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Same way they get guns. Bought or stole them. Good on you for hanging out there. Suicide is generally very impulsive so any interruption to the process can put it off a little longer until hopefully the person finds the help that works for them.
Probably were prescribed them at an earlier date but stopped taking them and had them left over. Also even over the counter ones can be deadly if you take too much of them, they are safer these days but it’s still not impossible.
Fentanyl is a huge epidemic, so I imagine it’s not hard to find users, and ask them for a connect.