Mental Health, Substance Use, and Suicidal Ideation During the COVID-19 Pandemic — United States, June 24–30, 2020

The coronavirus disease 2019 (COVID-19) pandemic has been associated with mental health challenges related to the morbidity and mortality caused by the disease and to mitigation activities, including the impact of physical distancing and stay-at-home orders.* Symptoms of anxiety disorder and depress...

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Published in	MMWR. Morbidity and mortality weekly report Vol. 69; no. 32; pp. 1049 - 1057
Main Authors	Czeisler, Mark É., Lane, Rashon I., Petrosky, Emiko, Wiley, Joshua F., Christensen, Aleta, Njai, Rashid, Weaver, Matthew D., Robbins, Rebecca, Facer-Childs, Elise R., Barger, Laura K., Czeisler, Charles A., Howard, Mark E., Rajaratnam, Shantha M.W.
Format	Journal Article Newsletter
Language	English
Published	United States U.S. Government Printing Office 14.08.2020 Centers for Disease Control and Prevention
Subjects	Adolescent Adult Aged Anxiety Australia Coronavirus Infections - epidemiology COVID-19 Epidemics Female Full Report Health aspects Home shopping Humans Male Mental Disorders - epidemiology Mental health Middle Aged Pandemics Pneumonia, Viral - epidemiology Substance abuse Substance-Related Disorders - epidemiology Suicidal behavior Suicidal Ideation United States - epidemiology Young Adult United States Australia
Online Access	Get full text
ISSN	0149-2195 1545-861X 1545-861X
DOI	10.15585/mmwr.mm6932a1

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Abstract	The coronavirus disease 2019 (COVID-19) pandemic has been associated with mental health challenges related to the morbidity and mortality caused by the disease and to mitigation activities, including the impact of physical distancing and stay-at-home orders.* Symptoms of anxiety disorder and depressive disorder increased considerably in the United States during April-June of 2020, compared with the same period in 2019 (1,2). To assess mental health, substance use, and suicidal ideation during the pandemic, representative panel surveys were conducted among adults aged ≥18 years across the United States during June 24-30, 2020. Overall, 40.9% of respondents reported at least one adverse mental or behavioral health condition, including symptoms of anxiety disorder or depressive disorder (30.9%), symptoms of a trauma- and stressor-related disorder (TSRD) related to the pandemic (26.3%), and having started or increased substance use to cope with stress or emotions related to COVID-19 (13.3%). The percentage of respondents who reported having seriously considered suicide in the 30 days before completing the survey (10.7%) was significantly higher among respondents aged 18-24 years (25.5%), minority racial/ethnic groups (Hispanic respondents [18.6%], non-Hispanic black [black] respondents [15.1%]), self-reported unpaid caregivers for adults (30.7%), and essential workers (21.7%). Community-level intervention and prevention efforts, including health communication strategies, designed to reach these groups could help address various mental health conditions associated with the COVID-19 pandemic.
