Language Matters: How to Talk About Substance Use and Suicide

Words shape how people see themselves and their willingness to seek help. 
While there has been a major focus on improving the language we use around suicide, we also need to be mindful of how we talk about substance use, especially since these issues often intersect.

The problem with stigmatizing language is not just that the words are outdated – they can actively do harm. This stigma can prevent help-seeking and affect the quality of care providers offer.

Easy swaps that make a difference:

• Instead of addict, use person with substance and alcohol use disorder
• Instead of substance abuse, use substance and alcohol use (with severity noted when relevant)
• Instead of clean/dirty, use testing negative/positive or in recovery/actively using
• Instead of habit, use substance and alcohol use disorder
• Instead of junkie, use person in active use or use the person’s name
• Instead of alcoholic, use person with alcohol use disorder
• Instead of former addict, use person in recovery or person in long-term recovery

Set the example. Even if someone uses stigmatizing language about themselves, maintain professional, respectful terminology. Your language models a different way of thinking about their situation and can influence how they see their own recovery potential. You can remind the person that they are more than their struggles, that their current and/or past behaviors are not what defines them.

Bottom line: Addiction is a chronic, treatable medical condition, not a moral failing. Our language should reflect that understanding and support people's journey to recovery.