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From "Male Bonding Rituals" to "Suicide Tuesday": A qualitative study of issues faced by gay male ecstasy (MDMA) users.

Robert Klitzman

Journal of Homosexuality 2006 DOI: 10.1300/j082v51n03_02 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Qualitative study Peer reviewed
Sample size 12
Population Gay men in New York who use MDMA
Intervention MDMA
Topics MDMA
Key findings Gay MDMA users described the drug as appealing in the context of isolation and stigmatization; use was shaped by initiation experiences, increasingly user-heavy social networks, and club environments, while awareness of adverse effects varied and was often minimized. The authors call for prevention programs tailored to these men's specific life contexts.

Abstract

Use of MDMA and other club drugs has increased among gay men, but questions remain concerning the use, context, and popularity of these drugs; and views of their side effects. We interviewed in-depth 12 gay MDMA users in New York. MDMA had specific appeals to gay men, who often described isolation and stigmatization. Users underwent a period of initiation and social networks often became comprised of greater numbers of other users. Club environments fostered drug use and vice versa. Awareness of potential adverse effects varied and was minimized. Appropriate educational and prevention programs are needed to address these issues, and must take into account the specific contexts of these gay men's lives.

Comparable studies

Other qualitative studies on MDMA, most cited first.

Study Year Design Participants
Phenomenology and Sequelae of 3,4-Methylenedioxymethamphetamine Use Psychiatrists who had taken MDMA 1992 Qualitative study n = 20
MDMA and Sexual Behavior: Ecstasy Users' Perceptions About Sexuality and Sexual Risk Current and former users of MDMA 2005 Qualitative study n = 98
Perceived Benefits of MDMA-Assisted Psychotherapy beyond Symptom Reduction: Qualitative Follow-Up Study of a Clinical Trial for Individuals with Treatment-Resistant PTSD Veterans, firefighters, and police officers with chronic, treatment-resistant PTSD 2019 Qualitative study using interpretative phenomenological analysis n = 19
Negative Experiences on Ecstasy: The Role of Drug, Set, and Setting Current or former users of Ecstasy 2002 Qualitative study n = 98
A Qualitative Exploration of Relational Ethical Challenges and Practices in Psychedelic Healing Practitioners who have administered MDMA and psilocybin to clients in underground... 2021 Qualitative study n = 23

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