Adolescents' Perception of Fentanyl Usage Risks in the United States
Overview
This study presents the first nationally representative estimates of perceived risk of fentanyl use among US adolescents in 8th, 10th, and 12th grades.
Background
Fentanyl is a significant contributor to adolescent overdose deaths, accounting for at least 75% of such fatalities. The rate of overdose mortality among adolescents has doubled from 2019 to 2020, making drug overdoses the third leading cause of death in this demographic.
Data Highlights
The study utilized data from the 2025 Monitoring the Future survey, which included responses from 8th, 10th, and 12th-grade students regarding their perceptions of fentanyl use risks.
Key Findings
Fentanyl is involved in a significant proportion of adolescent overdose deaths.
The study provides the first national estimates of perceived risk of fentanyl use among adolescents.
Demographic factors such as sex, race, and parental education level were analyzed to assess variations in risk perception.
Survey response rates were 86% for 8th graders, 81% for 10th graders, and 77% for 12th graders.
Perceived risk was assessed across three levels of use: experimental, occasional, and regular.
Clinical Implications
The findings indicate a potential gap in adolescents' awareness of the risks associated with fentanyl use, suggesting that enhanced public awareness campaigns may be necessary. Targeted prevention strategies could be developed based on demographic insights from the study.
Conclusion
This research underscores the importance of understanding adolescents' perceptions of fentanyl risks to inform public health strategies aimed at reducing overdose deaths.
This Neuroscience Grand Rounds session, led by Yasaman Movahedi and Deanna Aghbashian, explores psychosis in adolescence through both clinical and neurocognitive lenses, emphasizing early recognition and multidisciplinary management.