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{
"metadata": {
"source": "SAMHSA - Substance Abuse and Mental Health Services Administration",
"survey_name": "National Survey on Drug Use and Health (NSDUH)",
"fetch_date": "2026-02-12",
"years_covered": "2008-2023",
"primary_source_url": "https://www.samhsa.gov/data/report/2023-nsduh-detailed-tables",
"data_url": "https://www.samhsa.gov/data/",
"methodology": "Annual household survey of ~70,000 people aged 12+ in the civilian, noninstitutionalized US population",
"notes": [
"2020 data collection was affected by COVID-19 pandemic; 2020 estimates should be compared with caution",
"NSDUH methodology changed in 2021 (web-based data collection added); 2021+ data may not be directly comparable to pre-2020",
"Numbers in thousands unless otherwise noted",
"AMI = Any Mental Illness (diagnosable mental, behavioral, or emotional disorder, excluding developmental and substance use disorders)",
"SMI = Serious Mental Illness (mental, behavioral, or emotional disorder resulting in serious functional impairment)",
"MDE = Major Depressive Episode",
"SUD = Substance Use Disorder",
"2022-2023 data from 2023 NSDUH Detailed Tables (Tables 6.x, 7.x)",
"Historical data (2008-2021) from SAMHSA published annual reports and key substance use and mental health indicators"
],
"citation": "SAMHSA, Center for Behavioral Health Statistics and Quality. National Survey on Drug Use and Health (NSDUH). Table data from 2023 NSDUH Detailed Tables."
},
"prevalence": {
"any_mental_illness_adults": {
"description": "Any Mental Illness (AMI) in Past Year among adults aged 18+",
"source_tables": [
"Table 6.1A",
"Table 6.1B"
],
"by_year": {
"2008": {
"number_thousands": 39828,
"percent": 18.5,
"note": "From SAMHSA annual reports"
},
"2009": {
"number_thousands": 41255,
"percent": 19.1
},
"2010": {
"number_thousands": 42282,
"percent": 19.5
},
"2011": {
"number_thousands": 42098,
"percent": 19.3
},
"2012": {
"number_thousands": 42484,
"percent": 19.3
},
"2013": {
"number_thousands": 42552,
"percent": 19.1
},
"2014": {
"number_thousands": 42440,
"percent": 18.8
},
"2015": {
"number_thousands": 43358,
"percent": 19.0
},
"2016": {
"number_thousands": 44696,
"percent": 19.3
},
"2017": {
"number_thousands": 46601,
"percent": 19.9
},
"2018": {
"number_thousands": 47596,
"percent": 19.9
},
"2019": {
"number_thousands": 51500,
"percent": 20.6
},
"2020": {
"number_thousands": 52900,
"percent": 21.0,
"note": "COVID-19 affected data collection"
},
"2021": {
"number_thousands": 57800,
"percent": 22.8,
"note": "Methodology change - web-based collection added"
},
"2022": {
"number_thousands": 59286,
"percent": 23.1
},
"2023": {
"number_thousands": 58657,
"percent": 22.8
}
},
"by_age_group_2023": {
"18_25": {
"number_thousands": 11515,
"percent": 33.8
},
"18_20": {
"number_thousands": 3737,
"percent": 30.8
},
"21_25": {
"number_thousands": 7777,
"percent": 35.5
},
"26_plus": {
"number_thousands": 47142,
"percent": 21.1
},
"26_49": {
"number_thousands": 30264,
"percent": 29.2
},
"50_plus": {
"number_thousands": 16879,
"percent": 14.1
}
},
"by_sex_2023": {
"male": {
"number_thousands": 23817,
"percent": 19.0
},
"female": {
"number_thousands": 34840,
"percent": 26.4
}
},
"by_sex_2022": {
"male": {
"number_thousands": 24627,
"percent": 19.7
},
