The COVID-19 pandemic and the mitigation policies it prompted may have had profound consequences for the psychological health of U.S. adults, including their risk of dying from drug overdose and suicide. To mitigate the spread of COVID-19, some U.S. states enacted policies like stay-at-home orders and business closures. To mitigate adverse economic and health effects, some states enacted policies like eviction moratoria and extended unemployment benefits. These policies may have affected adults’ psychological health and related mortality through social isolation, work-family conflict, interpersonal strain, economic wellbeing, employment disruptions, and more.

The overarching objective of this project is to rigorously assess how state-level COVID-19 mitigation policies have affected psychological health and related mortality from drug overdose and suicide among working age and older adults. The project is significant and will have a sustained impact because it:

1. identifies how states’ mitigation policies affect psychological health and mortality in both the short and longer- terms,
2. leverages adults’ self-reports of how COVID-19 and mitigation policies affected their lives and psychological health with county-level administrative data on drug overdose and suicide mortality, and
3. empirically develops meaningful composite measures of state mitigation policies to assess their impact on psychological health and mortality.

The project is innovative in that it:

1. uses and extends novel survey data from working-age adults on how the pandemic and its mitigation policies affected their lives,
2. uses recently- developed methods for analyzing large contextual datasets containing high-dimensional and correlated data and
3. focuses on the impacts of policies on psychological health and related causes of death, specifically drug- overdoses and suicides, in the short and longer terms.