Evidence map›Paper›PMID 37353972›Full record

ArticleJournal of psychopharmacology (Oxford, England)2023

The New Zealand drug harms ranking study: A multi-criteria decision analysis.

Rose Crossin, Lana Cleland, Chris Wilkins, Marta Rychert, Simon Adamson, Tuari Potiki, Adam C Pomerleau, Blair MacDonald, Dwaine Faletanoai, Fiona Hutton and 17 more

Abstract read
In one paragraph

Article in Journal of psychopharmacology (Oxford, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

  1. Article
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  4. Review
  5. Drug harms in Canada: A multi-criteria decision analysis.Journal of psychopharmacology (Oxford, England) · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

27 authors.

Rose CrossinDepartment of Population Health, University of Otago, Christchurch, New Zealand.ORCID 0000-0003-1814-1330
Lana ClelandDepartment of Population Health, University of Otago, Christchurch, New Zealand.
Chris WilkinsSHORE & Whāriki Research Centre, College of Health, Massey University, Auckland, New Zealand.
Marta RychertSHORE & Whāriki Research Centre, College of Health, Massey University, Auckland, New Zealand.
Simon AdamsonDepartment of Psychological Medicine, University of Otago, Christchurch, New Zealand.
Tuari PotikiOffice of Māori Development, University of Otago, Dunedin, New Zealand.
Adam C PomerleauNational Poisons Centre, Division of Health Sciences, University of Otago, Dunedin, New Zealand.
Blair MacDonaldNational Drug Intelligence Bureau, New Zealand Police, Wellington, New Zealand.
Dwaine FaletanoaiPacific Mental Health and Addictions Services (Takanga a Fohe), Waitemata District Health Board, Takapuna, New Zealand.
Fiona HuttonInstitute of Criminology, Victoria University of Wellington, Wellington, New Zealand.
Geoff NollerDepartment of General Practice and Rural Health, University of Otago, Dunedin, New Zealand.
Ian LambieDepartment of Psychology, University of Auckland, Auckland, New Zealand.
Jane L SheridanSchool of Population Health, University of Auckland, Auckland, New Zealand.
Jason GeorgeNew Zealand Needle Exchange Programme, National Office, Christchurch, New Zealand.
Kali MercierNew Zealand Drug Foundation, Wellington, New Zealand.
Kristen MaynardRongowhakaata.
Louise LeonardCommunity and Other Drug Service, Waikato District Health Board, Waikato, New Zealand.
Patricia WalshNew Zealand Drug Foundation, Wellington, New Zealand.
Rhys PontonSchool of Pharmacy, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.ORCID 0000-0002-4833-2333
Sue BagshawDepartment of Paediatrics, University of Otago, Christchurch, New Zealand.
Suresh MuthukumaraswamySchool of Pharmacy, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.
Tracey McIntoshSchool of Māori Studies and Pacific Studies, Faculty of Arts, University of Auckland, Auckland, New Zealand.
Edward PootCatalyze APAC, Wellington, New Zealand.
Paul GordonCatalyze APAC, Sydney, Australia.
Patrick SharryPeople and Decisions, Sydney, Australia.
David NuttCentre for Neuropsychopharmacology, Imperial College, London, UK.
Joseph BodenDepartment of Psychological Medicine, University of Otago, Christchurch, New Zealand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe harms arising from psychoactive drug use are complex, and harm reduction strategies should be informed by a detailed understanding of the extent and nature of that harm. Drug harm is also context specific, and so any comprehensive assessment of drug harm should be relevant to the characteristics of the population in question. This study aimed to evaluate and rank drug harms within Aotearoa New Zealand using a multi-criteria decision analysis (MCDA) framework, and to separately consider harm within the total population, and among youth.

methodsTwo facilitated workshops involved the separate ranking of harm for the total population, and then for youth aged 12-17, by two expert panels. In the total population workshop, 23 drugs were scored against 17 harm criteria, and those criteria were then evaluated using a swing weighting process. Scoring and weighting were subsequently updated during the youth-specific workshop. All results were recorded and analysed using specialised MCDA software.

resultsWhen considering overall harm, the MCDA modelling results indicated that alcohol, methamphetamine and synthetic cannabinoids were the most harmful to both the overall population and the youth, followed by tobacco in the total population. Alcohol remained the most harmful drug for the total population when separately considering harm to those who use it, and harm to others.

conclusionsThe results provide detailed and context-specific insight into the harm associated with psychoactive drugs use within Aotearoa New Zealand. The findings also demonstrate the value of separately considering harm for different countries, and for different population subgroups.

Indexed as

EthanolMethamphetamineAdolescentDecision Support TechniquesHumansNew ZealandEthanolMethamphetamineAotearoadrug harmdrug policypsychoactive drugsyouth

Identifiers

PMID37353972
PMCPMC10481626

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.