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Prevalence of Mental Illness 2024

 
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Prevalence of Mental Illness

A ranking 1-13 for Prevalence indicates a lower prevalence of mental health and substance use issues compared to states that ranked 39-51.

The seven measures that make up the Prevalence Ranking include:

  1. Adults with Any Mental Illness (AMI)
  2. Adults with Substance Use Disorder in the Past Year
  3. Adults with Serious Thoughts of Suicide
  4. Youth with at Least One Major Depressive Episode (MDE) in the Past Year
  5. Youth with Substance Use Disorder in the Past Year
  6. Youth with Serious Thoughts of Suicide
  7. Youth (Ages 6-17) Flourishing
Rank Sort descending State
01 Connecticut
02 New Jersey
03 Georgia
04 South Carolina
05 Texas
06 Mississippi
07 Hawaii
08 New York
09 Massachusetts
10 North Carolina
11 Florida
12 Michigan
13 California
14 Illinois
15 Maryland
16 Virginia
17 Delaware
18 Pennsylvania
19 Kansas
20 New Hampshire
21 Alabama
22 District of Columbia
23 Wisconsin
24 Arkansas
25 South Dakota
26 Kentucky
27 Maine
28 Utah
29 Tennessee
30 Ohio
31 Indiana
32 Nebraska
33 West Virginia
34 Minnesota
35 Arizona
36 Rhode Island
37 Iowa
38 Oklahoma
39 Louisiana
40 North Dakota
41 Vermont
42 Wyoming
43 Missouri
44 New Mexico
45 Nevada
46 Alaska
47 Idaho
48 Montana
49 Washington
50 Colorado
51 Oregon

Adult Prevalence of Any Mental Illness (AMI) 2024

 
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Adult Prevalence of Mental Illness - Adults with Any Mental Illness (AMI)

23.08% of adults experienced a mental illness in the past year,equivalent to nearly 60 million Americans.

5.86% experienced a severe mental illness.

The state prevalence of adult mental illness ranges from 19.38% in New Jersey to 29.19% in Utah.

 

According to SAMHSA, “Any Mental Illness (AMI) aligns with Diagnostic and Statistical Manual of Mental Disorders, 4th edition criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. These estimates are based on indicators of AMI rather than direct measures of diagnostic status.” 

Rank Sort descending State Percentage Number
01 New Jersey 19.38% 1,389,000
02 Florida 20.45% 3,563,000
03 Delaware 20.93% 165,000
04 Connecticut 21.05% 599,000
05 New York 21.11% 3,273,000
06 Hawaii 21.47% 234,000
07 Texas 21.94% 4,797,000
08 Illinois 22.01% 2,136,000
09 Mississippi 22.16% 487,000
10 California 22.19% 6,665,000
11 North Carolina 22.19% 1,804,000
12 Virginia 22.28% 1,470,000
13 South Carolina 22.35% 902,000
14 Maryland 22.37% 1,056,000
15 Georgia 22.52% 1,836,000
16 Michigan 22.89% 1,789,000
17 New Hampshire 23.06% 259,000
18 Massachusetts 23.18% 1,292,000
19 Pennsylvania 23.18% 2,352,000
20 Arizona 23.26% 1,308,000
21 Wisconsin 23.66% 1,082,000
22 Kentucky 23.77% 813,000
23 Arkansas 23.86% 546,000
24 Maine 24.07% 268,000
25 Alabama 24.09% 931,000
26 Louisiana 24.34% 838,000
27 Kansas 24.41% 532,000
28 Indiana 24.44% 1,260,000
29 Ohio 24.52% 2,214,000
30 Nevada 24.65% 600,000
31 Rhode Island 24.67% 216,000
32 Minnesota 24.74% 1,077,000
33 South Dakota 24.89% 166,000
34 Alaska 24.96% 132,000
35 Tennessee 25.47% 1,370,000
36 New Mexico 25.67% 414,000
37 Nebraska 25.71% 376,000
38 Oklahoma 25.88% 768,000
39 North Dakota 25.95% 150,000
40 West Virginia 26.28% 367,000
41 Colorado 26.30% 1,186,000
42 Missouri 26.50% 1,248,000
43 District of Columbia 26.63% 143,000
44 Iowa 26.71% 649,000
45 Vermont 26.80% 141,000
46 Montana 27.12% 234,000
47 Washington 27.14% 1,629,000
48 Wyoming 27.44% 121,000
49 Oregon 27.48% 922,000
50 Idaho 28.02% 402,000
51 Utah 29.19% 700,000
52 National 23.08% 58,867,000

Adults with Substance Use Disorder 2024

 
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Adults with Substance Use Disorder in the Past Year

17.82% of adults in the U.S. had a substance use disorder in the past year, totaling over 45 million people.

