Record Reveals Substance Abuse And Mental Illness Issue Information In Each US State

A new report providing state-by-state analyses of substance abuse and mental illness patterns reveals that despite broad variations amongst the states inside the sorts and levels of behavioral health problems they encounter -- every state suffers from these difficulties. As an example, amongst those aged 12 and older, Iowa had less than a single third the current illicit drug use rate of Rhode Island (4.1 % vs. 13.3 percent) - yet Iowa's population aged 12 and older was among the group of states with the nation's highest levels of individuals participating in binge drinking in the past month (27.2 %).

The statement gives talk about public health authorities and service providers with useful details on a wide range of substance use and mental illness issues affecting their states. The report is component of SAMHSA's strategic initiative on information, outcomes, and quality - an effort to inform policy makers and support providers on the nature and scope of behavioral health concerns.

Among the report's other notable findings:

• Cigarette use by adolescents has decreased in 35 states since 2002 -- no increases in cigarette smoking were observed in any state during this period.
• Minnesota had the nation's highest rate of past year dependence on, or abuse of, alcohol among those age 12 or older (10 percent), while Kentucky had the lowest (5.7 percent).
• Nine of the ten states having the highest levels of past month illicit drug use among persons age 12 or older also had the highest levels of past month marijuana use (in alphabetical order -- Alaska, Colorado, District of Columbia, Montana, New Hampshire, Oregon, Rhode Island, Vermont and Washington).
• Thirteen states showed significant declines in past year cocaine use among persons age 12 or older from 2006-2007 (in alphabetical order -- Alabama, Florida, Georgia, Iowa, Kansas, Massachusetts, Nebraska, New Mexico, Ohio, Oklahoma, South Dakota, Utah and Wyoming).
• Wyoming had the nation's highest rate of adolescents aged 12 to 17 experiencing a major depressive episode in the past year (10.0 percent) while Maryland had the lowest (7.0 percent).

"This report provides valuable insight into the exact nature and scope of the behavioral health problems affecting each state, and should help state public health authorities determine the most effective ways of addressing them," said SAMHSA Administrator Pamela S. Hyde, J.D. "These findings remind us that reducing the impact of substance abuse and mental illness is a national challenge and as we work to reform health care behavioral health services are part of the solution in every state."

The report was developed by the Substance Abuse and Mental Health Services Administration based on the 2007 and 2008 National Surveys on Drug Use and Health (NSDUH). Using data drawn from interviews with 136,606 persons from throughout the country the report provides a state-by-state breakdown along 22 different measures of substance abuse and mental health problems including illicit drug use, binge drinking, alcohol and illicit drug dependence, tobacco use, and major depressive episode. The full report is available online at http://oas.samhsa.gov/2k8state/toc.cfm.

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Initial Study To Show That Highly Variable Sleep Schedules Predict Elevated Suicide Risk

Highly variable sleep schedules predict an elevated threat for suicide independent of depression in actively suicidal young adults, according to a investigation abstract presented Tuesday, June 8, 2010, in San Antonio, Texas, at SLEEP 2010, the 24th annual meeting of the Associated Professional Sleep Societies LLC.

Results indicate that a sample of actively suicidal undergraduate students had a delayed mean bedtime of 2:08 a.m.; restricted total sleep time of 6.3 hours; and very variable sleep schedules, with time of mean sleep onset different by three several hours and time of sleep offset different by 2.8 several hours. Nonetheless, accounting for baseline depression severity, sleep variability was the only sleep measurement to individually predict increases in suicidal risk at one week and three weeks. Sleep irregularity also was the only sleep-related variable to predict greater mood lability, which in turn predicted elevated suicidal symptoms.

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