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Record W7117295770 · doi:10.1371/journal.pmen.0000514

Knowledge, perceptions, and use of psychedelics for mental health among autistic adults: An online survey

2025· article· en· W7117295770 on OpenAlexafffundabout
Sahba Afsharnia, Vivian Liang, Yona Lunsky, A Orsini, Ami Tint, Hsiang-yuan Lin

Bibliographic record

VenuePLOS mental health. · 2025
Typearticle
Languageen
FieldPsychology
TopicPsychedelics and Drug Studies
Canadian institutionsUniversity of CalgaryUniversity of TorontoCentre for Addiction and Mental Health
FundersCanadian Institutes of Health ResearchDepartment of Psychiatry, University of Toronto
KeywordsMental healthPsilocybinNeurotypicalAutismComputer-assisted web interviewingAnxiety

Abstract

fetched live from OpenAlex

Psychedelics such as psilocybin, LSD, and MDMA have shown promise in treating mental health conditions (e.g., depression, post-traumatic stress disorder) among neurotypical individuals, i.e., typically developing individuals without a diagnosed neurodevelopmental condition. However, their therapeutic potential for treating co-occurring mental-health conditions in autistic individuals remains under-explored. Autistic individuals often face co-occurring mental health challenges but are frequently excluded from clinical trials, creating a gap in effective treatments. This study aimed to explore knowledge, perceptions, and experiences of autistic adults regarding psychedelics. In this survey, "psychedelics" included classical psychedelics such as psilocybin and LSD, as well as MDMA. A cross-sectional online survey was conducted with English-speaking autistic adults. We assessed participants' knowledge of psychedelics, willingness to use them for mental health treatment, and any past psychedelic experiences. Data were analyzed using descriptive statistics and chi-square tests to assess group differences. A total of 424 participants began the survey, with 261 completing it. Nearly half resided in Canada. Participants generally viewed psychedelics positively, with 77.8% expressing a willingness to try them, and 69.7% reported past use-most commonly psilocybin mushrooms. Higher doses and highly meaningful experiences correlated with longer-lasting mental health improvements. Barriers included legal concerns, health risks, and logistical challenges. Participants with prior experience reported greater perceived knowledge and lower perceived risks. Autistic adults in this self-selecting sample demonstrated strong interest in psychedelics as potential treatments for mental health, despite significant barriers to access and research participation. These results highlight the importance of considering education, policy reform, and inclusive research practices to ensure that autistic people have opportunities to explore psychedelic therapies. These findings should be interpreted cautiously, as the sample may not be representative of the broader autistic population. Future trials should optimize dosing and explore long-term benefits of psychedelics in this population.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.540
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.148
GPT teacher head0.446
Teacher spread0.298 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2025
Admission routes3
Has abstractyes

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