Skip to main content

ORIGINAL RESEARCH article

Front. Psychiatry, 24 August 2023
Sec. Addictive Disorders

Race and ethnicity moderate the associations between lifetime psilocybin use and crime arrests

  • 1Department of Psychology, Harvard University, Cambridge, MA, United States
  • 2Department of Psychology, University of California, Los Angeles, Los Angeles, CA, United States

Introduction: Psilocybin use has been linked to lowered odds of crime-related outcomes across a host of observational studies. No studies have investigated how these associations may differ among those of different races and ethnicities.

Methods: Using a nationally-representative sample of 734,061 adults from the National Survey on Drug Use and Health (2002–2020), we investigated whether race and ethnicity moderate the associations between lifetime psilocybin use and four measures of crime arrests (property crime, assault, serious violence, and miscellaneous crimes).

Results: First, we replicated prior findings and demonstrated that psilocybin confers lowered odds of crime arrests for all four outcomes in question. Second, we demonstrated that race and ethnicity moderate the associations between lifetime psilocybin use and crime arrests for three of our four outcomes. Third, we examined the associations between psilocybin and crime arrests across different races and ethnicities (White, Black, Indigenous, Asian, Multiracial, and Hispanic participants). Psilocybin conferred lowered odds of at least one crime arrest outcome for all racial and ethnic groups except for Black and Hispanic participants.

Discussion: Future investigations should take an intersectional approach to studying the interrelationship of sociodemographic factors, psychedelic use, and crime, examine the structural factors (i.e., systemic racism) that may underlie these results, and investigate whether psychedelics can alleviate mental health disorders that contribute to cycles of recriminalization for communities of color.

Introduction

Classic psychedelics are naturally-occurring compounds that are known to elicit self-transcendent awe and mystical-type experiences that may have therapeutic effects for a host of mental health conditions (13). Accordingly, psychedelic use has been linked to lowered odds of crime arrests (4) and related outcomes such as recidivism (5), intimate partner violence (6), and aggressive behavior (7). Burgeoning research on psychedelic use suggests a promising link between psychedelic use and reduced criminality; however, a clear limitation to this research is the total lack of exploration of how race and ethnicity may impact these associations. Given the overrepresentation of communities of color within the criminal justice system (8), such investigations are imperative for more fully understanding the relationships between psychedelic use and reductions in criminality. Therefore, this study aims to explore how race and ethnicity moderate the associations between psychedelic use and crime arrests.

Psychedelic use and crime

Several observational studies have linked hallucinogen and psychedelic use to lowered odds of criminal outcomes. Hendricks et al. (5) reported that hallucinogen use predicted lowered odds of recidivism in a longitudinal study of 25,000 adults who were in the criminal justice system, and under community supervision at the time of the study. Furthermore, psychedelic use predicted reduced arrests for intimate partner violence in a sample of 200 incarcerated males with substance misuse problems (6). Similarly, Thiessen et al. (9) conducted a community study and reported that psilocybin and/or LSD use among males was associated with reduced odds of intimate partner violence and greater emotion regulation. Hendricks et al. (10) analyzed data from the National Survey on Drug Use and Health (NSDUH) (2002–2014) and reported reduced odds of criminal behaviors for those with lifetime classic psychedelic use. Recently, Jones and Nock (4) replicated and extended those findings with NSDUH data from 2015 to 2019, and found that lifetime psilocybin use–a classic psychedelic compound that is the active compound within “magic mushrooms”–was associated with reduced odds of multiple crime and arrest variables.

While these studies have provided foundational knowledge on the relationship between psychedelic use and crime, they are not without their limitations. These studies did not conduct any analyses within and between racial groups. Furthermore, while the NSDUH samples were diverse, other samples did not include a representative racial and ethnic composition, which limits the findings’ generalizability. Additionally, while sociodemographic characteristics (i.e., race and ethnicity, income, and educational attainment) may influence psychedelic use and crime rates, these variables were often utilized as covariates rather than tested as potential moderators.

Race and ethnicity as potential moderators

To date there has been no research to consider the role of race/ethnicity as a moderator in the associations between psychedelic use and crime. Preliminary evidence suggests that race and ethnicity may affect that associations that psychedelic use shares with mental health and behavioral outcomes. Specifically, Jones and Nock (11) and Jones (12) examined whether race and ethnicity moderated the associations between psychedelic use and distress, suicidality, and major depressive episodes (MDEs). These studies found that for White adults, psychedelic use was consistently associated with lowered odds of distress, suicidality, and depression; however, among participants of color, psychedelic use was inconsistently associated with lowered odds of these outcomes. Given this evidence that race and ethnicity affect the associations between psychedelic use and mental health, there is a need for similar investigations into the impact of identity on the associations between psychedelic use and crime outcomes.

Race and the criminal justice system

Additional research on the role of race and ethnicity in moderating the link between psychedelic use and crime is also important as communities of color are overrepresented in the criminal justice system as a result of racialized laws and policing (13). For example, Black Americans and Native Americans/Alaska Natives are more likely to be arrested for drugs and alcohol than are White Americans, and these disparities are not explained by higher rates of use by these diverse populations (14). Another example is the 18:1 (formerly 100:1) weight ratio for eliciting a mandatory minimum five-year sentence for possession of crack versus powder cocaine, despite these two substances being chemically identical. This policy was created as crack use was associated with the Black community and powder cocaine use with the White community, ultimately leading Black Americans to be incarcerated at vastly higher rates for a functionally identical offense (1517). These disproportionate arrest rates for substance use crimes are part of America’s broader “War on Drugs”–a policy approach that has tried to use incarceration as the solution to substance use but has consequently led to the mass incarceration of communities of color (18). Additionally, although Asian Americans are reported to be incarcerated at similar or lower rates than White Americans (19), such “model minority” myths have led to a severe dearth of research on Asian American involvement with criminal justice system (19, 20); furthermore, there is suggestive evidence that some subgroups of Asian Americans may have greater involvement with the criminal justice system than do other racial and ethnic groups (21). Hence, given these racialized differences in criminal justice involvement and incarceration, it is important to assess whether such differences might apply to the associations between psychedelics and crime, as a preliminary investigation on this matter can highlight the need to attend to identity and structural factors in future investigations involving these substances and criminality.

The present study

Thus, the present study is a preliminary inquiry as to whether racial and ethnic identity impacts the associations between psychedelic use and crime using correlational, non-causal data. Specifically, this study seeks to expand on Jones and Nock (4) and test whether race and ethnicity moderates the relationships between lifetime psilocybin use and lowered odds of crime arrests, as this prior work demonstrated associations between lifetime psilocybin use and lowered odds of arrests for various types of crime. In line with Jones and Nock (11) and Jones (12), we hypothesized that there would be fewer and weaker relationships between psychedelic use and crime arrests for participants of color in this sample.

