3.26 0.80 0.63
16-17 0.82 0.80 2.33 2.43 2.86 2.69 0.74 0.75
SEX                
Male 0.58 0.55 2.83 3.06 3.59 3.44 0.59 0.52
Female 0.79 0.70 1.83 1.90 2.15 2.10 0.74 0.68
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 0.57 0.55 1.76 1.95 2.10 2.11 0.56 0.52
AIAN 2.74 2.79 * * * * 3.14 2.13
Asian 1.04 1.04 * * * * 0.96 0.33
Black or African American 0.78 0.93 3.55 4.44 4.04 4.30 0.74 0.83
NHPI * 1.43 * * * * * 1.31
White 0.76 0.72 2.10 2.33 2.51 2.54 0.77 0.72
Two or More Races 2.26 1.95 5.20 5.45 6.17 6.01 2.53 1.77
Hispanic or Latino 0.88 0.67 3.01 2.88 3.80 3.64 0.84 0.62
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
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 7.14P – 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, P Values from Tests of Differences of Percentages, 2024 Versus 2023
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 0.1177   0.6512   0.1380   0.2245  
AGE GROUP                
12-13 0.2953   0.2192   0.1294   0.5129  
14-15 0.3464   0.3018   0.6175   0.1145  
16-17 0.3985   0.3213   0.0677   0.9290  
SEX                
Male 0.4088   0.8595   0.4037   0.3407  
Female 0.1728   0.5528   0.2131   0.3919  
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 0.5010   0.9648   0.4068   0.7017  
AIAN 0.6063   *   *   0.2133  
Asian 0.9237   *   *   0.2905  
Black or African American 0.6273   0.7597   0.6557   0.1784  
NHPI *   *   *   *  
White 0.6507   0.9396   0.4583   0.8393  
Two or More Races 0.0913   0.5899   0.3904   0.0471  
Hispanic or Latino 0.0378   0.3301   0.1879   0.0501  
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
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 7.15C – 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, Standard Errors of 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 127 114 88 77 82 63 103 96
GEOGRAPHIC REGION                
Northeast 44 54 21 32 19 26 42 45
Midwest 57 52 43 30 37 26 47 51
South 86 73 64 52 62 38 69 60
West 51 51 34 40 32 36 41 36
COUNTY TYPE                
Large Metro 113 100 72 56 69 48 82 77
Small Metro 78 71 42 49 37 37 56 49
Nonmetro 47 44 25 22 22 19 33 34
Urbanized 24 22 14 14 13 * 16 14
Less Urbanized 36 37 19 18 17 * 27 29
Completely Rural * 10 * * * * * *
POVERTY LEVEL                
Less Than 100% 43 55 26 31 24 25 32 40
100-199% 57 47 39 27 37 26 43 35
200% or More 123 105 73 67 68 54 89 79
HEALTH INSURANCE6                
Private 117 106 73 66 69 53 84 78
Medicaid/CHIP 85 75 52 47 48 41 59 53
Other7 30 25 19 * * 8 24 20
No Coverage 19 20 7 * * * 17 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.
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 7.15D – 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, Standard Errors of 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 0.49 0.44 1.56 1.64 1.88 1.82 0.47 0.43
GEOGRAPHIC REGION                
Northeast 1.09 1.32 3.11 4.72 3.69 5.09 1.13 1.24
Midwest 1.06 0.95 2.91 3.11 3.41 3.75 0.98 1.04
South 0.84 0.71 2.88 2.66 3.46 2.78 0.80 0.67
West 0.84 0.83 2.61 3.31 3.17 3.96 0.82 0.70
COUNTY TYPE                
Large Metro 0.67 0.60 2.22 2.36 2.74 2.78 0.67 0.60
Small Metro 0.86 0.73 2.48 2.59 2.89 2.67 0.79 0.68
Nonmetro 1.24 1.27 3.36 3.92 3.83 4.60 1.12 1.27
Urbanized 1.78 1.94 5.70 6.02 6.16 * 1.53 1.62
Less Urbanized 1.63 1.82 4.27 5.87 5.06 * 1.64 1.95
Completely Rural * 3.36 * * * * * *
POVERTY LEVEL                
Less Than 100% 0.75 0.92 2.91 3.43 3.39 3.86 0.69 0.82
100-199% 0.99 0.84 3.39 2.93 4.10 3.54 0.96 0.79
200% or More 0.70 0.61 2.06 2.28 2.49 2.55 0.69 0.60
HEALTH INSURANCE6                
Private 0.72 0.64 2.15 2.36 2.60 2.62 0.70 0.62
Medicaid/CHIP 0.73 0.68 2.33 2.36 2.69 2.68 0.67 0.61
Other7 1.98 1.66 5.43 * * 5.79 2.12 1.60
No Coverage 1.46 1.60 4.04 * * * 1.68 1.56
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
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 7.15P – 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, P Values from Tests of Differences of Percentages, 2024 Versus 2023
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 0.1177   0.6512   0.1380   0.2245  
GEOGRAPHIC REGION                
Northeast 0.8071   0.2321   0.6616   0.7887  
Midwest 0.1759   0.0892   0.1194   0.7692  
South 0.2214   0.7002   0.1420   0.4390  
West 0.5641   0.7351   0.8825   0.2131  
COUNTY TYPE                
Large Metro 0.0976   0.8442   0.2893   0.2591  
Small Metro 0.8316   0.2628   0.1434   0.8131  
Nonmetro 0.6692   0.3875   0.5560   0.7244  
Urbanized 0.3327   0.2785   *   0.4577  
Less Urbanized 0.6412   0.6025   *   0.9240  
Completely Rural *   *   *   *  
POVERTY LEVEL                
Less Than 100% 0.1317   0.4407   0.3152   0.0275  
100-199% 0.1354   0.4226   0.3788   0.2123  
200% or More 0.0470   0.7957   0.4140   0.0531  
HEALTH INSURANCE6                
Private 0.0722   0.6940   0.2092   0.1853  
Medicaid/CHIP 0.6873   0.3613   0.1252   0.7914  
Other7 0.7533   *   *   0.7990  
No Coverage 0.6164   *   *   0.3897  
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
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 7.16C – 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, Standard Errors of 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 123 121 87 77 79 66 101 98
AGE GROUP                
12-13 62 71 29 36 23 32 50 54
14-15 85 73 57 47 53 41 61 53
16-17 89 86 55 50 50 42 63 61
SEX                
Male 78 68 40 36 36 25 70 61
Female 97 94 75 70 68 62 73 73
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 107 105 74 68 66 55 87 85
AIAN 7 4 * * * * 5 3
Asian 28 25 * * * * 19 14
Black or African American 32 31 19 17 16 9 25 24
NHPI * 1 * * * * * <1
White 111 110 67 59 60 48 78 80
Two or More Races 23 25 15 18 15 14 16 15
Hispanic or Latino 69 58 48 38 46 36 55 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.
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 7.16D – 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, Standard Errors of 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 0.47 0.47 1.48 1.65 1.73 1.89 0.45 0.42
AGE GROUP                
12-13 0.73 0.80 2.82 3.59 3.24 4.38 0.71 0.73
14-15 0.84 0.77 2.53 2.81 3.06 3.31 0.80 0.70
16-17 0.89 0.87 2.27 2.43 2.73 2.70 0.88 0.81
SEX                
Male 0.59 0.51 2.89 2.87 3.56 3.10 0.56 0.48
Female 0.76 0.74 1.76 2.02 1.98 2.31 0.76 0.72
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 0.56 0.55 1.65 1.94 1.89 2.16 0.54 0.49
AIAN 2.85 1.90 * * * * 2.70 1.63
Asian 1.74 1.61 * * * * 1.48 1.09
Black or African American 0.85 0.84 3.67 4.21 4.04 3.17 0.81 0.74
NHPI * 0.63 * * * * * 0.39
White 0.72 0.73 1.99 2.29 2.26 2.59 0.72 0.69
Two or More Races 2.20 2.04 5.26 5.50 6.24 5.77 2.20 1.77
Hispanic or Latino 1.02 0.84 3.49 3.13 4.26 3.76 0.97 0.82
* = 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.
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 7.16P – 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, P Values from Tests of Differences of Percentages, 2024 Versus 2023
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 0.0835   0.8353   0.2800   0.2279  
AGE GROUP                
12-13 0.3695   0.1936   0.4383   0.5588  
14-15 0.0416   0.3808   0.4196   0.2482  
16-17 0.1411   0.7557   0.2046   0.2161  
SEX                
Male 0.1855   0.9617   0.3524   0.2477  
Female 0.2423   0.8501   0.4986   0.5134  
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 0.2005   0.8500   0.3849   0.4550  
AIAN 0.1102   *   *   0.1421  
Asian 0.3207   *   *   0.2987  
Black or African American 0.7844   0.7004   0.1134   0.7794  
NHPI *   *   *   *  
White 0.2985   0.6568   0.5842   0.5776  
Two or More Races 0.7293   0.5258   0.9242   0.9607  
Hispanic or Latino 0.2721   0.9640   0.5751   0.3479  
* = 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.
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 7.17C – 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, Standard Errors of 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 123 121 87 77 79 66 101 98
GEOGRAPHIC REGION                
Northeast 45 61 27 43 25 37 44 51
Midwest 53 45 41 29 34 25 39 39
South 80 64 54 40 50 32 67 55
West 63 66 47 42 43 37 47 50
COUNTY TYPE                
Large Metro 123 118 74 63 67 54 86 85
Small Metro 68 70 43 41 38 35 49 46
Nonmetro 37 35 21 22 17 19 28 24
Urbanized 19 22 11 15 10 * 13 15
Less Urbanized 28 27 14 16 12 13 21 17
Completely Rural 18 10 * * * * 14 *
POVERTY LEVEL                
Less Than 100% 52 54 27 31 26 24 41 40
100-199% 55 56 31 32 28 27 42 39
200% or More 118 115 75 65 67 57 82 82
HEALTH INSURANCE6                
Private 115 115 75 64 68 58 80 80
Medicaid/CHIP 81 77 49 47 45 38 56 51
Other7 35 29 18 * * 6 26 25
No Coverage 27 23 * * * * 25 18
* = 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.
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 7.17D – 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, Standard Errors of 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 0.47 0.47 1.48 1.65 1.73 1.89 0.45 0.42
GEOGRAPHIC REGION                
Northeast 1.10 1.51 3.35 5.04 4.09 5.65 1.13 1.34
Midwest 0.98 0.83 2.77 2.92 3.07 3.61 0.84 0.78
South 0.78 0.62 2.55 2.37 2.96 2.55 0.76 0.60
West 1.02 1.08 3.24 3.39 3.82 4.03 0.90 0.93
COUNTY TYPE                
Large Metro 0.70 0.70 2.16 2.50 2.52 2.90 0.67 0.64
Small Metro 0.70 0.72 2.43 2.41 2.84 2.58 0.67 0.63
Nonmetro 0.99 1.11 3.00 3.80 3.31 4.50 0.96 1.03
Urbanized 1.55 1.95 4.80 6.34 5.19 * 1.27 1.71
Less Urbanized 1.31 1.45 3.61 5.29 3.81 6.27 1.34 1.35
Completely Rural 2.99 3.20 * * * * 3.43 *
POVERTY LEVEL                
Less Than 100% 0.87 0.88 2.96 3.31 3.50 3.55 0.86 0.83
100-199% 0.96 0.94 2.90 3.39 3.42 3.74 0.97 0.85
200% or More 0.65 0.66 1.94 2.21 2.31 2.60 0.63 0.60
HEALTH INSURANCE6                
Private 0.70 0.68 2.06 2.26 2.44 2.66 0.67 0.61
Medicaid/CHIP 0.69 0.68 2.25 2.45 2.60 2.69 0.61 0.57
Other7 2.26 1.92 5.29 * * 5.09 2.33 1.99
No Coverage 1.99 1.80 * * * * 2.30 1.68
* = 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.
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 7.17P – 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, P Values from Tests of Differences of Percentages, 2024 Versus 2023
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 0.0835   0.8353   0.2800   0.2279  
GEOGRAPHIC REGION                
Northeast 0.3562   0.0163   0.2116   0.8667  
Midwest 0.0659   0.1734   0.4169   0.8465  
South 0.0434   0.8370   0.5614   0.0719  
West 0.6602   0.1265   0.0483   0.9073  
COUNTY TYPE                
Large Metro 0.0293   0.6949   0.5648   0.1377  
Small Metro 0.7006   0.1985   0.0347   0.7481  
Nonmetro 0.5234   0.6803   0.3132   0.7490  
Urbanized 0.8140   0.5231   *   0.8972  
Less Urbanized 0.2930   0.4946   0.1333   0.5896  
Completely Rural 0.3723   *   *   *  
POVERTY LEVEL                
Less Than 100% 0.5451   0.9665   0.3620   0.4810  
100-199% 0.7408   0.4496   0.8193   0.6857  
200% or More 0.0205   0.5369   0.3254   0.0941  
HEALTH INSURANCE6                
Private 0.0496   0.4219   0.3817   0.2380  
Medicaid/CHIP 0.9624   0.7688   0.3663   0.8521  
Other7 0.1474   *   *   0.5074  
No Coverage 0.6049   *   *   0.3450  
* = 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.
