Prevalence of Mental Illness 2023
The scores for the six prevalence make up the Prevalence Ranking.
The 6 measures that make up the Prevalence Ranking include:
- Adults with Any Mental Illness (AMI)
- Adults with Substance Use Disorder in the Past Year
- Adults with Serious Thoughts of Suicide
- Youth with At Least One Major Depressive Episode (MDE) in the Past Year
- Youth with Substance Use Disorder in the Past Year
- Youth with Severe MDE.
A ranking 1-13 for Prevalence indicates a lower prevalence of mental health and substance use issues compared to states that ranked 39-51.
Rank Sort descending | State |
---|---|
01 | Georgia |
02 | South Carolina |
03 | Texas |
04 | New Jersey |
05 | North Carolina |
06 | Delaware |
07 | Florida |
08 | Maryland |
09 | Wisconsin |
10 | Kentucky |
11 | New York |
12 | Hawaii |
13 | Mississippi |
14 | Pennsylvania |
15 | Tennessee |
16 | California |
17 | Connecticut |
18 | Nevada |
19 | Arkansas |
20 | District of Columbia |
21 | Indiana |
22 | Alabama |
23 | Massachusetts |
24 | Louisiana |
25 | Michigan |
26 | Oklahoma |
27 | Rhode Island |
28 | Iowa |
29 | Virginia |
30 | Missouri |
31 | Illinois |
32 | North Dakota |
33 | Colorado |
34 | Alaska |
35 | New Hampshire |
36 | New Mexico |
37 | Wyoming |
38 | Arizona |
39 | West Virginia |
40 | Ohio |
41 | Minnesota |
42 | Maine |
43 | Washington |
44 | Nebraska |
45 | Vermont |
46 | Utah |
47 | South Dakota |
48 | Idaho |
49 | Montana |
50 | Kansas |
51 | Oregon |
Adult Prevalence of Any Mental Illness (AMI) 2023
The state prevalence of adult mental illness ranges from 17.49% in Florida to 29.68% in Utah.
According to SAMHSA, “Any Mental Illness (AMI) is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder as assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). These estimates are based on indicators of AMI rather than direct measures of diagnostic status."
Rank Sort descending | State | Percentage | Number |
---|---|---|---|
01 | Florida | 17.49 | 2,985,000 |
02 | Georgia | 17.55 | 1,397,000 |
03 | Maryland | 17.80 | 822,000 |
04 | Hawaii | 17.86 | 189,000 |
05 | Texas | 17.96 | 3,825,000 |
06 | New Jersey | 18.27 | 1,251,000 |
07 | Connecticut | 18.77 | 524,000 |
08 | New York | 18.83 | 2,855,000 |
09 | Pennsylvania | 19.68 | 1,963,000 |
10 | North Carolina | 19.80 | 1,592,000 |
11 | Tennessee | 20.46 | 1,073,000 |
12 | California | 20.49 | 6,169,000 |
13 | Virginia | 20.51 | 1,331,000 |
14 | Delaware | 20.52 | 156,000 |
15 | Illinois | 20.72 | 2,000,000 |
16 | North Dakota | 20.79 | 118,000 |
17 | Iowa | 21.00 | 503,000 |
18 | Mississippi | 21.06 | 465,000 |
19 | New Mexico | 21.16 | 337,000 |
20 | Louisiana | 21.18 | 733,000 |
21 | Alabama | 21.24 | 797,000 |
22 | South Dakota | 21.25 | 139,000 |
23 | Missouri | 21.32 | 996,000 |
24 | Nevada | 21.38 | 508,000 |
25 | Massachusetts | 21.39 | 1,172,000 |
26 | Maine | 21.61 | 234,000 |
27 | South Carolina | 21.69 | 862,000 |
28 | Indiana | 21.83 | 1,109,000 |
29 | Wisconsin | 21.83 | 982,000 |
30 | Kentucky | 21.91 | 742,000 |
31 | Alaska | 22.20 | 117,000 |
32 | Michigan | 22.33 | 1,729,000 |
33 | Arkansas | 22.61 | 514,000 |
34 | District of Columbia | 22.95 | 131,000 |
35 | Colorado | 23.16 | 1,028,000 |
36 | Minnesota | 23.23 | 997,000 |
37 | Nebraska | 23.41 | 335,000 |
38 | Montana | 23.43 | 195,000 |
39 | Wyoming | 23.63 | 103,000 |
40 | Vermont | 23.71 | 120,000 |
41 | New Hampshire | 23.74 | 260,000 |
42 | Arizona | 23.89 | 1,339,000 |
43 | Rhode Island | 24.12 | 202,000 |
44 | Ohio | 24.32 | 2,177,000 |
45 | Idaho | 24.92 | 333,000 |
46 | Washington | 25.51 | 1,500,000 |
47 | Oklahoma | 25.59 | 752,000 |
48 | Kansas | 26.02 | 560,000 |
49 | West Virginia | 26.05 | 366,000 |
50 | Oregon | 27.33 | 909,000 |
51 | Utah | 29.68 | 675,000 |
52 | National | 20.78 | 52,173,000 |
Adults with Substance Use Disorder 2023
15.35% of adults in America reported having a substance use disorder in the past year.
