SECTION 3 Preventive medicine and public health Table 21-2 Prevalence Estimates for Depressive, Anxiety, and Trauma Disorders 口 Adults(aged26to49) Disorders Prevalence 口 Older adults(age50+) Mood 11% for any mood dis all ages sorder, all ages 6%6-8% for any mood As many as 30%0 experience subclinical depressed mood lasting 2 or more weeks Suicidal thoughts ade a plan Made an attempt Anxiety Figure 2-3 Past-yea lence estimates for suicidal ideation eria for disorder 3.6%o for posttraumatic stress disorder(PTSD), attempts in young adults age 18-24, adults age 26-49, and older adults 50 and older.( From Substance Abuse and Mental Health Services 5%6-51% meet criteria for PtSD (lifetime) after Administration: Suicidal thoughts and behaviors among adults: the NSDUH report,rockville,Md,2009,OffceofAppliedStudieshttp:// depend on severity of trauma and www.samhsa.gov/data/2k9/165/suicide.htm) methodologic issues* the U.S. population. Eating or food addictions are believed to affect 3%, with women affected more often than mel CONCURRENT MENTAL HEALTH AND BEHAVIORAL DISORDERS There is a high degree of comorbidity among mental health 100.0 disorders and between mental health and behavioral disor- 口 Youth(1 ders. Specifically, anxiety and depression are present concur- 80.0% a Young adults(18 to 25 years) rentlyinabout 50%of patients. Amongsubstance-dependent individuals, 60%to 80%of adults and 60% of youth have a comorbid mental health disorder. Moreover, approximately 25% to 30% of depressed and anxious adults meet criteria 40.0% for a substance use disorder. Behavioral addictions (e. g gambling, overeating, Internet overuse)are often associated 20.0% with other behavioral and drug addictions, as well as psychi atric disorders Suicide accounted for more than 32 000 adult deaths in serious thoughts about killing themselves than make a ide. Research also suggests Note: NR= Not reported; Binge drinking is defined as consuming 5 more alcoholic beverages in a sitting for males and 4 or more that for every one successful suicide, there are as many as drinks for females 20 attempts. Among youth, estimates suggest that between 9.4%(ages 12 to 13)and 12.7%(ages 14 to 17)were at erious risk for suicide by virtue of having had serious sui Figure 21-2 Past-month prevalence estimates for substance use, cidal ideation or having made a previous attempt. Among 2009. Binge drinking, cigarette smoking, illicit substances, and prescription those at high risk, 37% made a suicide attempt in the past rug use in persons age 12 and older, adolescents age 12-17, and youn adults age 18-25.(Modified from Substance Abuse and Mental Health year(Fig. 21-3) Services Administration: Results from the 2009 National Survey on Drug use and Health, Rockville, Md, 2010, Offce of Applied Studies; and National Institute of Alcohol Abuse and Alcoholism: NIAAA council C. Costs approves definition of binge drinking.) Mental health and behavioral disorders are stly Among behavioral addictions, pathological gambling is costs primar result from mental health care utilization estimated to affect 1% to 2% of the U.S. population, Sexual the costs associated with substance use disorders include behavior considered pathological is estimated to affect 50 both health care utilization (outpatient treatment; In regard to problematic Internet use, whereas 6% of users pitalization) as well as incarceration and interdiction can be considered addicted, this represents less than 1% of effor