AbstractList	The coronavirus disease 2019 (COVID-19) pandemic has been associated with mental health challenges related to the morbidity and mortality caused by the disease and to mitigation activities, including the impact of physical distancing and stay-at-home orders.* Symptoms of anxiety disorder and depressive disorder increased considerably in the United States during April-June of 2020, compared with the same period in 2019 (1,2). To assess mental health, substance use, and suicidal ideation during the pandemic, representative panel surveys were conducted among adults aged ≥18 years across the United States during June 24-30, 2020. Overall, 40.9% of respondents reported at least one adverse mental or behavioral health condition, including symptoms of anxiety disorder or depressive disorder (30.9%), symptoms of a trauma- and stressor-related disorder (TSRD) related to the pandemic (26.3%), and having started or increased substance use to cope with stress or emotions related to COVID-19 (13.3%). The percentage of respondents who reported having seriously considered suicide in the 30 days before completing the survey (10.7%) was significantly higher among respondents aged 18-24 years (25.5%), minority racial/ethnic groups (Hispanic respondents [18.6%], non-Hispanic black [black] respondents [15.1%]), self-reported unpaid caregivers for adults (30.7%), and essential workers (21.7%). Community-level intervention and prevention efforts, including health communication strategies, designed to reach these groups could help address various mental health conditions associated with the COVID-19 pandemic. The coronavirus disease 2019 (COVID-19) pandemic has been associated with mental health challenges related to the morbidity and mortality caused by the disease and to mitigation activities, including the impact of physical distancing and stay-at-home orders.* Symptoms of anxiety disorder and depressive disorder increased considerably in the United States during April-June of 2020, compared with the same period in 2019 (1,2). To assess mental health, substance use, and suicidal ideation during the pandemic, representative panel surveys were conducted among adults aged ≥18 years across the United States during June 24-30, 2020. Overall, 40.9% of respondents reported at least one adverse mental or behavioral health condition, including symptoms of anxiety disorder or depressive disorder (30.9%), symptoms of a trauma- and stressor-related disorder (TSRD) related to the pandemic† (26.3%), and having started or increased substance use to cope with stress or emotions related to COVID-19 (13.3%). The percentage of respondents who reported having seriously considered suicide in the 30 days before completing the survey (10.7%) was significantly higher among respondents aged 18-24 years (25.5%), minority racial/ethnic groups (Hispanic respondents [18.6%], non-Hispanic black [black] respondents [15.1%]), self-reported unpaid caregivers for adults§ (30.7%), and essential workers¶ (21.7%). Community-level intervention and prevention efforts, including health communication strategies, designed to reach these groups could help address various mental health conditions associated with the COVID-19 pandemic.The coronavirus disease 2019 (COVID-19) pandemic has been associated with mental health challenges related to the morbidity and mortality caused by the disease and to mitigation activities, including the impact of physical distancing and stay-at-home orders.* Symptoms of anxiety disorder and depressive disorder increased considerably in the United States during April-June of 2020, compared with the same period in 2019 (1,2). To assess mental health, substance use, and suicidal ideation during the pandemic, representative panel surveys were conducted among adults aged ≥18 years across the United States during June 24-30, 2020. Overall, 40.9% of respondents reported at least one adverse mental or behavioral health condition, including symptoms of anxiety disorder or depressive disorder (30.9%), symptoms of a trauma- and stressor-related disorder (TSRD) related to the pandemic† (26.3%), and having started or increased substance use to cope with stress or emotions related to COVID-19 (13.3%). The percentage of respondents who reported having seriously considered suicide in the 30 days before completing the survey (10.7%) was significantly higher among respondents aged 18-24 years (25.5%), minority racial/ethnic groups (Hispanic respondents [18.6%], non-Hispanic black [black] respondents [15.1%]), self-reported unpaid caregivers for adults§ (30.7%), and essential workers¶ (21.7%). Community-level intervention and prevention efforts, including health communication strategies, designed to reach these groups could help address various mental health conditions associated with the COVID-19 pandemic.
Audience	Professional
Author	Howard, Mark E. Petrosky, Emiko Robbins, Rebecca Czeisler, Mark É. Facer-Childs, Elise R. Barger, Laura K. Christensen, Aleta Wiley, Joshua F. Njai, Rashid Czeisler, Charles A. Weaver, Matthew D. Rajaratnam, Shantha M.W. Lane, Rashon I.
Author_xml	– sequence: 1 givenname: Mark É. surname: Czeisler fullname: Czeisler, Mark É. – sequence: 2 givenname: Rashon I. surname: Lane fullname: Lane, Rashon I. – sequence: 3 givenname: Emiko surname: Petrosky fullname: Petrosky, Emiko – sequence: 4 givenname: Joshua F. surname: Wiley fullname: Wiley, Joshua F. – sequence: 5 givenname: Aleta surname: Christensen fullname: Christensen, Aleta – sequence: 6 givenname: Rashid surname: Njai fullname: Njai, Rashid – sequence: 7 givenname: Matthew D. surname: Weaver fullname: Weaver, Matthew D. – sequence: 8 givenname: Rebecca surname: Robbins fullname: Robbins, Rebecca – sequence: 9 givenname: Elise R. surname: Facer-Childs fullname: Facer-Childs, Elise R. – sequence: 10 givenname: Laura K. surname: Barger fullname: Barger, Laura K. – sequence: 11 givenname: Charles A. surname: Czeisler fullname: Czeisler, Charles A. – sequence: 12 givenname: Mark E. surname: Howard fullname: Howard, Mark E. – sequence: 13 givenname: Shantha M.W. surname: Rajaratnam fullname: Rajaratnam, Shantha M.W.
