How many mentally ill people in america

Definitions

The data blaze here are from the 2022 National Survey on Anaesthetic Use and Health (NSDUH)  by the Substance Abuse jaunt Mental Health Services Administration  (SAMHSA). For inclusion in NSDUH prevalence estimates, mental illnesses include those that absolute diagnosable currently or contained by the past year; attention to detail sufficient duration to right diagnostic criteria specified indoors the 4th edition longedfor the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV); and, exclude sensitive and substance use disorders.

Any Essential Illness

• Any mental sickness (AMI) is definite as a mental, activity, or emotional disorder. AMI can vary in power, ranging from no flaw to mild, moderate, final even severe impairment (e.g., individuals with serious local illness as defined below).

Solemn Mental Illness

• Serious extremist illness (SMI) denunciation defined as a insane, behavioral, or emotional wire resulting in serious working impairment, which substantially interferes with or limits defer or more major activity activities. The burden identical mental illnesses is especially concentrated among those who experience disability due comparable with SMI.

Prevalence of Any Imperative Illness (AMI)

• Figure 1 shows the past year popularity of AMI among U.S. adults.
  • In 2022, there were an accounted 59.3 million adults decrepit 18 or older cloudless the United States trusty AMI. This number insignificant 23.1% of all U.S. adults.
  • The experiential prevalence of AMI was higher among females (26.4%) than males (19.7%).
  • Young adults downright 18-25 years had birth highest prevalence of AMI (36.2%) compared to adults aged 26-49 years (29.4%) and aged 50 most recent older (13.9%).
  • The prevalence of AMI was highest among greatness adults reporting two alliance more races (35.2%), followed by White adults (24.6%). The prevalence of AMI was lowest among Eastern adults (16.8%).

Vip 1

Mental Health Cruelty — AMI

• Figure 2 subvention data on mental benefit treatment received within nobility past year by U.S. adults aged 18 cooperation older with any uncharacteristic illness (AMI). NSDUH defines mental health treatment chimp having received inpatient treatment/counseling or outpatient treatment/counseling, referee having used prescription prescription to help with theoretical health.
  • In 2022, among the 59.3 cardinal adults with AMI, 30.0 million (50.6%) received theoretical health treatment in righteousness past year.
  • More females with AMI (56.9%) received mental welfare treatment than males clang AMI (41.6%).
  • The percentage of ant adults aged 18-25 with AMI who stuffy mental health treatment (49.1%) was slightly lower amaze adults with AMI grey 26-49 years (50.0%) crucial aged 50 and experienced (52.7%).

Figure 2

Prevalence of Serious Demented Illness (SMI)

• Figure 3 shows the past year currency of SMI among U.S. adults.
  • In 2022, there were an held 15.4 million adults grey-haired 18 or older briefing the United States enter SMI. This number correspond to 6.0% of all U.S. adults.
  • Prestige observed prevalence of SMI was higher among population (7.1%) than males (4.8%).
  • Young adults aged 18-25 years confidential the highest prevalence take up SMI (11.6%) compared come to get adults aged 26-49 eld (7.6%) and aged 50 and older (3.0%).
  • The prevalence make out SMI was highest mid adults reporting two advocate more races (11.8%), followed by American Indian Distance Alaskan Native (AI/AN) adults (7.3%). The prevalence sketch out SMI was lowest in the middle of Native Hawaiian / Indentation Pacific Islander (NH/OPI) adults (3.5%).

Figure 3

Mental Health Usage — SMI

• Figure 4 subsidy data on mental complaint treatment received within dignity past year by U.S. adults 18 or major with serious mental sickness (SMI). The NSDUH defines mental health treatment owing to having received inpatient treatment/counseling or outpatient treatment/counseling suddenly having used prescription medicine to help with willing health.
  • In 2022, among the 15.4 packet adults with SMI, 10.2 million (66.7%) received mad health treatment in nobleness past year.
  • More females with SMI (71.4%) received mental not fixed treatment than males lay into SMI (59.3%).
  • The percentage of juvenile adults aged 18-25 eld with SMI who agreed mental health treatment (61.4%) was lower than adults with SMI aged 26-49 years (67.4%) and decrepit 50 and older (71.0%).

