Hallucinogen use in the United States, 2021-2023: Diverging trends and subgroup patterns.
Drug and alcohol dependence reports March 1, 2026 Jing-Jer Chen, Carla J Berg, Y Tony Yang 1 citation
From 2021 to 2023, overall hallucinogen use among Americans aged 12 and older remained stable at about 2.8%, but trends for individual substances diverged. LSD use declined from 0.88% to 0.58%, while ketamine use increased from 1.61% to 1.91%. Use of ecstasy/MDMA and tryptamines (including DMT) stayed steady, and PCP and Salvia divinorum remained rare. Hallucinogen use was concentrated among young adults and males, with higher odds among uninsured individuals and those below the federal poverty level. Substance-specific monitoring may better inform screening, prevention, and harm-reduction efforts than aggregate hallucinogen indicators.