Drug-related deaths in Bulgaria over the period 2012 – 2023 (data from National Registry)

Prevalence of psychoactive substance use Prevalence of medication use Prevalence of drug use Drug Prevention

Treatment Supply Treatment Demand Health consequences Harm reduction

Drug-related crimes Drug market Drug use and prison Monitoring of publications Attitudes to legal framework changes

Database (1990 – 2023).xlsx

Drug-related deaths in Bulgaria over the period 2012 – 2023 (total)

	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Number of drug-related deaths	30	21	15	17	22	18	24	11	24	20	20	16
Rates per 100,000 population	0.41	0.29	0.21	0.24	0.31	0.25	0.34	0.16	0.35	0.29	0.31	0.25
of which:
number of cases with opioids		9	5	9	13	5	11	3	2	9	12	7
By ICD-10 Codes (number of cases):
F11-F19	2	2	0	1	5	0	2	1	1	2	3	2
X41	1	0	0	0	0	0	0	0	3	3	0	0
X42	13	17	10	15	13	16	17	8	14	11	11	8
X61	4	0	0	0	1	1	0	0	0	0	0	0
X62	2	0	1	0	1	0	2	0	0	2	0	0
Y12	8	2	4	1	2	1	3	2	6	2	6	6
By age groups
< 20	3	0	0	0	0	1	0	0	1	0	0	0
20-24	4	2	2	2	0	0	0	0	2	2	0	1
25-29	8	6	3	1	3	2	4	4	3	1	2	1
30-34	5	8	7	6	8	2	6	7	2	6	5	2
35-39	3	3	2	6	7	9	8	0	12	3	7	4
40-44	2	1	1	1	1	3	3	0	4	2	3	7
45-49	0	0	0	0	0	1	0	0	0	4	0	1
50-54	0	0	0	0	0	0	0	0	0	0	0	0
55-59	1	0	0	0	0	0	0	0	0	0	0	0
60-64	0	1	0	1	2	0	0	0	0	0	1	0
>= 65	4	0	0	0	1	0	3	0	0	2	2	0
Mean age	35.8	32.4	27.7	34.7	38.3	34.9	39.3	30.4	33.9	40.4	40.6	37.4
Number of cases by place of death
At home	13	11	7	8	13	11	10	7	13	8	6
In treatment facility	6	5	1	6	4	4	6	1	4	6	8
Other place	11	5	7	3	5	3	8	3	7	6	6

F11-F19 – Mental and behavioural disorders due to use of psychoactive substances.

X41 – Accidental poisoning by and exposure to antiepileptic, sedative-hypnotic, antiparkinsonism and psychotropic drugs, not elsewhere classified.

X42 – Accidental poisoning by and exposure to narcotics and psychodysleptics (hallucinogens), not elsewhere classified.

X61 – Intentional self-poisoning by and exposure to antiepileptic, sedative-hypnotic, antiparkinsonism and psychotropic drugs, not elsewhere classified.

X62 – Intentional self-poisoning by and exposure to narcotics and psychodysleptics (hallucinogens), not elsewhere classified.

Y12 – Poisoning by and exposure to narcotics and psychodysleptics (hallucinogens), not elsewhere classified, undetermined intent.

Drug-related deaths in Bulgaria over the period 2012 – 2023 (males)

	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Number of drug-related deaths	23	18	14	15	18	15	18	11	21	18	17	15
Rates per 100,000 population	0.65	0.51	0.40	0.43	0.52	0.44	0.53	0.33	0.63	0.54	0.55	0.48
of which:
number of cases with opioids		8	5	7	11	3	7	3	1	7	9	6
By ICD-10 Codes (number of cases):
F11-F19	1	1	0	1	3	0	1	1	1	2	2	2
X41	0	0	0	0	0	0	0	0	3	3	0	0
X42	12	15	9	13	11	14	14	8	14	11	11	7
X61	1	0	0	0	1	0	0	0	0	0	0	0
X62	1	0	1	0	1	0	1	0	0	1	0	0
Y12	8	2	4	1	2	1	2	2	3	1	4	6
By age groups
< 20	2	0	0	0	0	0	0	0	1	0	0	0
20-24	4	2	1	2	0	0	0	0	1	2	0	1
25-29	7	4	3	1	3	1	2	4	2	1	1	1
30-34	5	7	7	6	8	2	5	7	2	5	5	2
35-39	3	3	2	6	6	9	6	0	11	3	7	4
40-44	1	1	1	0	0	2	3	0	4	2	2	6
45-49	0	0	0	0	0	1	0	0	0	4	0	1
50-54	0	0	0	0	0	0	0	0	0	0	0	0
55-59	1	0	0	0	0	0	0	0	0	0	0	0
60-64	0	1	0	0	1	0	0	0	0	0	1	0
>= 65	0	0	0	0	0	0	2	0	0	1	1	0
Mean age	29.8	33.1	33.7	32.3	35.0	36.2	39.7	30.4	34.7	38.5	39.1	37.4

Drug-related deaths in Bulgaria over the period 2012 – 2023 (females)

	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Number of drug-related deaths	7	3	1	2	4	3	6	0	3	2	3	1
Rates per 100,000 population	0.19	0.08	0.03	0.05	0.11	0.08	0.17	–	0.08	0.06	0.09	0.03
of which:
number of cases with opioids		1	0	2	2	2	4	0	1	2	3	1
By ICD-10 Codes (number of cases):
F11-F19	1	1	0	0	2	0	1	0	0	0	1	0
X41	1	0	0	0	0	0	0	0	0	0	0	0
X42	1	2	1	2	2	2	3	0	0	0	0	1
X61	3	0	0	0	0	1	0	0	0	0	0	0
X62	1	0	0	0	0	0	1	0	0	1	0	0
Y12	0	0	0	0	0	0	1	0	3	1	2	0
By age groups
< 20	1	0	0	0	0	1	0	0	0	0	0	0
20-24	0	0	1	0	0	0	0	0	1	0	0	0
25-29	1	2	0	0	0	1	2	0	1	0	1	0
30-34	0	1	0	0	0	0	1	0	0	1	0	0
35-39	0	0	0	0	1	0	2	0	1	0	0	0
40-44	1	0	0	1	1	1	0	0	0	0	1	1
45-49	0	0	0	0	0	0	0	0	0	0	0	0
50-54	0	0	0	0	0	0	0	0	0	0	0	0
55-59	0	0	0	0	0	0	0	0	0	0	0	0
60-64	0	0	0	1	1	0	0	0	0	0	0	0
>= 65	4	0	0	0	1	0	1	0	0	0	1	0
Mean age	55.5	28.3	25.0	53.0	53.0	28.7	38.3	–	30.7	53.5	48.3	40.0