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Among people aged 12 or older in 2019 who misused prescription pain relievers in the past year, the most common main reason for their last misuse of a pain reliever was to relieve physical pain (65.7 percent) (2019 DT 6.13). Based on the NSDUH definition, use without a prescription of one's own or overuse of prescribed medication (e.g., use at a higher dosage or more often than prescribed) are both classified as misuse even if the use was for the purpose of pain relief.

Other common main reasons for misuse were to feel good or get high (11.3 percent) and to relax or relieve tension (10.0 percent) (2019 DT 6.13). Less common main reasons among past year misusers of pain relievers included to help with feelings or emotions (3.8 percent), to help with sleep (3.7 percent), to experiment or see what the drug was like (2.2 percent), because they were "hooked" or needed to have the drug (1.9 percent), and to increase or decrease the effects of other drugs (0.8 percent).

Among adults aged 18 or older in 2019, 4.8 percent (or 12.0 million people) thought seriously about trying to kill themselves in the past year (Figures 60 and 61 and 2019 DT 10.36), 1.4 percent (or 3.5 million people) made a suicide plan (Figure 62 and 2019 DT 10.39), 0.6 percent (or 1.4 million people) made a nonfatal suicide attempt (Figure 63 and 2019 DT 10.41), and 0.1 percent (or 217,000 people) attempted suicide without a suicide plan.21

In 2019, common reasons for not receiving substance use treatment among people aged 12 or older with a past year SUD who did not receive treatment at a specialty facility and perceived a need for treatment were as follows: not being ready to stop using (39.9 percent), not knowing where to go for treatment (23.8 percent), and having no health care coverage and not being able to afford the cost of treatment (20.9 percent) (2019 DT 7.67). The percentage who did not receive substance use treatment at a specialty facility because they were not ready to stop using remained stable between 2015 and 2019. However, the percentage in 2019 for people who did not receive substance use treatment at a specialty facility because they did not know where to go for treatment was higher than the percentages in 2015 (12.5 percent) and 2017 (10.9 percent), but it was similar to the percentages in 2016 and 2018. The percentage in 2019 for people who did not receive treatment at a specialty facility because they had no health care coverage and could not afford the cost was lower than the percentage in 2018 (32.5 percent), but it was similar to the percentages in 2015 to 2017.

Among adults aged 18 or older in 2019 who had past year mental illness and a perceived unmet need for mental health services but did not receive services in the past year, the most common reason for not receiving services was they could not afford the cost of care (43.9 percent for these adults with AMI and 51.8 percent for these adults with SMI) (2019 DT 8.34 and 8.35). Other common reasons for not receiving services included not knowing where to go for services (33.1 percent for these adults with AMI and 36.8 percent for these adults with SMI) and believing they could handle the problem without treatment (30.5 percent for these adults with AMI and 27.3 percent for these adults with SMI). In addition, 23.4 percent of these adults with SMI were concerned about being committed to a psychiatric hospital or having to take medication.

Also among young adults aged 18 to 25 in 2019, 31.1 percent (or 10.4 million people) perceived that they ever had a problem with their mental health (Table A.6B and 2019 DT 6.32), which was higher than the percentage in 2018 (26.4 percent). Moreover, among the 10.4 million young adults in 2019 who perceived that they ever had a problem with their mental health, 65.9 percent (or 6.8 million people) considered themselves to be in recovery or to have recovered from their mental health issue (Table A.7B and 2019 DT 6.34), which was similar to the percentage in 2018 (66.4 percent).

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