Psilocybin Exposures Reported to U.S. Poison Centers: National Trends Over a Decade.
Rita Farah, Abigail F Kerns, Austin C Murray, Christopher P Holstege
Journal of Adolescent Health May 1, 2024 DOI: 10.1016/j.jadohealth.2024.01.027 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Observational cohort Peer reviewed |
|---|---|
| Sample size | 4,055 |
| Population | Adolescents and young adults aged 13–25 years in the United States |
| Duration | 10-year study period, January 1, 2013-December 31, 2022 |
| Topics | Psilocybin |
| Keywords | Adolescents Npds Young adults Psilocybin poisoning Youth substance use Drug surveillance data Psychedelic trends Adolescent health risks |
| Citations | 18 |
| Key findings | Psilocybin exposures among adolescents and young adults reported to US poison centers remained stable from 2013 to 2018, then increased sharply through 2022, with cases more than tripling among adolescents and more than doubling among young adults compared to 2018. |
Abstract
We describe trends in psilocybin exposures among adolescents and young adults as reported to US poison centers over the past decade. We queried the National Poison Data System for cases involving psilocybin during January 1, 2013-December 31, 2022. Persons aged 13-25 years were included. We examined exposures to psilocybin by demographics, clinical effects, level of care, and medical outcome. During the 10-year study period, 4,055 psilocybin-involved exposures were reported among adolescents and young adults, 2,667 (65.8%) being single substance exposures. Most single substance cases received medical attention (adolescents: 75.3% [n = 1,176], young adults: 72.1% [n = 797]). We did not find significant change in the number of cases during 2013-2018. Cases started increasing in 2019. In 2022, cases more than tripled among adolescents and more than doubled among young adults, compared to 2018 (p < .0001). Continued national surveillance is critical to determine the impact of psilocybin exposures on youth as it becomes increasingly available.
Comparable studies
Other observational and cohort studies on psilocybin, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Psilocybin for treatment-resistant depression: fMRI-measured brain mechanisms. Patients with treatment-resistant depression | 2017 | Observational cohort | n = 19 |
| Psychedelic effects of psilocybin correlate with serotonin 2A receptor occupancy and plasma psilocin levels Healthy volunteers | 2019 | Observational cohort | n = 8 |
| Increased spontaneous MEG signal diversity for psychoactive doses of ketamine, LSD and psilocybin Humans | 2017 | Observational study | |
| Classic psychedelic use is associated with reduced psychological distress and suicidality in the United States adult population. USA adult respondents from the National Survey on Drug Use and Health (2008-2012) | 2015 | Observational cohort | n = 190,000 |
| Prediction of Psilocybin Response in Healthy Volunteers Healthy volunteers | 2012 | Observational cohort | n = 409 |
Citations in the library
Cited by 17
- Psychological effects of psychedelics in adolescents. Front Child Adolesc Psychiatry June 7, 2024
- Prolonged adverse effects from repeated psilocybin use in an underground psychedelic therapy training program: a case report BMC Psychiatry February 28, 2025
- Clinical Effects of Psychedelic Substances Reported to United States Poison Centers: 2012 to 2022. Annals of emergency medicine December 1, 2024
- Psilocybin Outside the Clinic JAMA Psychiatry November 5, 2025
- Leveraging meditation research for the study of psychedelic-related adverse effects. International Review of Psychiatry December 1, 2024
and 12 more in the library
Cites 3
- The abuse potential of medical psilocybin according to the 8 factors of the Controlled Substances Act Neuropharmacology June 5, 2018
- Psilocybin: from ancient magic to modern medicine The Journal of Antibiotics May 12, 2020
- Clinical toxicology of ‘magic mushroom’ ingestion Postgraduate Medical Journal September 1, 1981