New study aims to improve dual diagnosis services in Ireland   

Evidence-based insights will increase understanding of dual diagnosis and drug-related deaths   

2 min read - 4 Sep 2026

A joint study by the Health Research Board (HRB) and the Health Service Executive reports that from 2019 to 2021, there were 567 deaths among people with dual diagnosis (the co-occurrence of substance use disorder and mental health disorders). The majority of deaths (68%) were among men. The average age was 42 years. 

The study, which was recently published in Irish Journal of Psychological Medicine, is based on data from HRB’s National Drug-Related Deaths Index.  

Dr Suzi Lyons, Head of Unit at HRB’s National Health Information Systems, said: 

“The area of dual diagnosis and drug-related deaths is complicated and multi-layered, with limited existing Irish data. This study will increase understanding of these complexities. It will also provide high-quality data and evidence to policy makers and service planners to help reduce harm and improve outcomes for people with dual diagnosis in Ireland.” 

Types of substance use and mental health conditions 

The most common drugs used were cocaine (48%), heroin (37%) and cannabis (36%).  

The most common mental health conditions were depressive disorders (53%), anxiety disorders (37%) and specific personality disorders (7%).   

Causes of death 

The most frequent verdicts recorded were misadventure (47%). Some 27% died by suicide.  

Almost equal proportions of deaths were poisonings (49%) and non-poisonings (51%).  Most poisoning deaths involved an opioid-type drug and/or use of more than one drug (84%). 

ENDS 

Dual diagnosis and drug-related deaths (2019 – 2021): An Irish Perspective is a joint publication from Health Research Board (HRB) and the Health Service Executive. 

NOTES TO EDITOR 

If you are a journalist or media professional covering a suicide-related topic, follow the Samaritans Ireland Media Guidelines for Reporting Suicide and Preventing Suicide, a resource for media professionals (World Health Organisation) – because of the potentially harmful consequences of irresponsible reporting. 

Signposting to accessible, trusted sources of support 

Samaritans are available 24 hours every day, for confidential, non-judgmental support. 

  • Freephone 116 123 anytime day or night. 

 

Pieta provide a range of suicide and self-harm prevention and bereavement services. 

  • Freephone 1800 247247 anytime day or night. 
  • Text HELP to 51444 (standard message rates apply). 

 

Text About It is a free, anonymous, messaging support service. 

  • Text HELLO to 50808 anytime day or night. 

HUGG, Support After Suicide, is a national organisation, providing peer-led bereavement support, groups, and information for adults bereaved by suicide. 

2 min read - 4 Sep 2026

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