$SAD
Mental health ER visits
5,2353.3% downon the month before
visits per 100,000 in Sep 2026Down 4% from 5,453 in Sep 2021
Quiet. 5,235 visits per 100,000 in Sep 2026, down 3.3% on the month before.
From Oct 2024 to Sep 2026.
How it is counted
- Counts
- Emergency department visits for any mental health condition per 100,000 emergency visits in the United States, per month, all ages, from the CDC's National Syndromic Surveillance Program.
- Why it is here
- Where the mental health conversation ends up when it goes badly: the emergency room.
- Source
- CDC, National Syndromic Surveillance Program, mental health related emergency department visits
- Terms
- US government work, public domain.
- Cadence
- Monthly, about a month late. Newest complete month Sep 2026. Read Nov 12, 20:40 UTC.
- Baseline
- The prior 24 months, 12 needed.
Who pays and who collects
Who pays
$1.91B
Medicaid, to Acadia Healthcare
Acadia revenue that came from Medicaid, year to Dec 31 2025. Source
- $1.80BManaged Medicaid, to Universal Health Services behavioral hospitalsUHS behavioral segment revenue from managed Medicaid, year to Dec 31 2025. Source
- $171.5MHealth plans and employers' plans, to TalkspaceTalkspace payor revenue for therapy sessions, year to Dec 31 2025. Source
- $392.5MMedicare Part D, on Trintellix (vortioxetine)Total Part D spending on one antidepressant brand, calendar year 2024. Source
- $171.1MMedicaid, on Spravato (esketamine)Total Medicaid spending on one depression drug, calendar year 2024. Source
Who collects
$7.43B
Universal Health Services, behavioral health segment
Net revenue of the behavioral health care segment, year to Dec 31 2025. Source
- $3.31BAcadia HealthcareTotal revenue, all behavioral health facilities, year to Dec 31 2025. Source
- $950.4MTeladoc Health, BetterHelp segmentBetterHelp segment revenue, year to Dec 31 2025. Source
- $228.9MTalkspaceTotal revenue, year to Dec 31 2025. Source
- $518.5MAdvertising sellers, from BetterHelpBetterHelp advertising and marketing expense, year to Dec 31 2025. Source
The index is a rate of emergency room visits and none of these companies reports emergency room revenue, so the table shows the wider mental health business, not the visits. The only federal total for national mental health spending that could be read is for 2014; the drug rows are single products, not all antidepressants.
Quote this number
5,235 of every 100,000 emergency room visits in the United States in Sep 2026 were for a mental health condition, according to CDC figures kept by Tickerz.
Asked often
- How many emergency room visits are for mental health in the US?
- 5,235 of every 100,000 emergency department visits in the United States in Sep 2026 were for a mental health condition, as the CDC's National Syndromic Surveillance Program counts them.
- Where does the $SAD number come from?
- Tickerz reads it from CDC, National Syndromic Surveillance Program, mental health related emergency department visits. Monthly, about a month late. Each number is kept as it was first published, with a timestamped proof, and any later revision is shown beside it.
- Can I download the $SAD data?
- Yes, free and with no key: the full history as JSON at https://tickerz.com/api/indices/sad and every period as CSV at https://tickerz.com/api/indices/sad/history.csv.
List it
No listing kit for $SAD yet. A kit sets its strikes from 14 published numbers. This index publishes one a month and has none yet.
Resolution
- Index
- $SAD Mental health ER visits. Rulebook v0.2, 2026-10-04.
- Prints
- Monthly, about a month late. The newest complete month is on the record after the daily proof at 12:40 UTC.
- As first published
Sep 2026 is not timestamped yet. The daily proof at 12:40 UTC adds it.
The number as first published is final for settlement. A revision by the source is shown beside it and never replaces it.
- Fallback
- A month that has not been published stays open. A month the CDC never publishes is void.
- Precision
- Visits per 100,000 emergency department visits, whole number, as the CDC publishes the month.
- Cost to move
- Not practical. Moving a month means changing what hospitals report to the CDC.
- Grade
- reference. A federal surveillance series anyone can read. It is a rate among emergency visits at the hospitals that report, not a count of people.
- For a rulebook
- Settle on the number Tickerz first recorded for $SAD for the month named in the contract, published at tickerz.com/x/sad and in GET /api/indices/sad, timestamped daily in Bitcoin with OpenTimestamps.
As first published
None on file yet.
Embed
Proof and data
- Proof
- Every reading is timestamped in Bitcoin once a day, so nobody can change it later. The newest proof covers Nov 12, in Bitcoin block 975,557.Proof fileLive feedHow it works
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