"female": {
"number_thousands": 34659,
"percent": 26.4
}
},
"by_race_ethnicity_2023": {
"white_non_hispanic": {
"percent": 24.0
},
"black_non_hispanic": {
"percent": 19.4
},
"hispanic_latino": {
"percent": 20.6
},
"asian_non_hispanic": {
"percent": 18.1
},
"aian_non_hispanic": {
"percent": 23.5
},
"two_or_more_races": {
"percent": 36.7
}
}
},
"serious_mental_illness_adults": {
"description": "Serious Mental Illness (SMI) in Past Year among adults aged 18+",
"source_tables": [
"Table 6.4A",
"Table 6.4B"
],
"by_year": {
"2008": {
"number_thousands": 9832,
"percent": 4.6,
"note": "From SAMHSA annual reports"
},
"2009": {
"number_thousands": 10018,
"percent": 4.6
},
"2010": {
"number_thousands": 9850,
"percent": 4.5
},
"2011": {
"number_thousands": 10045,
"percent": 4.6
},
"2012": {
"number_thousands": 9612,
"percent": 4.4
},
"2013": {
"number_thousands": 10002,
"percent": 4.5
},
"2014": {
"number_thousands": 10022,
"percent": 4.4
},
"2015": {
"number_thousands": 10408,
"percent": 4.6
},
"2016": {
"number_thousands": 10398,
"percent": 4.5
},
"2017": {
"number_thousands": 11189,
"percent": 4.8
},
"2018": {
"number_thousands": 11397,
"percent": 4.8
},
"2019": {
"number_thousands": 13100,
"percent": 5.2
},
"2020": {
"number_thousands": 14200,
"percent": 5.6,
"note": "COVID-19 affected data collection"
},
"2021": {
"number_thousands": 14100,
"percent": 5.5,
"note": "Methodology change"
},
"2022": {
"number_thousands": 15360,
"percent": 6.0
},
"2023": {
"number_thousands": 14601,
"percent": 5.7
}
},
"by_age_group_2023": {
"18_25": {
"number_thousands": 3519,
"percent": 10.3
},
"18_20": {
"number_thousands": 1118,
"percent": 9.2
},
"21_25": {
"number_thousands": 2401,
"percent": 11.0
},
"26_plus": {
"number_thousands": 11082,
"percent": 5.0
},
"26_49": {
"number_thousands": 8202,
"percent": 7.9
},
"50_plus": {
"number_thousands": 2880,
"percent": 2.4
}
},
"by_sex_2023": {
"male": {
"number_thousands": 5431,
"percent": 4.3
},
"female": {
"number_thousands": 9170,
"percent": 6.9
}
},
"by_race_ethnicity_2023": {
"white_non_hispanic": {
"percent": 6.1
},
"black_non_hispanic": {
"percent": 3.7
},
"hispanic_latino": {
"percent": 5.5
},
"asian_non_hispanic": {
"percent": 2.9
},
"aian_non_hispanic": {
"percent": 3.3
},
"two_or_more_races": {
"percent": 14.0
}
}
},
"major_depressive_episode_adults": {
"description": "Major Depressive Episode (MDE) in Past Year among adults aged 18+",
"source_tables": [
"Table 6.37A",
"Table 6.37B"
],
"by_year": {
"2008": {
"number_thousands": 15399,
"percent": 7.1,
"note": "From SAMHSA annual reports"
},
"2009": {
"number_thousands": 15589,
"percent": 7.2
},
"2010": {
"number_thousands": 15650,
"percent": 7.2
},
"2011": {
"number_thousands": 15636,
"percent": 7.1
},
"2012": {
"number_thousands": 15702,
"percent": 7.1
},
"2013": {
"number_thousands": 15742,
"percent": 7.1
},
"2014": {
"number_thousands": 15704,
"percent": 7.0
},
"2015": {
"number_thousands": 16104,
"percent": 7.0
},
"2016": {
"number_thousands": 16198,
"percent": 7.0
},
"2017": {
"number_thousands": 17299,
"percent": 7.4
},
"2018": {
"number_thousands": 17664,
"percent": 7.4
},
"2019": {
"number_thousands": 19400,
"percent": 7.8
},
"2020": {
"number_thousands": 21000,
"percent": 8.4,
"note": "COVID-19 pandemic year"
},
"2021": {
"number_thousands": 21000,
"percent": 8.3,