6.82% of adults in America had an illicit drug use disorder in the past year.
10.96% of adults in America had an alcohol use disorder in the past year.
Of those reporting having a substance use disorder in the past year, 93.5% did not receive any form of treatment.
The state prevalence of adults with substance use disorder ranges from 11.31% in Georgia to 21.21% in the District of Columbia.
According to SAMHSA, “Substance Use Disorder (SUD) data in 2020 are based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). SUD is defined as meeting the criteria for illicit drug or alcohol use disorder. SUD estimates are based on only 2020 data because prior years’ SUD data were based on DSM-IV criteria."
Rank Sort descending | State | Percentage | Number |
---|---|---|---|
01 | Georgia | 11.31 | 906,000 |
02 | Texas | 11.93 | 2,564,000 |
03 | Utah | 12.64 | 291,000 |
04 | Kentucky | 12.98 | 441,000 |
05 | North Carolina | 13.48 | 1,092,000 |
06 | Hawaii | 13.77 | 145,000 |
07 | Tennessee | 13.94 | 734,000 |
08 | South Carolina | 14.08 | 564,000 |
09 | Virginia | 14.53 | 947,000 |
10 | Indiana | 14.61 | 745,000 |
11 | Florida | 14.81 | 2,541,000 |
12 | Arkansas | 14.85 | 339,000 |
13 | New York | 14.88 | 2,250,000 |
14 | West Virginia | 14.93 | 210,000 |
15 | Alabama | 14.94 | 563,000 |
16 | Nevada | 14.95 | 360,000 |
17 | Idaho | 15.02 | 204,000 |
18 | Maryland | 15.27 | 706,000 |
19 | Ohio | 15.36 | 1,377,000 |
20 | New Jersey | 15.37 | 1,052,000 |
21 | Mississippi | 15.47 | 341,000 |
22 | Delaware | 15.57 | 120,000 |
23 | Iowa | 15.73 | 378,000 |
24 | Wisconsin | 15.88 | 717,000 |
25 | Missouri | 15.93 | 746,000 |
26 | Pennsylvania | 15.94 | 1,589,000 |
27 | Oklahoma | 16.07 | 474,000 |
28 | Arizona | 16.25 | 923,000 |
29 | North Dakota | 16.37 | 93,000 |
30 | Louisiana | 16.43 | 569,000 |
31 | Alaska | 16.57 | 87,000 |
32 | New Mexico | 16.58 | 265,000 |
33 | Rhode Island | 16.66 | 140,000 |
34 | Connecticut | 16.66 | 465,000 |
35 | Illinois | 16.69 | 1,607,000 |
36 | California | 16.70 | 5,027,000 |
37 | Michigan | 16.72 | 1,295,000 |
38 | New Hampshire | 17.00 | 186,000 |
39 | Colorado | 17.25 | 771,000 |
40 | Minnesota | 17.26 | 742,000 |
41 | Maine | 17.32 | 188,000 |
42 | Massachusetts | 17.41 | 955,000 |
43 | Wyoming | 17.57 | 77,000 |
44 | Vermont | 17.69 | 89,000 |
45 | Nebraska | 18.00 | 258,000 |
46 | Kansas | 18.42 | 398,000 |
47 | South Dakota | 18.55 | 122,000 |
48 | Washington | 18.59 | 1,100,000 |
49 | Oregon | 19.13 | 639,000 |
50 | Montana | 19.22 | 161,000 |
51 | District of Columbia | 21.21 | 122,000 |
52 | National | 15.35 | 38,679,000 |
Adults with Serious Thoughts of Suicide 2023
The percentage of adults reporting serious thoughts of suicide is 4.84%. The estimated number of adults with serious suicidal thoughts is over 12.1 million.
