Paniagua Izquierdo, RicardoDujo López, Víctor2024-04-042024-04-0420230213-7615https://hdl.handle.net/10641/4275The use of drugs within the context of chemsex extends beyond mere sexualised drug use and stems from a unique sociocultural pattern within the LGBTQ+ community, which may entail various detrimental effects on individuals with increased vulnerabilities. To analyse the potential harm of these practices across different health dimensions, a review has been conducted on the primary areas of impact and their potential consequences on medical-sexual, toxicophilic, psychopathological, and forensic levels, based on the framework of a specific biosanitary protocol designed to assess the severity of chemsex practices. The results showed that this sexualised drug use increases the risk of experiencing unwanted outcomes. Among them are the transmission of STIs, psychopathological changes (such as depressive, anxious, psychotic, and post-traumatic symptoms, among others), death by suicide or other causes, committing criminal offences (mainly sexual assaults or drug trafficking crimes), or becoming a victim of them. Nevertheless, the type of impact is individual and depends on the modulating variables of each person (risk, protective, and vulnerability factors), the outcome of which arises from a multifaceted dynamic, rooted in the biopsychosocial trajectory of those who engage in it. Therefore, public policies should promote an approach that provides personalised (preventative and care-based) attention to address addiction or problematic consumption.engAtribución-NoComercial-SinDerivadas 3.0 Españahttp://creativecommons.org/licenses/by-nc-nd/3.0/es/journal articleopen access