9.41% of adults in America had a drug use disorder in the past year.

11.28% of adults in America had an alcohol use disorder in the past year.

The state prevalence of adults with substance use disorder ranges from 14.15% in Utah to 24.30% in Alaska.

According to SAMHSA, “Substance Use Disorder (SUD) estimates are based on Diagnostic and Statistical Manual of Mental Disorders, 5th edition criteria. SUD is defined as meeting the criteria for drug or alcohol use disorder. Beginning with the 2021 National Survey on Drug Use and Health, questions on prescription drug use disorder were asked of all past year users of prescription drugs, regardless of whether they misused prescription drugs.” 

Rank Sort descending State Percentage Number
01 Utah 14.15% 340,000
02 Alabama 15.19% 587,000
03 Florida 15.30% 2,665,000
04 South Carolina 15.42% 622,000
05 Texas 15.45% 3,380,000
06 North Carolina 15.71% 1,277,000
07 Arkansas 15.76% 361,000
08 New Jersey 16.34% 1,171,000
09 Hawaii 16.35% 178,000
10 Tennessee 16.49% 887,000
11 Mississippi 16.82% 370,000
12 Georgia 16.99% 1,385,000
13 New Hampshire 17.37% 195,000
14 Kentucky 17.41% 596,000
15 Nebraska 17.58% 257,000
16 Kansas 17.69% 386,000
17 Maryland 17.73% 837,000
18 Virginia 17.79% 1,173,000
19 New York 17.81% 2,762,000
20 Illinois 17.86% 1,733,000
21 Arizona 17.97% 1,011,000
22 Pennsylvania 18.01% 1,827,000
23 California 18.04% 5,418,000
24 Idaho 18.17% 260,000
25 South Dakota 18.24% 121,000
26 Connecticut 18.39% 523,000
27 Michigan 18.42% 1,440,000
28 Wisconsin 18.44% 844,000
29 West Virginia 18.68% 261,000
30 Maine 18.80% 209,000
31 Delaware 18.81% 148,000
32 Missouri 18.89% 889,000
33 Indiana 19.08% 983,000
34 Massachusetts 19.16% 1,068,000
35 Ohio 19.19% 1,733,000
36 Iowa 19.32% 469,000
37 Oklahoma 19.66% 584,000
38 Wyoming 20.21% 89,000
39 Washington 20.23% 1,214,000
40 Minnesota 20.43% 890,000
41 Louisiana 20.62% 710,000
42 North Dakota 20.80% 120,000
43 Montana 21.00% 181,000
44 Nevada 21.60% 525,000
45 Rhode Island 22.61% 198,000
46 Oregon 22.71% 762,000
47 Vermont 22.79% 120,000
48 Colorado 23.08% 1,040,000
49 New Mexico 23.55% 380,000
50 District of Columbia 24.22% 130,000
51 Alaska 24.30% 128,000
52 National 17.82% 45,438,000

Adults with Serious Thoughts of Suicide 2024

 
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Adults with Serious Thoughts of Suicide

5.04% of adults reported experiencing serious thoughts of suicide. The estimated number of adults with serious suicidal thoughts in the U.S. is over 12.8 million.

After slight decreases in suicide deaths in 2019 and 2020, the number of individuals who died by suicide in 2022 was the highest number ever recorded in the U.S.

The state prevalence of adults with serious thoughts of suicide ranges from 4.16% in Connecticut to 7.12% in Utah.

