Let’s Talk About It: Substance Use in College Module Part 5

Whether or not you choose to use substances, knowing how to stay safe and support others is part of being a good friend and community member. You don’t have to be perfect, and you don’t have to have all the answers — but you can be prepared.

What Is Harm Reduction?

Harm reduction means taking steps to make situations involving substance use safer. It doesn’t require someone to stop using. Instead, it offers tools and strategies that reduce risks.

Examples include:

• Using a designated driver or ride-share if drinking
• Not mixing substances (like alcohol with pills or weed)
• Eating food and staying hydrated before and during use
• Keeping an eye on your drink in social spaces
• Letting someone you trust know where you’re going

Know the Signs of Alcohol or Drug Poisoning

Some warning signs that someone may need urgent medical help:

• They are passed out and can’t be woken up
• They have slow or irregular breathing
• They’re vomiting and not fully conscious
• They have cold, pale, or bluish skin

If you’re not sure, call for help.

Party Smart

Not every college event has alcohol, but many do. Here are a few ways to stay safer:

• Decide your limit before the event — and stick to it
• Make a plan with your friends and check in throughout the night
• Don’t leave your drink unattended or accept open drinks from strangers
• If something doesn’t feel right, trust your gut — it’s okay to leave

Fentanyl Awareness and Narcan

Fentanyl is a powerful opioid that can show up in pills and powders, even ones that look “safe.” Accidental overdoses are rising on college campuses — even among students who don’t think they’re at risk.

Narcan (naloxone) is a medication that can reverse opioid overdoses. It’s available in many places without a prescription and is easy to use.

Ask your campus health center if they provide Narcan or know where to get it. You can also find resources here:

• NaloxoneForAll.org – Free Narcan Access
• Song for Charlie – Fentanyl Awareness for Students

Keep an Eye on Each Other

College is a time for exploration and growth. That includes learning how to support each other. Whether it’s walking a friend home or speaking up when something feels off, your actions can make a big difference.

Coming Up Next: We’ll talk about Greek Life, Parties, and Pressure: Navigating the Scene