Adult Ranking 2024
Adult Ranking
States that are ranked 1-13 have a lower prevalence of mental illness and higher rates of access to care for adults. States that are ranked 39-51 indicate that adults have a higher prevalence of mental illness and lower rates of access to care.
The seven measures that make up the Adult Ranking include:
- Adults with Any Mental Illness (AMI)
- Adults with Substance Use Disorder in the Past Year
- Adults with Serious Thoughts of Suicide
- Adults with SUD Who Needed But Did Not Receive Treatment
- Adults with AMI Who are Uninsured
- Adults Reporting 14+ Mentally Unhealthy Days a Month Who Could Not See a Doctor Due to Costs
- Adults with AMI with Private Insurance That Did Not Cover Mental or Emotional Problems
| Rank Sort descending | State |
|---|---|
| 01 | New York |
| 02 | New Jersey |
| 03 | Massachusetts |
| 04 | Hawaii |
| 05 | Maine |
| 06 | Maryland |
| 07 | Pennsylvania |
| 08 | Connecticut |
| 09 | Virginia |
| 10 | New Hampshire |
| 11 | Delaware |
| 12 | Kentucky |
| 13 | Rhode Island |
| 14 | Wisconsin |
| 15 | Michigan |
| 16 | Indiana |
| 17 | Ohio |
| 18 | Florida |
| 19 | Vermont |
| 20 | Arkansas |
| 21 | Iowa |
| 22 | California |
| 23 | Tennessee |
| 24 | Kansas |
| 25 | South Carolina |
| 26 | South Dakota |
| 27 | District of Columbia |
| 28 | Minnesota |
| 29 | Illinois |
| 30 | New Mexico |
| 31 | Washington |
| 32 | North Carolina |
| 33 | West Virginia |
| 34 | Arizona |
| 35 | Oregon |
| 36 | Alabama |
| 37 | Louisiana |
| 38 | Missouri |
| 39 | Georgia |
| 40 | Colorado |
| 41 | Nebraska |
| 42 | Idaho |
| 43 | Alaska |
| 44 | Texas |
| 45 | Mississippi |
| 46 | Utah |
| 47 | Oklahoma |
| 48 | Nevada |
| 49 | North Dakota |
| 50 | Montana |
| 51 | Wyoming |
Adult Prevalence of Any Mental Illness (AMI) 2024
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 | 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 |
Adults with Substance Use Disorder 2024
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 | 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
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 | 4.64% | 50,000 |
| 02 | New York | 5.47% | 162,000 |
| 03 | Massachusetts | 5.15% | 290,000 |
| 04 | New Jersey | 5.42% | 424,000 |
| 05 | Maryland | 5.11% | 275,000 |
| 06 | Maine | 5.07% | 221,000 |
| 07 | Hawaii | 4.75% | 37,000 |
| 08 | South Carolina | 5.61% | 264,000 |
| 09 | North Carolina | 5.47% | 29,000 |
| 10 | Rhode Island | 5.59% | 37,000 |
| 11 | Pennsylvania | 5.56% | 287,000 |
| 12 | Delaware | 4.67% | 188,000 |
| 13 | Virginia | 5.91% | 266,000 |
| 14 | Florida | 4.74% | 41,000 |
| 15 | New Hampshire | 5.41% | 185,000 |
| 16 | Mississippi | 5.23% | 120,000 |
| 17 | California | 4.41% | 208,000 |
| 18 | Texas | 5.71% | 80,000 |
| 19 | Georgia | 4.74% | 481,000 |
| 20 | Minnesota | 5.21% | 470,000 |
| 21 | Tennessee | 5.68% | 33,000 |
| 22 | Arizona | 4.36% | 243,000 |
| 23 | Wisconsin | 6.68% | 96,000 |
| 24 | Ohio | 5.51% | 134,000 |
| 25 | Arkansas | 4.37% | 313,000 |
| 26 | District of Columbia | 4.70% | 382,000 |
| 27 | Illinois | 4.80% | 836,000 |
| 28 | Kansas | 4.97% | 1,491,000 |
| 29 | Vermont | 5.84% | 26,000 |
| 30 | Kentucky | 4.98% | 1,090,000 |
| 31 | Michigan | 5.16% | 236,000 |
| 32 | Alabama | 4.16% | 118,000 |
| 33 | Oklahoma | 5.51% | 331,000 |
| 34 | Alaska | 4.29% | 665,000 |
| 35 | Louisiana | 5.02% | 410,000 |
| 36 | Iowa | 4.94% | 109,000 |
| 37 | Washington | 6.02% | 52,000 |
| 38 | New Mexico | 5.44% | 210,000 |
| 39 | Indiana | 4.87% | 55,000 |
| 40 | South Dakota | 5.61% | 188,000 |
| 41 | Missouri | 5.25% | 28,000 |
| 42 | Oregon | 5.55% | 90,000 |
| 43 | North Dakota | 5.51% | 190,000 |
| 44 | West Virginia | 6.15% | 90,000 |
| 45 | Nevada | 5.35% | 28,000 |
| 46 | Wyoming | 7.12% | 171,000 |
| 47 | Colorado | 4.56% | 51,000 |
| 48 | Montana | 5.26% | 511,000 |
| 49 | Nebraska | 5.31% | 116,000 |
| 50 | Idaho | 4.76% | 314,000 |
| 51 | Utah | 5.75% | 140,000 |
| 52 | 5.04% | 12,860,000 |
Adults with AMI Who Are Uninsured 2024
Adults with AMI Who Are Uninsured
10.1% of adults (over 5.9 million people) with a mental illness are uninsured, compared to 9.3% of adults without a mental illness.
