The annual report from the National Records of Scotland shows that there were 1,172 drug-related deaths in Scotland in 2023; a 12% increase on the previous year after two years of decreases.

Reflecting on the publication of the figures, Dr Tara Shivaji, Consultant at Public Health Scotland (PHS), said:

“The deaths announced today are not just numbers; they reflect real people in our communities and families that are now coping with grief. They are also a stark reminder that this is one of the most significant public health challenges in Scotland.

“The unregulated drugs market is always evolving, however it’s clear that in Scotland it is becoming increasingly toxic and unpredictable. Through RADAR, Scotland’s drug harms early warning system, we’ve identified a notable rise in the availability of new synthetic drugs like nitazenes, bromazolam, and xylazine, whose potency makes them particularly lethal. These drugs, often mixed with other substances, can cause harmful effects that even experienced drug users cannot predict.

“There is no simple solution to overcoming the deeply entrenched issues that underpin problematic drug use in Scotland, including poverty, homelessness, trauma, and stigma. Tackling Scotland's drug crisis requires addressing these underlying social determinants of health.

“Public Health Scotland is committed to helping to reduce these inequalities by working with health boards, local authorities and third sector organisations right across the country to promote and prolong healthy life.”

View the drug-related deaths in Scotland 2023 report

View our resource on how to respond to a drug overdose, and how to reduce the harm from drugs

Find out more about RADAR and the current live alerts

Last updated: 28 August 2024