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 7.18C – 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, Standard Errors of 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 -- 86 -- 35 -- 75 -- 392
AGE GROUP                
12-13 -- 41 -- 13 -- 38 -- 172
14-15 -- 50 -- 17 -- 48 -- 185
16-17 -- 61 -- 29 -- 52 -- 195
SEX                
Male -- 44 -- 19 -- 40 -- 271
Female -- 69 -- 30 -- 61 -- 216
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino -- 75 -- 34 -- 63 -- 319
AIAN -- 3 -- 2 -- 2 -- 19
Asian -- 30 -- 14 -- 26 -- 111
Black or African American -- 23 -- 7 -- 22 -- 137
NHPI -- * -- * -- * -- *
White -- 63 -- 30 -- 51 -- 251
Two or More Races -- 18 -- 5 -- 17 -- 40
Hispanic or Latino -- 44 -- 12 -- 42 -- 211
* = 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 7.18D – 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, Standard Errors of 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 -- 0.44 -- 0.19 -- 0.38 -- 0.44
AGE GROUP                
12-13 -- 0.69 -- 0.23 -- 0.64 -- 0.69
14-15 -- 0.76 -- 0.26 -- 0.72 -- 0.76
16-17 -- 0.90 -- 0.45 -- 0.76 -- 0.90
SEX                
Male -- 0.42 -- 0.18 -- 0.38 -- 0.42
Female -- 0.80 -- 0.36 -- 0.71 -- 0.80
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino -- 0.52 -- 0.25 -- 0.44 -- 0.52
AIAN -- 2.00 -- 1.31 -- 1.26 -- 2.00
Asian -- 2.08 -- 1.07 -- 1.88 -- 2.08
Black or African American -- 0.80 -- 0.26 -- 0.76 -- 0.80
NHPI -- * -- * -- * -- *
White -- 0.72 -- 0.36 -- 0.58 -- 0.72
Two or More Races -- 2.43 -- 0.68 -- 2.37 -- 2.43
Hispanic or Latino -- 0.81 -- 0.24 -- 0.77 -- 0.81
* = 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 7.19C – 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, Standard Errors of 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 -- 86 -- 35 -- 75 -- 392
GEOGRAPHIC REGION                
Northeast -- 35 -- 20 -- 29 -- 152
Midwest -- 32 -- 11 -- 30 -- 148
South -- 61 -- 22 -- 52 -- 250
West -- 39 -- 17 -- 35 -- 215
COUNTY TYPE                
Large Metro -- 72 -- 30 -- 62 -- 323
Small Metro -- 44 -- 17 -- 39 -- 215
Nonmetro -- 23 -- 11 -- 20 -- 130
Urbanized -- 16 -- 7 -- 14 -- 95
Less Urbanized -- 14 -- 9 -- 11 -- 89
Completely Rural -- * -- * -- * -- *
POVERTY LEVEL                
Less Than 100% -- 29 -- 11 -- 25 -- 170
100-199% -- 34 -- 13 -- 33 -- 160
200% or More -- 73 -- 32 -- 63 -- 288
HEALTH INSURANCE1                
Private -- 75 -- 31 -- 67 -- 287
Medicaid/CHIP -- 39 -- 15 -- 36 -- 228
Other2 -- 17 -- 5 -- 16 -- 71
No Coverage -- 19 -- 10 -- 16 -- 73
* = 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 7.19D – 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, Standard Errors of 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 -- 0.44 -- 0.19 -- 0.38 -- 0.44
GEOGRAPHIC REGION                
Northeast -- 1.19 -- 0.73 -- 0.99 -- 1.19
Midwest -- 0.77 -- 0.29 -- 0.74 -- 0.77
South -- 0.74 -- 0.28 -- 0.63 -- 0.74
West -- 0.86 -- 0.38 -- 0.75 -- 0.86
COUNTY TYPE                
Large Metro -- 0.65 -- 0.28 -- 0.56 -- 0.65
Small Metro -- 0.68 -- 0.27 -- 0.61 -- 0.68
Nonmetro -- 0.92 -- 0.54 -- 0.80 -- 0.92
Urbanized -- 1.32 -- 0.86 -- 1.22 -- 1.32
Less Urbanized -- 1.25 -- 0.80 -- 0.96 -- 1.25
Completely Rural -- * -- * -- * -- *
POVERTY LEVEL                
Less Than 100% -- 0.68 -- 0.26 -- 0.60 -- 0.68
100-199% -- 0.86 -- 0.34 -- 0.81 -- 0.86
200% or More -- 0.62 -- 0.30 -- 0.54 -- 0.62
HEALTH INSURANCE1                
Private -- 0.67 -- 0.30 -- 0.61 -- 0.67
Medicaid/CHIP -- 0.51 -- 0.21 -- 0.46 -- 0.51
Other2 -- 1.72 -- 0.47 -- 1.66 -- 1.72
No Coverage -- 1.88 -- 0.95 -- 1.63 -- 1.88
* = 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 7.20C – 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, Standard Errors of 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 -- 50 -- 23 -- 45 -- 57
AGE GROUP                
12-13 -- 21 -- * -- 19 -- 24
14-15 -- 35 -- 13 -- 32 -- 34
16-17 -- 30 -- 16 -- 27 -- 41
SEX                
Male -- 23 -- 12 -- 20 -- 38
Female -- 42 -- 19 -- 39 -- 44
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino -- 41 -- 22 -- 34 -- 46
AIAN -- * -- * -- * -- *
Asian -- * -- * -- * -- *
Black or African American -- 10 -- 4 -- 10 -- 25
NHPI -- * -- * -- * -- *
White -- 35 -- 19 -- 29 -- 33
Two or More Races -- * -- * -- * -- *
Hispanic or Latino -- 32 -- 7 -- 31 -- 36
* = 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 7.20D – 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, Standard Errors of 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 -- 2.35 -- 1.44 -- 2.28 -- 2.35
AGE GROUP                
12-13 -- 5.40 -- * -- 5.18 -- 5.40
14-15 -- 4.67 -- 2.42 -- 4.70 -- 4.67
16-17 -- 3.50 -- 2.24 -- 3.30 -- 3.50
SEX                
Male -- 3.79 -- 2.23 -- 3.47 -- 3.79
Female -- 3.01 -- 1.91 -- 3.02 -- 3.01
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino -- 2.77 -- 1.95 -- 2.48 -- 2.77
AIAN -- * -- * -- * -- *
Asian -- * -- * -- * -- *
Black or African American -- 5.14 -- 1.76 -- 4.81 -- 5.14
NHPI -- * -- * -- * -- *
White -- 3.46 -- 2.55 -- 3.49 -- 3.46
Two or More Races -- * -- * -- * -- *
Hispanic or Latino -- 5.14 -- 1.37 -- 5.02 -- 5.14
* = 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 7.21C – 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, Standard Errors of 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 -- 50 -- 23 -- 45 -- 57
GEOGRAPHIC REGION                
Northeast -- * -- * -- * -- *
Midwest -- 17 -- 8 -- 15 -- 26
South -- 41 -- 17 -- 36 -- 35
West -- 22 -- 10 -- 19 -- 32
COUNTY TYPE                
Large Metro -- 42 -- 18 -- 37 -- 43
Small Metro -- 23 -- 8 -- 21 -- 34
Nonmetro -- 16 -- 11 -- 11 -- 19
Urbanized -- * -- * -- 4 -- *
Less Urbanized -- * -- * -- * -- *
Completely Rural -- * -- * -- * -- *
POVERTY LEVEL                
Less Than 100% -- 18 -- 6 -- 16 -- 22
100-199% -- 17 -- 6 -- 17 -- 30
200% or More -- 44 -- 21 -- 38 -- 44
HEALTH INSURANCE1                
Private -- 45 -- 19 -- 40 -- 46
Medicaid/CHIP -- 23 -- 10 -- 21 -- 35
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.
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Table 7.21D – 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, Standard Errors of 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 -- 2.35 -- 1.44 -- 2.28 -- 2.35
GEOGRAPHIC REGION                
Northeast -- * -- * -- * -- *
Midwest -- 4.56 -- 2.59 -- 4.38 -- 4.56
South -- 4.03 -- 2.42 -- 3.98 -- 4.03
West -- 4.41 -- 2.72 -- 3.93 -- 4.41
COUNTY TYPE                
Large Metro -- 3.78 -- 2.30 -- 3.49 -- 3.78
Small Metro -- 3.33 -- 1.50 -- 3.18 -- 3.33
Nonmetro -- 5.31 -- 4.40 -- 5.23 -- 5.31
Urbanized -- * -- * -- 5.09 -- *
Less Urbanized -- * -- * -- * -- *
Completely Rural -- * -- * -- * -- *
POVERTY LEVEL                
Less Than 100% -- 4.35 -- 1.94 -- 4.03 -- 4.35
100-199% -- 4.32 -- 1.87 -- 4.42 -- 4.32
200% or More -- 3.47 -- 2.30 -- 3.40 -- 3.47
HEALTH INSURANCE1                
Private -- 3.49 -- 2.12 -- 3.41 -- 3.49
Medicaid/CHIP -- 3.18 -- 1.59 -- 3.07 -- 3.18
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.
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Table 7.22C – 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, Standard Errors of 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 -- 46 -- 23 -- 40 -- 47
AGE GROUP                
12-13 -- * -- * -- * -- *
14-15 -- 32 -- 13 -- 29 -- 26
16-17 -- 28 -- 16 -- 24 -- 33
SEX                
Male -- 20 -- 12 -- 15 -- 32
Female -- 39 -- 19 -- 36 -- 34
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino -- 38 -- 22 -- 29 -- 37
AIAN -- * -- * -- * -- *
Asian -- * -- * -- * -- *
Black or African American -- * -- * -- * -- *
NHPI -- * -- * -- * -- *
White -- 30 -- 19 -- 23 -- 26
Two or More Races -- * -- * -- * -- *
Hispanic or Latino -- 30 -- 7 -- 29 -- 31
* = 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.
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Table 7.22D – 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, Standard Errors of 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 -- 3.01 -- 2.01 -- 2.91 -- 3.01
AGE GROUP                
12-13 -- * -- * -- * -- *
14-15 -- 5.75 -- 3.51 -- 6.00 -- 5.75
16-17 -- 4.30 -- 3.04 -- 4.12 -- 4.30
SEX                
Male -- 4.79 -- 3.26 -- 3.96 -- 4.79
Female -- 3.56 -- 2.58 -- 3.71 -- 3.56
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino -- 3.60 -- 2.75 -- 3.17 -- 3.60
AIAN -- * -- * -- * -- *
Asian -- * -- * -- * -- *
Black or African American -- * -- * -- * -- *
NHPI -- * -- * -- * -- *
White -- 4.25 -- 3.57 -- 4.20 -- 4.25
Two or More Races -- * -- * -- * -- *
Hispanic or Latino -- 6.27 -- 1.82 -- 6.13 -- 6.27
* = 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.
