Key Substance Use and Mental Health Indicators in the ...

1 Key Substance Use and Mental Health Indicators in the United States: Results from the 2018 National Survey on Drug Use and HealthKey Substance Use and Mental Health Indicators in the United States: Results from the 2018 National Survey on Drug Use and HealthAcknowledgmentsThis report was prepared for the Substance Abuse and Mental Health Services Administration (SAMHSA), Department of Health and Human Services (HHS), under Contract No. HHSS283201700002C with RTI International. Rachel N. Lipari and Eunice Park-Lee were the SAMHSA authors. Peter Tice served as the government project officer and as the contracting officer Domain NoticeAll material appearing in this report is in the public domain and may be reproduced or copied without permission from SAMHSA.

2 Citation of the source is appreciated. However, this publication may not be reproduced or distributed for a fee without the specific, written authorization of the Office of Communications, SAMHSA, Access and Printed CopiesThis publication may be downloaded or ordered at Or call SAMHSA at 1-877-SAMHSA-7 (1-877-726-4727) (English and Espa ol).Recommended CitationSubstance Abuse and Mental Health Services Administration. (2019). Key Substance use and Mental Health Indicators in the United States: Results from the 2018 National Survey on Drug Use and Health (HHS Publication No. PEP19-5068, NSDUH Series H-54).

3 Rockville, MD: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration. Retrieved from OfficeCenter for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration, 5600 Fishers Lane, Room 15-E09D, Rockville, MD 20857. For questions about this report, please e-mail NoticeSAMHSA complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. SAMHSA cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o Department of Health and Human Services Substance Abuse and Mental Health Services Administration Center for Behavioral Health Statistics and Quality Populations Survey BranchAugust 2019 Key Substance Use and Mental Health Indicators in the United States.

4 Results from the 2018 National Survey on Drug Use and HealthAugust 2019 | iiiSummary 1 Introduction 5 Survey Background 5 Data Presentation and Interpretation 5 Substance Use in the Past Month 6 Tobacco Use in the Past Month 7 Cigarette Use 8 Daily Cigarette Use 9 Alcohol Use in the Past Month 10 Any Alcohol Use 10 Binge Alcohol Use 11 Heavy Alcohol Use 11 Illicit Drug Use in the Past Year

5 12 Any Illicit Drug Use 12 Marijuana Use 13 Cocaine Use 14 Heroin Use 15 Methamphetamine Use 15 Hallucinogen Use 16 Inhalant Use 17 Misuse of Psychotherapeutic Drugs 17 Stimulant Misuse 18 Tranquilizer or Sedative Misuse 18 Benzodiazepine Misuse 19 Pain Reliever Misuse 20 Opioid Misuse

6 23 Initiation of Substance Use 24 Initiation of Cigarette Use 24 Initiation of Alcohol Use 25 Initiation of Marijuana Use 25 Initiation of Cocaine Use 26 Initiation of Heroin Use 26 Initiation of Methamphetamine Use 27 Initiation of Hallucinogen Use 27 Initiation of Inhalant Use 28 Initiation of Stimulant Misuse 28 Initiation of Tranquilizer or Sedative Misuse 28 Initiation of Pain Reliever Misuse 29 Perceived Risk from Substance Use 30 Perceived Risk from Substance Use among Adolescents

7 30 Perceived Risk from Substance Use among Young Adults 31 Perceived Risk from Substance Use among Adults Aged 26 or Older 32 Substance Use disorders in the Past Year 32 Alcohol Use Disorder 32 Illicit Drug Use Disorder 33 Marijuana Use Disorder 35 Cocaine Use Disorder 35 Heroin Use Disorder 36 Methamphetamine Use Disorder 37 Stimulant Use Disorder 37 Tranquilizer Use Disorder or Sedative Use Disorder 38 Pain Reliever Use Disorder 38 Opioid Use Disorder 39 Substance Use

8 Disorder (Alcohol or Illicit Drugs) 39 Major Depressive Episode in the Past Year 41 MDE and MDE with Severe Impairment among Adolescents 41 MDE and MDE with Severe Impairment among Adults 42 Any Mental Illness among Adults in the Past Year 43 Serious Mental Illness among Adults in the Past Year 43Co Occurring MDE and SUD among Adolescents 44 Substance Use among Adolescents with MDE 45Co Occurring Mental Health Issues and SUD among Adults 45Co Occurring AMI and

9 SUD 45Co Occurring SMI and SUD 46 Substance Use among Adults with Mental Health Issues 47 Suicidal Thoughts and Behavior among Adults 47 Serious Thoughts of Suicide 48 Suicide Plans 48 Suicide Attempts 49 Substance Use Treatment in the Past Year 50 Need for Substance Use Treatment 50 Receipt of Substance Use Treatment 50 Perceived Need for Substance Use Treatment 53 Reasons for Not Receiving specialty Substance Use Treatment 54 Mental Health Service Use in the Past Year 55 Treatment for Depression among Adolescents 55 Treatment for Depression among Adults 55 Any Mental Health Service

10 Use among All Adolescents 57 Any Mental Health Service Use among Al