11% of adults who identified as two or more races reported serious thoughts of suicide in 2020 – 6% higher than the average among all adults.
The state prevalence of adults with serious thoughts of suicide ranges from 3.92% in Georgia to 7.63% in Utah.
Rank Sort descending | State | Percentage | Number |
---|---|---|---|
01 | Georgia | 3.92 | 313,000 |
02 | New Jersey | 4.12 | 283,000 |
03 | Texas | 4.18 | 892,000 |
04 | Florida | 4.26 | 727,000 |
05 | North Carolina | 4.30 | 346,000 |
06 | District of Columbia | 4.30 | 25,000 |
07 | New York | 4.34 | 659,000 |
08 | California | 4.39 | 1,323,000 |
09 | Connecticut | 4.40 | 123,000 |
10 | South Carolina | 4.42 | 176,000 |
11 | Louisiana | 4.50 | 156,000 |
12 | Illinois | 4.54 | 438,000 |
13 | Tennessee | 4.58 | 240,000 |
14 | Virginia | 4.58 | 298,000 |
15 | New Hampshire | 4.62 | 50,000 |
16 | Hawaii | 4.62 | 49,000 |
17 | Mississippi | 4.65 | 103,000 |
18 | Delaware | 4.65 | 35,000 |
19 | Maryland | 4.67 | 216,000 |
20 | Massachusetts | 4.74 | 260,000 |
21 | New Mexico | 4.82 | 77,000 |
22 | Michigan | 4.84 | 375,000 |
23 | Wisconsin | 4.85 | 219,000 |
24 | Pennsylvania | 4.86 | 485,000 |
25 | Kentucky | 4.89 | 166,000 |
26 | Alabama | 4.96 | 186,000 |
27 | Maine | 5.12 | 56,000 |
28 | Rhode Island | 5.17 | 43,000 |
29 | Oklahoma | 5.24 | 154,000 |
30 | Nebraska | 5.35 | 77,000 |
31 | Iowa | 5.38 | 129,000 |
32 | Vermont | 5.40 | 27,000 |
33 | West Virginia | 5.42 | 76,000 |
34 | Missouri | 5.47 | 256,000 |
35 | Nevada | 5.52 | 131,000 |
36 | Arkansas | 5.59 | 127,000 |
37 | Washington | 5.62 | 331,000 |
38 | North Dakota | 5.62 | 32,000 |
39 | Indiana | 5.82 | 296,000 |
40 | Minnesota | 5.96 | 256,000 |
41 | Colorado | 6.01 | 267,000 |
42 | Ohio | 6.01 | 538,000 |
43 | Wyoming | 6.02 | 26,000 |
44 | South Dakota | 6.08 | 40,000 |
45 | Alaska | 6.15 | 32,000 |
46 | Montana | 6.24 | 52,000 |
47 | Idaho | 6.27 | 84,000 |
48 | Kansas | 6.44 | 139,000 |
49 | Arizona | 6.48 | 364,000 |
50 | Oregon | 6.80 | 226,000 |
51 | Utah | 7.63 | 174,000 |
52 | National | 4.84 | 12,151,000 |
Youth with At Least One Major Depressive Episode (MDE) 2023
16.39% of youth (age 12-17) reported suffering from at least one major depressive episode (MDE) in the past year.
Youth experienced numerous hardships during the COVID-19 pandemic. The CDC’s Adolescent Behaviors and Experiences Survey (ABES) found that 67% of U.S. high school students reported that schoolwork was more difficult, 55% experienced some emotional abuse in the home, 11% experienced physical abuse, and 24% reported they did not have enough food to eat during the COVID-19 pandemic, all of which can have a detrimental effect on mental health.
The state prevalence of youth with MDE ranges from 12.57% in New Jersey to 21.13% in Oregon.