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Table 7.23C – 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, Standard Errors of 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 -- 46 -- 23 -- 40 -- 47
GEOGRAPHIC REGION                
Northeast -- * -- * -- * -- *
Midwest -- 16 -- 8 -- 14 -- 18
South -- 36 -- 17 -- 31 -- 33
West -- * -- 10 -- 17 -- *
COUNTY TYPE                
Large Metro -- 39 -- 18 -- 33 -- 34
Small Metro -- 22 -- 8 -- 20 -- 28
Nonmetro -- 14 -- * -- * -- 15
Urbanized -- * -- * -- * -- *
Less Urbanized -- * -- * -- * -- *
Completely Rural -- * -- * -- * -- *
POVERTY LEVEL                
Less Than 100% -- 17 -- 6 -- 15 -- 18
100-199% -- 16 -- 6 -- 16 -- 28
200% or More -- 39 -- 21 -- 32 -- 33
HEALTH INSURANCE1                
Private -- 40 -- 19 -- 34 -- 37
Medicaid/CHIP -- 22 -- 10 -- 20 -- 27
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 7.23D – 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, Standard Errors of 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 -- 3.01 -- 2.01 -- 2.91 -- 3.01
GEOGRAPHIC REGION                
Northeast -- * -- * -- * -- *
Midwest -- 5.85 -- 3.78 -- 5.68 -- 5.85
South -- 4.84 -- 3.17 -- 4.73 -- 4.84
West -- * -- 3.97 -- 5.61 -- *
COUNTY TYPE                
Large Metro -- 4.63 -- 3.09 -- 4.22 -- 4.63
Small Metro -- 4.55 -- 2.17 -- 4.35 -- 4.55
Nonmetro -- 6.31 -- * -- * -- 6.31
Urbanized -- * -- * -- * -- *
Less Urbanized -- * -- * -- * -- *
Completely Rural -- * -- * -- * -- *
POVERTY LEVEL                
Less Than 100% -- 5.70 -- 2.76 -- 5.39 -- 5.70
100-199% -- 5.31 -- 2.35 -- 5.39 -- 5.31
200% or More -- 4.33 -- 3.28 -- 4.26 -- 4.33
HEALTH INSURANCE1                
Private -- 4.35 -- 2.93 -- 4.19 -- 4.35
Medicaid/CHIP -- 3.90 -- 2.18 -- 3.82 -- 3.90
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 7.24C – 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, Standard Errors of 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 -- 49 -- 18 -- 44
Did Not Have Health Insurance Coverage for Mental Health Treatment -- 32 -- 9 -- 29
Health Insurance Would Not Pay Enough of Costs for Treatment -- 33 -- 11 -- 29
Did Not Know How or Where to Get Treatment -- 56 -- 20 -- 50
Could Not Find Treatment Program or Healthcare Professional They Wanted to Go to -- 40 -- 16 -- 35
No Openings in Treatment Program or with Healthcare Professional They Wanted to Go to -- 18 -- 14 -- 11
Had Problems with Things Like Transportation, Childcare, or Getting Appointments at Times That Worked for Them -- 34 -- 16 -- 29
Did Not Have Enough Time for Treatment -- 45 -- 22 -- 38
Worried That Information Would Not Be Kept Private -- 61 -- 21 -- 56
Worried about What People Would Think or Say if They Got Treatment -- 59 -- 22 -- 55
Thought That if People Knew They Were in Treatment, Bad Things Would Happen, Like Losing Their Job, Home, or Children -- 30 -- 11 -- 27
Not Ready to Start Treatment -- 49 -- 20 -- 45
Thought They Should Have Been Able to Handle Their Mental Health, Emotions, or Behavior on Their Own -- 77 -- * -- 70
Thought Their Family, Friends, or Religious Group Would Not Like It if They Got Treatment -- 52 -- 17 -- 49
Afraid of Being Committed to Hospital or Forced into Treatment against Their Will -- 46 -- 20 -- 42
Thought They Would Be Told They Needed to Take Medication -- 44 -- 20 -- 39
Did Not Think Treatment Would Help Them -- 57 -- 23 -- 52
Thought No One Would Care if They Got Better -- 53 -- 18 -- 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: 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.
250529
Table 7.24D – 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, Standard Errors of 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 -- 2.30 -- 5.54 -- 2.46
Did Not Have Health Insurance Coverage for Mental Health Treatment -- 1.83 -- 3.42 -- 2.03
Health Insurance Would Not Pay Enough of Costs for Treatment -- 1.91 -- 3.80 -- 2.08
Did Not Know How or Where to Get Treatment -- 2.52 -- 6.07 -- 2.75
Could Not Find Treatment Program or Healthcare Professional They Wanted to Go to -- 2.05 -- 5.45 -- 2.14
No Openings in Treatment Program or with Healthcare Professional They Wanted to Go to -- 1.09 -- 4.44 -- 0.80
Had Problems with Things Like Transportation, Childcare, or Getting Appointments at Times That Worked for Them -- 1.85 -- 5.10 -- 1.93
Did Not Have Enough Time for Treatment -- 2.21 -- 6.02 -- 2.34
Worried That Information Would Not Be Kept Private -- 2.51 -- 5.92 -- 2.78
Worried about What People Would Think or Say if They Got Treatment -- 2.35 -- 5.96 -- 2.50
Thought That if People Knew They Were in Treatment, Bad Things Would Happen, Like Losing Their Job, Home, or Children -- 1.64 -- 3.85 -- 1.79
Not Ready to Start Treatment -- 2.27 -- 5.94 -- 2.55
Thought They Should Have Been Able to Handle Their Mental Health, Emotions, or Behavior on Their Own -- 2.13 -- * -- 2.09
Thought Their Family, Friends, or Religious Group Would Not Like It if They Got Treatment -- 2.37 -- 5.17 -- 2.69
Afraid of Being Committed to Hospital or Forced into Treatment against Their Will -- 2.29 -- 5.80 -- 2.53
Thought They Would Be Told They Needed to Take Medication -- 2.18 -- 5.90 -- 2.31
Did Not Think Treatment Would Help Them -- 2.45 -- 6.09 -- 2.68
Thought No One Would Care if They Got Better -- 2.50 -- 5.62 -- 2.69
* = 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 7.25C – 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, Standard Errors of 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 -- 36 -- * -- 32
Did Not Have Health Insurance Coverage for Mental Health Treatment -- 23 -- * -- 22
Health Insurance Would Not Pay Enough of Costs for Treatment -- 25 -- * -- 22
Did Not Know How or Where to Get Treatment -- 35 -- * -- 30
Could Not Find Treatment Program or Healthcare Professional They Wanted to Go to -- 26 -- * -- 21
No Openings in Treatment Program or with Healthcare Professional They Wanted to Go to -- 13 -- * -- 9
Had Problems with Things Like Transportation, Childcare, or Getting Appointments at Times That Worked for Them -- 21 -- * -- 16
Did Not Have Enough Time for Treatment -- 25 -- * -- 18
Worried That Information Would Not Be Kept Private -- 41 -- * -- 37
Worried about What People Would Think or Say if They Got Treatment -- 42 -- * -- 40
Thought That if People Knew They Were in Treatment, Bad Things Would Happen, Like Losing Their Job, Home, or Children -- 27 -- * -- 24
Not Ready to Start Treatment -- 30 -- * -- 26
Thought They Should Have Been Able to Handle Their Mental Health, Emotions, or Behavior on Their Own -- 49 -- * -- 45
Thought Their Family, Friends, or Religious Group Would Not Like It if They Got Treatment -- 37 -- * -- 35
Afraid of Being Committed to Hospital or Forced into Treatment against Their Will -- 40 -- * -- 36
Thought They Would Be Told They Needed to Take Medication -- 37 -- * -- 33
Did Not Think Treatment Would Help Them -- 36 -- * -- 31
Thought No One Would Care if They Got Better -- 42 -- * -- 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.
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 7.25D – 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, Standard Errors of 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 -- 4.16 -- * -- 4.39
Did Not Have Health Insurance Coverage for Mental Health Treatment -- 3.37 -- * -- 3.93
Health Insurance Would Not Pay Enough of Costs for Treatment -- 3.61 -- * -- 4.11
Did Not Know How or Where to Get Treatment -- 3.88 -- * -- 4.13
Could Not Find Treatment Program or Healthcare Professional They Wanted to Go to -- 3.69 -- * -- 3.72
No Openings in Treatment Program or with Healthcare Professional They Wanted to Go to -- 2.04 -- * -- 1.79
Had Problems with Things Like Transportation, Childcare, or Getting Appointments at Times That Worked for Them -- 3.05 -- * -- 3.05
Did Not Have Enough Time for Treatment -- 3.50 -- * -- 3.49
Worried That Information Would Not Be Kept Private -- 3.64 -- * -- 4.12
Worried about What People Would Think or Say if They Got Treatment -- 3.32 -- * -- 3.39
Thought That if People Knew They Were in Treatment, Bad Things Would Happen, Like Losing Their Job, Home, or Children -- 3.70 -- * -- 4.17
Not Ready to Start Treatment -- 3.98 -- * -- 4.31
Thought They Should Have Been Able to Handle Their Mental Health, Emotions, or Behavior on Their Own -- 2.28 -- * -- 1.91
Thought Their Family, Friends, or Religious Group Would Not Like It if They Got Treatment -- 3.73 -- * -- 4.14
Afraid of Being Committed to Hospital or Forced into Treatment against Their Will -- 4.13 -- * -- 4.63
Thought They Would Be Told They Needed to Take Medication -- 4.03 -- * -- 4.49
Did Not Think Treatment Would Help Them -- 3.86 -- * -- 4.41
Thought No One Would Care if They Got Better -- 4.22 -- * -- 4.48
* = 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 7.26C – 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, Standard Errors of 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 -- 32 -- * -- 28
Did Not Have Health Insurance Coverage for Mental Health Treatment -- 22 -- * -- 22
Health Insurance Would Not Pay Enough of Costs for Treatment -- 24 -- * -- 22
Did Not Know How or Where to Get Treatment -- 33 -- * -- 28
Could Not Find Treatment Program or Healthcare Professional They Wanted to Go to -- 25 -- * -- 20
No Openings in Treatment Program or with Healthcare Professional They Wanted to Go to -- 13 -- * -- 9
Had Problems with Things Like Transportation, Childcare, or Getting Appointments at Times That Worked for Them -- 20 -- * -- 15
Did Not Have Enough Time for Treatment -- 24 -- * -- 18
Worried That Information Would Not Be Kept Private -- 39 -- * -- 35
Worried about What People Would Think or Say if They Got Treatment -- 38 -- * -- 36
Thought That if People Knew They Were in Treatment, Bad Things Would Happen, Like Losing Their Job, Home, or Children -- 27 -- * -- 24
Not Ready to Start Treatment -- 28 -- * -- 23
Thought They Should Have Been Able to Handle Their Mental Health, Emotions, or Behavior on Their Own -- 44 -- * -- 40
Thought Their Family, Friends, or Religious Group Would Not Like It if They Got Treatment -- 34 -- * -- 32
Afraid of Being Committed to Hospital or Forced into Treatment against Their Will -- 37 -- * -- 32
Thought They Would Be Told They Needed to Take Medication -- 34 -- * -- 29
Did Not Think Treatment Would Help Them -- 33 -- * -- 28
Thought No One Would Care if They Got Better -- 40 -- * -- 35
* = 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.
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Table 7.26D – 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, Standard Errors of 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 -- 4.77 -- * -- 5.08
Did Not Have Health Insurance Coverage for Mental Health Treatment -- 4.10 -- * -- 4.89
Health Insurance Would Not Pay Enough of Costs for Treatment -- 4.38 -- * -- 5.13
Did Not Know How or Where to Get Treatment -- 4.59 -- * -- 4.94
Could Not Find Treatment Program or Healthcare Professional They Wanted to Go to -- 4.46 -- * -- 4.63
No Openings in Treatment Program or with Healthcare Professional They Wanted to Go to -- 2.52 -- * -- 2.29
Had Problems with Things Like Transportation, Childcare, or Getting Appointments at Times That Worked for Them -- 3.70 -- * -- 3.78
Did Not Have Enough Time for Treatment -- 4.21 -- * -- 4.41
Worried That Information Would Not Be Kept Private -- 3.80 -- * -- 4.28
Worried about What People Would Think or Say if They Got Treatment -- 3.93 -- * -- 4.17
Thought That if People Knew They Were in Treatment, Bad Things Would Happen, Like Losing Their Job, Home, or Children -- 4.41 -- * -- 5.11
Not Ready to Start Treatment -- 4.65 -- * -- 5.16
Thought They Should Have Been Able to Handle Their Mental Health, Emotions, or Behavior on Their Own -- 2.74 -- * -- 2.31
Thought Their Family, Friends, or Religious Group Would Not Like It if They Got Treatment -- 4.27 -- * -- 4.86
Afraid of Being Committed to Hospital or Forced into Treatment against Their Will -- 4.67 -- * -- 5.27
Thought They Would Be Told They Needed to Take Medication -- 4.34 -- * -- 4.87
Did Not Think Treatment Would Help Them -- 4.33 -- * -- 5.11
Thought No One Would Care if They Got Better -- 4.78 -- * -- 4.99
* = 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
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Table 7.27C – Substance Use in Past Year: Among People Aged 12 to 17; by Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment, Standard Errors of 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 77 78 69 67 113 110
Marijuana 64 69 57 61 96 80
Cocaine 12 8 12 8 8 15
Crack * 4 * 4 <1 1
Heroin * 4 * 4 * 4
Hallucinogens 27 28 26 24 27 33
LSD 16 20 15 18 16 14
PCP 10 * 10 * 4 1
Ecstasy 8 10 8 9 9 12
Psilocybin -- 25 -- 23 -- 28
Inhalants6 -- 36 -- 32 -- 57
Methamphetamine 9 4 9 4 13 24
Misuse of Prescription Psychotherapeutics 35 33 32 28 49 40
Pain Relievers 29 25 28 24 45 34
Prescription Opioids 24 20 23 20 44 33
Stimulants 26 17 25 14 18 27
Tranquilizers or Sedatives 16 20 14 15 18 17
Tranquilizers 14 17 12 13 11 16
Sedatives 8 11 7 9 16 13
Benzodiazepines 14 13 12 13 10 16
Opioids5,7 24 21 23 20 44 33
Central Nervous System Stimulants 27 18 26 16 24 37
Illicit Drugs Other Than Marijuana5,6,8 -- 52 -- 46 -- 81
TOBACCO PRODUCT USE OR NICOTINE VAPING9 71 73 65 63 109 97
Tobacco Products9 42 41 37 35 65 54
Cigarettes 39 35 34 29 50 42
Daily Cigarettes -- -- -- -- -- --
Smokeless Tobacco 12 19 7 16 24 29
Cigars 18 24 18 23 38 37
Pipe Tobacco9 -- -- -- -- -- --
Nicotine Vaping 69 71 64 63 103 93
ALCOHOL 88 76 79 68 124 130
Binge Alcohol Use -- -- -- -- -- --
Heavy Alcohol Use -- -- -- -- -- --
OPIOIDS INCLUDING ILLEGALLY MADE FENTANYL7 24 21 23 20 44 36
Illegally Made Fentanyl 12 * 12 * 5 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.
