Substance use, including alcohol, tobacco, and illicit drug use, has significant implications for public health and well-being. Understanding the patterns, consequences, and risk factors associated with substance use is crucial for effective prevention, treatment, and policy development.
These resources encompass substance use prevalence rates, substance-related hospitalizations, overdose statistics, treatment utilization, and the impact of substance use on specific populations and communities.
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Substance Use Data & Reports
State Unintentional Drug Overdose Reporting System (SUDORS) Report, 2024
From 2020 to 2024, there were 357 unintentional and undetermined overdose deaths in South Dakota. There were 73 deaths in 2024, which was a 12% increase from 65 deaths in 2023.
SUDORS Infographic, 2024
From 2020 to 2024, there were 357 unintentional and undetermined overdose deaths in South Dakota. Sixty-two percent of deaths had at least one potential opportunity for intervention, including the presence of a bystander at the time of the overdose. The largest proportion of overdose deaths occurred among males, individuals aged 25 to 44 years, and those who were White. Overdose deaths frequently involved multiple substances, with at least one stimulant involved in 52% of deaths and at least one opioid involved in 46% of deaths. Methamphetamine and fentanyl were the most commonly identified substances contributing to overdose deaths during this period.
Alcohol-Related Deaths & Hospitalizations in South Dakota, 2025
Alcohol-related deaths continue to be a public health concern in South Dakota. South Dakota saw a decrease in alcohol-related deaths in 2022 and 2023, but deaths have increased by 19% from 306 deaths in 2023 to 365 deaths in 2024. South Dakota had the third-highest age-adjusted rate for alcohol-related deaths at 31.4 per 100,000. The United States rate was 12.7 per 100,000, 2019-2023.
State Unintentional Drug Overdose Reporting System (SUDORS) Report, 2023
SUDORS is a surveillance system developed by the Centers for Disease Control and Prevention (CDC) to collect comprehensive data on unintentional and undetermined overdose deaths. SUDORS aims to enhance state surveillance of drug overdoses to inform the development of prevention efforts across the state to reduce overdose deaths. This information comes from death certificates, coroner reports, and toxicology reports. The information collected is then de-identified and entered into the National Violent Death Reporting System (NVDRS).
SUDORS Infographic, 2023
In 2023 there were 65 unintentional and undetermined overdose deaths. A potential bystander was present in 44% of deaths, indicating there may have been an opportunity to provide life-saving actions at the time of the overdose. The largest proportion of overdose deaths were among males, individuals aged 35-44 years, and those who were White. 47% of deaths involved at least one opioid and 51% of deaths involved at least one stimulant. 46% of deaths were attributed to methamphetamine and 35% were attributed to fentanyl.
Alcohol-Related Deaths & Nonfatal Visits Report, 2024
Alcohol-related deaths have been an increasing concern over the last ten years in South Dakota. Alcohol-related deaths increased by 77% from 173 deaths in 2014 to 306 deaths in 2023, but deaths have decreased by 7% from 2022 to 2023. South Dakota had the fourth highest age-adjusted rate for alcohol-related deaths at 29.7 per 100,000, while the United States rate was 12.1 per 100,000, 2018-2022.
YRBS Report, 2013-2023
The Youth Risk Behavior Survey (YRBS) monitors six priority health behaviors including behaviors that contribute to unintentional injuries and violence; sexual behaviors that contribute to unintended pregnancy and sexually transmitted diseases, including HIV; alcohol and drug use; tobacco use; dietary behaviors; and physical activity.
Youth Tobacco Survey Report, 2023
National data from 2023 shows a promising downward trend in the use of e-cigarettes overall among youth. However, this data also showed that most of the decline was among high school-age students, with middle school youth showing an increase in use.
State Unintentional Drug Overdose Reporting System (SUDORS) Report, 2022
SUDORS is a surveillance system developed by the Centers for Disease Control and Prevention (CDC) to collect comprehensive data on unintentional and undetermined overdose deaths. SUDORS aims to enhance state surveillance of drug overdoses to inform the development of prevention efforts across the state with the goal of reducing overdose deaths. This information comes from death certificates, coroner reports, and toxicology reports. The information collected is then de-identified and entered into the National Violent Death Reporting System (NVDRS).
SUDORS Infographic, 2022
In 2022 there were 74 unintentional and undetermined overdose deaths. A potential bystander was present in 41% of deaths, indicating there may have been an opportunity to provide life-saving actions at the time of the overdose. The largest proportion of overdose deaths were among males, individuals aged 35-44 years, and those who were White. 47% of deaths involved at least one opioid and 54% of deaths involved at least one stimulant. 49% of deaths were attributed to methamphetamine and 33% were attributed to fentanyl. 43% of deaths involved a stimulant and no opioids.
Alcohol-Related Deaths & Hospitalizations South Dakota, 2023
In South Dakota, the number of alcohol-related deaths has been increasing in the last ten years. Alcohol-related deaths increased by 120%, from 150 deaths in 2013 to 330 deaths in 2022 (Figure 1). South Dakota had the fifth highest crude rate for alcohol-related deaths at 19.4 per 100,000, while the United States rate was 10.6 per 100,000, 2011-2020
YRBS Summary Report, 2011-2021
The Youth Risk Behavior Survey (YRBS) monitors six priority health behaviors including behaviors that contribute to unintentional injuries and violence; sexual behaviors that contribute to unintended pregnancy and sexually transmitted diseases, including HIV; alcohol and drug use; tobacco use; dietary behaviors; and physical activity.
State Unintentional Drug Overdose Reporting System (SUDORS) Report, 2021
SUDORS aims to enhance state surveillance of drug overdoses to inform the development of prevention efforts across the state with the goal of reducing overdose deaths. States funded for SUDORS collect information on unintentional and undetermined intent drug overdose deaths. This information comes from death certificates, coroner reports, and toxicology reports. The information collected is then entered into the National Violent Death Reporting System (NVDRS). Data used in this report are provisional as of December 2021 and are subject to change as information is added or clarified.
Youth Tobacco Survey Report, 2021
The landscape of youth tobacco use has changed in recent years. The use of cigarettes among United States (U.S.) youth has declined. Yet, the use of alternative tobacco products, including electronic cigarettes (e-cigarettes) and hookahs, has increased among middle school students.