Positionality statement

Inspired by Smith et al. (22), we wish to state our identities and motivations in order for the reader to better understand the backgrounds of the individuals guiding this inquiry. This paper was drafted by researchers in clinical psychology, and a statistician, who hold Black, Puerto Rican, White, and Arab identities. We are motivated to explore the intersection of race, psychedelics, and crime. Additionally, we are aware that there is clear evidence that the criminal justice system is a core contributor to racial inequality and deleterious outcomes for communities of color within the United States (2327). This research team recognizes that while there is potential for psychedelics to alleviate conditions that may perpetuate cycles of recriminalization [i.e., racial trauma (2830), substance use disorders (31, 32), etc.], there is also potential for psychedelics to reify the aforementioned systemic harm if identity factors are not considered when developing psychedelic research paradigms and treatments for individuals involved with the criminal justice system [i.e., the history of exploitative medical treatments and research experiments on communities of color (33, 34) and prison populations (35); history of coercive and exploitative government experimentation with psychedelics (3638)]. Although our investigation itself is not designed to address such enormous topics in full, we aim for this preliminary inquiry to serve as a gateway for deeper exploration on these topics, as race and ethnicity have remained virtually unexplored in inquiries linking psychedelics to the alleviation of crime.

Methods

Data for this project are from the National Survey on Drug Use and Health (2002–2020), a yearly survey that collects information on health outcomes and substance use within the United States. The NSDUH is administered in all 50 states and the District of Columbia to a nationally representative sample of U.S. citizens aged 12 years and older. We included adults 18 years and older in the analyses (N = 734,061). This study was exempt from review by the Harvard IRB as the data are publicly available.

Independent variable

Lifetime psilocybin use (yes/no) served as the independent variable, as prior population-based research (4) demonstrated psilocybin use to share a host of protective associations with crime arrests.

Covariates

The following demographic factors and lifetime use variables served as covariates in our analyses: sex (male or female), age (18–25, 26–34, 35–49, 50 or older), educational attainment (less than high school, some high school or high school graduate, some college or above), self-reported engagement in risky behavior (never, seldom, sometimes, or always), annual household income (less than $20,000, $20,000–$49,999, $50,000–$74,999, $75,000 or more), marital status (married, divorced/separated, widowed, or never married), survey year (2002–2020), and lifetime use of various substances [MDMA/ecstasy, other classic psychedelics (LSD, peyote, and mescaline), other illegal substances (cocaine, heroin, PCP, inhalants) and other commonly misused legal/medicinal substances (pain relievers, tranquilizers, stimulants, sedatives, and marijuana)]. These exact covariates have been used in prior population-based survey studies investigating race, psychedelic use, and deleterious outcomes (11, 12).

Dependent Variables (binary - yes/no): We assessed past year arrests for the following four crime categories: property crime [larceny, burglary, theft], simple assault, serious violence and miscellaneous crimes (including DUI). Data for the “serious violence” variable (which assesses whether one was arrested for aggravated assault, rape, or homicide) exist only from 2008 to 2020.

These variables were selected as Jones and Nock (4) demonstrated that psilocybin shares protective associations with these outcomes. For this study, we combined arrests for three different property crimes into one composite property crime variable, and also combined arrests for DUI with other miscellaneous crimes. The number of outcomes was reduced to four [down from the seven significant outcomes reported in Jones and Nock (4)] to reduce the number of tests within our study and limit the likelihood of a type 1 error (e.g., false positive).

Putative moderator

In line with Jones and Nock (11) and Jones (12), we decided a priori to create and use a three-level race and ethnicity variable [Non-Hispanic White (n = 465,081), Non-Hispanic Participant of Color (n = 154,113), and Hispanic (n = 114,867)] for our moderation analyses that was created from the seven-level race and ethnicity variable included in the publicly available NSDUH dataset. The “Non-Hispanic Participant of Color” category consists of participants from the following racial and ethnic groups: Non-Hispanic Black (N = 89,407), Non-Hispanic Native American/Alaska Native (N = 10,356), Non-Hispanic Native Hawaiian/Pacific Islander (N = 3,627), Non-Hispanic Asian (N = 30,081), and Multiracial (N = 20,642) individuals. We reduced the number of levels from seven down to three in our moderator in order to reduce the number of interaction tests in our study and optimize statistical parsimony.

Furthermore, a 7-level interaction test may be too stringent a benchmark for a preliminary assessment of the impact of race and ethnicity on psychedelics and crime. As interaction tests entail pooling the variance from White participants and participants of color for every variable in a given model aside from those included in the interaction, one is heavily weighting the model terms of the interaction test around the demographic characteristics and substance use profiles of White participants given that they comprise the majority of our sample. Accordingly, to detect differences between individual participant groups of color and White participants using a 7-level moderator, one needs stark differences within the interaction term or equivalent statistical power between groups, representing inappropriately stringent–and sometimes, impossibly stringent–criteria for a preliminary evaluation of differences such as the one we aimed to conduct in this study.

Thus, we believe using a simplified 3-level moderator retains statistical rigor but provides an appropriately lenient and interpretable preliminary test of differences, and this approach can justify future examinations of the link between psilocybin use and crime using more granular identity measures.

Analysis

Our analytical plan consisted of three steps, the latter two of which are exactly in line with Jones and Nock (11) and Jones (12). First, we used survey-weighted logistic regression to test whether psilocybin confers lowered odds of crime arrests when examining all available NSDUH data. Although this finding has been demonstrated in two prior studies including many years of NSDUH data (4, 10), we aimed to demonstrate this effect in this study to ensure that the protective associations between psilocybin and crime arrests are present when one examines all available NSDUH data. In addition to the aforementioned covariates, race and ethnicity serve as a control variable for this step of our analyses only. The following steps of our analytical plan consisted of in depth explorations of race and ethnicity, psychedelic use, and crime for which we no longer needed to include race and ethnicity as a covariate.

Next, we used survey-weighted logistic regression to test whether race and ethnicity significantly moderate the associations between psilocybin and our four crime arrest outcomes (property crime, simple assault, serious violence, and miscellaneous crime). As stated above, we used a 3-level moderator for this interaction test: Non-Hispanic White participants (reference group), “Non-Hispanic Participants of Color,” and “Hispanic” participants. Furthermore, while we were aware that our interaction tests would generate beta values, we were not concerned with interpreting the specific beta coefficients yielded by our models as the role of these interaction tests was simply to confirm whether there are significant differences between demographics of color and White participants in the associations that psilocybin use shares with crime arrests. Hence, to evaluate our interaction tests, we simply planned to assess whether our interaction tests yielded significant p-values. If either of the two contrasts within our interaction test was significant, we would proceed with the third and final step of our analyses.

In step three of our analyses, we stratified our sample by racial and ethnic identity and examined the associations that psilocybin use shares with crime arrests for each racial and ethnic group. In line with Jones and Nock (11) and Jones (12) we used a six-level racial and ethnic categorization to further examine these associations. The categories were: Non-Hispanic White, Black, Indigenous, Asian, Multiracial, and Hispanic. We combined Native American/Alaska Native and Native Hawaiian/Pacific Islander participants into one “Indigenous” category given the relatively small sample sizes of these two groups, also in line with Jones and Nock (11) and Jones (12).

