The proportion of students who had been drinking any alcohol during the last 12 months is higher than average (94 compared to 83%) and the proportion that had been drunk during the same period is substantially higher than the average (71 versus 53%). The lifetime smoking prevalence is a little lower than the average (60 compared to 66%) and the same is true for the 30 days prevalence (30 versus 35%).

The use of marijuana or hashish is twice as common in Isle of Man than the average for all ESPAD countries (39 versus 21%). The use of illicit drugs other than cannabis is also above average (10 versus 6%). Use of inhalants is about twice the average (19 compared to 10%). However, the use of tranquillisers or sedatives without a doctor’s prescription is about the same as the average (5 and 6% respectively). A higher proportion than average reported use of alcohol in combination with pills (10 versus 7%).