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Data given on state level depression rates
(August/September 2007 Issue)

By Pamela Berard

Youth ages 12 to 17 had more Major Depressive Episodes (MDE) in the past year than adults 18 and older, according to data released by the Substance Abuse and Mental Health Services Administration (SAMHSA).

About nine percent of youths aged 12 to 17, and 7.6 percent of adults aged 18 or older, experienced at least one major depressive episode, according to SAMHSA administrator Terry Cline, Ph.D. He spoke about the results at a June Mental Health America meeting held in Washington, D.C.

The analysis showed that rates of past year MDE among adults aged 18 or older were among the highest in Utah (10.1 percent) and Rhode Island (9.9). Hawaii's rate (6.7 percent) was the lowest. Other New England states had the following rates: Connecticut (9.2), Maine (9.0), Massachusetts (7.8), New Hampshire (7.2), Vermont (8.0). About 7.3 percent of adults in New York, which is marking the sixth anniversary of the Sept. 11 terrorist attacks, experienced at least one MDE.

Among 12 to 17 year olds, rates of past year MDE were highest in Idaho (10.4 percent) and lowest in Louisiana (7.2). Rates in New England were: Connecticut (10.2), Massachusetts (8.9), Maine (10.1), New Hampshire (9.7), Rhode Island (9.3) and Vermont (8.5). The rate in New York was 9.2 percent.

The state-by-state mental health data is a powerful new tool for policymakers at the federal, state and local levels to identify state prevention and treatment needs and to target resources appropriately, says Cline.

States can use the data to measure progress and see where their challenges remain, Cline says. They can also use the data in grant applications to the federal government or other entities to justify need and report progress. Or, they can use the data to dig deeper into what is happening in their state as well as to improve outcomes and validate their own surveys, Cline adds.

State estimates of past year MDE were produced using data from the combined 2004 and 2005 National Survey on Drug Use and Health surveys. The prevalence of MDE is based on standard definitions and survey methods applied uniformly throughout the nation.

MDE is defined using criteria from the fourth edition of the "Diagnostic and Statistical Manual of Mental Disorders," which specifies a period of two weeks or longer during which there is a depressed mood or loss of interest or pleasure and at least four other symptoms that reflect a change in functioning (i.e., lack of sleep or problems with concentration or self-image), according to the report.