"note": "Methodology change"
},
"2022": {
"number_thousands": 22475,
"percent": 8.8
},
"2023": {
"number_thousands": 21899,
"percent": 8.5
}
},
"by_age_group_2023": {
"18_25": {
"number_thousands": 5953,
"percent": 17.5
},
"26_plus": {
"number_thousands": 15946,
"percent": 7.1
},
"26_49": {
"number_thousands": 10567,
"percent": 10.2
},
"50_plus": {
"number_thousands": 5379,
"percent": 4.5
}
},
"by_sex_2023": {
"male": {
"number_thousands": 7956,
"percent": 6.3
},
"female": {
"number_thousands": 13943,
"percent": 10.5
}
}
},
"serious_psychological_distress": {
"description": "Serious Psychological Distress (SPD) in Past Year among adults aged 18+",
"source_table": "Table 6.86B",
"overall_2023": {
"percent": 13.8
},
"overall_2022": {
"percent": 14.6
},
"by_sex_2023": {
"male": {
"percent": 11.3
},
"female": {
"percent": 16.1
}
},
"by_age_group_2023": {
"18_25": {
"percent": 31.0
},
"26_49": {
"percent": 17.5
},
"50_plus": {
"percent": 5.6
}
},
"by_race_ethnicity_2023": {
"white_non_hispanic": {
"percent": 14.2
},
"black_non_hispanic": {
"percent": 11.4
},
"hispanic_latino": {
"percent": 13.8
},
"asian_non_hispanic": {
"percent": 10.2
},
"two_or_more_races": {
"percent": 25.6
}
}
}
},
"treatment": {
"mental_health_treatment_adults": {
"description": "Received Mental Health Treatment in Past Year among adults aged 18+",
"source_tables": [
"Table 6.20A",
"Table 6.21A",
"Table 6.21B"
],
"overall": {
"2022": {
"number_thousands": 55836,
"percent": 21.8
},
"2023": {
"number_thousands": 59175,
"percent": 23.0
}
},
"among_those_with_ami": {
"2022": {
"percent": 50.6
},
"2023": {
"percent": 53.9
}
},
"among_those_with_smi": {
"2022": {
"percent": 66.7
},
"2023": {
"percent": 71.1
}
},
"among_those_with_ami_excluding_smi": {
"2022": {
"percent": 44.9
},
"2023": {
"percent": 48.1
}
},
"among_those_without_mental_illness": {
"2022": {
"percent": 13.1
},
"2023": {
"percent": 13.9
}
},
"by_sex_2023": {
"male": {
"percent_overall": 17.1,
"percent_ami": 45.9,
"percent_smi": 63.3
},
"female": {
"percent_overall": 28.5,
"percent_ami": 59.3,
"percent_smi": 75.7
}
},
"by_race_ethnicity_2023": {
"white_non_hispanic": {
"percent_overall": 25.5
},
"black_non_hispanic": {
"percent_overall": 15.1
},
"hispanic_latino": {
"percent_overall": 17.0
},
"asian_non_hispanic": {
"percent_overall": 13.5
},
"aian_non_hispanic": {
"percent_overall": 25.5
}
},
"types_of_treatment_2023": {
"any_treatment": {
"number_thousands": 59175
},
"inpatient": {
"number_thousands": 3012
},
"outpatient": {
"number_thousands": 36435
},
"outpatient_therapist_office": {
"number_thousands": 24462
},
"outpatient_general_medical": {
"number_thousands": 18568
},
"prescription_medication": {
"number_thousands": 41920
},
"telehealth": {
"number_thousands": 31274
},
"school_counseling": {
"number_thousands": 1872
}
},
"historical_treatment_rates_any_mh_treatment": {
"description": "Percent of adults 18+ who received any mental health treatment in past year",
"2008": 13.5,
"2009": 13.8,
"2010": 14.1,
"2011": 14.5,
"2012": 14.8,
"2013": 14.7,
"2014": 15.8,
"2015": 16.2,
"2016": 16.4,
"2017": 16.8,
"2018": 17.0,
"2019": 19.2,
"2020": 19.7,
"2021": 21.6,
"2022": 21.8,
"2023": 23.0,
"note": "Rates from 2008-2018 from SAMHSA published annual reports; 2019+ from detailed tables. Methodology change in 2021."
