PMID- 34983249 OWN - NLM STAT- MEDLINE DCOM- 20220303 LR - 20220303 IS - 1461-7285 (Electronic) IS - 0269-8811 (Linking) VI - 36 IP - 1 DP - 2022 Jan TI - MDMA/ecstasy use and psilocybin use are associated with lowered odds of psychological distress and suicidal thoughts in a sample of US adults. PG - 46-56 LID - 10.1177/02698811211058923 [doi] AB - BACKGROUND: Suicide is one of the leading causes of death worldwide and rates within the United States have risen over the past two decades. Hence, there is a critical need for novel tools to treat suicidal ideation and related mental health conditions. 3,4-Methylenedioxymethamphetamine (MDMA)/ecstasy and classic psychedelics may be two such tools. AIMS: The aim of this study was to assess non-causal associations between MDMA/ecstasy and classic psychedelic use and psychological distress and suicide risk. METHODS: In this study, we examined the aforementioned associations among 484,732 adult participants in the National Survey on Drug Use and Health (2008-2019). RESULTS: Lifetime MDMA/ecstasy use was associated with reduced odds of past year suicidal thinking (10% reduced odds; odds ratio (OR) = 0.90; 95% confidence interval, CI = (0.84-0.97); p < 0.01) and past year suicidal planning (OR = 0.88; 95% CI = (0.78-0.99); p < 0.05). Furthermore, lifetime psilocybin use was associated with reduced odds of past month psychological distress (OR = 0.78; 95% CI = (0.73-0.84); p < 0.001) and past year suicidal thinking (OR = 0.90; 95% CI = (0.83-0.96); p < 0.01). Finally, lysergic acid diethylamide (LSD) was associated with increased odds of past year suicidal thinking (OR = 1.07; 95% CI = (1.00-1.15); p < 0.05). CONCLUSION: MDMA/ecstasy and psilocybin use are associated with reduced odds of suicidal thinking and related outcomes-though experimental studies are needed to determine whether these associations are causal. These findings call for more research into the efficacy of MDMA/ecstasy and classic psychedelics for treating psychological distress and suicidal thoughts and behaviors, and for updated drug legislation that allows for further investigation into these substances. FAU - Jones, Grant M AU - Jones GM AUID- ORCID: 0000-0002-2426-310X AD - Department of Psychology, Harvard University, Cambridge, MA, USA. FAU - Nock, Matthew K AU - Nock MK AD - Department of Psychology, Harvard University, Cambridge, MA, USA. LA - eng PT - Comparative Study PT - Journal Article DEP - 20220105 PL - United States TA - J Psychopharmacol JT - Journal of psychopharmacology (Oxford, England) JID - 8907828 RN - 0 (Hallucinogens) RN - 2RV7212BP0 (Psilocybin) RN - 8NA5SWF92O (Lysergic Acid Diethylamide) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Female MH - Hallucinogens/administration & dosage/pharmacology MH - Health Surveys MH - Humans MH - Lysergic Acid Diethylamide/administration & dosage/pharmacology MH - Male MH - Middle Aged MH - N-Methyl-3,4-methylenedioxyamphetamine/administration & dosage/*pharmacology MH - Psilocybin/administration & dosage/*pharmacology MH - Stress, Psychological/*psychology MH - Substance-Related Disorders/epidemiology/psychology MH - *Suicidal Ideation MH - United States MH - Young Adult OTO - NOTNLM OT - Ecstasy OT - LSD OT - MDMA OT - NSDUH OT - psilocybin OT - psychedelics OT - suicide EDAT- 2022/01/06 06:00 MHDA- 2022/03/04 06:00 CRDT- 2022/01/05 05:27 PHST- 2022/01/06 06:00 [pubmed] PHST- 2022/03/04 06:00 [medline] PHST- 2022/01/05 05:27 [entrez] AID - 10.1177/02698811211058923 [doi] PST - ppublish SO - J Psychopharmacol. 2022 Jan;36(1):46-56. doi: 10.1177/02698811211058923. Epub 2022 Jan 5.