We decided a priori to use this approach–rather than using a six-level or seven-level interaction test for our final assessment of differences–for similar reasons to those we discussed when outlining our putative moderator. As previously stated, when one conducts an interaction test, one pools variance across all participants and fixes all terms in the interaction model–aside from those included in the interaction test–to a singular value. Therefore, this approach means that one is most heavily weighting one’s model terms for all covariates around the backgrounds of White participants, given that they are the most populous group in this sample. However, in this study, we instead aimed to fully reflect the unique substance use and demographic profiles of individual racial and ethnic groups when assessing the relationships between psilocybin and crime. Therefore, in this case, a stratified modeling approach appears more appropriate; with a stratified approach, we could create individual models for the relationships between psilocybin and crime for each racial and ethnic group with covariate terms that reflect the unique backgrounds of each group. Additionally, a stratified approach enhances interpretability as well. When one exponentiates the beta values yielded by such an interaction test (as one would do in order to generate an odds ratio in a standard logistic regression model), one instead generates a “ratio of odds ratios,” a statistic that is difficult to interpret. In sum, a stratified approach is more aligned with the aims of our study and yields results that are easier to understand.

Finally, we did not correct for multiple comparisons in this part of our study; while approaches such as Bonferroni correction can reduce the likelihood of a Type 1 error (false positive), they simultaneously can increase the likelihood of a Type 2 error (false negative) as well. Thus, to balance these two types of potential errors, we instead employ an analytical framework that is similar to those that have been used in foundational population-based survey studies on psychedelics (4, 1012, 3943), allowing us to compare any resulting findings to those that currently exist in the research literature on psychedelics.

Results

Table 1 presents the demographics of our sample, as well as the rates of lifetime psilocybin use, stratified by race and ethnicity. Multiracial individuals reported the highest rates of psilocybin use, whereas Black individuals reported the lowest rates. With the exceptions of Multiracial and Native American/Alaska Native participants, Non-White participants in our sample were less likely than White participants to have used psilocybin in their lifetimes.

TABLE 1
www.frontiersin.org

Table 1. Demographics of our sample, stratified by race and ethnicity.

Table 2 presents the associations between psilocybin and our four crime arrest outcomes for our overall sample. Psilocybin conferred lowered odds of all four outcomes: property crime (aOR: 0.77), simple assault (aOR: 0.80), serious violence (aOR: 0.57), and miscellaneous crimes (aOR: 0.90).

TABLE 2
www.frontiersin.org

Table 2. Associations between lifetime psilocybin use and past year arrests for property crime [larceny, burglary, robbery], simple assault, serious violence, and miscellaneous crime (including DUI).

Table 3 presents the results of analyses that test interactions between race and ethnicity and lifetime psilocybin use and the associations of these interactions with past year arrests for property crime, violent crime, and miscellaneous crime (incl. DUI). Our race and ethnicity variable interacted significantly with lifetime psilocybin use, and various individual interactions were associated with our crime arrest variables. Specifically, the interaction between the “Non-Hispanic Participant of Color” category and lifetime psilocybin use was associated with three of our four outcomes: simple assault, serious violence and miscellaneous crime. Furthermore, the interaction between the “Hispanic” category and lifetime psilocybin use was significantly associated with assault. Thus, we proceeded forward with stratifying our sample by race and ethnicity and assessing the relationships that psilocybin use shares with crime arrests for participants of color in the sample. Given that the two moderation tests for property crime were just shy of significance, we also included this variable in our stratified analyses.

TABLE 3
www.frontiersin.org

Table 3. Interactions between race and ethnicity and psilocybin and their associations with past year arrests for property crime [larceny, burglary, robbery], simple assault, serious violence, and miscellaneous crime (including DUI).

Table 4 presents the associations between psilocybin use and crime arrests by race and ethnicity. For the White participants, psilocybin conferred lowered odds of arrests for property crime (aOR: 0.78) and serious violence (aOR: 0.58). For Indigenous individuals, psilocybin conferred lowered odds of serious violence (aOR: 0.18) and miscellaneous crimes (aOR: 0.57). For Asian individuals, psilocybin conferred lowered odds of simple assault (aOR: 0.24). For Multiracial individuals, psilocybin conferred lowered odds of property crime (aOR: 0.27), simple assault (aOR: 0.49), and serious violence (aOR: 0.27). For Black and Hispanic participants, psilocybin did not confer lowered odds of any outcomes.

TABLE 4
www.frontiersin.org

Table 4. Associations between psilocybin use and crime arrests, stratified by race and ethnicity (White, Black, Indigenous, Asian, Multiracial, Hispanic).

Discussion

The goal of this paper was to provide insight into how race and ethnicity may moderate the relationships between psilocybin use and lowered odds of criminal arrests in a cross-sectional study. We found that a composite “Non-Hispanic Participant of Color” group identifier–consisting of Asian, Black, Native Hawaiian/Pacific Islander, Native American/Alaska Native, and Multiracial participants–was a significant moderator for the relationship between lifetime psilocybin use and lowered odds of past year arrests for three of our four outcomes (simple assault, serious violence, and miscellaneous crimes). We also found that the “Hispanic” identifier was a statistically significant moderator for the relationship between lifetime psilocybin use and lower odds of arrest for assault in the past year– indicating that the aforementioned association differs for Hispanic participants relative to Non-Hispanic White participants.

In examining associations by racial and ethnic identity, we found that all racial and ethnic groups besides Black and Hispanic identities shared at least one protective association between psilocybin and past year crime arrests. While these findings stand in contrast to our hypotheses for this study as well as the findings in Jones and Nock (11) and Jones (12)–which found fewer and weaker protective associations between psychedelic use and deleterious outcomes for all participants of color–these findings may nevertheless be important. Black and Hispanic Americans comprise the majority of individuals who are involved in the criminal justice system (4447), meaning that our findings mirror the disproportionate arrest rates within these communities. Furthermore, although these findings cannot be used to determine causality, they nevertheless raise important questions about the ways that psilocybin use intersects with race and identity to impact the likelihood of a criminal arrest.

Potential explanations

There are three potential factors that may help to further contextualize our findings related to psilocybin use, race, ethnicity, and crime. It is also important to note that due to the correlational and non-causal nature of our study, these potential explanations remain speculative and our results should be interpreted with caution. The speculative nature of our explanations is further driven by lack of research into the intersection between psychedelics, race, and crime. Future research is needed to further elucidate our results and clarify whether any of the below explanations indeed underlie our findings.

Psilocybin, mental health, and criminalization

First, psilocybin may be linked to the alleviation of mental health disorders that make it more likely for one to interact with the criminal justice system; however, systemic racism toward Black and Hispanic Americans may attenuate this link in a few key ways.

Mental health disorders including trauma-related psychopathology (e.g., PTSD), substance use disorders, and depression have been linked to increased risk of incarceration (4851). Furthermore, there is clear evidence that incarceration, rather than community-based mental health support, is a prevailing American policy response to mental health issues (5257) and contributes strongly to this link. Psychedelics like psilocybin have demonstrated preliminary efficacy at treating some of the aforementioned mental health conditions that increase one’s risk of incarceration (31, 32, 5862), and the potentially salutary effects of naturalistic psilocybin use may underlie the protective associations we have observed in this study.