}
},
"youth_mental_health_treatment": {
"description": "Types and Locations of Mental Health Treatment among youth aged 12-17",
"source_tables": [
"Table 7.4A",
"Table 7.4B"
],
"overall_2023": {
"any_treatment": {
"number_thousands": 8256,
"percent": 31.9
},
"inpatient": {
"number_thousands": 901,
"percent": 3.5
},
"outpatient": {
"number_thousands": 6120,
"percent": 23.6
},
"prescription_medication": {
"number_thousands": 3604,
"percent": 13.9
},
"telehealth": {
"number_thousands": 3677,
"percent": 14.2
}
},
"overall_2022": {
"any_treatment": {
"number_thousands": 7669,
"percent": 29.8
}
},
"by_sex_2023": {
"male": {
"percent": 25.0
},
"female": {
"percent": 39.0
}
},
"by_race_ethnicity_2023": {
"white_non_hispanic": {
"percent": 37.1
},
"black_non_hispanic": {
"percent": 22.9
},
"hispanic_latino": {
"percent": 25.2
},
"asian_non_hispanic": {
"percent": 24.6
}
}
}
},
"unmet_need": {
"adults": {
"description": "Perceived Unmet Need for Mental Health Treatment in Past Year among adults 18+ who did not receive treatment",
"source_tables": [
"Table 6.28A",
"Table 6.28B"
],
"overall": {
"2022": {
"number_thousands": 12082,
"percent_of_untreated": 6.1
},
"2023": {
"number_thousands": 10085,
"percent_of_untreated": 5.2
}
},
"by_age_group_2023": {
"18_25": {
"number_thousands": 3016,
"percent": 12.4
},
"26_49": {
"number_thousands": 5175,
"percent": 6.9
},
"50_plus": {
"number_thousands": 1893,
"percent": 2.0
}
},
"by_sex_2023": {
"male": {
"number_thousands": 4516,
"percent": 4.4
},
"female": {
"number_thousands": 5568,
"percent": 6.0
}
},
"reasons_for_not_receiving_treatment_2023": {
"description": "Among adults 18+ with perceived unmet need who did not receive treatment",
"source_table": "Table 6.34A",
"thought_should_handle_on_own": {
"number_thousands": 6788,
"note": "Most common reason"
},
"cost_too_much": {
"number_thousands": 5406
},
"not_ready_to_start": {
"number_thousands": 5005
},
"did_not_know_where_to_get_treatment": {
"number_thousands": 4406
},
"not_enough_time": {
"number_thousands": 4284
},
"could_not_find_desired_provider": {
"number_thousands": 3732
},
"no_health_insurance_for_mh": {
"number_thousands": 2899
},
"insurance_not_enough_coverage": {
"number_thousands": 3230
},
"thought_treatment_would_not_help": {
"number_thousands": 2726
},
"worried_what_people_would_think": {
"number_thousands": 2372
},
"worried_about_privacy": {
"number_thousands": 1944
},
"transportation_childcare_scheduling": {
"number_thousands": 1909
},
"afraid_of_forced_treatment": {
"number_thousands": 1473
},
"no_openings_available": {
"number_thousands": 1561
},
"feared_medication": {
"number_thousands": 2866
},
"felt_no_one_would_care": {
"number_thousands": 1284
},
"family_friends_disapproval": {
"number_thousands": 1068
},
"feared_losing_job_home_children": {
"number_thousands": 1009
}
}
},
"adults_with_ami_not_treated": {
"description": "Adults 18+ with Any Mental Illness who did not receive mental health treatment",
"2022": {
"number_thousands": 29316,
"percent_of_ami": 49.4
},
"2023": {
"number_thousands": 27064,
"percent_of_ami": 46.1
}
},
"adults_with_smi_not_treated": {
"description": "Adults 18+ with Serious Mental Illness who did not receive mental health treatment",
"2022": {
"number_thousands": 5119,
"percent_of_smi": 33.3
},
"2023": {
"number_thousands": 4220,
"percent_of_smi": 28.9
}
}
},
"youth_mental_health": {
"major_depressive_episode": {
