Nine months ago, experts predicted that the isolation, economic pressure, and other stressors caused by COVID-19 would cause a rise in mental health issues worldwide. Statistics show that they were right, as incidences of suicides, drug overdoses, and domestic violence have increased dramatically because of the pandemic.

“There is a mental health wave to this pandemic,” Dr. Ken Duckworth, chief medical officer of information, support, and education at the National Alliance on Mental Illness, told ABC News. Stay-at-home orders, school closures, loss of income, and social isolation have contributed to an uptick of public health crises. Specialists warn that the negative mental health effects from the pandemic have hit ethnic minorities, the elderly, low income families, and healthcare workers even harder.

The U.S. suicide rate was already on the rise before the pandemic, but a recent survey published in JAMA Network found that 41% of people interviewed said they “experienced adverse behavioral or mental health symptoms during the pandemic.” Furthermore, 10% admitted they had thoughts of suicide.

The same holds true for the opioid epidemic, which was raging in America before COVID-19. According to the American Medical Association, more than 40 states reported increases in opioid-related deaths as the deadly drug overdose epidemic was further fueled by the COVID-19 pandemic. According to ABC News, the incidence of first-time users is also on the rise.

Last spring, the United Nations warned that the pandemic would increase the number of cases of domestic violence globally. U.N. Secretary-General Antonio Gutteres said there has been a “horrifying global surge in domestic violence” as fear of the coronavirus soared, according to a news report. The U.N. chief made a universal appeal to end all violence.

“For many women and girls, the threat looms largest where they should be safest — in their own homes,” Gutteres said. “And so, I make an appeal today for peace at home — and in homes — around the world.”

The Baltimore Sun reported that domestic violence calls increased by 25% this past March over calls received in March last year. The domestic violence calls increased directly as the coronavirus pandemic exploded, according to the Sun.

“I think it’s pretty safe to say that not everybody in this country has a safe and happy home to quarantine to,” says Sgt. Jacklyn Davis, a spokeswoman for the Anne Arundel County Police Department in Maryland. “It’s definitely a very scary time for a lot of people just with the sickness, but if you are quarantined with an abuser, it makes it absolutely unfair.”

The Centers for Disease Control and Prevention said that domestic violence is a serious health problem that can affect any American, causing long-term physical, mental, and emotional problems. Across the country, at least 1 in 4 women and 1 in 7 men experience physical violence by their intimate partner at some point in their lives, according to the CDC. The organization issued guidelines offering support for people experiencing abuse during the pandemic.

“This pandemic isn’t going anywhere,” said Duckworth, according to ABC News. “My advice is: Lower expectations, stay connected with people, reach out for professional help if needed, don’t skip your flu shot, and remain physically active.”