However, structural racism–particularly racism toward Black and Hispanic individuals–may have attenuated these associations in our study for Black and Hispanic participants. Evidence suggests that Black and Hispanic individuals are incarcerated at disproportionately higher rates when experiencing mental health challenges (6369). Furthermore, these disparities are often on public display; for instance, one can examine the differences in public response to the crack epidemic of the 1980s versus the current opioid crisis as one clear example (70, 71). As this epidemic of crack addiction predominantly affected the Black community, the overwhelming public response was to stigmatize and incarcerate individuals who were addicted to crack. In contrast, the response to the current crisis of opioid addiction–which has largely impacted White Americans–has been to support individuals who are addicted to opioids by providing increased access to public health services. Therefore, such disparities may have eliminated protective associations between psilocybin and crime arrests for Black and Hispanic individuals in this study. Future research should further examine disparities in public responses to mental illness for Black and Hispanic individuals, and assess how these disparities may impact the relationships between psilocybin use and lowered odds of crime arrests.

Furthermore, racism may also impact the potentially salutary nature of the psychedelic experience. The mindset of the individual consuming a psychedelic substance, as well as the setting in which they consume psychedelics, are reported to have a large impact on the nature of the psychedelic experience (72). This phenomenon is referred to as “set and setting.” Anti-Black and anti-Hispanic racism are widespread in the American “setting” (73, 74) and create disproportionate risk of incarceration for Black and Hispanic individuals who consume illegal substances like psychedelics (68, 75). Downstream, this fact may create more negative mind “sets” for Black and Hispanic individuals who engage in psychedelic use, potentially giving rise to aversive or non-salutary psychedelic experiences and ultimately eliminating protective associations between psilocybin and crime arrests for these groups in this study. Future research should further explore how racism impacts psychedelic experiences and outcomes for Black and Hispanic individuals.

Demographic differences in rates of and motivations for psychedelic use

Second, different racial and ethnic groups may use psilocybin at different rates and for differing reasons, potentially contributing to the differences in the associations between psilocybin use and crime arrests in this study. Previous work has demonstrated that people of color in the United States are less likely to use psilocybin relative to White adults (76); further, our current study largely confirms these findings, as we observed here that all participants of color aside from Multiracial individuals reported less psilocybin use relative to White participants. Additionally, the number of protective associations by race and ethnicity in our study seemed related to rates of psilocybin use within specific groups. For instance, Multiracial individuals reported the highest rates of psilocybin use, and accordingly had the highest number of protective associations between psilocybin use and crime arrests in this study. In tandem, Asian participants and Black participants had the lowest rates of psilocybin use; accordingly, there was only one protective association for Asian participants and none for Black participants. Accordingly, these differing rates of psilocybin use may relate to differing motivations for use within different communities. For instance, Indigenous communities–who featured high rates of psychedelic use in our study–are known to have used naturally-occurring psychedelics like psilocybin for worship and healing rituals for thousands of years (77). In contrast, individuals from other racial and ethnic groups may use psilocybin for different purposes, contributing to differences in the associations between psilocybin use and crime arrests. Future research should aim to better understand rates of and motivations for psilocybin use within communities of color, as such investigations can shed further light on our findings.

Intersectional identity factors and arrest rates

Third, associations between psilocybin and crime arrests for racial and ethnic minorities may also vary based on intersectional identity factors (i.e., geography, skin tone, etc.). Hence, it is also possible that there are demographic subgroups of participants of color who use psilocybin and are targeted by the police at lower rates, creating associations between psilocybin use and lowered odds of specific types of crime arrests. For example, Indigenous people have been found to be disproportionately targeted in drug-related arrests by law enforcement when they are closer in proximity to the borders of tribal nations (14); thus, Indigenous individuals farther away from such borders may be arrested at lower rates for substance-related crimes than those who are closer. As another example, a 2016 study found that the disproportionate rate of drug arrests for Black Americans is lower when Black people live in areas with fewer White people (78); a 2020 follow-up study found that lower rates of White women in particular were associated with lower disproportionate rates of arrests for Black people (79). Hence, racialized policing may intersect with various sociodemographic identity factors to explain the differing odds of arrest for participants who use psilocybin. Future analyses that explore the interrelationship of policing, intersectional identity, and naturalistic psilocybin use can shed further light on our observed findings.

Limitations

The current study features several limitations. The current study has a cross-sectional design, which results in not being able to make any causal conclusions. Second, although differing rates and motivations for psychedelic use in different racial and ethnic groups may underlie our results, we do not have data on motivations for psychedelic use to further assess this hypothesis. Thus, future surveys and qualitative studies can collect data on the reasons why various communities of color use psychedelics, as such inquiries can shed light on our findings.

Next, given that our main independent variable was lifetime psilocybin use, we could not control for frequency or recency of psychedelic use within our study. However, given that psychedelic use can promote significant and lasting improvements in deleterious outcomes with just a few administrations (80), we do not believe this limitation significantly hinders our observed findings. Furthermore, the intersection between race/ethnicity and other sociodemographic factors was not included in our analyses, which limits our understanding of how characteristics such as socioeconomic status and educational attainment may serve to further moderate the relationships between race and ethnicity, psilocybin use and crime arrests.

Finally, the broad racial and ethnic categories including within the publicly available NSDUH data and within our study represent a clear limitation to the current work. This limitation is particularly relevant for the “Hispanic” category, as this label is an artifact of colonialism that does not accurately reflect the racial and ethnic diversity of people from Latin American countries. For example, a Pew Research Center survey from 2020 found that Hispanic adults were more likely than White or Black adults to report that the ethnicity questions from the 2020 census did not reflect their identity well (81). In fact, a large majority of Hispanic individuals (81% on average) marked just the Hispanic box and no other race category and two-thirds considered Hispanic as their racial background (82), even though there is much variation in the racial backgrounds and skin-tones of individuals from Latin American countries (83).

Future directions

There are a number of future directions that are warranted in light of this study. First, future studies can take a mixed-methods longitudinal approach to investigate whether there are causal links between psychedelic use, mental health, systemic racism, and cycles of recriminalization for communities of color. Additionally, these longitudinal inquiries can explore specific domains within this research area such as the link between psilocybin use and arrests for substance use crimes. For instance, the United States is currently experiencing an increase in methamphetamine use, and the arrest rate for this substance has increased by 59% from 2015 to 2019 (84). Thus, future studies can explore specific questions within this research field–such as the relationship between psilocybin, race, and arrest rates for methamphetamine–as well as broad questions related to the link between psychedelics, identity, and crime.

Second, future studies may benefit from approaches that allow for qualitative self-identification of race/ethnicity as these may allow for more accurate reports of identity. Additional demographic questions may also query self-reported race, identity centrality (i.e., “How important is your racial identity to you?”), and perceived social identity (i.e., “How much do I identify as [race/ethnicity]?” and, “How would others that do not know me categorize me?”), as these factors may also mediate our observed findings.

Third, follow-up studies can examine new laws and policies regarding the decriminalization/legalization of psilocybin use in the United States. Currently, psilocybin is designated by the Drug Enforcement Administration (DEA) to be a Schedule 1 substance (no medical potential and a high risk for abuse), greatly limiting scientific inquiry into this substance. Future policy investigations can lead to new laws that make it easier to study the intersection of psilocybin and crime. Furthermore, legislative measures can encourage and support research on psilocybin, which can include allocating funds from state and federal budgets for psilocybin research and forming psychedelic research advisory councils comprised of researchers from diverse backgrounds. Fourth, future works should further examine drivers of psychedelic use in communities of color, as this research domain is generally understudied; relatedly, future investigations should also explore sociodemographic intersectionality as it relates to psychedelics, race, structural inequality, and crime.

