Self-reported negative outcomes of psilocybin users: A quantitative textual analysis

Psilocybin, a substance mainly found in mushrooms of the genus psilocybe, has been historically used for ritualistic, recreational and, more recently, medicinal purposes. The scientific literature suggests low toxicity, low risk of addiction, overdose, or other causes of injury commonly caused by su...

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Veröffentlicht in:PloS one 2020-02, Vol.15 (2), p.e0229067-e0229067
Hauptverfasser: Bienemann, Bheatrix, Ruschel, Nina Stamato, Campos, Maria Luiza, Negreiros, Marco Aurélio, Mograbi, Daniel C
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description Psilocybin, a substance mainly found in mushrooms of the genus psilocybe, has been historically used for ritualistic, recreational and, more recently, medicinal purposes. The scientific literature suggests low toxicity, low risk of addiction, overdose, or other causes of injury commonly caused by substances of abuse, with growing interest in the use of this substance for conditions such as treatment-resistant depression. However, the presence of negative outcomes linked to psilocybin use is not clear yet. The objective of this study is to investigate the negative effects of psilocybin consumption, according to the users' own perception through self-reports extracted from an online platform. 346 reports were analyzed with the assistance of the IRAMUTEQ textual analysis software, adopting the procedures of Descending Hierarchical Classification, Correspondence Factor Analysis and Specificities Analysis. The text segments were grouped in 4 main clusters, describing thinking distortions, emergencies, perceptual alterations and the administration of the substance. Bad trips were more frequent in female users, being associated with thinking distortions. The use of multiple doses of psilocybin in the same session or its combination with other substances was linked to the occurrence of long-term negative outcomes, while the use of mushrooms in single high doses was linked to medical emergencies. These results can be useful for a better understanding of the effects of psilocybin use, guiding harm-reduction initiatives.
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subjects Addictions
Agaricales - chemistry
Anxiety
Biology and Life Sciences
Drug abuse
Drug dosages
Emergencies
Emergency medical services
Factor analysis
Female
Hallucinogenic mushrooms
Hallucinogens - chemistry
Harm reduction
Health aspects
Humans
LSD
Lysergic acid diethylamide
Male
Medicine and Health Sciences
Mental health
Mushrooms
Overdose
Patient outcomes
Physical Sciences
Psilocybin
Psilocybin - chemistry
Qualitative research
Research and Analysis Methods
Science literature
Self care (Health)
Self Report
Social Sciences
Software
Toxicity
Variables
Websites
title Self-reported negative outcomes of psilocybin users: A quantitative textual analysis
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