Evidence map›Paper›PMID 37874345›Full record

ArticlePsychopharmacology2025

Psychedelic use and psychiatric risks.

Otto Simonsson, Simon B Goldberg, Richard Chambers, Walter Osika, Charlotta Simonsson, Peter S Hendricks

Open access · hybridAbstract read
In one paragraph

Article in Psychopharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
8.8field-weighted citation impact, top 2% of its field
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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Psilocybin therapy for mood dysfunction in Parkinson's disease: an open-label pilot trial.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025
    Trial
  3. Article
  4. Review
  5. Review
  6. Article
  7. Psychedelics in treatment-resistant depression: a comprehensive review of mechanisms, clinical evidence, and recommendations.Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater · 2026
    Review
  8. Article
  9. Classifying Psychedelic-Related Complications.Current topics in behavioral neurosciences · 2026
    Review
  10. Review
  11. Article
  12. Observational
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
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

6 authors at 5 institutions in 4 countries.

Otto SimonssonCenter for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden. otto.simonsson@ki.se.ORCID http://orcid.org/0000-0003-4197-7566
Simon B GoldbergDepartment of Counseling Psychology, University of Wisconsin - Madison, Madison, WI, USA.ORCID https://orcid.org/0000-0002-6888-0126
Richard ChambersMonash Centre for Consciousness & Contemplative Studies, Monash University, Melbourne, Australia.
Walter OsikaCenter for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden.ORCID https://orcid.org/0000-0002-1583-7319
Charlotta SimonssonFaculty of Medicine and Health Sciences, Linköping University, Linköping, Sweden.
Peter S HendricksDepartment of Psychiatry and Behavioral Neurobiology, School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Karolinska Institutet · SELinköping University · SEMonash University · AUUniversity of Alabama at Birmingham · USUniversity of Wisconsin–Madison · US

Funding

Mindfulness training delivered via mobile health to reduce depression and anxietyK23AT010879 · NCCIH · UNIVERSITY OF WISCONSIN-MADISON · PI GOLDBERG, SIMON B · 2020 to 2024
$786k
NCCIH NIH HHS K23 AT010879
6 · The paper itself

Abstract

rationaleResearch on psychedelics has recently shown promising results in the treatment of various psychiatric disorders, but relatively little remains known about the psychiatric risks associated with naturalistic use of psychedelics.

objectiveThe objective of the current study was to investigate associations between naturalistic psychedelic use and psychiatric risks.

methodsUsing a sample representative of the US adult population with regard to sex, age, and ethnicity (N=2822), this study investigated associations between lifetime naturalistic psychedelic use, lifetime unusual visual experiences, and past 2-week psychotic symptoms.

resultsAmong respondents who reported lifetime psychedelic use (n=613), 1.3% reported having been told by a doctor or other medical professional that they had hallucinogen persisting perception disorder. In covariate-adjusted linear regression models, lifetime psychedelic use was associated with more unusual visual experiences at any point across the lifetime, but no association was observed between lifetime psychedelic use and past 2-week psychotic symptoms. There was an interaction between lifetime psychedelic use and family (but not personal) history of psychotic or bipolar disorders on past 2-week psychotic symptoms such that psychotic symptoms were highest among respondents who reported lifetime psychedelic use and a family history of psychotic or bipolar disorders and lowest among those who reported lifetime psychedelic use and no family history of psychotic or bipolar disorders.

conclusionsAlthough the results in this study should be interpreted with caution, the findings suggest that lifetime naturalistic use of psychedelics might be associated with more unusual visual experiences across the lifetime, as well as more psychotic symptoms in the past 2 weeks for individuals with a family history of psychotic or bipolar disorders and the reverse for those without such a family history. Future research should distinguish between different psychotic and bipolar disorders and should also utilize other research designs (e.g., longitudinal) and variables (e.g., polygenic risk scores) to better understand potential cause-and-effect relationships.

Indexed as

HallucinogensMental DisordersPsychotic DisordersAdolescentAdultAgedBipolar DisorderFemaleHumansMaleMiddle AgedRisk FactorsUnited StatesYoung AdultHallucinogensHPPDPsychedelicsPsychoticRisksVisual

Identifiers

PMID37874345
PMCPMC11039563
OpenAlexW4387893542

What OpenQuestion holds

Textmetadata
LicenceTDM
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.