Fifth, future studies should also further investigate the results of our interaction tests indicating differences in the associations between psilocybin and crime that exist as the broader group identity level (White, Non-Hispanic Participant of Color, Hispanic). As previously mentioned in our Methods, we did not interpret the beta values yielded by our interaction models as these tests were simply to assess whether further investigation of psilocybin, race, and crime would be warranted for specific racial and ethnic groups. However, these significant interaction tests indicate that there are also differences at the broader group level that may warrant further investigation and understanding. While these significant interaction tests may be driven by any of the aforementioned explanations for our findings, (i.e., the link between psilocybin, mental health, and criminalization; demographic differences in rates of/motivations for psychedelic use; intersectional identity factors and arrests rates), they may also be explained by currently unknown factors as well. Thus, these future investigations can deepen our understanding of the relationship between psychedelics and crime, as well as explain how broader identity factors affect this relationship.

Finally, future psychedelic studies should focus on the inclusion of psychedelic researchers of color, as there are very few funded scholars in the psychedelic research field conducting inquiries on race and psychedelics. This fact likely contributes to the lack of representation of participants of color in existing psychedelic treatment studies (8587). Further recruitment, retention, and promotion of psychedelic researchers who are from communities of color and underrepresented backgrounds can support this future direction.

Conclusion

The goal of the current study was to examine the potentially moderating role of race and ethnicity for the associations between lifetime psilocybin use and lowered odds of crime arrests. We found that racial and ethnic identity significantly moderated the associations between lifetime psilocybin use and various outcomes assessing past year arrests. Our findings may be driven by the impact of structural racism on psilocybin use and mental health outcomes in communities of color, differing rates of and motivations for psychedelic use across different racial and ethnic groups, and the impact of intersectional identity on psilocybin use and arrest rates. Future studies should consider more nuanced racial and ethnic frameworks when studying psychedelic use and crime, explore additional sociodemographic and structural factors as potential moderators of the aforementioned associations, and examine whether psychedelics can alleviate mental health disorders that may increase the involvement of communities of color with the criminal justice system. Our findings are correlational and not causal, and thus future studies should also examine potential causal factors that may underlie these results. Overall, this study represents a small step toward better understanding the impact of race, ethnicity, and sociodemographic identity on psychedelic use and crime.

Data availability statement

Data for this project are publicly available at the following web address: https://www.samhsa.gov/data/data-we-collect/nsduh-national-survey-drug-use-and-health.

Ethics statement

Ethical review and approval was not required for the study on human participants in accordance with the local legislation and institutional requirements. Written informed consent for participation was not required for this study in accordance with the national legislation and the institutional requirements.

Author contributions

GJ conceptualized the study, conducted all analyses, and drafted the manuscript. TM, MA-S, and FC-R drafted the manuscript. PM provided statistical guidance. MN provided supervision and edits. All authors contributed to the article and approved the submitted version.

Funding

GJ received funding support for this article from the “atai Fellowship Fund in Psychedelic Neuroscience”.

Conflict of interest

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Publisher’s note

All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.

References

1. Hendricks, PS. Awe: a putative mechanism underlying the effects of classic psychedelic-assisted psychotherapy. Int Rev Psychiatry. (2018) 30:331–42. doi: 10.1080/09540261.2018.1474185

PubMed Abstract | CrossRef Full Text | Google Scholar

2. Griffiths, RR, Richards, WA, McCann, U, and Jesse, R. Psilocybin can occasion mystical-type experiences having substantial and sustained personal meaning and spiritual significance. Psychopharmacology. (2006) 187:268–83. doi: 10.1007/s00213-006-0457-5

PubMed Abstract | CrossRef Full Text | Google Scholar

3. Johnson, MW, and Griffiths, RR. Potential therapeutic effects of psilocybin. Neurotherapeutics. (2017) 14:734–40. doi: 10.1007/s13311-017-0542-y

PubMed Abstract | CrossRef Full Text | Google Scholar

4. Jones, GM, and Nock, MK. Psilocybin use is associated with lowered odds of crime arrests in US adults: a replication and extension. J Psychopharmacol. (2022) 36:66–73. doi: 10.1177/02698811211058933

PubMed Abstract | CrossRef Full Text | Google Scholar

5. Hendricks, PS, Clark, CB, Johnson, MW, Fontaine, KR, and Cropsey, KL. Hallucinogen use predicts reduced recidivism among substance-involved offenders under community corrections supervision. J Psychopharmacol. (2014) 28:62–6. doi: 10.1177/0269881113513851

PubMed Abstract | CrossRef Full Text | Google Scholar

6. Walsh, Z, Hendricks, PS, Smith, S, Kosson, DS, Thiessen, MS, Lucas, P, et al. Hallucinogen use and intimate partner violence: prospective evidence consistent with protective effects among men with histories of problematic substance use. J Psychopharmacol. (2016) 30:601–7. doi: 10.1177/0269881116642538

PubMed Abstract | CrossRef Full Text | Google Scholar

7. Tomlinson, MF, Brown, M, and Hoaken, PNS. Recreational drug use and human aggressive behavior: a comprehensive review since 2003. Aggress Violent Behav. (2016) 27:9–29. doi: 10.1016/j.avb.2016.02.004

CrossRef Full Text | Google Scholar

8. Kovera, MB. Racial disparities in the criminal justice system: prevalence, causes, and a search for solutions. J Soc Issues. (2019) 75:1139–64. doi: 10.1111/josi.12355

CrossRef Full Text | Google Scholar

9. Thiessen, MS, Walsh, Z, Bird, BM, and Lafrance, A. Psychedelic use and intimate partner violence: the role of emotion regulation. J Psychopharmacol. (2018) 32:749–55. doi: 10.1177/0269881118771782

PubMed Abstract | CrossRef Full Text | Google Scholar

10. Hendricks, PS, Crawford, MS, Cropsey, KL, Copes, H, Sweat, NW, Walsh, Z, et al. The relationships of classic psychedelic use with criminal behavior in the United States adult population. J Psychopharmacol. (2018) 32:37–48. doi: 10.1177/0269881117735685

PubMed Abstract | CrossRef Full Text | Google Scholar

11. Jones, GM, and Nock, MK. Race and ethnicity moderate the associations between lifetime psychedelic use (MDMA and psilocybin) and psychological distress and suicidality. Sci Rep. (2022) 12:16976. doi: 10.1038/s41598-022-18645-3

PubMed Abstract | CrossRef Full Text | Google Scholar

12. Jones, G. Race and ethnicity moderate the associations between MDMA/ecstasy and psilocybin use and major depressive episodes. J Psychopharmacol. (2023) 37:61–9. doi: 10.1177/02698811221127304

PubMed Abstract | CrossRef Full Text | Google Scholar

13. Gaston, S. Producing race disparities: a study of drug arrests across place and race*. Criminology. (2019) 57:424–51. doi: 10.1111/1745-9125.12207

CrossRef Full Text | Google Scholar

14. Camplain, R, Camplain, C, Trotter, RT, Pro, G, Sabo, S, Eaves, E, et al. Racial/ethnic differences in drug- and alcohol-related arrest outcomes in a Southwest County from 2009 to 2018. Am J Public Health. (2020) 110:S85–92. doi: 10.2105/AJPH.2019.305409

PubMed Abstract | CrossRef Full Text | Google Scholar

15. Beaver, A. Getting a fix on cocaine sentencing policy: reforming the sentencing scheme of the anti-drug abuse act of 1986. Fordham Law Rev. (2010) 78:2531.