Rank Sort descending | State | Percentage | Number |
---|---|---|---|
01 | New Jersey | 12.57 | 84,000 |
02 | South Carolina | 13.41 | 51,000 |
03 | Pennsylvania | 14.04 | 127,000 |
04 | Wisconsin | 14.16 | 63,000 |
05 | Delaware | 14.24 | 10,000 |
06 | Georgia | 14.49 | 127,000 |
07 | California | 14.83 | 447,000 |
08 | Kentucky | 14.89 | 51,000 |
09 | Arkansas | 14.97 | 36,000 |
10 | Mississippi | 15.08 | 37,000 |
11 | Maryland | 15.37 | 69,000 |
12 | Indiana | 15.45 | 83,000 |
13 | Florida | 15.51 | 225,000 |
14 | North Carolina | 15.56 | 124,000 |
15 | Connecticut | 15.64 | 42,000 |
16 | Rhode Island | 15.90 | 11,000 |
17 | Oklahoma | 15.97 | 51,000 |
18 | Michigan | 15.99 | 119,000 |
19 | Nevada | 16.02 | 38,000 |
20 | New York | 16.03 | 214,000 |
21 | Louisiana | 16.18 | 58,000 |
22 | District of Columbia | 16.32 | 5,000 |
23 | Wyoming | 16.78 | 8,000 |
24 | Missouri | 16.84 | 79,000 |
25 | Arizona | 16.90 | 96,000 |
26 | New Hampshire | 17.02 | 16,000 |
27 | Colorado | 17.05 | 74,000 |
28 | Texas | 17.08 | 429,000 |
29 | Iowa | 17.10 | 42,000 |
30 | Tennessee | 17.32 | 89,000 |
31 | Alabama | 17.56 | 65,000 |
32 | Massachusetts | 17.74 | 84,000 |
33 | North Dakota | 17.77 | 10,000 |
34 | West Virginia | 17.92 | 22,000 |
35 | Kansas | 17.94 | 43,000 |
36 | South Dakota | 17.96 | 13,000 |
37 | Illinois | 18.10 | 177,000 |
38 | Ohio | 18.25 | 162,000 |
39 | Alaska | 18.36 | 10,000 |
40 | Hawaii | 18.36 | 17,000 |
41 | Utah | 19.08 | 61,000 |
42 | New Mexico | 19.32 | 32,000 |
43 | Minnesota | 19.39 | 86,000 |
44 | Virginia | 19.56 | 124,000 |
45 | Washington | 19.57 | 108,000 |
46 | Maine | 19.85 | 18,000 |
47 | Nebraska | 20.08 | 32,000 |
48 | Montana | 20.18 | 16,000 |
49 | Vermont | 20.64 | 8,000 |
50 | Idaho | 20.88 | 33,000 |
51 | Oregon | 21.13 | 63,000 |
52 | National | 16.39 | 4,087,000 |
Youth with Severe Major Depressive Episode 2023
11.5% of youth (or over 2.7 million youth) are experiencing severe major depression.
Rates of a severe major depressive episode were highest among youth who identified as more than one race, at 16.5% (about 123,000 youth).
The percentage of youth with severe major depressive episode in South Dakota (ranked 51) is nearly four times the percentage of youth with severe MDE in South Carolina (ranked 1).
The state prevalence of youth with Severe MDE ranges from 5.2% in South Carolina to 19.9% in South Dakota.
Rank Sort descending | State | Percentage | Number |
---|---|---|---|
01 | South Carolina | 5.20% | 19,000 |
02 | New Jersey | 7.50% | 48,000 |
03 | Mississippi | 8.10% | 19,000 |
04 | Wisconsin | 8.50% | 37,000 |
05 | Massachusetts | 8.80% | 40,000 |
06 | California | 9.20% | 269,000 |
07 | Pennsylvania | 9.20% | 79,000 |
08 | Kentucky | 9.30% | 30,000 |
09 | Rhode Island | 9.90% | 7,000 |
10 | Georgia | 10.00% | 85,000 |
11 | Delaware | 10.10% | 7,000 |
12 | Connecticut | 10.20% | 26,000 |
13 | Oklahoma | 10.30% | 32,000 |
14 | Arkansas | 10.60% | 25,000 |
15 | District of Columbia | 10.60% | 3,000 |
16 | North Carolina | 10.60% | 82,000 |
17 | Tennessee | 10.60% | 54,000 |
18 | Wyoming | 10.70% | 5,000 |
19 | New York | 10.80% | 137,000 |
20 | Texas | 10.80% | 261,000 |
