New Mexico is seeing an uptick of fatal overdoses in 2025 after years of declining overdose deaths, federal data showed. The trend signals new challenges in the state’s campaign against substance use.
The state has recorded a decline of overdose deaths for two straight years, a steady progress in the state’s response to substance use. Fatalities dropped from 1,029 in 2021 to 997 in 2022— a difference of 32 deaths. It further fell to 948 in 2023—an 8 percent decline over the three-year period.
State officials attribute the sustained decrease to expanded access to treatment, greater availability of harm-reduction services, and strengthened community-based prevention programs. These programs were rolled out across New Mexico.
Gains are also emerging in suicide prevention, especially among historically vulnerable groups. Suicide deaths among women dropped to 42 percent, from 116 in 2022 to 67 in 2023. Deaths among Indigenous communities had also declined by 43 percent, from 77 to 44 over the same period.
According to state officials, the improvements reflect the broader reach of New Mexico’s behavioral health investments. These health investments integrate substance use treatment with suicide prevention and mental health support.
Annabel Martinez highlighted the classroom-based PAX Good Behavior Game, which helps students manage stress and develop self-regulation skills. She is the deputy director of behavioral health services at the New Mexico Health Care Authority (HCA).
The agency implemented the program in 85 schools across 43 districts, including 14 tribal community schools.
Technology has also expanded access to care through text and chat services that connect individuals with behavioral health professionals. These tools, officials said, have made mental health support less intrusive, particularly for older adults who are hesitant to seek help in person.
But the data from the Centers for Disease Control and Prevention (CDC) point to a slight increase in overdose deaths in New Mexico compared to recent periods. Reports show some 851 overdose deaths in 2024. It rose to around 881 in 2025.
Martinez said the state stays committed to protective strategies for individuals, families, and entire communities.
“We want every person to know that treatment works and support is available,” Martinez said.
“Recovery is not only possible—it is happening every day,” she said.