Reports

The publication and amplification of research on programs and policies that support health and well-being is central to TFAH’s mission. We publish annual reports and occasional issue specific policy briefs.

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Pain in the Nation 2025: The Epidemics of Alcohol, Drug, and Suicide Deaths

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Pain in the Nation 2025: The Epidemics of Alcohol, Drug, and Suicide Deaths
May | 2025

Pain in the Nation 2025: The Epidemics of Alcohol, Drug, and Suicide Deaths

New data show that deaths due to drug overdose and alcohol are down nationally, but this progress is uneven across population groups and at risk due to cuts to federal health programs and workforce.
PitN24
July | 2024

Pain in the Nation 2024: the Epidemics of Alcohol, Drug, and Suicide Deaths

A decrease in the alcohol-induced mortality rate led to a slightly lower combined rate of all U.S. deaths due to alcohol, drugs, and suicide in 2022, but the long-term trend of such deaths is still alarmingly high.

Pain in the Nation 2023: U.S. Death Rate Due to Alcohol, Drugs, and Suicide Increased by 11 Percent in 2021
May | 2023

Pain in the Nation 2023: U.S. Death Rate Due to Alcohol, Drugs, and Suicide Increased by 11 Percent in 2021

TFAH’s annual report found that in 2021 increases in death rates due to substance misuse and suicide occurred among all ages, races, and geographic groups, but were particularly high for youth suicides and drug overdose among certain populations of color and in rural parts of the country.
PitNHero 3
May | 2022

Pain in the Nation 2022: U.S. Experienced Highest Ever Combined Rates of Deaths Due to Alcohol, Drugs, and Suicide During the First Year of the COVID-19 Pandemic

TFAH and Well Being Trust’s annual report found that deaths spanned ages, racial and ethnic groups, and geography but disproportionally harmed young people and people of color. Solutions are known and must be implemented.
Quarantine Anxiety!
May | 2021

Pain in the Nation Series Update: Alcohol, Drug and Suicide Deaths at Record Highs

Annual deaths due to alcohol, drugs or suicide exceeded 156,000 in 2019 and alcohol deaths were higher for every adult age group for the year. Furthermore, preliminary data show that the COVID-19 crisis created higher rates of Americans’ mental distress, substance use, and drug overdose.
Addictive substances, including alcohol, cigarettes and drugs
May | 2020

Pain in the Nation Series Update – Alcohol, Drug and Suicide Deaths in 2018

May 2020 - Annual U.S. deaths due to alcohol, drugs or suicide reached nearly 152,000 in 2018, a rate approximately level with the prior year, despite decreases in overall opioid overdose deaths.

2019-PIN-TeensWebHero-01
October | 2019

Addressing a Crisis: Cross-Sector Strategies to Prevent Adolescent Substance Use and Suicide

A Pain in the Nation Series Report
A rebel teenage boy with behavioral problems and criminal past talking to a psychotherapist in a juvenile detention center.
June | 2019

Alcohol and Drug Misuse and Suicide and the Millennial Generation – A Devastating Impact

Increases in alcohol, drug, and suicide deaths have affected all age groups and all communities, but the impact on people in their 20s and early 30s has been particularly pronounced.

White pharmaceutical pills spilling from prescription bottle over American flag
March | 2019

Pain in the Nation Update: While Deaths from Alcohol, Drugs, and Suicide Slowed Slightly in 2017, Rates Are Still at Historic Highs

Deaths from Synthetic Opioids Continue to Rise Sharply And Suicides Are Growing at the Fastest Pace in Years.

seniors-with-team-of-professional-caregivers-and-doctors-vector-id1137422730
May | 2018

Issue Brief: Pain in the Nation: Healthcare Systems Brief

How healthcare systems can help address the drug, alcohol and suicide crises.