Content Warning: This article discusses suicide. Dr. Ashley Smith, a licensedpsychologist and advocate, shares insights into why suicidal thoughts occur, how to support loved ones, and why hope is always possible.

Homeless people and substance use disorder addiction often co-occur, and, unfortunately, many people struggling with both issues are unable to get the help they need. Substance abuse can develop due to the stressors associated with homelessness. On the other hand, addiction can also contribute to homelessness. Additionally, many homeless people have an addiction as well as other co-occurring psychiatric disorders, which can further complicate their living situations.

We have had very little success in preventing intentional injuries, especially self-harm. Worldwide, suicide rates have remained elevated. The stagnation in suicide prevention is not due to a lack of effort. With the worsening opioid crisis and the rising prevalence of depression and other mental health issues, global professional mental health experts need to focus on rethinking suicide prevention. 

The phrase "Lived Experience" represents a growing movement in the field of substance use disorder (SUD) recovery, emphasizing the powerful effect of individuals sharing their journeys to inspire hope and foster healing in others.

Critics continue to question substance use harm reduction. Advocates persist in fighting for it. But the data is precise: harm reduction saves lives. As patterns of drug use shift and risks increase, strategies such as overdose prevention centers, fentanyl test strips, and naloxone access offer a proven path forward. This isn't theory; it's survival.