Earlier this year, I spoke to a young man from Stranraer about the reasons that he and his group of friends had started using drugs. “Life is terrible on drugs, life is terrible off drugs,” he said. “You may as well get high.”

I was thinking of him yesterday, when an annual report from the National Records of Scotland revealed that there were 1,172 drug misuse deaths in 2023, an increase of 12 per cent compared with 2022.

Scotland has a long and deep-rooted issue with harmful substance use. The Scottish Government has responded to this by creating a National Mission to reduce drug-related deaths and improve lives impacted by drugs. It has also embraced forward-thinking approaches, such as approving plans for the UK's first official safer consumption facility. And across the country, organisations like WithYou are delivering effective and innovative services, staffed by people who are deeply committed to helping their clients to get better.

But, as the National Records of Scotland report shows, all this hard work simply isn’t enough. My heart goes out to all those who have lost a loved one; and who may be feeling distressed and understandably angry today.

To effectively tackle this public health crisis, I believe we need to come together as a society to interrogate what makes so many of our citizens use drugs - and alcohol - in a way that is harmful. We need to understand why people, like the young man I spoke to in Stranraer, are finding life so “terrible” that they are actively seeking oblivion.

An important part of this should be developing a cross-cutting strategy to improve quality of life here in Scotland. Drug support services should not be delivered in isolation because, while drugs may be a significant issue in a person's life, they will not be the only issue. Employment opportunities, availability of housing, and access to health and mental health services are all vital aspects - but it’s about so much more than simply surviving. It’s about ensuring that people have the opportunity to thrive.

To anyone who is worried about their drug use - or that of a loved one - please know that support is available and recovery is possible. As well as our services across Scotland, WithYou delivers a free and confidential webchat. You can visit wearewithyou.org.uk to connect with one of our expert recovery workers and access free, confidential advice,  whether it’s for yourself or a family member.

As for the young man who spoke to me about life being “terrible”, I am pleased to tell you that he is doing really well now. He has been supported by our WithYou service in Dumfries and Galloway to stop using substances, he has found a good job and, importantly, he is excited about his future.

Louise Stewart is director of service delivery at WithYou in Scotland

Agenda is a column for outside contributors. Contact: agenda@theherald.co.uk