• Liam Payne, a former member of pop group One Direction, passed away on October 16.
• His death is still under investigation, but authorities believe that drug use was a potential contributing factor.
• Over the years, Payne had been outspoken about his mental health journey and living with substance misuse.

The death of Liam Payne on October 16th is a tragic reminder of the complexities of navigating mental health and drug misuse, even for those with the resources to do so.

Payne, a singer and former member of the pop group One Direction, fell to his death from the balcony of a hotel in Argentina on October 16, 2024. He was 31 years old.

The incident is still under investigation, and police have yet to determine if the death was caused by accident or suicide.

In the months leading up to his death, Payne had apparently told those in his inner circle that he was sober.

But the scene in his hotel room told a different story, where suspected drug paraphernalia, unknown powder, and anti-anxiety medication were littered around.

According to early toxicology results, a cocktail of drugs, including “pink cocaine,” ketamine, MDMA, and methamphetamine, were all found in his system.

Reports indicate that an individual at the hotel had been acting erratically before the incident. Police have suggested that a drug-induced hallucination may have led to the fall, but that has not been confirmed at this time.

Nicola Payne, Liam’s sister, wrote a tribute to her brother after the news of his death.

“You led your life with a motto of why bother doing something unless you are brilliant at it, and Liam you were certainly brilliant at everything you did!! … I hope you have finally found peace up there and that you’ll continue to look after us all as you have done in life,” she wrote.

Payne had shared details about his mental health journey and substance use before his death

The former One Direction member had been outspoken over the years about his mental health journey and drug misuse, exacerbated by the pressures of fame and celebrity.

The singer, who was only 16 when he joined One Direction, was catapulted to fame after the group took off on the television show “The X Factor” in 2010. Payne left the band in 2015, and the group disbanded in 2016.

Payne later revealed some of his experiences with alcohol and suicidal ideation on the Diary of a CEO podcast, describing going through a “pills and booze phase” while touring with One Direction.

“Where’s rock bottom for me? And you would never have seen it. I’m very good at hiding it. No one would ever have seen it… There is some stuff that I have definitely never, never spoken about. It was really, really, really severe. And it was a problem,” he said.

He also described some of his time with the group as boring and unfulfilling, referring to getting up on stage as “putting the Disney costume on.”

Rachel Goldman, PhD, a licensed psychologist in private practice in NYC and clinical assistant professor in the Department of Psychiatry at New York University, told Healthline that those kinds of negative feelings are all too common.

“Mental health concerns and mental health illnesses don’t discriminate. Celebrities have a lot of pressure; they often have a different persona on stage or on camera than in real life, and that isnt easy to manage. Mental health resources need to be more readily available, accessible, encouraged, and normalized — even for celebrities,” she told Healthline.

Goldman also points out that discussing mental health is still heavily stigmatized, especially for men.

“We can do better regarding raising awareness around men’s mental health and continuing to break the stigma regarding asking for help and seeking help,” she said.

Signs of drug misuse and emotional distress

It can be difficult to identify the signs of drug misuse and emotional distress.

Payne’s story highlights how even when an individual is adamant about their sobriety, they can still relapse. But if you’re worried about someone and suspect they are struggling somehow, there are still things to look out for.

“In general, I like to ask people if they have noticed changes in mood, sleep, energy, focus/concentration, appetite, or motivation,” said Goldman.

Emotional distress can manifest in specific ways, including:

• Declining performance at work or school
• Trouble making decisions
• Eating more or less than usual
• Unusual irritability or aggression
• Withdrawal from loved ones and friends

Signs of drug misuse may overlap with signs of emotional distress and include:

• Losing interest in favorite activities
• Quickly changing emotions (e.g. feeling very sad followed by very happy)
• Not caring for oneself (e.g. not showering or brushing teeth)
• Sleeping strange hours
• Changing friends frequently
• Having interpersonal and familial problems

Drug misuse and mental health are complex issues, but Goldman suggests that beginning by validating someone’s feelings is a good place to start addressing them.

“Oftentimes, people need to know their feelings are valid and want to be heard. Many times people aren’t looking for advice or others to solve their problems (although sometimes that is what people want). Just simply listening and offering a listening ear can show that you care and you are concerned,” she said.

“Making the connection, validating their feelings, and showing that you care and are concerned is often the first step as it gives them a safe space,” added Goldman.

The bottom line

Liam Payne, a former member of the pop group One Direction, died on October 16 in Argentina after falling from his hotel balcony.

His death is still under investigation by police, but early reports indicate that drug use was a potential contributing factor.

Payne was outspoken about his struggles with mental health and drug misuse over the years.

Identifying the signs of drug misuse and emotional distress can be difficult. They often include changes to sleep, mood, social life, and performance at work.