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The Australian drug harms ranking study


Bonomo, Y and Norman, A and Biondo, S and Bruno, R and Daglish, M and Dawe, S and Egerton-Warburton, D and Karro, J and Kim, C and Lenton, S and Lubman, DI and Pastor, A and Rundle, J and Ryan, J and Gordon, P and Sharry, P and Nutt, D and Castle, D, The Australian drug harms ranking study, Journal of Psychopharmacology, 33, (7) pp. 759-768. ISSN 0269-8811 (2019) [Refereed Article]

Copyright Statement

Copyright 2019 The Authors

DOI: doi:10.1177/0269881119841569


Background and Aim: The aim of the current study was to review drug harms as they occur in Australia using the Multi-criteria Decision Analysis (MCDA) methodology adopted in earlier studies in other jurisdictions.

Method: A facilitated workshop with 25 experts from across Australia, was held to score 22 drugs on 16 criteria: 9 related to harms that a drug produces in the individual and 7 to harms to others. Participants were guided by facilitators through the methodology and principles of MCDA. In open discussion, each drug was scored on each criterion. The criteria were then weighted using a process of swing weighting. Scoring was captured in MCDA software tool.

Results: MCDA modelling showed the most harmful substances to users were fentanyls (part score 50), heroin (part score 45) and crystal methamphetamine (part score 42). The most harmful substances to others were alcohol (part score 41), crystal methamphetamine (part score 24) and cigarettes/tobacco (part score 14). Overall, alcohol was the most harmful drug when harm to users and harm to others was combined. A supplementary analysis took into consideration the prevalence of each substance in Australia. Alcohol was again ranked the most harmful substance overall, followed by cigarettes, crystal methamphetamine, cannabis, heroin and pharmaceutical opioids.

Conclusions: The results of this study make an important contribution to the emerging international picture of drug harms. They highlight the persistent and pervasive harms caused by alcohol. Policy implications and recommendations are discussed. Policies to reduce harm from alcohol and methamphetamine should be a priority.

Item Details

Item Type:Refereed Article
Keywords:alcohol, tobacco, illicit drugs, drug, ranking, harms, drug policy
Research Division:Psychology
Research Group:Other psychology
Research Field:Other psychology not elsewhere classified
Objective Division:Health
Objective Group:Public health (excl. specific population health)
Objective Field:Public health (excl. specific population health) not elsewhere classified
UTAS Author:Bruno, R (Associate Professor Raimondo Bruno)
ID Code:132590
Year Published:2019
Web of Science® Times Cited:35
Deposited By:Psychology
Deposited On:2019-05-14
Last Modified:2020-04-08

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