Drug-related deaths in Scotland reported for 2024
First published on 02 September 2025
- Drugs
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."
View the drug-related deaths in Scotland 2024 report
Read more from the RADAR Quarterly Report
View our resource on how to respond to a drug overdose, and how to reduce the harm from drugs