Rank Sort descending State Percentage Number
01 Connecticut 4.16% 118,000
02 New York 4.29% 665,000
03 Massachusetts 4.36% 243,000
04 New Jersey 4.37% 313,000
05 Maryland 4.41% 208,000
06 Maine 4.56% 51,000
07 Hawaii 4.64% 50,000
08 South Carolina 4.67% 188,000
09 North Carolina 4.70% 382,000
10 Rhode Island 4.74% 41,000
11 Pennsylvania 4.74% 481,000
12 Delaware 4.75% 37,000
13 Virginia 4.76% 314,000
14 Florida 4.80% 836,000
15 New Hampshire 4.87% 55,000
16 Mississippi 4.94% 109,000
17 California 4.97% 1,491,000
18 Texas 4.98% 1,090,000
19 Georgia 5.02% 410,000
20 Minnesota 5.07% 221,000
21 Tennessee 5.11% 275,000
22 Arizona 5.15% 290,000
23 Wisconsin 5.16% 236,000
24 Ohio 5.21% 470,000
25 Arkansas 5.23% 120,000
26 District of Columbia 5.25% 28,000
27 Illinois 5.26% 511,000
28 Kansas 5.31% 116,000
29 Vermont 5.35% 28,000
30 Kentucky 5.41% 185,000
31 Michigan 5.42% 424,000
32 Alabama 5.44% 210,000
33 Oklahoma 5.47% 162,000
34 Alaska 5.47% 29,000
35 Louisiana 5.51% 190,000
36 Iowa 5.51% 134,000
37 Washington 5.51% 331,000
38 New Mexico 5.55% 90,000
39 Indiana 5.56% 287,000
40 South Dakota 5.59% 37,000
41 Missouri 5.61% 264,000
42 Oregon 5.61% 188,000
43 North Dakota 5.68% 33,000
44 West Virginia 5.71% 80,000
45 Nevada 5.75% 140,000
46 Wyoming 5.84% 26,000
47 Colorado 5.91% 266,000
48 Montana 6.02% 52,000
49 Nebraska 6.15% 90,000
50 Idaho 6.68% 96,000
51 Utah 7.12% 171,000
52 National 5.04% 12,860,000

Youth with At Least One Major Depressive Episode (MDE) 2024

 
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Youth with at Least One Past Year Major Depressive Episode (MDE)

20.17% of youth (ages 12-17) reported suffering from at least one major depressive episode (MDE) in the past year.

15% of youth in the U.S. experienced an MDE with severe impairment, meaning it severely impacted their functioning at work, school, or home.

The state prevalence of youth with MDE ranges from 16.02% in the District of Columbia to 24.96% in Oregon.

Rank Sort descending State Percentage Number
01 District of Columbia 16.02% 5,000
02 Hawaii 17.15% 17,000
03 Georgia 17.39% 159,000
04 South Carolina 17.88% 72,000
05 Utah 18.33% 62,000
06 Texas 18.40% 483,000
07 Michigan 18.65% 142,000
08 Mississippi 18.73% 47,000
09 Oklahoma 18.76% 63,000
10 Arkansas 18.97% 47,000
11 Massachusetts 19.18% 93,000
12 South Dakota 19.21% 14,000
13 Vermont 19.25% 8,000
14 Alabama 19.41% 76,000
15 Wisconsin 19.41% 89,000
16 North Carolina 19.46% 160,000
17 Kentucky 19.50% 69,000
18 New York 19.58% 272,000
19 New Jersey 19.70% 141,000
20 Connecticut 19.83% 54,000
21 West Virginia 19.85% 25,000
22 Louisiana 19.91% 74,000
23 Maine 19.93% 18,000
24 California 20.01% 616,000
25 Illinois 20.21% 202,000
26 Virginia 20.22% 133,000
27 Kansas 20.34% 50,000
28 Indiana 20.44% 114,000
29 Tennessee 20.50% 111,000
30 Pennsylvania 20.50% 193,000
31 Delaware 20.55% 15,000
32 Ohio 20.79% 190,000
33 Iowa 20.88% 54,000
34 Nebraska 21.12% 35,000
35 Florida 21.43% 325,000
36 Idaho 21.50% 37,000
37 North Dakota 21.56% 13,000
38 Missouri 21.59% 105,000
39 New Hampshire 21.63% 20,000
40 Wyoming 21.70% 10,000
41 Alaska 21.72% 13,000
42 Montana 21.89% 18,000
43 Minnesota 22.07% 102,000
44 Rhode Island 22.15% 16,000
45 Maryland 22.17% 105,000
46 New Mexico 23.23% 40,000
47 Colorado 23.32% 103,000
48 Washington 23.39% 135,000
49 Nevada 23.51% 58,000
50 Arizona 23.96% 139,000
51 Oregon 24.96% 76,000
52 National 20.17% 5,217,000

Youth with Substance Use Disorder 2024

 
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Youth with Substance Use Disorder in the Past Year

8.95% of youth in the U.S. reported a substance use disorder in the past year.  