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 7.27D – Substance Use in Past Year: Among People Aged 12 to 17; by Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment, Standard Errors of 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 1.39 1.60 1.64 1.81 0.48 0.49
Marijuana 1.23 1.53 1.47 1.77 0.43 0.37
Cocaine 0.27 0.22 0.36 0.29 0.04 0.07
Crack * 0.11 * 0.15 <0.01 <0.01
Heroin * 0.11 * 0.15 * 0.02
Hallucinogens 0.59 0.70 0.77 0.83 0.13 0.15
LSD 0.36 0.51 0.45 0.62 0.08 0.06
PCP 0.22 * 0.29 * 0.02 <0.01
Ecstasy 0.17 0.26 0.23 0.33 0.05 0.06
Psilocybin -- 0.64 -- 0.81 -- 0.13
Inhalants6 -- 0.90 -- 1.10 -- 0.26
Methamphetamine 0.21 0.11 0.28 0.14 0.07 0.11
Misuse of Prescription Psychotherapeutics 0.73 0.84 0.90 0.97 0.23 0.19
Pain Relievers 0.61 0.63 0.79 0.82 0.22 0.16
Prescription Opioids 0.51 0.52 0.65 0.68 0.21 0.15
Stimulants 0.57 0.43 0.73 0.49 0.09 0.13
Tranquilizers or Sedatives 0.35 0.52 0.41 0.54 0.09 0.08
Tranquilizers 0.32 0.44 0.36 0.46 0.05 0.07
Sedatives 0.19 0.30 0.22 0.31 0.08 0.06
Benzodiazepines 0.31 0.35 0.36 0.46 0.05 0.07
Opioids5,7 0.51 0.53 0.65 0.69 0.21 0.15
Central Nervous System Stimulants 0.57 0.47 0.74 0.55 0.12 0.18
Illicit Drugs Other Than Marijuana5,6,8 -- 1.22 -- 1.46 -- 0.37
TOBACCO PRODUCT USE OR NICOTINE VAPING9 1.33 1.58 1.63 1.84 0.48 0.42
Tobacco Products9 0.87 1.01 1.06 1.16 0.30 0.24
Cigarettes 0.82 0.87 0.98 0.96 0.23 0.20
Daily Cigarettes -- -- -- -- -- --
Smokeless Tobacco 0.27 0.48 0.22 0.56 0.11 0.14
Cigars 0.40 0.63 0.52 0.80 0.18 0.18
Pipe Tobacco9 -- -- -- -- -- --
Nicotine Vaping 1.31 1.56 1.60 1.83 0.46 0.40
ALCOHOL 1.53 1.63 1.80 1.93 0.54 0.53
Binge Alcohol Use -- -- -- -- -- --
Heavy Alcohol Use -- -- -- -- -- --
OPIOIDS INCLUDING ILLEGALLY MADE FENTANYL7 0.51 0.53 0.65 0.69 0.21 0.17
Illegally Made Fentanyl 0.26 * 0.35 * 0.02 0.07
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
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 7.27P – Substance Use in Past Year: Among People Aged 12 to 17; by Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment, P Values from Tests of Differences of Percentages, 2024 Versus 2023
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 0.0458   0.0574   0.7569  
Marijuana 0.1115   0.1211   0.1117  
Cocaine 0.9597   0.9593   0.2293  
Crack *   *   0.1835  
Heroin *   *   *  
Hallucinogens 0.4579   0.8638   0.4518  
LSD 0.9079   0.6030   0.5655  
PCP *   *   0.3761  
Ecstasy 0.3719   0.5243   0.8603  
Psilocybin --   --   --  
Inhalants6 --   --   --  
Methamphetamine 0.3920   0.3597   0.2460  
Misuse of Prescription Psychotherapeutics 0.6324   0.6015   0.1595  
Pain Relievers 0.7104   0.8918   0.0467  
Prescription Opioids 0.5708   0.7576   0.1367  
Stimulants 0.1719   0.0955   0.3970  
Tranquilizers or Sedatives 0.4595   0.7460   0.9412  
Tranquilizers 0.5758   0.8800   0.6621  
Sedatives 0.6371   0.8199   0.7872  
Benzodiazepines 0.7684   0.9325   0.4418  
Opioids5,7 0.6888   0.8898   0.1367  
Central Nervous System Stimulants 0.3234   0.2176   0.1952  
Illicit Drugs Other Than Marijuana5,6,8 --   --   --  
TOBACCO PRODUCT USE OR NICOTINE VAPING9 0.2656   0.8625   0.1135  
Tobacco Products9 0.0980   0.2642   0.6498  
Cigarettes 0.7073   0.8947   0.4761  
Daily Cigarettes --   --   --  
Smokeless Tobacco 0.0066   0.0017   0.6565  
Cigars 0.0275   0.0597   0.8822  
Pipe Tobacco9 --   --   --  
Nicotine Vaping 0.3925   0.8676   0.1905  
ALCOHOL 0.7692   0.9381   0.7488  
Binge Alcohol Use --   --   --  
Heavy Alcohol Use --   --   --  
OPIOIDS INCLUDING ILLEGALLY MADE FENTANYL7 0.6653   0.8637   0.2947  
Illegally Made Fentanyl *   *   0.1209  
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
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 that are used in these comparisons 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 7.28C – Major Depressive Episode in Past Year: Among People Aged 12 to 17; by Past Year Substance Use Disorder and Demographic Characteristics, Standard Errors of 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 59 62 27 37 52 48
12-13 12 * 2 * * *
14-15 33 28 11 * 32 23
16-17 48 51 24 33 39 37
Drug Use Disorder 54 59 25 35 47 46
12-13 12 * * * * *
14-15 31 27 11 * 29 22
16-17 43 49 22 31 35 36
Alcohol Use Disorder 36 38 14 17 35 34
12-13 * * * * * *
14-15 * * * * * *
16-17 29 32 * * 27 *
NO SUBSTANCE USE DISORDER 137 123 73 57 112 106
12-13 59 56 32 23 50 49
14-15 85 78 49 36 65 68
16-17 81 67 42 41 71 56
* = 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.
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 7.28D – Major Depressive Episode in Past Year: Among People Aged 12 to 17; by Past Year Substance Use Disorder and Demographic Characteristics, Standard Errors of Percentages, 2023 and 2024
Substance Use Disorder/Age Group Total
(2023)
Total
(2024)
Male
(2023)
Male
(2024)
Female
(2023)
Female
(2024)
SUBSTANCE USE DISORDER 2.18 2.32 2.84 3.57 2.89 2.88
12-13 5.53 * 2.70 * * *
14-15 3.64 4.13 3.65 * 4.80 5.02
16-17 3.16 3.03 4.63 4.43 4.07 4.01
Drug Use Disorder 2.37 2.57 3.25 3.87 3.16 3.22
12-13 6.11 * * * * *
14-15 3.93 4.45 4.23 * 5.19 5.28
16-17 3.61 3.31 5.50 4.83 4.52 4.46
Alcohol Use Disorder 3.90 3.85 5.25 5.83 4.46 4.86
12-13 * * * * * *
14-15 * * * * * *
16-17 4.73 4.94 * * 5.84 *
NO SUBSTANCE USE DISORDER 0.51 0.46 0.56 0.45 0.86 0.82
12-13 0.73 0.70 0.76 0.60 1.29 1.24
14-15 0.92 0.88 1.07 0.82 1.43 1.55
16-17 0.98 0.79 1.04 0.98 1.64 1.30
* = 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.
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 7.28P – Major Depressive Episode in Past Year: Among People Aged 12 to 17; by Past Year Substance Use Disorder and Demographic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Substance Use Disorder/Age Group Total
(2023)
Total
(2024)
Male
(2023)
Male
(2024)
Female
(2023)
Female
(2024)
SUBSTANCE USE DISORDER 0.9784   0.0810   0.3303  
12-13 *   *   *  
14-15 0.4013   *   0.6302  
16-17 0.4694   0.5019   0.3923  
Drug Use Disorder 0.8614   0.1877   0.7988  
12-13 *   *   *  
14-15 0.3893   *   0.7230  
16-17 0.6925   0.7643   0.9369  
Alcohol Use Disorder 0.6090   0.4382   0.2202  
12-13 *   *   *  
14-15 *   *   *  
16-17 0.4035   *   *  
NO SUBSTANCE USE DISORDER 0.0000   0.0189   0.0002  
12-13 0.0427   0.3051   0.0212  
14-15 0.0193   0.0191   0.2056  
16-17 0.0071   0.4836   0.0052  
* = 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.
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 7.29C – Major Depressive Episode with Severe Impairment in Past Year: Among People Aged 12 to 17; by Past Year Substance Use Disorder and Demographic Characteristics, Standard Errors of 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 55 54 25 34 49 40
12-13 11 * * * * *
14-15 32 22 11 * 31 20
16-17 43 47 22 32 35 32
Drug Use Disorder 51 51 23 32 45 38
12-13 11 * * * * *
14-15 30 21 11 * 28 18
16-17 39 44 20 30 32 30
Alcohol Use Disorder 34 34 13 15 33 30
12-13 * * * * * *
14-15 * 14 * * * *
16-17 27 29 * * * 25
NO SUBSTANCE USE DISORDER 116 103 62 45 97 88
12-13 47 48 23 19 41 43
14-15 73 64 43 26 58 57
16-17 74 57 36 32 64 47
* = 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.
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 7.29D – Major Depressive Episode with Severe Impairment in Past Year: Among People Aged 12 to 17; by Past Year Substance Use Disorder and Demographic Characteristics, Standard Errors of Percentages, 2023 and 2024
Substance Use Disorder/Age Group Total
(2023)
Total
(2024)
Male
(2023)
Male
(2024)
Female
(2023)
Female
(2024)
SUBSTANCE USE DISORDER 2.16 2.18 2.74 3.38 2.97 2.81
12-13 5.42 * * * * *
14-15 3.58 3.73 3.46 * 4.85 4.74
16-17 3.07 2.96 4.43 4.33 4.05 4.02
Drug Use Disorder 2.41 2.42 3.10 3.66 3.27 3.21
12-13 6.02 * * * * *
14-15 3.90 4.05 4.05 * 5.25 5.03
16-17 3.55 3.25 5.18 4.73 4.56 4.56
Alcohol Use Disorder 3.86 3.68 4.94 5.48 4.88 4.75
12-13 * * * * * *
14-15 * 6.05 * * * *
16-17 4.90 4.80 * * * 6.38
NO SUBSTANCE USE DISORDER 0.46 0.42 0.50 0.37 0.79 0.74
12-13 0.61 0.61 0.58 0.51 1.13 1.12
14-15 0.83 0.75 0.98 0.60 1.32 1.35
16-17 0.92 0.70 0.91 0.77 1.55 1.18
* = 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.
