covid-19 and mental health: what we are learning from ......mental health and covid-19: more than...
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COVID-19 and Mental Health:What We Are Learning from www.mhascreening.org
July 1, 2020
Mental Health and COVID-19: More than 169,000
People Impacted by Anxiety and Depression
➢ Through June, more than 169,243 additional people (over pre-pandemic baselines) have screened moderate to severe for depression or anxiety since the start of the pandemic.
➢ In addition, far more people are now taking mental health screenings – 7,000 per day in May and June. The per day number of anxiety screenings completed in June was 406% higher than in January, and the per day number of depression screens was 457% higher.
➢ The mental health impacts of the pandemic are not confined to anxiety and depression. There has been a steep increase in the numbers of people screening positive (“at risk”) for psychosis, too. In June, more than 18,000 people screened at risk for psychosis, more than 4 times the baseline numbers we had seen through March.
➢ The mental health impacts continue to be more pronounced in young people (<25): roughly 9 in 10 are screening with moderate-to-severe depression, and 8 in 10 are screening with moderate-to-severe anxiety.
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Mental Health and COVID-19: Thoughts of Suicide &
Self-Harm at Epidemic Levels in both May and June
➢ “Loneliness and isolation” is cited by the greatest percent of moderate to severe depression (74%) and anxiety (65%) screeners as contributing to mental health problems “right now.” These percentages have been steady since mid-April.
➢ Despite a dramatic jump in screeners in May and June (230,822 in June versus 69,626 in April), severity continued to track equal to or higher than our pre-pandemic baselines.
➢ In June 2020, 25,498 depression screeners reported thinking of suicide or self-harm on more than half of days to nearly every day, with 14,607 reporting these thoughts nearly every day.
➢ Special populations are also experiencing high anxiety and depression, including LGBTQ, caregivers, students, veterans/active duty, and trauma survivors.
➢ For thousands of positive screeners, racism and current events are cited as factors in their screening results.
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MHA Screening (www.mhascreening.org):
Nearly 5.5 Million Completed Screens
Depression (PHQ-9) Anxiety (GAD-7) Bipolar (MDQ)
PTSD (PC-PTSD)Youth Screen
(PSC-YR)Parent Screen
(PSC)
Alcohol and Substance Use Screen (CAGE-
AID)
Psychosis Screen (Ultra-High Risk)
(PQ-B)Eating Disorders
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MHA Screening
• Began in April 2014.• Access to screening tools is free and anonymous at
www.mhascreening.org.• Most screeners voluntarily give de-identified demographic
data.• Screeners are young, (63% < 25 years), female (72%).• Help-seeking population (74% positive).• Otherwise representative of the population.
In June, Per Day Anxiety Screenings
Increased by 406% over January
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1/1 - 1/31 2/1 - 2/29 3/1 - 3/31 4/1 - 4/30 5/1 - 5/31 6/1 - 6/30
In June, Per Day Depression Screenings
Increased by 457% over January
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January February March April May June
Depression Screenings
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More Than 64,108 Additional Screeners Have
Anxiety Since COVID-19 Pandemic
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Moderate to Severe
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Excess Moderate-to-Severe screening results above the Nov-Jan 3-month
average (5295 moderate to severe)
More Than 105,135 Additional Screeners
Have Depression Since COVID-19 Pandemic
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February March April May June
Excess Moderate to Severe Depression Screens above the Nov-Jan 3-month
average (10,867 moderate to severe)
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Psychosis: Those Screening “Positive”
Increased Dramatically in May & June
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October November December January February March April May June
Psychosis Screening: Severity Also Up in
June 2020
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68.00%
69.00%
70.00%
71.00%
72.00%
73.00%
74.00%
75.00%
76.00%
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Nov Dec Jan Feb Mar April May June
Screeners At Risk Percent at Risk
May Anxiety Screeners: The Main Things
Contributing to Mental Health Problems Right Now
Reason Number of Responders Percent of Respondents
Loneliness or isolation 15934 62.14%
Past trauma 12219 47.65%
Relationship problems 10540 41.10%
Coronavirus 9326 36.37%
Current events (news, politics, etc.) 7542 29.41%
Grief or loss 6489 25.31%
Financial Problems 6315 24.63%
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N=25,643, scoring moderate to severe 5/1-5/31,
“Choose up to 3”
June Anxiety Screeners: The Main Things
Contributing to Mental Health Problems Right Now
Reason Number of Responders Percent of Respondents
Loneliness or isolation 17637 64.74%
Past trauma 12700 46.62%
Relationship problems 11111 40.79%
Current events (news, politics, etc.) 9838 36.11%
Coronavirus 7878 28.92%
Grief or Loss 6723 24.68%
Financial Problems 6588 24.18%
Racism 2097 7.70%
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N=27,241, scoring moderate to severe 6/1-6/30, “Choose up to
3”
“Racism” added as option on 6/16
May Depression Screeners: The Main Things
Contributing to Mental Health Problems Right Now
Reason Number of Responders Percent of Respondents
Loneliness or isolation 32910 72.59%
Past trauma 20931 46.17%
Relationship problems 20100 44.34%
Coronavirus 13703 30.23%
Grief or loss 12413 27.38%
Financial Problems 10142 22.37%
Current events (news, politics, etc.) 9868 21.77%
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N=45,335, scoring moderate to severe 5/1-5/31,
“Choose up to 3”
June Depression Screeners: The Main Things
Contributing to Mental Health Problems Right Now
Reason Number of Responders Percent of Respondents
Loneliness or isolation 37237 73.92%
Past trauma 22653 44.97%
Relationship problems 22058 43.79%
Current events (news, politics, etc.) 14674 29.13%
Grief or loss 13366 26.53%
Coronavirus 11926 23.67%
Financial Problems 11767 23.36%
Racism 2704 5.37%
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N=50,376, scoring moderate to severe 6/1-6/30, “Choose
up to 3”
“Racism” added as option on 6/16
Screeners Are Not “Worried Well”:
Depression Severity Higher In March-June v. Jan-Feb
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50.00%
55.00%
60.00%
65.00%
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75.00%
80.00%
85.00%
90.00%
95.00%
100.00%
Jan Feb Mar Apr May June
Depression Screeners, Percent Moderate to Severe
More Than 25,000 People Considered Self-Harm
or Suicide in June
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16.6%17.5%
20.6%
18.3%17.48%
19.66%
13.2% 13.5%14.6%
14.1% 13.62%14.66%
4205 45375871
7061
21165
25498
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"Jan 2020" "Feb 2020" "Mar 2020" "Apr 2020" "May 2020" "June 2020"
Suicidal/Self-Harm Thinking
% Nearly Every Day % More Than Half the Days Total Number, Half to Nearly Every Day
Young People in June Still Disproportionately
Experiencing Depression and AnxietyPercent Moderate to Severe
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0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
80.00%
90.00%
100.00%
"11-17" "18-24" "25-34" "35-44" "45-54" "55-64" "65+"
Depression Anxiety
Special Populations: Positive for
Depression and Anxiety
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0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00% 80.00% 90.00% 100.00%
Vet/Active Duty
New/Exp Mom
Caregiver
LGBTQ+
Trauma Survivor
Student
Anxiety Depression
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For More Resources
• For MHA COVID-19 resources: https://www.mhanational.org/covid19
• For other mental health COVID-19 resources: https://psychhub.com/covid-19/
• To take a free mental health screen: https://screening.mhanational.org
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