3.32% had an alcohol use disorder in the past year, while 7.17% had a drug use disorder.

The state prevalence of youth with substance use disorder ranges from 5.43% in Utah to 16.01% in New Mexico.

According to SAMHSA, “Substance Use Disorder (SUD) estimates are based on Diagnostic and Statistical Manual of Mental Disorders, 5th edition criteria. SUD is defined as meeting the criteria for drug or alcohol use disorder. Beginning with the 2021 National Survey on Drug Use and Health, questions on prescription drug use disorder were asked of all past year users of prescription drugs, regardless of whether they misused prescription drugs.” 

Rank Sort descending State Percentage Number
01 Utah 5.43% 18,000
02 New Hampshire 7.13% 7,000
03 New Jersey 7.25% 52,000
04 North Carolina 7.42% 61,000
05 South Carolina 7.44% 30,000
06 Connecticut 7.66% 21,000
07 Mississippi 7.69% 19,000
08 Virginia 7.69% 50,000
09 Texas 7.79% 204,000
10 Alabama 7.82% 31,000
11 Michigan 8.12% 62,000
12 Massachusetts 8.14% 39,000
13 Florida 8.19% 124,000
14 California 8.21% 253,000
15 South Dakota 8.23% 6,000
16 Maryland 8.31% 39,000
17 Kentucky 8.40% 30,000
18 Pennsylvania 8.55% 80,000
19 Maine 8.66% 8,000
20 Arkansas 8.77% 22,000
21 Indiana 8.78% 49,000
22 Kansas 8.81% 22,000
23 Nebraska 8.86% 15,000
24 West Virginia 8.96% 11,000
25 North Dakota 8.97% 5,000
26 Delaware 9.09% 7,000
27 Georgia 9.29% 85,000
28 Illinois 9.33% 93,000
29 Ohio 9.41% 86,000
30 Wyoming 9.43% 5,000
31 Hawaii 9.44% 9,000
32 Tennessee 9.47% 51,000
33 New York 9.53% 132,000
34 Idaho 9.86% 17,000
35 Vermont 10.10% 4,000
36 Wisconsin 10.28% 47,000
37 Minnesota 10.30% 47,000
38 District of Columbia 10.34% 4,000
39 Arizona 10.68% 62,000
40 Montana 10.93% 9,000
41 Iowa 10.95% 28,000
42 Washington 10.96% 63,000
43 Rhode Island 11.03% 8,000
44 Missouri 11.15% 54,000
45 Colorado 11.27% 50,000
46 Oklahoma 11.49% 38,000
47 Alaska 11.51% 7,000
48 Oregon 12.52% 38,000
49 Louisiana 13.40% 50,000
50 Nevada 14.09% 35,000
51 New Mexico 16.01% 27,000
52 National 8.95% 2,316,000

Youths with Serious Thoughts of Suicide 2024

 
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Youth with Serious Thoughts of Suicide

13.16% of youth (over 3.4 million youth) are experiencing serious thoughts of suicide. 

The state prevalence of youth with serious thoughts of suicide ranges from 10.68% in the District of Columbia to 15.00% in Oregon.