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 7.29P – Major Depressive Episode with Severe Impairment in Past Year: Among People Aged 12 to 17; by Past Year Substance Use Disorder and Demographic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Substance Use Disorder/Age Group Total
(2023)
Total
(2024)
Male
(2023)
Male
(2024)
Female
(2023)
Female
(2024)
SUBSTANCE USE DISORDER 0.5866   0.1083   0.1300  
12-13 *   *   *  
14-15 0.6205   *   0.1562  
16-17 0.6035   0.3421   0.3515  
Drug Use Disorder 0.6964   0.1735   0.3149  
12-13 *   *   *  
14-15 0.6295   *   0.2054  
16-17 0.7722   0.4132   0.6332  
Alcohol Use Disorder 0.4611   0.5222   0.1862  
12-13 *   *   *  
14-15 *   *   *  
16-17 0.4997   *   *  
NO SUBSTANCE USE DISORDER 0.0009   0.0195   0.0075  
12-13 0.2826   0.3716   0.2287  
14-15 0.0375   0.0170   0.3606  
16-17 0.0226   0.4305   0.0254  
* = 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.
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 7.30C – 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, Standard Errors of 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 97 91 88 85 74 73 27 34 59 59 35 46 97 91
MDE3,4 137 123 54 59 43 52 15 19 36 38 27 34 59 62
Age Group                            
12-13 59 56 12 15 7 12 5 10 4 13 4 11 12 16
14-15 85 78 31 27 21 22 10 10 20 16 16 14 33 28
16-17 81 67 43 49 37 43 7 14 29 32 22 28 48 51
Sex                            
Male 73 57 25 35 22 30 5 10 14 17 10 12 27 37
Female 112 106 47 46 37 39 13 18 35 34 26 31 52 48
MDE with Severe Impairment5,6 116 103 51 51 39 45 13 18 34 34 25 30 55 54
Age Group                            
12-13 47 48 11 15 7 12 5 9 4 13 4 11 11 16
14-15 73 64 30 21 20 17 8 10 19 14 16 12 32 22
16-17 74 57 39 44 33 40 7 13 27 29 20 25 43 47
Sex                            
Male 62 45 23 32 20 27 5 10 13 15 9 11 25 34
Female 97 88 45 38 34 34 10 17 33 30 25 28 49 40
NO MDE3,4 437 444 68 59 59 49 21 26 46 43 21 29 81 67
Age Group                            
12-13 186 202 18 22 7 7 13 14 9 10 1 3 20 24
14-15 204 217 44 29 36 21 11 15 32 22 14 16 53 32
16-17 201 209 50 46 46 42 13 17 32 36 16 24 57 54
Sex                            
Male 305 301 49 43 41 36 12 12 33 25 12 16 57 47
Female 238 248 48 42 42 34 17 23 28 35 16 24 53 48
* = 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.
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.
250529
Table 7.30D – 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, Standard Errors of 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 0.37 0.35 0.34 0.33 0.28 0.28 0.10 0.13 0.23 0.23 0.14 0.18 0.37 0.35
MDE3,4 1.15 1.44 1.09 1.39 0.89 1.25 0.33 0.49 0.75 0.97 0.57 0.87 1.15 1.44
Age Group                            
12-13 1.33 2.04 1.31 1.88 0.84 1.49 0.58 1.22 0.45 1.65 0.40 1.43 1.33 2.04
14-15 1.77 1.92 1.69 1.85 1.20 1.55 0.61 0.75 1.12 1.13 0.94 1.01 1.77 1.92
16-17 2.11 2.41 1.99 2.34 1.72 2.20 0.37 0.83 1.43 1.79 1.08 1.56 2.11 2.41
Sex                            
Male 2.09 2.95 1.98 2.84 1.76 2.51 0.42 0.90 1.14 1.53 0.85 1.07 2.09 2.95
Female 1.39 1.53 1.28 1.50 1.05 1.34 0.39 0.63 1.01 1.16 0.75 1.09 1.39 1.53
MDE with Severe Impairment5,6 1.41 1.65 1.36 1.59 1.09 1.45 0.38 0.63 0.94 1.15 0.71 1.03 1.41 1.65
Age Group                            
12-13 1.75 2.65 1.73 2.44 1.17 1.96 0.76 1.59 0.64 2.19 0.58 1.90 1.75 2.65
14-15 2.21 2.03 2.13 1.96 1.50 1.59 0.59 1.02 1.41 1.30 1.19 1.19 2.21 2.03
16-17 2.56 2.87 2.43 2.77 2.07 2.64 0.49 1.02 1.75 2.16 1.32 1.87 2.56 2.87
Sex                            
Male 2.74 3.75 2.57 3.61 2.32 3.25 0.60 1.31 1.52 2.04 1.03 1.43 2.74 3.75
Female 1.67 1.72 1.57 1.66 1.27 1.52 0.42 0.78 1.23 1.36 0.94 1.28 1.67 1.72
NO MDE3,4 0.37 0.30 0.32 0.27 0.28 0.23 0.10 0.12 0.22 0.20 0.10 0.14 0.37 0.30
Age Group                            
12-13 0.29 0.35 0.27 0.32 0.11 0.11 0.19 0.20 0.14 0.15 0.01 0.04 0.29 0.35
14-15 0.69 0.45 0.59 0.41 0.48 0.30 0.16 0.21 0.44 0.31 0.20 0.23 0.69 0.45
16-17 0.81 0.71 0.72 0.61 0.67 0.57 0.19 0.24 0.47 0.49 0.24 0.33 0.81 0.71
Sex                            
Male 0.47 0.39 0.40 0.36 0.34 0.31 0.11 0.10 0.28 0.21 0.11 0.14 0.47 0.39
Female 0.59 0.49 0.54 0.43 0.47 0.35 0.20 0.24 0.32 0.36 0.19 0.25 0.59 0.49
* = 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: 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.
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.
250529
Table 7.30P – 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, P Values from Tests of Differences of Percentages, 2024 Versus 2023
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 0.2155   0.5438   0.9622   0.3981   0.8354   0.0600   0.2155  
MDE3,4 0.3780   0.1967   0.0936   0.0986   0.4321   0.1104   0.3780  
Age Group                            
12-13 0.3556   0.4571   0.4300   0.1611   0.0907   0.1107   0.3556  
14-15 0.7915   1.0000   0.4411   0.9312   0.5402   0.8432   0.7915  
16-17 0.3475   0.1662   0.1693   0.1357   0.5098   0.1390   0.3475  
Sex                            
Male 0.0277   0.0367   0.1289   0.2010   0.3476   0.4425   0.0277  
Female 0.7257   0.8162   0.2862   0.2326   0.6545   0.1466   0.7257  
MDE with Severe Impairment5,6 0.6782   0.4233   0.1797   0.0512   0.5874   0.1944   0.6782  
Age Group                            
12-13 0.4143   0.4642   0.5115   0.1865   0.1350   0.1304   0.4143  
14-15 0.2559   0.3954   0.8424   0.3196   0.3559   0.6425   0.2559  
16-17 0.3418   0.1922   0.1276   0.2570   0.5327   0.1979   0.3418  
Sex                            
Male 0.0218   0.0222   0.0967   0.1988   0.3753   0.3271   0.0218  
Female 0.3250   0.6153   0.6036   0.1426   0.8603   0.3143   0.3250  
NO MDE3,4 0.2065   0.3695   0.6212   0.8134   0.8264   0.0766   0.2065  
Age Group                            
12-13 0.8047   0.7566   0.5180   0.9532   0.8543   0.2493   0.8047  
14-15 0.0031   0.0091   0.0300   0.8746   0.4589   0.5569   0.0031  
16-17 0.7701   0.6322   0.6097   0.7750   0.4408   0.1010   0.7701  
Sex                            
Male 0.3845   0.9694   0.7246   0.4906   0.5889   0.0646   0.3845  
Female 0.3169   0.2140   0.2983   0.5070   0.4466   0.3806   0.3169  
* = 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.
1 Some 2023 estimates that are used in these comparisons 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 7.31C – 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, Standard Errors of 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 145 132 139 128
AGE GROUP        
12-13 64 65 53 58
14-15 110 91 101 79
16-17 114 104 110 99
SEX        
Male 87 77 84 71
Female 111 108 107 102
HISPANIC ORIGIN AND RACE        
Not Hispanic or Latino 115 109 114 105
AIAN 14 6 6 5
Asian 36 39 32 34
Black or African American 56 51 49 47
NHPI * 1 * 1
White 129 115 120 101
Two or More Races 27 31 25 27
Hispanic or Latino 89 72 85 74
* = 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.
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 7.31D – 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, Standard Errors of 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 0.58 0.53 0.56 0.51
AGE GROUP        
12-13 0.75 0.77 0.67 0.70
14-15 1.01 0.95 0.96 0.86
16-17 1.08 0.95 1.09 0.95
SEX        
Male 0.68 0.60 0.65 0.55
Female 0.92 0.88 0.88 0.83
HISPANIC ORIGIN AND RACE        
Not Hispanic or Latino 0.62 0.59 0.61 0.57
AIAN 4.97 2.70 2.67 2.62
Asian 2.29 2.33 2.08 2.10
Black or African American 1.32 1.28 1.20 1.18
NHPI * 1.93 * 1.71
White 0.80 0.75 0.79 0.71
Two or More Races 2.48 2.50 2.42 2.33
Hispanic or Latino 1.36 1.09 1.30 1.11
* = 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.
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 7.31P – 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, P Values from Tests of Differences of Percentages, 2024 Versus 2023
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 0.0000   0.0010  
AGE GROUP        
12-13 0.1041   0.4793  
14-15 0.0004   0.0007  
16-17 0.0502   0.1313  
SEX        
Male 0.1032   0.1398  
Female 0.0000   0.0012  
HISPANIC ORIGIN AND RACE        
Not Hispanic or Latino 0.0008   0.0084  
AIAN 0.0720   0.5359  
Asian 0.4333   0.7913  
Black or African American 0.2486   0.3710  
NHPI *   *  
White 0.0036   0.0142  
Two or More Races 0.9688   0.6485  
Hispanic or Latino 0.0115   0.0374  
* = 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.
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 7.32C – 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, Standard Errors of 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 57 61 26 37 50 46
Substance Use Disorder and MDE with Severe Impairment1,2 53 54 24 33 48 39
Drug Use Disorder and MDE 53 58 25 35 46 44
Drug Use Disorder and MDE with Severe Impairment1,2 50 51 23 31 44 37
Alcohol Use Disorder and MDE 35 39 14 17 34 33
Alcohol Use Disorder and MDE with Severe Impairment1,2 33 34 13 15 32 30
* = 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.
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 7.32D – 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, Standard Errors of 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 0.23 0.25 0.21 0.29 0.41 0.38
Substance Use Disorder and MDE with Severe Impairment1,2 0.21 0.21 0.19 0.26 0.39 0.32
Drug Use Disorder and MDE 0.21 0.23 0.19 0.27 0.38 0.36
Drug Use Disorder and MDE with Severe Impairment1,2 0.20 0.20 0.18 0.25 0.37 0.31
Alcohol Use Disorder and MDE 0.14 0.15 0.11 0.13 0.28 0.27
Alcohol Use Disorder and MDE with Severe Impairment1,2 0.13 0.14 0.10 0.12 0.27 0.25
* = 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.
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 7.32P – 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, P Values from Tests of Differences of Percentages, 2024 Versus 2023
Co-Occurring Substance Use Disorder and MDE Total
(2023)
Total
(2024)
Male
(2023)
Male
(2024)
Female
(2023)
Female
(2024)
Substance Use Disorder and MDE 0.4267   0.1356   0.0443  
Substance Use Disorder and MDE with Severe Impairment1,2 0.2457   0.1519   0.0155  
Drug Use Disorder and MDE 0.8142   0.1472   0.1931  
Drug Use Disorder and MDE with Severe Impairment1,2 0.5147   0.1339   0.0654  
Alcohol Use Disorder and MDE 0.7711   0.5507   0.5400  
Alcohol Use Disorder and MDE with Severe Impairment1,2 0.6226   0.6187   0.4407  
* = 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.
