Nearly Half Of NYC Homeless Deaths Due To Drugs Or Alcohol: Study

Nearly half of all deaths among New York City's homeless population in the most recent fiscal year were connected to drug use or alcohol abuse, according to a new city report.

A homeless man sits in the cold in Manhattan on Dec. 27. Photo by Spencer Platt/Getty Images

Of the 634 people experiencing homelessness who died between July 1, 2024, and June 30, 2025, 285 lost their lives to drug addiction, overdoses, or alcoholism. The figures come from the annual mortality report jointly issued by the city's Department of Health and Mental Hygiene and the Department of Social Services/Homeless Services.

Drug-related causes alone accounted for 251 deaths, or 40 percent of the total - still the leading cause of death among this population. Alcohol misuse or dependence contributed another 34 deaths (5 percent). Together, substance-related deaths made up roughly 45 percent of the total, the NY Post reports.

The report covers deaths that occurred in temporary shelters, on the streets, in the subway system, in abandoned buildings, and in other locations. Fifty-two percent of those who died were classified as unsheltered; 48 percent were living in a homeless facility at the time of death. Most (58 percent) died in a hospital. Among unsheltered individuals, 22 percent died outdoors.

Other leading causes of death included heart disease (78 deaths, 12 percent), accidents excluding drug overdoses (60 deaths, 9 percent), and cancer (23 deaths, 4 percent). Additional fi