Decrease in drug misuse deaths but ‘still work to be done’ in Scotland

DRUG-RELATED DEATHS IN SCOTLAND REPORTED FOR 2024

The number of deaths caused by drug misuse fell by 13% to 1,017 last year – the lowest level registered since 2017.

According to statistics published by National Records of Scotland yesterday, there were 155 fewer deaths in 2024 compared to the previous year.

The statistics showed that people in the most deprived areas were 12 times more likely to die from drugs as those in least deprived areas. This is a drop from 15 times more likely in 2023.

There was also a drop in the number of deaths among young people with 34 under-25s compared with 58 in 2023.

However, Drugs and Alcohol Policy Minister Maree Todd said there is still work to be done by the Scottish Government to deal with the harm caused by drugs.

During a visit to The Scheme Livi recovery project, which offers a variety of creative workshops to support people dealing with substance use, Ms Todd said: “My heartfelt condolences go to all those affected by the loss of a loved one through drugs.

“It is welcome that we have seen progress with the number of deaths at the lowest level since 2017, but I know there is still work to be done and we will continue to do everything we can to save and improve lives.

“This is particularly true as we face new threats from highly dangerous synthetic opioids like nitazenes, which further raise the risk of overdose and death.

“That is why we are providing record levels of funding for drugs and alcohol programmes and widening access to treatment, residential rehabilitation and life-saving naloxone. We have also supported and funded the opening of the UK’s first Safer Drug Consumption Facility and are working at pace to deliver drug-checking facilities.

“The spread of grassroots support, enhanced by our funding of more than 300 organisations and projects, has also made a difference on the ground. However, we will always want to do more and will continue to work hard to adapt to new patterns of consumption and demand to direct support where it is most needed.”

The Scheme Livi co-founder Aidan Martin said: “At The Scheme Livi, we’ve seen first-hand how grassroots projects, supported by Corra, can transform lives. Since launching full-time in March 2023, we’ve welcomed over 3,100 attendees, with 524 unique footprints, to our free creative workshops, which carry both therapeutic and creative benefits.

“These attendee numbers highlight the real need for safe, supportive spaces for people impacted by addiction, trauma, mental health challenges, social isolation, and social deprivation.”

The annual report for drug related deaths from the National Records of Scotland, published today, shows that there were 1017 drug-related deaths in Scotland in 2024; a decrease of 13% (155 deaths) compared to 2023.

The report also highlights the worrying extent of premature mortality, with 46% of deaths (467) occurring in the 35-49 age group, similar to 2023, when this age group accounted for 49% of deaths (583).

Opioids continue to be the most common drug type implicated in drug-related deaths (80%), which reflects a similar picture to 2023.

Reflecting on the publication of the figures, Dr Tara Shivaji, Consultant at Public Health Scotland (PHS), said: “We must all take a moment to pause and reflect on the stark reality of this report. 

“These deaths are not just numbers; they reflect real people in our communities and families. Those who are working tirelessly within the system will feel the weight today as drug related deaths, and harm, continues to be one of the most significant public health challenges in Scotland.

“Whilst there was a slight decrease in deaths from 2023, Scotland continues to have one of the highest drug death rates in the developed world. Our most recent RADAR quarterly report showed an increase in drug harms during 2025.

“In order to tackle this, we must also address the underlying social determinants of health. Poverty, homelessness, trauma, and stigma play a key role in further entrenching the problematic drug use. We are working with health boards, local authorities and third sector organisations right across the country to reduce these inequalities.

Scotland’s Population Health Framework 2025-2035 sets out a vision that we, collectively, need to focus on prevention and create supportive environments that promote health and wellbeing and reduce health harming activities.

“Through research and consultation, PHS is working across the system to actively engage with partners, stakeholders and people with lived and living experience.

“Our aim is to prevent substance use harm – making sure our schools, families and communities can reduce early risks and support healthier futures.”

COSLA has issued a short statement following statistics published today (2nd September 2025) on drug-related deaths in Scotland.

A COSLA Spokesperson said: “Every death from drug misuse is a tragedy. These numbers represent loved ones: parents, sons, daughters and siblings. It is a stark reminder of the challenges we still need to overcome across the public and third sectors to end deaths of this nature.

“Local Authorities continue to work in partnership with a wide range of agencies to support to people affected by addiction and drug misuse, and reduce the devastating impacts on our communities.”

View the drug-related deaths in Scotland 2024 report

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davepickering

Edinburgh reporter and photographer