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 7.33C – 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, Standard Errors of 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 0 0 155 139 135 119 459 461
Substance Use Disorder 97 91 59 62 55 54 81 67
Mild SUD 78 63 41 38 37 32 66 49
Moderate SUD 41 45 29 31 28 29 29 33
Severe SUD 42 48 30 34 29 31 28 34
No SUD 97 91 137 123 116 103 437 444
Drug Use Disorder 88 85 54 59 51 51 68 59
Mild SUD 68 59 36 37 32 30 56 43
Moderate SUD 39 43 28 31 27 28 25 28
Severe SUD 40 44 29 32 27 29 26 31
No SUD 88 85 141 125 120 105 442 448
Marijuana Use Disorder 74 73 43 52 39 45 59 49
Mild SUD 53 42 28 28 25 23 45 30
Moderate SUD 32 41 20 27 18 24 22 30
Severe SUD 37 41 25 32 24 29 25 26
No SUD 74 73 146 129 126 109 446 453
Opioid Use Disorder6 27 34 15 19 13 18 21 26
Mild SUD 24 30 13 16 11 16 20 24
Moderate SUD 9 10 4 9 2 8 8 3
Severe SUD 9 12 5 5 5 5 5 11
No SUD 27 34 155 137 135 117 457 459
Alcohol Use Disorder 59 59 36 38 34 34 46 43
Mild SUD 48 42 30 27 28 23 38 31
Moderate SUD 22 33 12 21 9 19 18 24
Severe SUD 21 25 15 15 15 15 13 19
No SUD 59 59 146 134 126 114 452 455
* = 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: Domains forced to match their respective U.S. Census Bureau or American Community Survey population estimates through the weight calibration process are not subject to sampling error induced by the NSDUH design. Therefore, the standard errors of the estimated numbers of people in these domains are zero. See 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 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 7.33D – 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, Standard Errors of 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 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Substance Use Disorder 0.37 0.35 1.15 1.44 1.41 1.65 0.37 0.30
Mild SUD 0.30 0.24 0.89 0.94 1.07 1.06 0.31 0.22
Moderate SUD 0.16 0.17 0.61 0.78 0.79 0.98 0.14 0.15
Severe SUD 0.16 0.19 0.64 0.85 0.80 1.04 0.14 0.16
No SUD 0.37 0.35 1.15 1.44 1.41 1.65 0.37 0.30
Drug Use Disorder 0.34 0.33 1.09 1.39 1.36 1.59 0.32 0.27
Mild SUD 0.26 0.23 0.78 0.92 0.93 1.02 0.27 0.20
Moderate SUD 0.15 0.17 0.59 0.79 0.76 0.95 0.12 0.13
Severe SUD 0.15 0.17 0.61 0.81 0.78 0.98 0.12 0.14
No SUD 0.34 0.33 1.09 1.39 1.36 1.59 0.32 0.27
Marijuana Use Disorder 0.28 0.28 0.89 1.25 1.09 1.45 0.28 0.23
Mild SUD 0.20 0.16 0.62 0.71 0.73 0.79 0.21 0.14
Moderate SUD 0.12 0.16 0.43 0.70 0.53 0.82 0.11 0.14
Severe SUD 0.14 0.16 0.55 0.80 0.69 0.97 0.12 0.12
No SUD 0.28 0.28 0.89 1.25 1.09 1.45 0.28 0.23
Opioid Use Disorder6 0.10 0.13 0.33 0.49 0.38 0.63 0.10 0.12
Mild SUD 0.09 0.12 0.29 0.42 0.33 0.55 0.10 0.11
Moderate SUD 0.03 0.04 0.09 0.24 0.07 0.27 0.04 0.02
Severe SUD 0.04 0.05 0.11 0.13 0.15 0.17 0.02 0.05
No SUD 0.10 0.13 0.33 0.49 0.38 0.63 0.10 0.12
Alcohol Use Disorder 0.23 0.23 0.75 0.97 0.94 1.15 0.22 0.20
Mild SUD 0.18 0.16 0.63 0.70 0.80 0.80 0.18 0.14
Moderate SUD 0.09 0.13 0.27 0.53 0.28 0.68 0.09 0.11
Severe SUD 0.08 0.10 0.33 0.40 0.43 0.52 0.06 0.09
No SUD 0.23 0.23 0.75 0.97 0.94 1.15 0.22 0.20
* = 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.
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 7.33P – 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, P Values from Tests of Differences of Percentages, 2024 Versus 2023
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 da   da   da   da  
Substance Use Disorder 0.2155   0.3780   0.6782   0.2065  
Mild SUD 0.0237   0.8869   0.8432   0.0238  
Moderate SUD 0.4217   0.3754   0.5833   0.4521  
Severe SUD 0.8520   0.3717   0.6860   0.6534  
No SUD 0.2155   0.3780   0.6782   0.2065  
Drug Use Disorder 0.5438   0.1967   0.4233   0.3695  
Mild SUD 0.1326   0.5902   0.6562   0.0516  
Moderate SUD 0.3634   0.3424   0.5108   0.3846  
Severe SUD 0.8819   0.4680   0.8077   0.5725  
No SUD 0.5438   0.1967   0.4233   0.3695  
Marijuana Use Disorder 0.9622   0.0936   0.1797   0.6212  
Mild SUD 0.1143   0.7724   0.7213   0.0732  
Moderate SUD 0.1094   0.2300   0.3618   0.1274  
Severe SUD 0.7152   0.1612   0.3161   0.9297  
No SUD 0.9622   0.0936   0.1797   0.6212  
Opioid Use Disorder6 0.3981   0.0986   0.0512   0.8134  
Mild SUD 0.3525   0.1520   0.0519   0.8142  
Moderate SUD 0.6779   0.2000   0.2072   0.5485  
Severe SUD 0.7416   0.7051   0.4952   0.6234  
No SUD 0.3981   0.0986   0.0512   0.8134  
Alcohol Use Disorder 0.8354   0.4321   0.5874   0.8264  
Mild SUD 0.1868   0.6355   0.3910   0.4861  
Moderate SUD 0.0361   0.0688   0.0472   0.2557  
Severe SUD 0.6377   0.5301   0.6322   0.5494  
No SUD 0.8354   0.4321   0.5874   0.8264  
* = 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.
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 that are used in these comparisons 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 7.34C – 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, Standard Errors of 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 -- 53 -- 5 -- 46 -- 25 -- 32
12-13 -- * -- * -- * -- * -- *
14-15 -- 24 -- <1 -- * -- 11 -- 15
16-17 -- 44 -- 2 -- 39 -- 21 -- 29
Substance Use Disorder and MDE with Severe Impairment1,2 -- 47 -- 5 -- 41 -- 23 -- 27
12-13 -- * -- * -- * -- * -- *
14-15 -- * -- * -- 12 -- 11 -- *
16-17 -- 42 -- 2 -- 37 -- 19 -- 23
Substance Use Disorder and No MDE -- 46 -- 13 -- 38 -- 22 -- 48
12-13 -- * -- * -- * -- 6 -- *
14-15 -- 22 -- 6 -- 18 -- 11 -- 24
16-17 -- 33 -- 11 -- 26 -- 18 -- 41
MDE and No Substance Use Disorder -- 93 -- 10 -- 90 -- 15 -- 73
12-13 -- 42 -- <1 -- 42 -- 5 -- 32
14-15 -- 61 -- 3 -- 60 -- 12 -- 46
16-17 -- 52 -- 9 -- 52 -- 6 -- 42
No Substance Use Disorder and No MDE -- 154 -- 34 -- 146 -- 18 -- 376
12-13 -- 89 -- 16 -- 86 -- 8 -- 171
14-15 -- 88 -- 23 -- 81 -- 9 -- 180
16-17 -- 83 -- 11 -- 81 -- 13 -- 185
* = 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 7.34D – 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, Standard Errors of 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 -- 3.49 -- 0.69 -- 3.82 -- 2.92 -- 3.49
12-13 -- * -- * -- * -- * -- *
14-15 -- 5.97 -- 0.07 -- * -- 4.79 -- 5.97
16-17 -- 4.86 -- 0.34 -- 5.26 -- 3.78 -- 4.86
Substance Use Disorder and MDE with Severe Impairment1,2 -- 3.72 -- 0.86 -- 4.17 -- 3.37 -- 3.72
12-13 -- * -- * -- * -- * -- *
14-15 -- * -- * -- 6.39 -- 6.00 -- *
16-17 -- 4.91 -- 0.42 -- 5.64 -- 4.38 -- 4.91
Substance Use Disorder and No MDE -- 2.93 -- 1.08 -- 2.69 -- 1.84 -- 2.93
12-13 -- * -- * -- * -- 4.52 -- *
14-15 -- 5.34 -- 1.88 -- 4.89 -- 3.31 -- 5.34
16-17 -- 3.66 -- 1.48 -- 3.11 -- 2.49 -- 3.66
MDE and No Substance Use Disorder -- 1.80 -- 0.32 -- 1.78 -- 0.47 -- 1.80
12-13 -- 3.47 -- 0.04 -- 3.50 -- 0.77 -- 3.47
14-15 -- 3.15 -- 0.23 -- 3.18 -- 1.04 -- 3.15
16-17 -- 2.76 -- 0.78 -- 2.81 -- 0.51 -- 2.76
No Substance Use Disorder and No MDE -- 0.63 -- 0.16 -- 0.61 -- 0.09 -- 0.63
12-13 -- 1.11 -- 0.23 -- 1.08 -- 0.12 -- 1.11
14-15 -- 1.04 -- 0.32 -- 0.99 -- 0.14 -- 1.04
16-17 -- 1.14 -- 0.17 -- 1.12 -- 0.21 -- 1.14
* = 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 7.35C – Had Serious Thoughts of Suicide in Past Year: Among People Aged 12 to 17; by Demographic Characteristics, Standard Errors of 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 121 103 152 156 99 89 82 90
AGE GROUP                
12-13 53 54 183 196 52 51 49 56
14-15 86 63 204 215 65 57 51 55
16-17 80 70 202 217 61 55 47 50
SEX                
Male 68 56 93 90 58 56 49 54
Female 99 83 120 120 78 67 64 70
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 96 91 129 126 79 70 73 76
AIAN 6 5 15 15 8 3 11 *
Asian 26 28 98 114 28 28 26 22
Black or African American 41 32 133 135 38 31 38 41
NHPI * * * * 1 * 1 *
White 95 82 269 304 67 60 57 58
Two or More Races 18 25 42 44 19 16 14 19
Hispanic or Latino 72 54 90 86 59 53 38 50
* = 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.
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 7.35D – Had Serious Thoughts of Suicide in Past Year: Among People Aged 12 to 17; by Demographic Characteristics, Standard Errors of 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 0.47 0.40 0.59 0.60 0.38 0.34 0.32 0.35
AGE GROUP                
12-13 0.65 0.63 0.95 1.02 0.62 0.60 0.59 0.66
14-15 0.85 0.68 1.06 1.04 0.67 0.62 0.54 0.59
16-17 0.82 0.72 1.03 1.04 0.65 0.59 0.51 0.53
SEX                
Male 0.51 0.42 0.70 0.68 0.44 0.43 0.37 0.40
Female 0.79 0.66 0.95 0.95 0.62 0.53 0.51 0.55
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 0.50 0.48 0.68 0.66 0.42 0.37 0.39 0.40
AIAN 2.53 2.40 4.75 4.96 3.29 1.63 4.32 *
Asian 1.64 1.75 2.64 2.61 1.81 1.73 1.70 1.41
Black or African American 1.03 0.86 1.51 1.44 1.00 0.81 0.95 1.04
NHPI * * * * 1.64 * 1.87 *
White 0.65 0.59 0.82 0.80 0.48 0.45 0.43 0.45
Two or More Races 1.81 2.18 2.50 2.63 1.86 1.44 1.49 1.75
Hispanic or Latino 1.06 0.79 1.32 1.26 0.87 0.77 0.56 0.72
* = 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.
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 7.35P – Had Serious Thoughts of Suicide in Past Year: Among People Aged 12 to 17; by Demographic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
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 0.0001   0.0001   0.0145   0.6576  
AGE GROUP                
12-13 0.9224   0.7167   0.2578   0.6589  
14-15 0.0001   0.0002   0.3239   0.7168  
16-17 0.0320   0.0130   0.0286   0.4535  
SEX                
Male 0.0145   0.0238   0.0954   0.4706  
Female 0.0024   0.0004   0.0666   0.9870  
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 0.0015   0.0002   0.0148   0.9200  
AIAN 0.1415   0.2684   0.5576   *  
Asian 0.6086   0.1372   0.1694   0.6956  
Black or African American 0.4323   0.3429   0.2541   0.6493  
NHPI *   *   *   *  
White 0.0044   0.0008   0.0931   0.7064  
Two or More Races 0.2323   0.6223   0.6218   0.2236  
Hispanic or Latino 0.0453   0.0947   0.3635   0.4859  
* = 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.