"description": "Major Depressive Episode (MDE) in Past Year among youth aged 12-17",
"source_tables": [
"Table 7.1A",
"Table 7.1B"
],
"by_year": {
"2008": {
"percent": 8.3,
"note": "From SAMHSA annual reports"
},
"2009": {
"percent": 8.1
},
"2010": {
"percent": 8.0
},
"2011": {
"percent": 8.2
},
"2012": {
"percent": 9.1
},
"2013": {
"percent": 10.7
},
"2014": {
"percent": 11.4
},
"2015": {
"percent": 12.5
},
"2016": {
"percent": 12.8
},
"2017": {
"percent": 13.3
},
"2018": {
"percent": 14.4
},
"2019": {
"percent": 15.7
},
"2020": {
"percent": 17.0,
"note": "COVID-19 year"
},
"2021": {
"percent": 20.1,
"note": "Methodology change"
},
"2022": {
"number_thousands": 4823,
"percent": 19.5
},
"2023": {
"number_thousands": 4517,
"percent": 18.1
}
},
"mde_with_severe_impairment": {
"2022": {
"number_thousands": 3595,
"percent": 14.6
},
"2023": {
"number_thousands": 3358,
"percent": 13.5
}
},
"by_age_group_2023": {
"12_13": {
"percent_mde": 11.9,
"percent_severe": 8.2
},
"14_15": {
"percent_mde": 19.1,
"percent_severe": 14.6
},
"16_17": {
"percent_mde": 22.7,
"percent_severe": 17.0
}
},
"by_sex_2023": {
"male": {
"percent_mde": 9.4,
"percent_severe": 6.6
},
"female": {
"percent_mde": 27.3,
"percent_severe": 20.8
}
},
"by_race_ethnicity_2023": {
"white_non_hispanic": {
"percent": 19.6
},
"black_non_hispanic": {
"percent": 13.3
},
"hispanic_latino": {
"percent": 17.8
},
"asian_non_hispanic": {
"percent": 13.7
},
"two_or_more_races": {
"percent": 22.2
}
}
},
"suicidal_thoughts_and_behavior": {
"description": "Suicidal Thoughts and Behavior among youth aged 12-17",
"source_tables": [
"Table 7.33A",
"Table 7.33B",
"Table 7.35A",
"Table 7.35B"
],
"serious_thoughts_2023": {
"total": {
"number_thousands": 3189,
"percent": 12.3
},
"male": {
"percent": 7.9
},
"female": {
"percent": 17.0
}
},
"serious_thoughts_2022": {
"total": {
"number_thousands": 3427,
"percent": 13.4
}
},
"suicide_attempts_2023": {
"total": {
"number_thousands": 856,
"percent": 3.3
},
"male": {
"percent": 1.6
},
"female": {
"percent": 5.1
}
},
"suicide_attempts_2022": {
"total": {
"number_thousands": 953,
"percent": 3.7
}
},
"by_race_ethnicity_attempts_2023": {
"white_non_hispanic": {
"percent": 3.1
},
"black_non_hispanic": {
"percent": 3.8
},
"hispanic_latino": {
"percent": 3.7
},
"asian_non_hispanic": {
"percent": 3.0
},
"aian_non_hispanic": {
"percent": 3.8
}
}
},
"treatment_received": {
"description": "Mental health treatment among youth aged 12-17",
"2022": {
"percent_any_treatment": 29.8
},
"2023": {
"percent_any_treatment": 31.9,
"percent_inpatient": 3.5,
"percent_outpatient": 23.6,
"percent_medication": 13.9,
"percent_telehealth": 14.2
},
"by_sex_2023": {
"male": {
"percent": 25.0
},
"female": {
"percent": 39.0
}
}
}
},
"suicidal_thoughts_behavior_adults": {
"description": "Suicidal Thoughts and Behavior in Past Year among adults aged 18+",
"source_tables": [
"Table 6.68A",
"Table 6.68B"
],
"serious_thoughts": {
"by_year": {
"2008": {
"percent": 3.7,
"note": "From SAMHSA annual reports"
},
"2009": {
"percent": 3.7
},
"2010": {
"percent": 3.7
},
"2011": {
"percent": 3.7
},
"2012": {
"percent": 3.9
},
"2013": {
"percent": 3.9
},
"2014": {
"percent": 3.9
},
"2015": {
"percent": 4.0
},
"2016": {
"percent": 4.0
},
"2017": {
"percent": 4.2
},
"2018": {
"percent": 4.3
},
"2019": {
"percent": 4.6
},
"2020": {
"percent": 4.6
},
"2021": {
"percent": 4.9
},
"2022": {
"number_thousands": 13200,
"percent": 5.2
},
"2023": {
