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College Students

For some students, college life can include dangerous consumption of drugs and alcohol.

College is a place for students to engage in self-discovery and enjoy increased independence. For many, college also includes exposure to and use of alcohol and other drugs. 

Substance use is perceived to be common on college campuses but it is actually not as common as you might think. Slightly under half of college students report drinking alcohol in the past month and one quarter reported using cannabis or another drug.

Perceptions that drinking and substance use are normal in college may lead some students to consume alcohol and drugs to open up or socialize. Others turn to alcohol and other drugs to alleviate the stress of social, financial, and academic challenges that accompany college life.   

For many students, substance use causes negative effects — including poor academic performance, impaired judgment, added financial burdens, and both mental and physical health problems. For some, deadly overdoses or accidents are also the result of using drugs or alcohol in both social and isolated settings.  

Staying safe and empowered to make healthy choices when exposed to drugs or alcohol on a college campus requires setting personal boundaries, determining your individual tolerance, and staying informed about the various effects of substances.  

If you or a friend is facing negative consequences of alcohol or other drug use, preoccupation with use, or difficulty stopping use, know that recovery is possible.

Common challenges

Every college student has a different story, but many face similar challenges. When the difficulty of managing college life seems overwhelming, some students may use drugs and alcohol to feel less stressed. Here are some common challenges of drinking and drug use in college:

Changing lifestyle

Going to college often means a major life change. Whether a student enters college life from high school, from the business world, from the military, or from a gap year, adjusting to a new routine can be difficult. Especially in the first year, many students may feel homesick, lonely, or isolated.

Social pressure

Students may feel the need to drink or use drugs as a way to fit in or make friends in a new environment, particularly when campus social life is linked with drinking and using drugs, whether at a party, watching a game, or even a networking event. 

Partying can seem like a natural part of the college experience. But when it involves binge drinking (six or more standard alcohol drinks in one occasion), drug use, or mixing drugs and alcohol, there’s an increased risk for unsafe situations, injury, and even death. Researchers estimate that every year, among college students ages 18–24:

  • More than 1,800 die from alcohol-related accidents.
  • About 97,000 report alcohol-related sexual assault.
  • Almost 700,000 are assaulted by a student who has been drinking.

Other risks include engaging in unsafe sex, interactions with law enforcement, and suffering accidental injuries.

Academic and career pressure

Even if a student earned good grades in high school, college-level work can create a daunting change of pace. Between time in class and hours required for homework, studying, work, and sleep — all while maintaining a social life — it can feel like there aren’t enough hours in the day. And when grades fluctuate, financial challenges arise, or internship and job applications are rejected, students may feel insecure and question whether they are cut out for the future they have imagined.

This pressure can lead to drinking and drug use, sometimes producing a downward spiral. Misusing alcohol and drugs can reduce academic performance, compounding the pressure to do well and increasing the stress that spurred the substance misuse. In fact, students are more likely to miss class, perform poorly on a test or paper, and get lower grades due to drinking.

Mental health issues

According to the National Alliance on Mental Illness, 75 percent of mental health conditions develop by age 24 — and 1 in 5 adults per year experience a mental health condition. Students may have symptoms of depression, bipolar disorder, anxiety, post-traumatic stress disorder (PTSD), or attention deficit hyperactivity disorder for the first time at college. Students who have survived traumatic events, such as sexual assault, often experience symptoms of depression and PTSD. Students may experience  compounded challenges  living with a mental health condition when it’s combined with academic pressure and the challenge of finding support in a new environment. Altogether, these new challenges may  increase students’  risk for drug and alcohol misuse.

Commonly misused substances

Signs of a safety concern

As a college student, you can keep yourself safe by avoiding drinking in excess of recommended guidelines and choosing to not use other drugs. It’s also important to recognize when you, or someone around you, is facing imminent danger from drinking or using drugs, whether it’s at a party, among a small group of friends, or at home.

If you experience or observe the following signs, it’s time to intervene:

  • Slurred or incoherent speech
  • Dizziness
  • Unconsciousness
  • Loss of muscle control
  • Memory loss
  • Vomiting

These symptoms can indicate alcohol poisoning, drug overdose, or flunitrazepam (Rohypnol) consumption. You should call 911 if someone is being led away without their consent, if someone’s breathing has slowed to the point where 10 or more seconds pass between breaths, or if you can’t wake someone up.

Signs of consequences with longer-term use

It’s also time for concern when drug or alcohol use interferes with your daily life: your relationships, your studies, or the activities that keep your life on track. Some common symptoms can include loss of sleep or appetite, mood changes, erratic behavior, or a lack of motivation. If you notice signs of a substance use disorder, it may be time to reach out for support.

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Options for support

As a college student, you don’t have to deal with drug or alcohol problems alone. Many colleges and universities have counseling centers, specialists in substance use disorders, or other mental health resources available to support students. Often on-campus counselors can refer students to long-term resources that have worked for others or can identify effective student support groups. Your university’s website can be a helpful starting point for finding support, choosing treatment options, and starting your recovery.

Student groups can be a great way to connect with friends and mentors living through similar experiences with alcohol and other drugs. Check your college club directory website or app, involvement fair, or student health center to find a group that works for you. Recovery is possible, and finding support can help you feel less alone.

Resources for students

ULifeline – Your online resource for college mental health

ULifeline is an anonymous, confidential, online resource center, where college students can be comfortable searching for the information they need and want regarding emotional health. ULifeline is a project of The JED Foundation, a nonprofit organization working to protect the emotional health of America's college students, and was developed with input from renowned experts in mental health and higher education.

Association of Recovery in Higher Education

Are you a college student in recovery? Find support at a Collegiate Recovery Program or Collegiate Recovery Community at your college or university.

College Drinking – Changing the Culture

Sponsored by the National Institute on Alcohol Abuse and Alcoholism, College Drinking – Changing the Culture is a good resource for students looking to take control of their drinking habits. If you’re wondering how alcohol affects your body and mind, this interactive website can help. 

National Institute on Drug Abuse

The National Institute on Drug Abuse provides information about individual drugs, updates on studies about drug use among college students, and clinical trials of treatments for substance use disorders.

Higher Education Center for Alcohol and Drug Misuse Prevention and Recovery

Whether you’re looking for recovery support on campus or you’d just like to get more involved in preventing substance abuse, the Students page of the Higher Education Center for Alcohol and Drug Misuse Prevention and Recovery website can help you navigate the recovery process.

Centers for Disease Control and Prevention

Increasing health security in the U.S. is the main mission at the Centers for Disease Control and Prevention (CDC). This includes providing information on the dangers of binge drinking and the latest epidemic threats to the nation.

Office on Women’s Health

The Office on Women’s Health, part of the U.S. Department of Health and Human Services, is a comprehensive resource on women’s health issues, including alcohol consumption and date rape drugs.

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Education Development Center (EDC) is a global nonprofit that advances lasting solutions to improve education, promote health, and expand economic opportunity. Since 1958, we have been a leader in designing, implementing, and evaluating powerful and innovative programs in more than 80 countries around the world.