UK medical students' self-reported knowledge and harm assessment of psychedelics and their application in clinical research: a cross-sectional study

BMJ Open. 2024 Mar 14;14(3):e083595. doi: 10.1136/bmjopen-2023-083595.

Abstract

Objective: To capture UK medical students' self-reported knowledge and harm assessment of psychedelics and to explore the factors associated with support for changing the legal status of psychedelics to facilitate further clinical research.

Design: Cross-sectional, anonymous online survey of UK medical students using a non-random sampling method.

Setting: UK medical schools recognised by the General Medical Council.

Participants: 132 medical students who had spent an average of 3.8 years (SD=1.4; range: 1-6) in medical school.

Results: Most students (83%) reported that they were aware of psychedelic research and only four participants (3%) said that they were not interested in learning more about this type of research. Although medical students' harm assessment of psychedelics closely aligned with that of experts, only 17% of students felt well-educated on psychedelic research. Teachings on psychedelics were only rarely encountered in their curriculum (psilocybin: 14.1 (SD=19.9), scale: 0 (never) to 100 (very often)). Time spent at medical schools was not associated with more knowledge about psychedelics (r=0.12, p=0.129). On average, this sample of medical students showed strong support for changing the legal status of psychedelics to facilitate further research into their potential clinical applications (psilocybin: 80.2 (SD=24.8), scale: 0 (strongly oppose) to 100 (strongly support)). Regression modelling indicated that greater knowledge of psychedelics (p<0.001), lower estimated harm scores (p<0.001), more time spent in medical school (p=0.024) and lower perceived effectiveness of non-pharmacological mental health treatments (p=0.044) were associated with greater support for legal status change.

Conclusions: Our findings reveal a significant interest among UK medical students to learn more about psychedelic research and a strong support for further psychedelic research. Future studies are needed to examine how medical education could be refined to adequately prepare medical students for a changing healthcare landscape in which psychedelic-assisted therapy could soon be implemented in clinical practice.

Keywords: Cross-Sectional Studies; MEDICAL EDUCATION & TRAINING; PSYCHIATRY.

MeSH terms

  • Cross-Sectional Studies
  • Hallucinogens* / adverse effects
  • Humans
  • Psilocybin
  • Self Report
  • Students, Medical*
  • United Kingdom

Substances

  • Hallucinogens
  • Psilocybin