"number_thousands": 12821,
"percent": 5.0
}
},
"by_age_group_2023": {
"18_25": {
"number_thousands": 4165,
"percent": 12.2
},
"26_49": {
"number_thousands": 6077,
"percent": 5.9
},
"50_plus": {
"number_thousands": 2579,
"percent": 2.1
}
}
},
"suicide_plans": {
"2022": {
"number_thousands": 3753,
"percent": 1.5
},
"2023": {
"number_thousands": 3704,
"percent": 1.4
},
"by_age_group_2023": {
"18_25": {
"percent": 4.2
},
"26_49": {
"percent": 1.6
},
"50_plus": {
"percent": 0.5
}
}
},
"suicide_attempts": {
"2022": {
"number_thousands": 1623,
"percent": 0.6
},
"2023": {
"number_thousands": 1458,
"percent": 0.6
},
"by_age_group_2023": {
"18_25": {
"percent": 2.0
},
"26_49": {
"percent": 0.6
},
"50_plus": {
"percent": 0.2
}
}
}
},
"co_occurring_conditions": {
"sud_and_ami": {
"description": "Co-Occurring Substance Use Disorder and Any Mental Illness among adults 18+",
"source_tables": [
"Table 6.10A",
"Table 6.10B"
],
"2022": {
"number_thousands": 21543,
"percent": 8.4
},
"2023": {
"number_thousands": 20440,
"percent": 7.9
},
"by_sex_2023": {
"male": {
"percent": 7.7
},
"female": {
"percent": 8.2
}
},
"by_age_group_2023": {
"18_25": {
"percent": 14.1
},
"26_49": {
"percent": 10.9
},
"50_plus": {
"percent": 3.6
}
},
"by_race_ethnicity_2023": {
"white_non_hispanic": {
"percent": 8.4
},
"black_non_hispanic": {
"percent": 7.8
},
"hispanic_latino": {
"percent": 7.1
},
"asian_non_hispanic": {
"percent": 3.5
},
"two_or_more_races": {
"percent": 13.3
}
}
},
"sud_and_smi": {
"description": "Co-Occurring Substance Use Disorder and Serious Mental Illness among adults 18+",
"source_tables": [
"Table 6.13A",
"Table 6.13B"
],
"2022": {
"number_thousands": 7742,
"percent": 3.0
},
"2023": {
"number_thousands": 7070,
"percent": 2.7
}
}
},
"trends": {
"key_trend_indicators": {
"ami_prevalence_pct": {
"description": "Any Mental Illness prevalence rate (%) among adults 18+",
"2008": 18.5,
"2009": 19.1,
"2010": 19.5,
"2011": 19.3,
"2012": 19.3,
"2013": 19.1,
"2014": 18.8,
"2015": 19.0,
"2016": 19.3,
"2017": 19.9,
"2018": 19.9,
"2019": 20.6,
"2020": 21.0,
"2021": 22.8,
"2022": 23.1,
"2023": 22.8,
"change_2008_2023": {
"absolute": 4.3,
"relative_pct": 23.2
}
},
"smi_prevalence_pct": {
"description": "Serious Mental Illness prevalence rate (%) among adults 18+",
"2008": 4.6,
"2009": 4.6,
"2010": 4.5,
"2011": 4.6,
"2012": 4.4,
"2013": 4.5,
"2014": 4.4,
"2015": 4.6,
"2016": 4.5,
"2017": 4.8,
"2018": 4.8,
"2019": 5.2,
"2020": 5.6,
"2021": 5.5,
"2022": 6.0,
"2023": 5.7,
"change_2008_2023": {
"absolute": 1.1,
"relative_pct": 23.9
}
},
"youth_mde_pct": {
"description": "Major Depressive Episode rate (%) among youth 12-17",
"2008": 8.3,
"2009": 8.1,
"2010": 8.0,
"2011": 8.2,
"2012": 9.1,
"2013": 10.7,
"2014": 11.4,
"2015": 12.5,
"2016": 12.8,
"2017": 13.3,
"2018": 14.4,
"2019": 15.7,
"2020": 17.0,
"2021": 20.1,
"2022": 19.5,
"2023": 18.1,
"change_2008_2023": {
"absolute": 9.8,
"relative_pct": 118.1
}
},
"adult_suicide_ideation_pct": {
"description": "Serious thoughts of suicide (%) among adults 18+",
"2008": 3.7,
"2009": 3.7,
"2010": 3.7,
"2011": 3.7,
"2012": 3.9,
"2013": 3.9,
"2014": 3.9,
"2015": 4.0,
"2016": 4.0,
"2017": 4.2,
"2018": 4.3,
"2019": 4.6,
"2020": 4.6,
"2021": 4.9,
"2022": 5.2,
"2023": 5.0,
"change_2008_2023": {
"absolute": 1.3,
"relative_pct": 35.1
}
},
"treatment_rate_pct": {
"description": "Received any mental health treatment (%) among adults 18+",
"2008": 13.5,
"2009": 13.8,
"2010": 14.1,
"2011": 14.5,