Google Scholar

16. Wallace, BC. Crack, policy, and advocacy: a case analysis illustrating the need to monitor emergent public health-related policy and engage in persistent evidence-based advocacy. J Equity Health. (2014) 3:1–10.

Google Scholar

17. Hart, CL, and Hart, MZ. Opioid crisis: another mechanism used to perpetuate American racism. Cult Divers Ethn Minor Psychol. (2019) 25:6–11. doi: 10.1037/cdp0000260

PubMed Abstract | CrossRef Full Text | Google Scholar

18. Moore, LD, and Elkavich, A. Who’s using and Who’s doing time: incarceration, the war on drugs, and public health. Am J Public Health. (2008) 98:782–6. doi: 10.2105/AJPH.2007.126284

PubMed Abstract | CrossRef Full Text | Google Scholar

19. Johnson, BD, and Betsinger, S. Punishing the “model minority”: Asian-American criminal sentencing outcomes in Federal District Courts*. Criminology. (2009) 47:1045–90. doi: 10.1111/j.1745-9125.2009.00169.x

CrossRef Full Text | Google Scholar

20. Hu, C, and Esthappan, S. Asian Americans and Pacific islanders, a missing minority in criminal justice data. Urban Institute. (2017). Available at: https://www.urban.org/urban-wire/asian-americans-and-pacific-islanders-missing-minority-criminal-justice-data. (Accessed 14 Jul 2022).

Google Scholar

21. Magsaysay, R. Asian Americans and Pacific islanders and the prison industrial complex. Michigan J Race Law. (2021) 443:443. doi: 10.36643/mjrl.26.2.asian

CrossRef Full Text | Google Scholar

22. Smith, DT, Faber, SC, Buchanan, NT, Foster, D, and Green, L. The need for psychedelic-assisted therapy in the black community and the burdens of its provision. Psychiatry. (2022) 12:774736. doi: 10.3389/fpsyt.2021.774736

PubMed Abstract | CrossRef Full Text | Google Scholar

23. Sidanius, J, Davis, G, and Ghani, A. The criminal justice system as an instrument of oppression In: JJ Avery and J Cooper, editors. Bias in the law: A definitive look at racial prejudice in the US criminal justice system. Cambridge, MA: Harvard University (2020). 1–22.

Google Scholar

24. Tonry, M, and Melewski, M. The malign effects of drug and crime control policies on black Americans. Crime Justice. (2008) 37:1–44. doi: 10.1086/588492

CrossRef Full Text | Google Scholar

25. Alexander, M. The new Jim crow: Mass incarceration in the age of colorblindness. New York: The New Press (2010).

Google Scholar

26. Blankenship, KM, Del Rio Gonzalez, AM, Keene, DE, Groves, AK, and Rosenberg, AP. Mass incarceration, race inequality, and health: expanding concepts and assessing impacts on well-being. Soc Sci Med. (2018) 215:45–52. doi: 10.1016/j.socscimed.2018.08.042

PubMed Abstract | CrossRef Full Text | Google Scholar

27. Prins, SJ, Osher, FC, Steadman, HJ, Robbins, PC, and Case, B. Exploring racial disparities in the brief jail mental health screen. Crim Justice Behav. (2012) 39:635–45. doi: 10.1177/0093854811435776

PubMed Abstract | CrossRef Full Text | Google Scholar

28. Ching, THW, Davis, AK, Xin, Y, and Williams, MT. Effects of psychedelic use on racial trauma symptoms and ethnic identity among Asians in North America. J psychoactive drugs. J Psychoactive Drugs. (2022) 55:19–29. doi: 10.1080/02791072.2022.2025960

PubMed Abstract | CrossRef Full Text | Google Scholar

29. Williams, MT, Davis, AK, Xin, Y, Sepeda, ND, Grigas, PC, Sinnott, S, et al. People of color in North America report improvements in racial trauma and mental health symptoms following psychedelic experiences. Drugs: education. Prev Policy. (2020) 28:215–26. doi: 10.1080/09687637.2020.1854688

PubMed Abstract | CrossRef Full Text | Google Scholar

30. Davis, AK, Xin, Y, Sepeda, ND, Garcia-Romeu, A, and Williams, MT. Increases in psychological flexibility mediate relationship between acute psychedelic effects and decreases in racial trauma symptoms among people of color. Chronic Stress (Thousand Oaks). (2021) 5:110356. doi: 10.1177/24705470211035607

PubMed Abstract | CrossRef Full Text | Google Scholar

31. Bogenschutz, MP, Forcehimes, AA, Pommy, JA, Wilcox, CE, Barbosa, P, and Strassman, RJ. Psilocybin-assisted treatment for alcohol dependence: a proof-of-concept study. J Psychopharmacol. (2015) 29:289–99. doi: 10.1177/0269881114565144

PubMed Abstract | CrossRef Full Text | Google Scholar

32. Johnson, MW, Garcia-Romeu, A, Cosimano, MP, and Griffiths, RR. Pilot study of the 5-HT 2A R agonist psilocybin in the treatment of tobacco addiction. J Psychopharmacol. (2014) 28:983–92. doi: 10.1177/0269881114548296

PubMed Abstract | CrossRef Full Text | Google Scholar

33. Washington, HA. Medical apartheid: The dark history of medical experimentation on black Americans from colonial times to the present. New York: Doubleday Books (2006).

Google Scholar

34. Scharff, DP, Mathews, KJ, Jackson, P, Hoffsuemmer, J, Martin, E, and Edwards, D. More than Tuskegee: understanding mistrust about research participation. J Health Care Poor Underserved. (2010) 21:879–97. doi: 10.1353/hpu.0.0323

PubMed Abstract | CrossRef Full Text | Google Scholar

35. Reiter, K. Experimentation on prisoners: persistent dilemmas in rights and regulations. Calif Law Rev. (2009) 97:501–66.

Google Scholar

36. Linville, TM. Project MKULTRA and the search for mind control: clandestine use of LSD within the CIA. (2016).

Google Scholar

37. Intelligence USCSSC. Project MKULTRA, the CIA’s program of research in behavioral modification: Joint hearing before the select committee on intelligence and the subcommittee on health and scientific research of the committee on human resources, United States senate, ninety-fifth congress, first session, august 3. US Government Printing Office (1977).

