Drug harms in the UK: a multicriteria decision analysis

  title={Drug harms in the UK: a multicriteria decision analysis},
  author={David J. Nutt and Leslie A King and Lawrence D. Phillips},
  journal={The Lancet},
The Australian drug harms ranking study
Overall, alcohol was the most harmful drug when harm to users and harm to others was combined, followed by cigarettes, crystal methamphetamine, cannabis, heroin and pharmaceutical opioids.
Quantifying the RR of harm to self and others from substance misuse: results from a survey of clinical experts across Scotland
The harm rankings of 19 commonly used substances did not match the A, B, C classification under the Misuse of Drugs Act, and the legality of a substance of misuse is not correlated with its perceived harm.
Toward an Improved Multi-Criteria Drug Harm Assessment Process and Evidence-Based Drug Policies
The paper concludes with outlines of substance subset-specific extensions of the MCDHS and related policy proposals in the four areas identified as generating the most controversy: non-medical use of opioids, “study aid” uses of stimulants, shifting trends in nicotine containing products, and regulation of medical and recreational uses of cannabis.
Preferential strategies for mitigating the harms of adolescent illicit drug involvement: A multicriteria decision analysis
Multidisciplinary perspectives in informing complex policies are critical, but ineffectual when diverse differences are not adequately represented. Using multicriteria analysis, potential
Questioning the method and utility of ranking drug harms in drug policy.
Ranking the harm of non-medically used prescription opioids in the UK.
European rating of drug harms
The results indicates that EU and national drug policy measures should focus on drugs with the highest overall harm, including alcohol and tobacco, whereas drugs such as cannabis and ecstasy should be given lower priority including a lower legal classification.
Pharmacies as potential providers of harm reduction services: A preliminary online survey
The data suggest that the university-educated participants are supportive of treating recreational drug use as a health issue with GPs, mental health workers and pharmacists taking on roles.
Harms and benefits associated with psychoactive drugs: findings of an international survey of active drug users
There was no correlation at all between users’ harm ranking of drugs and their classification in schedules of the USA or ABC system in the UK, suggesting that neither the UK nor US classification systems act to inform users of the harms of psychoactive substances.
Adolescent Illicit Drug Use and Policy Options in Australia: A Multicriteria Decision Analysis
The etiology of illicit substance involvement is a multidimensional problem shaped by factors across individual, social, and environmental domains. In this study, a multicriteria framework is


Ranking the Harm of Alcohol, Tobacco and Illicit Drugs for the Individual and the Population
Whether the legal classification of drugs in the Netherlands corresponds with the ranking of the drugs according to their science-based ranking of harm based on the scientific state of the art is evaluated.
Drugs research: An overview of evidence and questions for policy
This report outlines the results of the largest independent programme of drugs research of its kind within the UK. In 2001 the Joseph Rowntree Foundation embarked upon a unique and challenging
Assessing the Real Dangers of Illicit Drugs - Risk Analysis as the Way Forward?
How risky is heroin? How risky is ecstasy, cocaine or cannabis? Well it depends on who you talk to, what position they are coming from and what agenda they want to pursue. There is, therefore, a
Comparative Epidemiology of Dependence on Tobacco , Alcohol , Controlled Substances , and Inhalants : Basic Findings From the National Comorbidity Survey
The development of the Smoking Cessation Quality of Life questionnaire is described, a self-reported measure designed to quantify the impact of smoking cessation on perceived functioning and well-being in adults, and preliminary evidence for the reliability and construct validity of the SCQoL is provided.
Comparison of acute lethal toxicity of commonly abused psychoactive substances.
A structured English-language literature search was conducted to identify experimental studies and clinical reports that documented human and non-human lethal doses of 20 abused substances that are distributed widely in Europe and North America.
Nuclear Risk Management on Stage: A Decision Analysis Perspective on the UK's Committee on Radioactive Waste Management
The explicit and implicit principles that guided CoRWM are described, and some of the key developments in the UK's radioactive waste management process, which followed on from the publication of CoR WM's report are outlined.
Brain science, addiction and drugs
This report published by the Academy of Medical Sciences, considered in consultation with experts and the public, issues around three types of substance: illegal and legal ‘recreational’ drugs;
Living with Risk
Living with risk can lead to anticipatory feelings such as anxiety or hopefulness. Such feelings can affect the choice between lotteries that will be played out in the future—choice may be motivated
An index of fatal toxicity for drugs of misuse
To determine the lethal toxicity of five commonly‐used illicit substances by relating the number of associated deaths to their availability, a database of over-the-counter drugs used in clinical practice is constructed.