"2012": 14.8,
"2013": 14.7,
"2014": 15.8,
"2015": 16.2,
"2016": 16.4,
"2017": 16.8,
"2018": 17.0,
"2019": 19.2,
"2020": 19.7,
"2021": 21.6,
"2022": 21.8,
"2023": 23.0,
"change_2008_2023": {
"absolute": 9.5,
"relative_pct": 70.4
}
}
},
"year_over_year_changes": {
"2022_to_2023": {
"ami_adults": {
"direction": "decrease",
"change_pct_points": -0.3,
"note": "59.3M to 58.7M (-1.1%)"
},
"smi_adults": {
"direction": "decrease",
"change_pct_points": -0.3,
"note": "15.4M to 14.6M (-4.9%)"
},
"youth_mde": {
"direction": "decrease",
"change_pct_points": -1.4,
"note": "4.8M to 4.5M (-6.3%)"
},
"adult_suicide_ideation": {
"direction": "decrease",
"change_pct_points": -0.2,
"note": "13.2M to 12.8M (-2.9%)"
},
"treatment_rate": {
"direction": "increase",
"change_pct_points": 1.2,
"note": "55.8M to 59.2M (+6.0%)"
},
"unmet_need": {
"direction": "decrease",
"change_pct_points": -0.9,
"note": "12.1M to 10.1M (-16.5%) perceived unmet need"
}
},
"notable_long_term_trends": [
"Youth MDE rates more than doubled from 2008 (8.3%) to 2023 (18.1%)",
"Adult AMI rates increased 23% from 2008 (18.5%) to 2023 (22.8%)",
"Mental health treatment rates increased 70% from 2008 (13.5%) to 2023 (23.0%)",
"Telehealth treatment reached 31.3 million adults in 2023, reflecting post-pandemic persistence of virtual care",
"Gender gap persists: females consistently have higher AMI (26.4% vs 19.0%), SMI (6.9% vs 4.3%), and MDE (10.5% vs 6.3%) rates",
"Young adults 18-25 have the highest AMI rate (33.8%) of any age group",
"Treatment gap: 46% of adults with AMI and 29% of adults with SMI did not receive treatment in 2023",
"Prescription medication (41.9M) remains the most common treatment type, followed by telehealth (31.3M) and outpatient (36.4M)"
]
}
},
"summary_statistics": {
"population_estimates_2023": {
"us_adult_population_18_plus": 257254,
"us_youth_population_12_17": 25865,
"adults_with_any_mental_illness": 58657,
"adults_with_serious_mental_illness": 14601,
"adults_with_major_depressive_episode": 21899,
"youth_with_major_depressive_episode": 4517,
"adults_with_serious_thoughts_of_suicide": 12821,
"youth_with_serious_thoughts_of_suicide": 3189,
"adults_who_received_mh_treatment": 59175,
"youth_who_received_mh_treatment": 8256,
"adults_co_occurring_sud_ami": 20440,
"adults_with_perceived_unmet_need": 10085,
"note": "All numbers in thousands"
},
"key_rates_2023": {
"adult_ami_rate": 22.8,
"adult_smi_rate": 5.7,
"adult_mde_rate": 8.5,
"youth_mde_rate": 18.1,
"adult_suicide_ideation_rate": 5.0,
"youth_suicide_ideation_rate": 12.3,
"adult_treatment_rate_overall": 23.0,
"adult_treatment_rate_among_ami": 53.9,
"adult_treatment_rate_among_smi": 71.1,
"youth_treatment_rate": 31.9,
"adult_unmet_need_rate": 5.2,
"co_occurring_sud_ami_rate": 7.9,
"telehealth_users_millions": 31.3,
"prescription_medication_users_millions": 41.9
},
"highest_risk_demographics_2023": {
"highest_ami_rate_age": {
"group": "18-25",
"rate": 33.8
},
"highest_ami_rate_sex": {
"group": "female",
"rate": 26.4
},
"highest_ami_rate_race": {
"group": "two_or_more_races",
"rate": 36.7
},
"highest_smi_rate_age": {
"group": "18-25",
"rate": 10.3
},
"highest_youth_mde_sex": {
"group": "female",
"rate": 27.3
},
"highest_suicide_ideation_adult_age": {
"group": "18-25",
"rate": 12.2
},
"highest_suicide_ideation_youth_sex": {
"group": "female",
"rate": 17.0
},
"lowest_treatment_rate_race": {
"group": "asian_non_hispanic",
"rate": 13.5
}
}
}
}