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 7.36C – Made Any Suicide Plans in Past Year: Among People Aged 12 to 17; by Demographic Characteristics, Standard Errors of 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 82 66 118 113 62 55 75 84
AGE GROUP                
12-13 28 35 197 213 30 27 40 53
14-15 54 37 223 226 39 41 51 52
16-17 56 46 224 234 40 27 43 46
SEX                
Male 44 34 66 69 35 34 43 52
Female 68 55 94 85 49 43 60 63
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 62 57 101 92 48 41 67 71
AIAN 2 5 20 16 5 3 5 *
Asian 19 20 104 125 17 10 22 21
Black or African American 28 25 147 150 26 15 34 39
NHPI * <1 * 19 1 * * 1
White 54 44 302 331 40 35 55 55
Two or More Races 13 17 48 50 9 12 17 13
Hispanic or Latino 54 32 66 62 35 36 35 48
* = 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.
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 7.36D – Made Any Suicide Plans in Past Year: Among People Aged 12 to 17; by Demographic Characteristics, Standard Errors of 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 0.32 0.26 0.46 0.43 0.24 0.21 0.29 0.32
AGE GROUP                
12-13 0.35 0.43 0.67 0.79 0.37 0.33 0.50 0.63
14-15 0.56 0.41 0.83 0.81 0.41 0.46 0.53 0.56
16-17 0.62 0.49 0.84 0.72 0.45 0.30 0.47 0.50
SEX                
Male 0.33 0.26 0.50 0.52 0.27 0.26 0.32 0.40
Female 0.54 0.44 0.74 0.67 0.38 0.34 0.48 0.50
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 0.32 0.30 0.53 0.48 0.25 0.21 0.35 0.38
AIAN 1.05 2.32 3.04 5.08 2.11 1.30 2.20 *
Asian 1.24 1.26 2.02 1.81 1.11 0.64 1.43 1.33
Black or African American 0.74 0.68 1.31 1.26 0.69 0.41 0.87 1.02
NHPI * 0.02 * 1.89 0.84 * * 0.90
White 0.40 0.34 0.61 0.58 0.30 0.27 0.41 0.42
Two or More Races 1.34 1.56 2.22 2.06 0.91 1.15 1.73 1.24
Hispanic or Latino 0.80 0.46 0.98 0.90 0.52 0.53 0.52 0.70
* = 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.
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 7.36P – Made Any Suicide Plans in Past Year: Among People Aged 12 to 17; by Demographic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
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 0.0071   0.0026   0.0033   0.7096  
AGE GROUP                
12-13 0.1880   0.4745   0.0350   0.1895  
14-15 0.0000   0.0009   0.5457   0.4052  
16-17 0.2960   0.0650   0.0093   0.8184  
SEX                
Male 0.6840   0.3680   0.0524   0.6633  
Female 0.0037   0.0013   0.0225   0.8893  
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 0.1305   0.0086   0.0004   0.9927  
AIAN 0.5251   0.4840   0.5961   *  
Asian 0.1594   0.0192   0.0510   0.4735  
Black or African American 0.8066   0.5860   0.0382   0.4519  
NHPI *   *   *   *  
White 0.2606   0.0479   0.0169   0.8671  
Two or More Races 0.7163   0.4306   0.8717   0.5059  
Hispanic or Latino 0.0148   0.1631   0.7445   0.4734  
* = 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.
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 7.37C – Attempted Suicide in Past Year: Among People Aged 12 to 17; by Demographic Characteristics, Standard Errors of 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 61 53 100 98 47 42 70 71
AGE GROUP                
12-13 25 30 203 218 22 22 36 48
14-15 40 28 233 236 26 31 46 36
16-17 38 35 233 239 33 21 40 43
SEX                
Male 31 31 56 60 28 27 41 43
Female 50 43 83 76 36 33 57 54
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 49 46 86 82 37 32 60 65
AIAN 3 5 21 16 5 1 3 *
Asian 15 15 110 129 7 12 23 18
Black or African American 23 21 150 151 24 15 36 31
NHPI * * * * <1 * 1 *
White 41 34 318 335 26 24 45 54
Two or More Races 9 11 51 53 8 10 15 11
Hispanic or Latino 35 27 53 51 28 27 34 31
* = 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.
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 7.37D – Attempted Suicide in Past Year: Among People Aged 12 to 17; by Demographic Characteristics, Standard Errors of 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 0.23 0.20 0.39 0.38 0.18 0.16 0.27 0.27
AGE GROUP                
12-13 0.32 0.36 0.58 0.73 0.27 0.27 0.45 0.57
14-15 0.43 0.32 0.67 0.62 0.27 0.35 0.49 0.39
16-17 0.42 0.39 0.68 0.63 0.36 0.24 0.44 0.45
SEX                
Male 0.24 0.23 0.42 0.45 0.21 0.21 0.31 0.33
Female 0.39 0.34 0.66 0.60 0.29 0.26 0.45 0.43
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 0.26 0.24 0.45 0.43 0.19 0.17 0.32 0.34
AIAN 1.12 2.26 2.61 5.15 2.03 0.67 1.44 *
Asian 1.00 1.02 1.81 1.69 0.51 0.77 1.55 1.16
Black or African American 0.61 0.59 1.25 1.08 0.65 0.41 0.92 0.82
NHPI * * * * 0.48 * 1.79 *
White 0.31 0.27 0.51 0.50 0.20 0.19 0.35 0.41
Two or More Races 0.93 1.04 1.91 1.67 0.84 0.94 1.52 1.03
Hispanic or Latino 0.52 0.39 0.78 0.74 0.42 0.40 0.50 0.45
* = 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.
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 7.37P – Attempted Suicide in Past Year: Among People Aged 12 to 17; by Demographic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
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 0.0464   0.0940   0.1016   0.7153  
AGE GROUP                
12-13 0.5831   0.1092   0.7473   0.0740  
14-15 0.0010   0.0013   1.0000   0.0575  
16-17 0.6803   0.3724   0.0148   0.4714  
SEX                
Male 0.7734   0.7980   0.6558   0.6598  
Female 0.0080   0.0236   0.0758   0.9003  
HISPANIC ORIGIN AND RACE                
Not Hispanic or Latino 0.1252   0.3626   0.1558   0.4430  
AIAN 0.8075   0.2447   0.3952   *  
Asian 0.3337   0.3251   0.7369   0.4296  
Black or African American 0.6380   0.3610   0.1306   0.9340  
NHPI *   *   *   *  
White 0.2649   0.9464   0.3579   0.2158  
Two or More Races 0.6294   0.3932   0.9887   0.4078  
Hispanic or Latino 0.1935   0.0930   0.4050   0.5144  
* = 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.
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 7.38C – Had Serious Thoughts of Suicide, Made Any Suicide Plans, or Attempted Suicide in Past Year: Among People Aged 12 to 17; by Demographic Characteristics, Standard Errors of 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 123 107 154 157 121 124
AGE GROUP            
12-13 54 55 182 196 71 79
14-15 87 65 203 215 82 78
16-17 81 73 202 217 79 78
SEX            
Male 69 56 93 93 75 79
Female 100 87 120 119 94 93
HISPANIC ORIGIN AND RACE            
Not Hispanic or Latino 97 94 130 127 104 100
AIAN 6 5 15 15 14 12
Asian 27 29 97 114 39 35
Black or African American 41 34 132 136 57 52
NHPI * * * * 2 *
White 96 85 267 302 90 86
Two or More Races 19 25 41 44 24 24
Hispanic or Latino 73 56 90 87 66 66
* = 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.
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 7.38D – Had Serious Thoughts of Suicide, Made Any Suicide Plans, or Attempted Suicide in Past Year: Among People Aged 12 to 17; by Demographic Characteristics, Standard Errors of 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 0.47 0.41 0.60 0.61 0.47 0.48
AGE GROUP            
12-13 0.67 0.65 0.96 1.03 0.81 0.86
14-15 0.86 0.71 1.07 1.04 0.81 0.81
16-17 0.84 0.75 1.05 1.05 0.80 0.80
SEX            
Male 0.52 0.43 0.70 0.70 0.57 0.59
Female 0.79 0.69 0.95 0.94 0.74 0.74
HISPANIC ORIGIN AND RACE            
Not Hispanic or Latino 0.51 0.49 0.68 0.67 0.55 0.53
AIAN 2.54 2.46 4.74 4.90 4.92 4.84
Asian 1.68 1.81 2.66 2.58 2.39 2.07
Black or African American 1.04 0.88 1.56 1.48 1.33 1.26
NHPI * * * * 2.66 *
White 0.65 0.60 0.81 0.82 0.62 0.63
Two or More Races 1.86 2.23 2.56 2.59 2.29 2.06
Hispanic or Latino 1.08 0.82 1.33 1.26 0.98 0.96
* = low precision; -- = not available or not comparable due to methodological or questionnaire changes; da = does not apply; nr = not reported due to measurement issues.
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.
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 7.38P – Had Serious Thoughts of Suicide, Made Any Suicide Plans, or Attempted Suicide in Past Year: Among People Aged 12 to 17; by Demographic Characteristics, P Values from Tests of Differences of Percentages, 2024 Versus 2023
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 0.0004   0.0001   0.0800  
AGE GROUP            
12-13 0.8929   0.7812   0.6674  
14-15 0.0001   0.0001   0.2371  
16-17 0.0764   0.0177   0.1515  
SEX            
Male 0.0179   0.0584   0.6826  
Female 0.0058   0.0002   0.0528  
HISPANIC ORIGIN AND RACE            
Not Hispanic or Latino 0.0029   0.0004   0.0767  
AIAN 0.1998   0.3398   0.7796  
Asian 0.6935   0.1006   0.1137  
Black or African American 0.5726   0.3911   0.5726  
NHPI *   *   *  
White 0.0053   0.0014   0.1576  
Two or More Races 0.3111   0.7368   0.5769  
Hispanic or Latino 0.0627   0.0709   0.5632  
* = 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.
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 7.39C – 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, Standard Errors of 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 103 87 77 76 50 45 44 48
No Major Depressive Episode 72 61 399 419 92 76 60 71
MENTAL HEALTH TREATMENT AND PERCEIVED UNMET NEED FOR TREATMENT2                
Mental Health Treatment -- 89 -- 156 -- 57 -- 59
No Mental Health Treatment -- 61 -- 377 -- 73 -- 72
Perceived Unmet Need for Treatment3 -- 38 -- 61 -- 31 -- 36
Did Not Seek Treatment and Did Not Think Should Get Treatment3 -- 47 -- 362 -- 65 -- 60
SUBSTANCE USE DISORDER4                
Substance Use Disorder 54 61 78 59 31 28 24 27
Alcohol Use Disorder 31 40 44 35 17 18 14 16
Drug Use Disorder 51 55 67 55 28 26 20 24
No Substance Use Disorder 116 94 412 434 104 90 82 90
SUBSTANCE USE TREATMENT5,6                
Substance Use Treatment -- 31 -- 39 -- 18 -- 20
No Substance Use Treatment -- 107 -- 442 -- 92 -- 93
* = 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.
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 7.39D – 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, Standard Errors of 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 1.52 1.65 1.42 1.61 1.01 1.07 0.92 1.16
No Major Depressive Episode 0.34 0.28 0.53 0.52 0.42 0.35 0.28 0.32
MENTAL HEALTH TREATMENT AND PERCEIVED UNMET NEED FOR TREATMENT2                
Mental Health Treatment -- 1.06 -- 1.27 -- 0.74 -- 0.74
No Mental Health Treatment -- 0.32 -- 0.60 -- 0.38 -- 0.38
Perceived Unmet Need for Treatment3 -- 2.00 -- 2.52 -- 1.65 -- 1.94
Did Not Seek Treatment and Did Not Think Should Get Treatment3 -- 0.28 -- 0.57 -- 0.39 -- 0.35
SUBSTANCE USE DISORDER4                
Substance Use Disorder 2.04 2.28 2.34 2.19 1.30 1.31 1.08 1.31
Alcohol Use Disorder 3.53 3.76 3.66 3.53 2.03 2.22 1.77 1.99
Drug Use Disorder 2.30 2.45 2.57 2.36 1.48 1.42 1.15 1.39
No Substance Use Disorder 0.46 0.36 0.60 0.59 0.39 0.36 0.33 0.36
SUBSTANCE USE TREATMENT5,6                
Substance Use Treatment -- 3.58 -- 3.74 -- 2.36 -- 2.63
No Substance Use Treatment -- 0.39 -- 0.60 -- 0.35 -- 0.35
* = 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.