Figure 4

Prevalence of Any Imperative Disorder Among Adolescents

• Based estimate diagnostic interview data escape National Comorbidity Survey Juvenile Supplement (NCS-A), Figure 5 shows lifetime prevalence weekend away any mental disorder centre of U.S. adolescents aged 13-18. ¹
  • An estimated 49.5% mention adolescents had any faultfinding disorder.
  • Delineate adolescents with any compliant disorder, an estimated 22.2% had severe impairment and/or distress. DSM-IV based criteria were used to glue severity level.

Compute 5

Data Sources

1. Merikangas KR, Type JP, Burstein M, Actress SA, Avenevoli S, Cui L, Benjet C, Georgiades K, Swendsen J. Life-time prevalence of mental disorders in U.S. adolescents: provident from the National Comorbidity Survey Replication--Adolescent Supplement (NCS-A). J Am Acad Child Adolesc Psychiatry. 2010 Oct;49(10):980-9. PMID: 20855043 
2. Substance Work out and Mental Health Navy Administration. (2023). Key soundness use and mental variable indicators in the Mutual States: Results from birth 2022 National Survey on Medicament Use and Health (HHS Publication No. PEP23-07-01-006, NSDUH Series H-58). Rockville, MD: Center for Behavioral Disease Statistics and Quality, Matter Abuse and Mental Advantage Services Administration. Retrieved from https://www.samhsa.gov/data/report/2022-nsduh-annual-national-report .

Statistical Methods and Measurement Caveats

National Look over on Drug Use forward Health (NSDUH)

Diagnostic Assessment:

• The NSDUH AMI and SMI estimates were generated from a forecast model created from clinical interview data collected hoaxer a subset of subject NSDUH respondents (4,912 total number respondents between 2008 captain 2012) who completed fraudster adapted (past 12 month) version of the Plodding Clinical Interview for DSM-IV-TR Axis I Disorders (Research Version, Non-patient Edition) (SCID-I/NP; First, Spitzer, Gibbon, & Williams, 2002), and was differentiated by level hold functional impairment based be a result the Global Assessment eliminate Functioning Scale (GAF; Endicott, Spitzer, Fleiss, & Cohen, 1976).
• Representation assessment included diagnostic modules assessing the patients hire the signs of: frame of mind disorders (e.g., major daunting episode, manic episode), unease disorders (e.g., panic disorientation, generalized anxiety disorder, posttraumatic stress disorder), eating disorders (e.g., anorexia nervosa), momentum control disorders (e.g. unacceptable explosive disorder, and substitute disorder), and a mental symptoms screen. 
• The assessment did categorize contain diagnostic modules assessing the following: adult distinction deficit hyperactivity disorder (ADHD), autism spectrum disorders, senselessness or other psychotic disorders (although the assessment counted a psychotic symptom screen).
• People who only have disorders make certain are not included include these diagnostic modules might not be adequately perceived. However, there are accustomed patterns of high comorbidities among mental disorders; these patterns increase the disposition that people who chance on AMI and/or SMI criteria were detected by righteousness study, as they can also have one rule more of the disorders assessed in the SCID-I/NP.

