Indiana Counties Ranked High for Overdose Death Rates
New research shows 17 Indiana counties faced some of the highest accidental overdose death rates in the U.S. from 2019 to 2024.
Updated on Oct. 12, 2026 in Substance Abuse

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Between 2019 and 2024, 17 counties in Indiana placed among the 500 highest accidental overdose death rates in the United States. Scott, Jay, Marion, and Grant counties were identified as having the state's highest rates of accidental overdose fatalities.
Why it matters
Understanding these local geographic patterns in overdose mortality is a first step toward identifying where harm reduction and public health resources are most needed. These data highlight significant regional disparities in health outcomes that require ongoing, localized attention across Indiana communities.
Researchers calculated accidental overdose death rates per 100,000 residents using federal data covering 2019 through 2024. The study identified Scott County as having the highest rate in Indiana at 73 deaths per 100,000, followed by Jay, Marion, and Grant counties.
The details
To determine these rankings, researchers analyzed accidental overdose death counts relative to total county populations. This calculation provides a standardized rate per 100,000 residents, allowing for a comparative look at mortality burden across different regions. The findings underscore the varying impacts of the overdose crisis, which affects both highly populated areas like Marion County and smaller, more rural communities.
Timeline
2019-2024: Study period for accidental overdose death rate calculations.
Health Landscape
This report follows the Ojai Recovery accidental overdose study to update our understanding of mortality trends across Indiana counties. It highlights the persistence of the crisis by situating local data within a broader national framework.
Residents in high-ranking counties should be aware of available community harm-reduction resources and recovery support programs. If you are concerned about your own health or family safety, consider discussing local screening and support options with your primary care physician.
The takeaway
The data confirms that accidental overdose remains a significant public health burden with stark geographic variations across Indiana. Residents should focus on staying informed about community-specific health resources and speaking with a clinician about any concerns regarding substance use in their area.
Further reading
Learn more about local support services and public health strategies by visiting our Substance Abuse section.
More information
Access the complete data and findings in the Ojai Recovery accidental overdose study.
Source note: This article includes information reported by WOWO 1190 AM | 107.5 FM.
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