In 2022, 64% of adults who were uninsured said that they did not have health insurance because they could not afford it.
The state prevalence of uninsured adults with mental illness ranges from 2.60% in the District of Columbia to 22.90% in Texas.
| Rank Sort descending | State | Percentage | Number |
|---|---|---|---|
| 01 | District of Columbia | 2.60% | 4,000 |
| 02 | Vermont | 3.40% | 5,000 |
| 03 | Oregon | 4.40% | 43,000 |
| 04 | Maine | 4.50% | 12,000 |
| 05 | Rhode Island | 4.50% | 11,000 |
| 06 | Hawaii | 4.60% | 12,000 |
| 07 | Wisconsin | 4.70% | 48,000 |
| 08 | Maryland | 4.90% | 55,000 |
| 09 | New Hampshire | 4.90% | 13,000 |
| 10 | New York | 5.00% | 162,000 |
| 11 | New Mexico | 5.20% | 22,000 |
| 12 | Massachusetts | 5.30% | 68,000 |
| 13 | Virginia | 5.40% | 80,000 |
| 14 | Kentucky | 5.60% | 44,000 |
| 15 | Pennsylvania | 5.80% | 133,000 |
| 16 | Iowa | 6.40% | 45,000 |
| 17 | New Jersey | 6.40% | 84,000 |
| 18 | Idaho | 6.50% | 27,000 |
| 19 | Michigan | 6.50% | 115,000 |
| 20 | Indiana | 6.60% | 84,000 |
| 21 | Delaware | 7.10% | 11,000 |
| 22 | Colorado | 7.20% | 88,000 |
| 23 | Connecticut | 7.50% | 42,000 |
| 24 | Louisiana | 7.50% | 64,000 |
| 25 | Ohio | 7.50% | 164,000 |
| 26 | Arkansas | 7.80% | 40,000 |
| 27 | California | 7.80% | 522,000 |
| 28 | Alaska | 7.90% | 10,000 |
| 29 | Washington | 7.90% | 137,000 |
| 30 | Nevada | 8.70% | 55,000 |
| 31 | Utah | 8.70% | 64,000 |
| 32 | Minnesota | 9.10% | 100,000 |
| 33 | Illinois | 9.30% | 197,000 |
| 34 | Nebraska | 9.40% | 33,000 |
| 35 | Missouri | 9.50% | 127,000 |
| 36 | West Virginia | 10.50% | 41,000 |
| 37 | Arizona | 10.60% | 132,000 |
| 38 | Montana | 11.80% | 27,000 |
| 39 | South Dakota | 12.40% | 19,000 |
| 40 | Tennessee | 12.80% | 182,000 |
| 41 | North Dakota | 12.90% | 18,000 |
| 42 | Kansas | 13.50% | 70,000 |
| 43 | South Carolina | 13.60% | 111,000 |
| 44 | Alabama | 14.40% | 132,000 |
| 45 | Florida | 14.90% | 516,000 |
| 46 | North Carolina | 15.50% | 271,000 |
| 47 | Oklahoma | 16.10% | 121,000 |
| 48 | Georgia | 18.70% | 351,000 |
| 49 | Wyoming | 19.70% | 24,000 |
| 50 | Mississippi | 22.80% | 111,000 |
| 51 | Texas | 22.90% | 1,068,000 |
| 52 | National | 10.10% | 5,916,000 |