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 7.39P – 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, P Values from Tests of Differences of Percentages, 2024 Versus 2023
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 0.0551   0.0724   0.4342   0.2804  
No Major Depressive Episode 0.0570   0.0202   0.0383   0.7197  
MENTAL HEALTH TREATMENT AND PERCEIVED UNMET NEED FOR TREATMENT2                
Mental Health Treatment --   --   --   --  
No Mental Health Treatment --   --   --   --  
Perceived Unmet Need for Treatment3 --   --   --   --  
Did Not Seek Treatment and Did Not Think Should Get Treatment3 --   --   --   --  
SUBSTANCE USE DISORDER4                
Substance Use Disorder 0.3974   0.4516   0.2984   0.3070  
Alcohol Use Disorder 0.1796   0.0208   0.7020   0.1759  
Drug Use Disorder 0.6904   0.9666   0.2832   0.5966  
No Substance Use Disorder 0.0000   0.0000   0.0247   0.8548  
SUBSTANCE USE TREATMENT5,6                
Substance Use Treatment --   --   --   --  
No Substance Use Treatment --   --   --   --  
* = 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.
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 7.40C – 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, Standard Errors of 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 71 56 112 107 37 33 48 46
No Major Depressive Episode 42 34 428 443 49 37 51 64
MENTAL HEALTH TREATMENT AND PERCEIVED UNMET NEED FOR TREATMENT2                
Mental Health Treatment -- 56 -- 182 -- 41 -- 56
No Mental Health Treatment -- 39 -- 397 -- 37 -- 68
Perceived Unmet Need for Treatment3 -- 27 -- 77 -- 16 -- 33
Did Not Seek Treatment and Did Not Think Should Get Treatment3 -- 28 -- 376 -- 32 -- 55
SUBSTANCE USE DISORDER4                
Substance Use Disorder 45 42 88 80 21 19 27 24
Alcohol Use Disorder 27 30 51 46 9 15 15 17
Drug Use Disorder 43 41 75 73 19 15 23 20
No Substance Use Disorder 67 52 455 468 62 52 73 85
SUBSTANCE USE TREATMENT5,6                
Substance Use Treatment -- 23 -- 48 -- 12 -- 18
No Substance Use Treatment -- 65 -- 479 -- 55 -- 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 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.
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 7.40D – 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, Standard Errors of 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 1.34 1.26 1.50 1.62 0.77 0.84 1.00 1.12
No Major Depressive Episode 0.20 0.16 0.38 0.35 0.23 0.17 0.24 0.29
MENTAL HEALTH TREATMENT AND PERCEIVED UNMET NEED FOR TREATMENT2                
Mental Health Treatment -- 0.74 -- 1.10 -- 0.55 -- 0.71
No Mental Health Treatment -- 0.21 -- 0.43 -- 0.20 -- 0.35
Perceived Unmet Need for Treatment3 -- 1.54 -- 2.38 -- 0.92 -- 1.81
Did Not Seek Treatment and Did Not Think Should Get Treatment3 -- 0.17 -- 0.39 -- 0.19 -- 0.32
SUBSTANCE USE DISORDER4                
Substance Use Disorder 1.82 1.84 2.11 2.15 0.95 0.94 1.21 1.18
Alcohol Use Disorder 3.10 3.37 3.49 3.72 1.17 1.83 1.98 2.06
Drug Use Disorder 2.07 2.11 2.36 2.32 1.07 0.87 1.28 1.17
No Substance Use Disorder 0.28 0.22 0.45 0.43 0.25 0.21 0.29 0.34
SUBSTANCE USE TREATMENT5,6                
Substance Use Treatment -- 2.83 -- 3.40 -- 1.56 -- 2.42
No Substance Use Treatment -- 0.25 -- 0.44 -- 0.21 -- 0.32
* = 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.
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 7.40P – 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, P Values from Tests of Differences of Percentages, 2024 Versus 2023
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 0.2607   0.0475   0.1093   0.8408  
No Major Depressive Episode 0.1710   0.2248   0.0090   0.1972  
MENTAL HEALTH TREATMENT AND PERCEIVED UNMET NEED FOR TREATMENT2                
Mental Health Treatment --   --   --   --  
No Mental Health Treatment --   --   --   --  
Perceived Unmet Need for Treatment3 --   --   --   --  
Did Not Seek Treatment and Did Not Think Should Get Treatment3 --   --   --   --  
SUBSTANCE USE DISORDER4                
Substance Use Disorder 0.9777   0.8343   0.6314   0.9747  
Alcohol Use Disorder 0.6636   0.2344   0.3313   0.5300  
Drug Use Disorder 0.9050   0.4492   0.1450   0.6092  
No Substance Use Disorder 0.0026   0.0033   0.0040   0.6496  
SUBSTANCE USE TREATMENT5,6                
Substance Use Treatment --   --   --   --  
No Substance Use Treatment --   --   --   --  
* = 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.
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 7.41C – 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, Standard Errors of 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 51 39 133 120 32 27 38 39
No Major Depressive Episode 28 35 440 445 33 26 50 55
MENTAL HEALTH TREATMENT AND PERCEIVED UNMET NEED FOR TREATMENT2                
Mental Health Treatment -- 46 -- 187 -- 31 -- 50
No Mental Health Treatment -- 30 -- 404 -- 29 -- 53
Perceived Unmet Need for Treatment3 -- 17 -- 82 -- 9 -- 21
Did Not Seek Treatment and Did Not Think Should Get Treatment3 -- 23 -- 381 -- 26 -- 46
SUBSTANCE USE DISORDER4                
Substance Use Disorder 34 37 94 83 19 17 25 26
Alcohol Use Disorder 20 28 56 50 9 12 12 16
Drug Use Disorder 33 35 82 76 19 13 22 24
No Substance Use Disorder 48 38 476 481 44 39 66 71
SUBSTANCE USE TREATMENT5,6                
Substance Use Treatment -- 25 -- 48 -- 7 -- 17
No Substance Use Treatment -- 48 -- 491 -- 42 -- 74
* = 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.
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 7.41D – 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, Standard Errors of 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 1.06 0.95 1.40 1.41 0.68 0.69 0.82 0.96
No Major Depressive Episode 0.13 0.17 0.32 0.31 0.16 0.12 0.24 0.25
MENTAL HEALTH TREATMENT AND PERCEIVED UNMET NEED FOR TREATMENT2                
Mental Health Treatment -- 0.61 -- 0.95 -- 0.41 -- 0.63
No Mental Health Treatment -- 0.16 -- 0.36 -- 0.16 -- 0.28
Perceived Unmet Need for Treatment3 -- 1.00 -- 1.65 -- 0.52 -- 1.16
Did Not Seek Treatment and Did Not Think Should Get Treatment3 -- 0.14 -- 0.35 -- 0.16 -- 0.27
SUBSTANCE USE DISORDER4                
Substance Use Disorder 1.43 1.75 1.83 2.06 0.85 0.81 1.13 1.20
Alcohol Use Disorder 2.52 3.24 2.96 3.62 1.14 1.45 1.55 2.03
Drug Use Disorder 1.70 1.94 2.15 2.18 1.04 0.75 1.26 1.33
No Substance Use Disorder 0.20 0.16 0.37 0.37 0.18 0.16 0.27 0.29
SUBSTANCE USE TREATMENT5,6                
Substance Use Treatment -- 3.07 -- 3.52 -- 0.92 -- 2.16
No Substance Use Treatment -- 0.19 -- 0.38 -- 0.17 -- 0.28
* = 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.
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 7.41P – 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, P Values from Tests of Differences of Percentages, 2024 Versus 2023
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 0.0502   0.1160   0.2969   0.5491  
No Major Depressive Episode 0.5514   0.6158   0.1990   0.3329  
MENTAL HEALTH TREATMENT AND PERCEIVED UNMET NEED FOR TREATMENT2                
Mental Health Treatment --   --   --   --  
No Mental Health Treatment --   --   --   --  
Perceived Unmet Need for Treatment3 --   --   --   --  
Did Not Seek Treatment and Did Not Think Should Get Treatment3 --   --   --   --  
SUBSTANCE USE DISORDER4                
Substance Use Disorder 0.7571   0.6585   0.5510   0.4585  
Alcohol Use Disorder 0.3678   0.0365   0.3922   0.0873  
Drug Use Disorder 0.9577   0.6342   0.1362   0.8359  
No Substance Use Disorder 0.0129   0.0678   0.1351   0.8569  
SUBSTANCE USE TREATMENT5,6                
Substance Use Treatment --   --   --   --  
No Substance Use Treatment --   --   --   --  
* = 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.
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 7.42C – 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, Standard Errors of 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 61 53 25 30 40 28 38 35 31 31 50 43
No 100 98 203 218 233 236 233 239 56 60 83 76
Not Sure/Don’t Know 47 42 22 22 26 31 33 21 28 27 36 33
Don’t Want to Answer/Refuse 70 71 36 48 46 36 40 43 41 43 57 54
RECEIVED MEDICAL ATTENTION FOR SUICIDE ATTEMPT AMONG PEOPLE WHO ATTEMPTED SUICIDE                        
Yes 40 37 * * 28 * 23 21 * * 35 28
No 41 40 * * 26 * * 28 * * 35 36
Not Sure/Don’t Know 15 4 2 * * * * 1 * * 3 3
Don’t Want to Answer/Refuse 8 8 3 * 6 3 * 3 3 3 8 7
STAYED OVERNIGHT OR LONGER IN A HOSPITAL FOR SUICIDE ATTEMPT AMONG PEOPLE WHO ATTEMPTED SUICIDE                        
Yes 28 30 10 * 20 12 17 20 * * 23 22
No 48 46 23 * 33 25 29 29 * * 41 39
Not Sure/Don’t Know * 2 * * * * * * * * * 2
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.
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 7.42D – 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, Standard Errors of 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 0.23 0.20 0.32 0.36 0.43 0.32 0.42 0.39 0.24 0.23 0.39 0.34
No 0.39 0.38 0.58 0.73 0.67 0.62 0.68 0.63 0.42 0.45 0.66 0.60
Not Sure/Don’t Know 0.18 0.16 0.27 0.27 0.27 0.35 0.36 0.24 0.21 0.21 0.29 0.26
Don’t Want to Answer/Refuse 0.27 0.27 0.45 0.57 0.49 0.39 0.44 0.45 0.31 0.33 0.45 0.43
RECEIVED MEDICAL ATTENTION FOR SUICIDE ATTEMPT AMONG PEOPLE WHO ATTEMPTED SUICIDE                        
Yes 3.33 4.08 * * 4.83 * 6.09 6.22 * * 3.86 4.78
No 3.42 4.05 * * 4.85 * * 6.18 * * 3.83 4.85
Not Sure/Don’t Know 1.73 0.53 1.27 * * * * 0.34 * * 0.40 0.65
Don’t Want to Answer/Refuse 0.96 1.06 1.64 * 1.57 1.54 * 1.09 1.61 1.38 1.16 1.42
STAYED OVERNIGHT OR LONGER IN A HOSPITAL FOR SUICIDE ATTEMPT AMONG PEOPLE WHO ATTEMPTED SUICIDE                        
Yes 2.79 3.85 5.22 * 4.65 5.28 5.22 6.24 * * 3.05 4.43
No 2.79 3.90 5.23 * 4.65 5.36 5.22 6.24 * * 3.05 4.51
Not Sure/Don’t Know * 0.37 * * * * * * * * * 0.55
Don’t Want to Answer/Refuse 0.07 * 0.31 * * 0.16 * * * * 0.09 *
* = 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.
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 7.42P – 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, P Values from Tests of Differences of Percentages, 2024 Versus 2023
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 0.0464   0.5831   0.0010   0.6803   0.7734   0.0080  
No 0.0940   0.1092   0.0013   0.3724   0.7980   0.0236  
Not Sure/Don’t Know 0.1016   0.7473   1.0000   0.0148   0.6558   0.0758  
Don’t Want to Answer/Refuse 0.7153   0.0740   0.0575   0.4714   0.6598   0.9003  
RECEIVED MEDICAL ATTENTION FOR SUICIDE ATTEMPT AMONG PEOPLE WHO ATTEMPTED SUICIDE                        
Yes 0.7356   *   *   0.4955   *   0.3686  
No 0.4696   *   *   *   *   0.4053  
Not Sure/Don’t Know 0.2812   *   *   *   *   0.8483  
Don’t Want to Answer/Refuse 0.9390   *   0.5531   *   0.7083   0.8890  
STAYED OVERNIGHT OR LONGER IN A HOSPITAL FOR SUICIDE ATTEMPT AMONG PEOPLE WHO ATTEMPTED SUICIDE                        
Yes 0.7482   *   0.3396   0.6545   *   0.9361  
No 0.5820   *   0.4669   0.6545   *   0.6983  
Not Sure/Don’t Know *   *   *   *   *   *  
Don’t Want to Answer/Refuse *   *   *   *   *   *  
* = 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.
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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