I had no idea it was that dire. Wow.

Its an incredible statistic, but even from my own upbringing in a white, middle-class suburb I can name a handful of people that have died that I've known, arguably matching that 1/25 statistic even long before it will come to maturity.

I think all of those deaths were OD's.

I'm just a data point, but I lost 12 friends before I was aged 20. This was in the rust belt during the 90s. The reasons ranged across the board: opioids, crack, alcohol, cancer, preventative health conditions, accidents, and suicides. I was always amazed that people didn't report on this kind of stuff back then. But, all of my friends were poor.