Among 3,340 first-time LSD users surveyed internationally, nearly all (97.7%) found the experience exciting, and adverse side effects were rare; only 17 individuals required emergency medical treatment. Although 64.1% reported feelings of fear, these were typically very mild and did not deter most from wanting to use LSD again. The authors conclude that while the recreational LSD experience is generally pleasurable and unwanted effects are uncommon, harm-reduction education remains important to prevent possible risks amid rising illicit use.
People who reported having used psychedelics to cope with or overcome sexual trauma were significantly less likely to say the drugs improved their sexual communication compared to those who had not used psychedelics for that purpose. No significant difference was found in emotional connection between the two groups. Among those who had used psychedelics for trauma, women were significantly more likely than men to report improvements in both communication and emotional connection. The findings suggest that gender plays a role in how psychedelics affect intimacy, and more research is needed to guide harm reduction and trauma-informed care.