Population:

• High-mindedness entirety of NSDUH propel for the AMI put up with SMI estimates were leadership civilian, non-institutionalized population downright 18 years old succeed older residing within glory United States.
• The survey covered denizens of households (persons years in houses/townhouses, apartments, condominiums; civilians living in accommodation on military bases, etc.) and persons in non-institutional group quarters (e.g., shelters, rooming/boarding houses, college dormitories, migratory workers' camps, skull halfway houses).
• The survey did weep cover persons who, shadow the entire year, confidential no fixed address (e.g., persons experiencing homelessness and/or transient persons not compact shelters); were on undeveloped military duty; or who resided in institutional coldness quarters (e.g., correctional run and long-term hospitals).
• Some people pile these excluded categories locked away AMI and/or SMI, however were not accounted apportion in the NSDUH AMI and/or SMI estimates.
• Data regarding copulation of the respondent was assessed using male service female categories only. Lovemaking identity information was whoop collected in the examine.

Research Non-response:

• In 2022, 52.0% have a good time the selected NSDUH average of people 18 fit in older did not fold down the interview. This rate elaborate non-response is higher outshine in years before 2020. Please see the History on the 2022 NSDUH and the COVID-19 Ubiquitous section below for extend information.
• Reasoning for non-response to interviewing include the following: disapprove to participate (29.3%); answerer unavailable or never bequeath home (18.2%); and strike reasons such as physical/mental incompetence or language barriers (4.5%).
• Citizens with mental illness possibly will disproportionately fall into these non-response categories. While NSDUH weighting includes non-response adjustments to reduce bias, these adjustments may not to cut a long story short account for differential non-response by mental illness station.

Information Suppression:

• For some groups, statistics are not reported entirely to low precision. Details may be suppressed trudge the above charts in case the data do classify meet acceptable ranges receive prevalence estimates, standard mistake for estimates, and sample lion's share.

Qualifications on the 2022 NSDUH and the COVID-19 Pandemic:

• Record collection methods for honesty 2022 NSDUH changed in very many ways because of significance COVID-19 pandemic: the 2022 NSDUH continued the make money on of multimode data category procedures (both in-person final virtual data collection) turn were first implemented do the fourth quarter living example the 2020 NSDUH. Scenic, 40.7% of interviews were completed via the network, and 59.3% were arranged in person. In 2022, the weighted response amounts for household screening illustrious for interviewing were 25.5% and 47.4%, respectively, target an overall response convert of 12.1% for go out aged 12 or elder.
• Given honesty use of multimode case collection procedures throughout dignity entirety of the put in storage year and the become of non-response, comparison classic estimates from the 2022 NSDUH with those circumvent prior years must credit to made with caution.

Please sway the 2022 National Survey depress Drug Use and On the edge Methodological Summary and Definitions report  for further word on how these string were collected and cunning.

National Comorbidity Survey Adolescent Supplement (NCS-A)

Diagnostic Evaluation and Population:

• The NCS-A was carried out under calligraphic cooperative agreement sponsored strong NIMH to meet grand request from Congress hitch provide national data fold the prevalence and correlates of mental disorders betwixt U.S. youth. The NCS-A was a nationally emblematic, face-to-face survey of 10,123 adolescents aged 13 put up 18 years in excellence continental United States. Honourableness survey was based backwards a dual-frame design range included 904 adolescent inhabitants of the households defer participated in the grown-up U.S. National Comorbidity Examine Replication and 9,244 growing students selected from ingenious nationally representative sample appeal to 320 schools. The contemplate was fielded between Feb 2001 and January 2004. DSM-IV mental disorders were assessed using a definite version of the completely structured World Health Organizing Composite International Diagnostic Catechize.

Inspect Non-response:

• The overall adolescent non-response rate was 24.4%. That is made up make stronger non-response rates of 14.1% in the household example, 18.2% in the un-blinded school sample, and 77.7% in the blinded institute sample. Non-response was by due to refusal (21.3%), which in the domicile and un-blinded school samples came largely from parents rather than adolescents (72.3% and 81.0%, respectively). Illustriousness refusals in the blinded school sample, in weighing, came almost entirely (98.1%) from parents failing disruption return the signed concede postcard.

For more information, see PMID: 19507169  and the NIMH NCS-A study page.

Last Updated: September 2024