21 | Colorado | 10.90% | 46,000 |
22 | Hawaii | 10.90% | 10,000 |
23 | Indiana | 11.20% | 57,000 |
24 | Michigan | 11.30% | 83,000 |
25 | Florida | 12.30% | 174,000 |
26 | Maryland | 12.40% | 55,000 |
27 | New Mexico | 12.80% | 21,000 |
28 | Kansas | 13.00% | 30,000 |
29 | West Virginia | 13.00% | 16,000 |
30 | Arizona | 13.10% | 72,000 |
31 | Alabama | 13.20% | 48,000 |
32 | New Hampshire | 13.30% | 12,000 |
33 | Montana | 13.40% | 10,000 |
34 | North Dakota | 13.60% | 7,000 |
35 | Missouri | 13.80% | 64,000 |
36 | Nevada | 13.80% | 32,000 |
37 | Ohio | 13.90% | 119,000 |
38 | Vermont | 13.90% | 5,000 |
39 | Washington | 14.00% | 74,000 |
40 | Illinois | 14.40% | 136,000 |
41 | Alaska | 14.80% | 8,000 |
42 | Iowa | 15.00% | 36,000 |
43 | Minnesota | 15.20% | 64,000 |
44 | Nebraska | 15.70% | 23,000 |
45 | Virginia | 15.70% | 97,000 |
46 | Maine | 16.30% | 14,000 |
47 | Utah | 16.40% | 50,000 |
48 | Louisiana | 16.60% | 59,000 |
49 | Idaho | 17.50% | 27,000 |
50 | Oregon | 19.00% | 55,000 |
51 | South Dakota | 19.90% | 14,000 |
52 | National | 11.50% | 2,782,000 |
Youth with Substance Use Disorder 2023
6.34% of youth in the U.S. reported a substance use disorder in the past year.
2.85% had an alcohol use disorder in the past year, while 4.85% had an illicit drug use disorder.
The state prevalence of youth with substance use disorder ranges from 3.94% in the District of Columbia to 9.05% in Kansas.
Rank Sort descending | State | Percentage | Number |
---|---|---|---|
01 | District of Columbia | 3.94 | 1,000 |
02 | Georgia | 4.30 | 38,000 |
03 | Nevada | 4.65 | 11,000 |
04 | Alaska | 5.06 | 3,000 |
05 | North Carolina | 5.13 | 41,000 |
06 | Delaware | 5.13 | 4,000 |
07 | South Carolina | 5.26 | 20,000 |
08 | Maryland | 5.27 | 24,000 |
09 | Wisconsin | 5.66 | 25,000 |
10 | Utah | 5.70 | 18,000 |
11 | Minnesota | 5.73 | 25,000 |
12 | Texas | 5.79 | 146,000 |
13 | Florida | 5.99 | 87,000 |
14 | Louisiana | 6.00 | 22,000 |
15 | Arizona | 6.06 | 35,000 |
16 | Oklahoma | 6.07 | 20,000 |
17 | Hawaii | 6.08 | 6,000 |
18 | Alabama | 6.11 | 23,000 |
19 | Tennessee | 6.13 | 32,000 |
20 | Washington | 6.27 | 35,000 |
21 | Arkansas | 6.29 | 15,000 |
22 | Colorado | 6.37 | 28,000 |
23 | Mississippi | 6.48 | 16,000 |
24 | New York | 6.49 | 86,000 |
25 | Indiana | 6.49 | 35,000 |
26 | Iowa | 6.52 | 16,000 |
27 | North Dakota | 6.53 | 4,000 |
28 | Kentucky | 6.59 | 22,000 |
29 | Rhode Island | 6.60 | 5,000 |
30 | California | 6.64 | 200,000 |
31 | Massachusetts | 6.77 | 32,000 |
32 | Ohio | 6.81 | 60,000 |
33 | Missouri | 6.81 | 32,000 |
34 | Pennsylvania | 6.85 | 62,000 |
35 | Wyoming | 6.90 | 3,000 |
36 | West Virginia | 6.96 | 9,000 |
37 | Virginia | 6.99 | 44,000 |
38 | Idaho | 7.06 | 11,000 |
39 | Nebraska | 7.13 | 11,000 |
40 | Michigan | 7.14 | 53,000 |
41 | Illinois | 7.19 | 70,000 |
42 | New Jersey | 7.26 | 49,000 |
43 | South Dakota | 7.37 | 5,000 |
44 | New Hampshire | 7.46 | 7,000 |
45 | Maine | 7.46 | 7,000 |
46 | Connecticut | 7.50 | 20,000 |
47 | New Mexico | 7.75 | 13,000 |
48 | Vermont | 7.91 | 3,000 |
49 | Oregon | 7.97 | 24,000 |
50 | Montana | 8.60 | 7,000 |
51 | Kansas | 9.05 | 22,000 |
52 | National | 6.34 | 1,584,000 |