Google Scholar

38. Winkelman, MJ. MD BS Advances in Psychedelic Medicine: State-of-the-Art Therapeutic Applications. ABC-CLIO (2019).

Google Scholar

39. Sexton, JD, Nichols, CD, and Hendricks, PS. Population survey data informing the therapeutic potential of classic and novel phenethylamine, tryptamine, and Lysergamide psychedelics. Front Psych. (2020) 10:896. doi: 10.3389/fpsyt.2019.00896

PubMed Abstract | CrossRef Full Text | Google Scholar

40. Simonsson, O, Osika, W, Carhart-Harris, R, and Hendricks, PS. Associations between lifetime classic psychedelic use and cardiometabolic diseases. Sci Rep. (2021) 11:14427. doi: 10.1038/s41598-021-93787-4

PubMed Abstract | CrossRef Full Text | Google Scholar

41. Hendricks, PS, Thorne, CB, Clark, CB, Coombs, DW, and Johnson, MW. Classic psychedelic use is associated with reduced psychological distress and suicidality in the United States adult population. J Psychopharmacol. (2015) 29:280–8. doi: 10.1177/0269881114565653

PubMed Abstract | CrossRef Full Text | Google Scholar

42. Jones, GM, and Nock, MK. Exploring protective associations between the use of classic psychedelics and cocaine use disorder: a population-based survey study. Sci Rep. (2022) 12:2574. doi: 10.1038/s41598-022-06580-2

PubMed Abstract | CrossRef Full Text | Google Scholar

43. Jones, G, Lipson, J, and Nock, MK. Associations between classic psychedelics and nicotine dependence in a nationally representative sample. Sci Rep. (2022) 12:10578. doi: 10.1038/s41598-022-14809-3

PubMed Abstract | CrossRef Full Text | Google Scholar

44. Bonczar, TP, and Beck, AJ. Lifetime likelihood of going to state or Federal Prison. Bureau of Justice Statistics–Special Report (1997).

Google Scholar

45. International Centre for Prison Studies. The Drug War, Mass Incarceration and Race. International Centre for Prison Studies, World Prison Briefy (2021).

Google Scholar

46. Tucker, RB. The color of mass incarceration. Ethn Stud Rev. (2017) 37-38:135–49. doi: 10.1525/esr.2017.37_38.1.135

CrossRef Full Text | Google Scholar

47. Wagner, P, and Kopf, D. The racial geography of mass incarceration. (2015). Available at: https://www.prisonpolicy.org/racialgeography/report.html. (Accessed 7 Jul 2022).

Google Scholar

48. Fazel, S, and Baillargeon, J. The health of prisoners. Lancet. (2011) 377:956–65. doi: 10.1016/S0140-6736(10)61053-7

PubMed Abstract | CrossRef Full Text | Google Scholar

49. Fazel, S, Bains, P, and Doll, H. Substance abuse and dependence in prisoners: a systematic review. Addiction. (2006) 101:181–91. doi: 10.1111/j.1360-0443.2006.01316.x

PubMed Abstract | CrossRef Full Text | Google Scholar

50. Krischer, MK, and Sevecke, K. Early traumatization and psychopathy in female and male juvenile offenders. Int J Law Psychiatry. (2008) 31:253–62. doi: 10.1016/j.ijlp.2008.04.008

PubMed Abstract | CrossRef Full Text | Google Scholar

51. Yi, Y, Turney, K, and Wildeman, C. Mental health among jail and prison inmates. Am J Mens Health. (2017) 11:900–9. doi: 10.1177/1557988316681339

PubMed Abstract | CrossRef Full Text | Google Scholar

52. Reingle Gonzalez, JM, and Connell, NM. Mental health of prisoners: identifying barriers to mental health treatment and medication continuity. Am J Public Health. (2014) 104:2328–33. doi: 10.2105/AJPH.2014.302043

PubMed Abstract | CrossRef Full Text | Google Scholar

53. Wacquant, L. Punishing the poor: The neoliberal government of social insecurity. Durham, NC: Duke University Press Books (2009).

Google Scholar

54. Prison Policy Initiative. Mental health. (2023). Available at: https://www.prisonpolicy.org/research/mental_health/. (Accessed 29 Jan 2023).

Google Scholar

55. Abram, KM, Teplin, LA, King, DC, Longworth, SL, Emanuel, KM, Romero, EG, et al. PTSD, trauma, and comorbid psychiatric disorders in detained youth. US Department of Justice–Office of Juvenile Justice and Delinquency Prevention. (2013).

Google Scholar

56. Baillargeon, J, Binswanger, IA, Penn, JV, Williams, BA, and Murray, OJ. Psychiatric disorders and repeat incarcerations: the revolving prison door. Am J Psychiatry. (2009) 166:103–9. doi: 10.1176/appi.ajp.2008.08030416

PubMed Abstract | CrossRef Full Text | Google Scholar

57. Prins, SJ. Prevalence of mental illnesses in U.S. state prisons: a systematic review. Psychiatr Serv. (2014) 65:862–72. doi: 10.1176/appi.ps.201300166

PubMed Abstract | CrossRef Full Text | Google Scholar

58. Mitchell, JM, Bogenschutz, M, Lilienstein, A, Harrison, C, Kleiman, S, Parker-Guilbert, K, et al. MDMA-assisted therapy for severe PTSD: a randomized, double-blind, placebo-controlled phase 3 study. Nat Med. (2021) 27:1025–33. doi: 10.1038/s41591-021-01336-3

PubMed Abstract | CrossRef Full Text | Google Scholar

59. Mithoefer, MC, Feduccia, AA, Jerome, L, Mithoefer, A, Wagner, M, Walsh, Z, et al. MDMA-assisted psychotherapy for treatment of PTSD: study design and rationale for phase 3 trials based on pooled analysis of six phase 2 randomized controlled trials. Psychopharmacology. (2019) 236:2735–45. doi: 10.1007/s00213-019-05249-5

PubMed Abstract | CrossRef Full Text | Google Scholar

60. Carhart-Harris, R, Bolstridge, M, Rucker, J, Day, CMJ, Erritzoe, D, Kaelen, M, et al. Psilocybin with psychological support for treatment-resistant depression: an open-label feasibility study. Lancet Psychiatry. (2016) 3:619–27. doi: 10.1016/S2215-0366(16)30065-7

PubMed Abstract | CrossRef Full Text | Google Scholar

61. Carhart-Harris, R, Giribaldi, B, Watts, R, Baker-Jones, M, Murphy-Beiner, A, Murphy, R, et al. Trial of psilocybin versus escitalopram for depression. N Engl J Med. (2021) 384:1402–11. doi: 10.1056/NEJMoa2032994

PubMed Abstract | CrossRef Full Text | Google Scholar

62. Davis, AK, Barrett, FS, May, DG, Cosimano, MP, Sepeda, ND, Johnson, MW, et al. Effects of psilocybin-assisted therapy on major depressive disorder: a randomized clinical trial. JAMA Psychiat. (2021) 78:481. doi: 10.1001/jamapsychiatry.2020.3285

PubMed Abstract | CrossRef Full Text | Google Scholar

63. Mukku, VK, Benson, TG, Alam, F, Richie, WD, and Bailey, RK. Overview of substance use disorders and incarceration of African American males. Front Psych. (2012) 3:98. doi: 10.3389/fpsyt.2012.00098

PubMed Abstract | CrossRef Full Text | Google Scholar

64. Jäggi, LJ, Mezuk, B, Watkins, DC, and Jackson, JS. The relationship between trauma, arrest, and incarceration history among black Americans: findings from the National Survey of American life. Soc Ment Health. (2016) 6:187–206. doi: 10.1177/2156869316641730

PubMed Abstract | CrossRef Full Text | Google Scholar

65. Tsai, J, Rosenheck, RA, Kasprow, WJ, and McGuire, JF. Risk of incarceration and clinical characteristics of incarcerated veterans by race/ethnicity. Soc Psychiatry Psychiatr Epidemiol. (2013) 48:1777–86. doi: 10.1007/s00127-013-0677-z