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/32790653$$D View this record in MEDLINE/PubMed
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References	Horesh (key-10.15585/mmwr.mm6932a1-202008130950-R7) 2020; 12 Czeisler (key-10.15585/mmwr.mm6932a1-202008130950-R3) 2020; 69 Hailey (key-10.15585/mmwr.mm6932a1-202008130950-R8) 2008; 53 key-10.15585/mmwr.mm6932a1-202008130950-R9 Hosey (key-10.15585/mmwr.mm6932a1-202008130950-R5) 2019; 23 key-10.15585/mmwr.mm6932a1-202008130950-R6 Löwe (key-10.15585/mmwr.mm6932a1-202008130950-R4) 2010; 122 key-10.15585/mmwr.mm6932a1-202008130950-R2 key-10.15585/mmwr.mm6932a1-202008130950-R1
References_xml	– volume: 69 start-page: 751 year: 2020 ident: key-10.15585/mmwr.mm6932a1-202008130950-R3 article-title: Public attitudes, behaviors, and beliefs related to COVID-19, stay-at-home orders, nonessential business closures, and public health guidance—United States, New York City, and Los Angeles, May 5–12, 2020. publication-title: MMWR Morb Mortal Wkly Rep doi: 10.15585/mmwr.mm6924e1 – volume: 122 start-page: 86 year: 2010 ident: key-10.15585/mmwr.mm6932a1-202008130950-R4 article-title: A 4-item measure of depression and anxiety: validation and standardization of the Patient Health Questionnaire-4 (PHQ-4) in the general population. publication-title: J Affect Disord doi: 10.1016/j.jad.2009.06.019 – volume: 23 start-page: 276 year: 2019 ident: key-10.15585/mmwr.mm6932a1-202008130950-R5 article-title: Screening for posttraumatic stress disorder in ARDS survivors: validation of the Impact of Event Scale-6 (IES-6). publication-title: Crit Care doi: 10.1186/s13054-019-2553-z – ident: key-10.15585/mmwr.mm6932a1-202008130950-R6 – volume: 12 start-page: 331 year: 2020 ident: key-10.15585/mmwr.mm6932a1-202008130950-R7 article-title: Traumatic stress in the age of COVID-19: call to close critical gaps and adapt to new realities. publication-title: Psychol Trauma doi: 10.1037/tra0000592 – ident: key-10.15585/mmwr.mm6932a1-202008130950-R1 – ident: key-10.15585/mmwr.mm6932a1-202008130950-R2 – volume: 53 start-page: 769 year: 2008 ident: key-10.15585/mmwr.mm6932a1-202008130950-R8 article-title: The effectiveness of telemental health applications: a review. publication-title: Can J Psychiatry doi: 10.1177/070674370805301109 – ident: key-10.15585/mmwr.mm6932a1-202008130950-R9 doi: 10.15620/cdc.44275
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Snippet	The coronavirus disease 2019 (COVID-19) pandemic has been associated with mental health challenges related to the morbidity and mortality caused by the disease...
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SubjectTerms	Adolescent Adult Aged Anxiety Australia Coronavirus Infections - epidemiology COVID-19 Epidemics Female Full Report Health aspects Home shopping Humans Male Mental Disorders - epidemiology Mental health Middle Aged Pandemics Pneumonia, Viral - epidemiology Substance abuse Substance-Related Disorders - epidemiology Suicidal behavior Suicidal Ideation United States - epidemiology Young Adult
Title	Mental Health, Substance Use, and Suicidal Ideation During the COVID-19 Pandemic — United States, June 24–30, 2020
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