New Hampshire has been named the healthiest state in the United States for two consecutive years, largely due to its low rates of homicide, poverty, and unemployment. However, beneath this positive recognition lies a troubling reality: the state is experiencing a significant increase in deaths related to suicide, drugs, and alcohol, far exceeding national averages. A recent report from Trust for America’s Health, a national health policy and research organization, reveals the depth of these issues.
In 2022, New Hampshire recorded 1,014 deaths attributed to suicide, alcohol, or drugs—a 10% increase from the previous year. This stark rise contrasts with the national trend, where such deaths decreased by 1%. Synthetic opioids, particularly fentanyl, play a significant role in this increase. Opioid-related deaths in New Hampshire rose by 13%, compared to just 1% nationwide. Even more concerning, deaths from synthetic opioids surged by 20%, compared to a 4% national increase. The state also saw sharp rises in deaths related to other substances: cocaine-related deaths increased by 39%, and deaths from psychostimulants like methamphetamine spiked by 50%. These numbers highlight the escalating danger posed by New Hampshire’s drug supply, increasingly tainted with lethal substances.
The report also draws attention to the troubling state of mental health among New Hampshire's youth. Sixteen percent of residents aged 12 and older reported using illicit drugs in the past month. High school students fared even worse: 25% had serious thoughts of suicide in the past year, and 36% reported that their mental health was “not good” most or all of the time. These figures are higher than those in other New England states, underscoring the growing mental health crisis among young people in New Hampshire.
The connection between adverse childhood experiences (ACEs) and later struggles with mental health and substance abuse is well-documented, and New Hampshire’s children are not immune. According to the New Hampshire Bulletin, sixteen percent of children under 17 in the state have experienced at least two ACEs, placing them at greater risk for substance use disorders, mental health challenges, and other negative outcomes later in life. Addressing these issues requires a multifaceted approach that includes both immediate interventions and long-term strategies aimed at preventing the generational transmission of trauma and its associated health risks.
New Hampshire has made some progress in tackling these challenges. The legalization of fentanyl and xylazine testing strips is one such measure aimed at reducing overdose deaths. However, the state’s efforts in harm reduction have been inconsistent. While lawmakers have expanded Medicaid coverage and invested in behavioral health infrastructure, they have resisted more comprehensive harm reduction strategies, such as funding for syringe exchange programs.
Another critical area needing attention is the sustainability of support systems for those in crisis. New Hampshire implemented the 988 Suicide and Crisis Lifeline two years ago, yet it lacks permanent funding. A recent study suggests that a small fee on telecommunication services could generate $1.3 million annually to support the lifeline, ensuring that those in crisis can access the help they need. Mobile crisis response teams are now available in every county, but reports indicate that response times remain slow, and there is a need for more teams to adequately meet the growing demand. Investing in these services is crucial to reducing the state’s high suicide rates and ensuring timely help for those in need.
While New Hampshire continues to be recognized for its overall health, the state’s rising rates of drug and alcohol-related deaths and suicides paint a more complex picture. Addressing these issues requires continued investment in harm reduction, mental health services, and preventive measures. Only by tackling the root causes of these issues can New Hampshire hope to reverse these troubling trends and ensure a healthier future for its citizens.
If you are struggling with your mental health or an addiction, reach out to Avenues Recovery today. We can help you turn your life around and reach happiness and healing.