PubMed Abstract | CrossRef Full Text | Google Scholar

66. Pro, G, Camplain, R, and Iii, CHL. The competing effects of racial discrimination and racial identity on the predicted number of days incarcerated in the US: a national profile of black, Latino/Latina, and American Indian/Alaska native populations. PLoS One. (2022) 17:e0268987. doi: 10.1371/journal.pone.0268987

PubMed Abstract | CrossRef Full Text | Google Scholar

67. Volkow, ND. Addiction should be treated, not penalized. Neuropsychopharmacology. (2021) 46:2048–50. doi: 10.1038/s41386-021-01087-2

PubMed Abstract | CrossRef Full Text | Google Scholar

68. Nicosia, N, Macdonald, JM, and Arkes, J. Disparities in criminal court referrals to drug treatment and prison for minority men. Am J Public Health. (2013) 103:e77–84. doi: 10.2105/AJPH.2013.301222

PubMed Abstract | CrossRef Full Text | Google Scholar

69. Sanmartin, MX, McKenna, RM, Ali, MM, and Krebs, JD. Racial disparities in payment source of opioid use disorder treatment among non-incarcerated justice-involved adults in the United States. J Ment Health Policy Econ. (2020) 23:19–25.

PubMed Abstract | Google Scholar

70. Shachar, C, Wise, T, Katznelson, G, and Campbell, AL. Criminal justice or public health: a comparison of the representation of the crack cocaine and opioid epidemics in the media. J Health Polit Policy Law. (2020) 45:211–39. doi: 10.1215/03616878-8004862

PubMed Abstract | CrossRef Full Text | Google Scholar

71. Santoro, TN, and Santoro, JD. Racial Bias in the US opioid epidemic: a review of the history of systemic Bias and implications for care. Cureus. (2018) 10:e3733. doi: 10.7759/cureus.3733

PubMed Abstract | CrossRef Full Text | Google Scholar

72. Carhart-Harris, R, Roseman, L, Haijen, E, Erritzoe, D, Watts, R, Branchi, I, et al. Psychedelics and the essential importance of context. J Psychopharmacol. (2018) 32:725–31. doi: 10.1177/0269881118754710

PubMed Abstract | CrossRef Full Text | Google Scholar

73. Brenes, F. Hispanics, mental health, and discriminating policies: brief report. Hisp Health Care Int. (2019) 17:178–80. doi: 10.1177/1540415319875103

PubMed Abstract | CrossRef Full Text | Google Scholar

74. Bailey, ZD, Krieger, N, Agénor, M, Graves, J, Linos, N, and Bassett, MT. Structural racism and health inequities in the USA: evidence and interventions. Lancet. (2017) 389:1453–63. doi: 10.1016/S0140-6736(17)30569-X

CrossRef Full Text | Google Scholar

75. Rosenberg, A, Groves, AK, and Blankenship, KM. Comparing black and white drug offenders: implications for racial disparities in criminal justice and reentry policy and programming. J Drug Issues. (2017) 47:132–42. doi: 10.1177/0022042616678614

PubMed Abstract | CrossRef Full Text | Google Scholar

76. Yockey, A, and King, K. Use of psilocybin (“mushrooms”) among US adults: 2015–2018. J Psychedelic Stud. (2021) 5:17–21. doi: 10.1556/2054.2020.00159

CrossRef Full Text | Google Scholar

77. Sessa, B. The history of psychedelics in medicine. M HeydenVon, H Jungaberle, and T Majić, Handbuch Psychoaktive Substanzen. Berlin: Springer (2016).

Google Scholar

78. Fielding-Miller, R, Davidson, P, and Raj, A. Blacks face higher risk of drug arrests in white neighborhoods. Int J Drug Policy. (2016) 32:100–3. doi: 10.1016/j.drugpo.2016.03.008

PubMed Abstract | CrossRef Full Text | Google Scholar

79. Fielding-Miller, R, Cooper, HLF, Caslin, S, and Raj, A. The interaction of race and gender as a significant driver of racial arrest disparities for African American men. J Urban Health. (2020) 97:112–22. doi: 10.1007/s11524-018-00325-1

PubMed Abstract | CrossRef Full Text | Google Scholar

80. Agin-Liebes, GI, Malone, T, Yalch, MM, Mennenga, SE, Ponté, KL, Guss, J, et al. Long-term follow-up of psilocybin-assisted psychotherapy for psychiatric and existential distress in patients with life-threatening cancer. J Psychopharmacol. (2020) 34:155–66. doi: 10.1177/0269881119897615

PubMed Abstract | CrossRef Full Text | Google Scholar

81. Noe-Bustamante, L, Gonzalez-Barrera, A, Edwards, K, Mora, L, and Lopez, MH. Measuring the racial identity of Latinos. Pew Research Center’s Hispanic Trends Project (2021).

Google Scholar

82. Gonzalez-Barrera, A, and Lopez, MH. Is being Hispanic a matter of race, ethnicity or both? Pew Research Center (2015).

Google Scholar

83. Finkeldey, JG, and Demuth, S. Race/ethnicity, perceived skin color, and the likelihood of adult arrest. Race Justice. (2021) 11:567–91. doi: 10.1177/2153368719826269

PubMed Abstract | CrossRef Full Text | Google Scholar

84. NIH. Methamphetamine Use, Overdose Deaths, and Arrests Soared From 2015 to 2019. (2022) Available at: https://pew.org/3QKyaFH. (Accessed 28 May 2023).

Google Scholar

85. Fogg, C, Michaels, TI, de la Salle, S, Jahn, ZW, and Williams, MT. Ethnoracial health disparities and the ethnopsychopharmacology of psychedelic-assisted psychotherapies. Exp Clin Psychopharmacol. doi: 10.1037/pha0000490

PubMed Abstract | CrossRef Full Text | Google Scholar

86. Michaels, TI. Inclusion of people of color in psychedelic-assisted psychotherapy: a review of the literature. BMC Psychiatry. (2018) 18:245. doi: 10.1186/s12888-018-1824-6

PubMed Abstract | CrossRef Full Text | Google Scholar

87. George, JR, Michaels, TI, Sevelius, J, and Williams, MT. The psychedelic renaissance and the limitations of a white-dominant medical framework: a call for indigenous and ethnic minority inclusion. J Psychedelic Stud. (2019) 4:12. doi: 10.1556/2054.2019.015

CrossRef Full Text | Google Scholar

Keywords: race, crime, psilocybin, psychedelics, NSDUH

Citation: Jones G, Al-Suwaidi M, Castro-Ramirez F, McGuire TC, Mair P and Nock MK (2023) Race and ethnicity moderate the associations between lifetime psilocybin use and crime arrests. Front. Psychiatry. 14:1169692. doi: 10.3389/fpsyt.2023.1169692

Received: 21 February 2023; Accepted: 07 August 2023;
Published: 24 August 2023.

Edited by:

Yi-lang Tang, Emory University, United States

Reviewed by:

Darshan Singh Darshan Singh, University of Science Malaysia, Malaysia
Martin Madsen, Neurobiology Research Unit, Denmark

Copyright © 2023 Jones, Al-Suwaidi, Castro-Ramirez, McGuire, Mair and Nock. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

*Correspondence: Grant Jones, gmj005@g.harvard.edu

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.