Rank Sort descending State Percentage Number
01 District of Columbia 10.68% 4,000
02 Connecticut 11.00% 30,000
03 Michigan 11.85% 90,000
04 Texas 12.05% 316,000
05 Massachusetts 12.24% 59,000
06 New York 12.25% 170,000
07 Georgia 12.34% 113,000
08 Mississippi 12.37% 31,000
09 South Carolina 12.55% 50,000
10 New Jersey 12.71% 91,000
11 North Carolina 12.79% 105,000
12 Kentucky 12.94% 46,000
13 New Mexico 12.95% 22,000
14 Rhode Island 12.98% 10,000
15 Utah 13.04% 44,000
16 Delaware 13.06% 10,000
17 Vermont 13.07% 6,000
18 Kansas 13.09% 32,000
19 Louisiana 13.20% 49,000
20 Illinois 13.21% 132,000
21 Alabama 13.23% 52,000
22 Maryland 13.32% 63,000
23 Maine 13.34% 12,000
24 Indiana 13.34% 74,000
25 California 13.34% 411,000
26 Virginia 13.37% 88,000
27 Florida 13.40% 203,000
28 Pennsylvania 13.46% 127,000
29 New Hampshire 13.58% 13,000
30 Arizona 13.61% 79,000
31 North Dakota 13.63% 8,000
32 Wisconsin 13.69% 63,000
33 Oklahoma 13.71% 46,000
34 Nevada 13.80% 34,000
35 Iowa 13.80% 36,000
36 West Virginia 13.90% 18,000
37 Minnesota 13.94% 64,000
38 Arkansas 14.03% 35,000
39 Hawaii 14.04% 14,000
40 Tennessee 14.16% 77,000
41 Nebraska 14.18% 24,000
42 Ohio 14.25% 130,000
43 Colorado 14.26% 63,000
44 South Dakota 14.33% 11,000
45 Wyoming 14.34% 7,000
46 Missouri 14.43% 70,000
47 Alaska 14.52% 9,000
48 Montana 14.64% 12,000
49 Washington 14.79% 85,000
50 Idaho 14.89% 25,000
51 Oregon 15.00% 46,000
52 National 13.16% 3,406,000

Youth (Ages 6-17) Flourishing 2024

 
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Youth (Ages 6-17) Flourishing

Only 60.5% of youth ages 6-17 across the U.S. meet all three criteria for flourishing. 

The state prevalence of youth flourishing ranges from 67.30% in Georgia to 54.30% in Kentucky.

Flourishing is determined as a positive indicator of mental health and wellbeing by the Health Resources and Services Administration’s (HRSA) Maternal and Child Health Bureau. The criteria for flourishing were designed to assess children and adolescents’ learning, resilience, and self-regulation. Youth who were flourishing were those who always or usually showed interest and curiosity in learning new things, work to finish tasks they started, and stayed calm and in control when faced with a challenge. 

Rank Sort descending State Percentage Number
01 Georgia 67.30% 1,140,135
02 Illinois 65.10% 1,227,071
03 Hawaii 64.80% 128,879
04 New Mexico 64.00% 209,545
05 Kansas 63.00% 300,226
06 Mississippi 63.00% 297,462
07 Nebraska 63.00% 200,239
08 California 62.70% 3,729,267
09 Connecticut 62.70% 314,841
10 Massachusetts 62.30% 573,969
11 Maryland 62.10% 558,711
12 South Dakota 62.10% 90,027
13 Minnesota 61.80% 544,795
14 New Jersey 61.80% 816,222
15 Iowa 61.60% 300,447
16 Florida 61.20% 1,759,625
17 Wisconsin 61.20% 529,575
18 New York 60.80% 1,612,253
19 Ohio 60.70% 1,059,324
20 Michigan 60.60% 873,500
21 Texas 60.60% 3,058,797
22 Pennsylvania 60.40% 1,086,892
23 Wyoming 60.30% 55,957
24 South Carolina 59.90% 461,746
25 West Virginia 59.70% 147,572
26 Nevada 59.60% 278,526
27 Arizona 59.50% 659,292
28 New Hampshire 59.50% 105,697
29 District of Columbia 59.40% 44,019
30 Rhode Island 59.10% 82,001
31 Virginia 59.00% 739,666
32 Delaware 58.60% 81,622
33 Louisiana 58.10% 416,806
34 North Dakota 58.00% 68,132
35 North Carolina 57.90% 911,184
36 Tennessee 57.60% 590,681
37 Oklahoma 57.30% 367,068
38 Utah 57.30% 367,698
39 Alaska 57.20% 67,381
40 Indiana 57.00% 604,001
41 Missouri 57.00% 529,779
42 Idaho 56.90% 178,277
43 Alabama 56.70% 420,313
44 Colorado 56.70% 484,277
45 Montana 56.50% 90,594
46 Arkansas 56.00% 267,516
47 Vermont 55.20% 44,448
48 Washington 54.80% 611,376
49 Maine 54.40% 91,980
50 Oregon 54.40% 319,747
51 Kentucky 54.30% 364,150
52 National 60.50% 29,863,306