Confidential Reporting

Report a 5-MeO-DMT
Adverse Event.

Help the Field Grow Safer.

A confidential, structured way to document the harm
connected to a 5-MeO-DMT experience or facilitation,
so the field can learn and grow safer for everyone.

Reviewed by The FIVE Institute · Last reviewed

Disclaimer: 5-MeO-DMT is a Schedule I controlled substance in the United States and is regulated in many jurisdictions. This page is educational and does not condone or encourage its use.

Why Reporting Matters

How Reporting Makes the Field Safer

Standards of care improve by recording what went wrong and changing practice in response.

The FIVE Institute’s 5-MeO-DMT adverse event reporting gives the field a confidential, structured way to document harm connected to an experience or facilitation. Every report informs our published safety standards, training curriculum, and harm-reduction resources, for the practitioners, researchers, and future participants who can learn from it.

Adverse-event reports close the loop: real-world outcomes, including the difficult ones, feed the standards the field trains against. Reports also give people who experienced harm a place for it to count.

To learn more about staying safe, see our guides to 5-MeO-DMT harm reduction and risks, cautions & contraindications.

01020304REPORTING · 04 STAGESFINDINGS FEED BACK INTO PRACTICESAFER PRACTICEREPORTA confidential initial reportof what happened, and when.CLINICAL REVIEWOur clinical team reaches outfor a HIPAA-compliant survey.ANALYSISReports are compared to findpatterns and preventable causes.STANDARDS UPDATEDFindings shape training, safetystandards and harm reduction.
Fig. 2 · From Report to Safer Practice
Before You Report

What Counts as an Adverse Event?

If something about your experience caused harm, or still feels wrong, it is worth reporting. Adverse events can include lasting side effects, a difficult or “bad” experience, or reactivations (sometimes called flashbacks). Common examples include:

  1. Class A · Physical 01

    Physical Harm

    Injury, a medical emergency, or physical symptoms during or after the experience.

  2. Class B · Psychological 02

    Psychological Distress

    Extreme anxiety, panic attacks, destabilization, or psychosis that continues well beyond the session.

  3. Class C · Critical 03

    Threat to Life

    Severe depression, suicidality, or an inability to continue holding the emotional content emerging.

  4. Class D · Reactivation 04

    Severe Reactivations

    Re-experiencing a 5-MeO-DMT experience, day and night, over many weeks to months.

The Evidence

Why Real-World Reports Matter

A Small Clinical Evidence Base

A 2024 systematic review identified just three clinical trials of 5-MeO-DMT, with 78 participants in total, assessing short-term safety in controlled settings (Kwaśny et al., 2024).

Most Use Happens Outside Clinics

An epidemiological survey found most people use 5-MeO-DMT for spiritual exploration, outside clinical settings, which is why real-world reporting matters (Davis et al., 2018).

A Field Still Building Its Data

A narrative synthesis of 5-MeO-DMT research concluded that its effects warrant further clinical study as the field matures (Ermakova et al., 2022).
Adverse Event Reporting

Submit a Report

Thank you for sharing your experience. Our Adverse Event Reporting project, led by our clinical team, is focused on promoting harm reduction in the emerging 5-MeO-DMT landscape. Every report is a meaningful step toward ensuring that what you experienced happens to far fewer people.

To make a report, please fill out this short initial form. From there, our clinical team will reach out to have you complete an official, HIPAA-compliant survey. Thank you again for your willingness to help shift standards of care in the 5-MeO-DMT field.

FIG. 3 · Reporting Protocol
  1. IntakeShare your initial report

    Tell us briefly what happened. You don’t need every detail yet.

  2. Clinical ReviewConnect with our clinical team

    Once we receive your report, a member of our clinical team will reach out personally to complete an official, HIPAA-compliant survey with you.

  3. Standards UpdateHelp shift harmful practices

    Your survey informs our safety standards and facilitator training, helping change the practices that cause harm across the field.

In crisis or thinking about suicide? Please don’t wait for a reply. Call your local emergency number, or in the US call or text 988. Elsewhere, find a helpline near you.

Form · Initial Report

Your report is kept confidential and shared only with our clinical team.

Data & Confidentiality
Who sees your report
Only The FIVE Institute’s clinical team.
What is required
Your name, email, the type of experience, and a brief description. You choose how much to share.
What happens next
Our clinical team contacts you to complete an official, HIPAA-compliant survey.
How reports are used
To inform the field’s safety standards, our harm-reduction resources, and our training standards.
Questions & Answers

Frequently Asked Questions

What is a 5-MeO-DMT adverse event?
An adverse event is any harm connected to a 5-MeO-DMT experience or its facilitation. That can include physical injury or a medical emergency, psychological distress such as anxiety, panic, dissociation, or psychosis, a threat to life such as severe depression or suicidality, and severe reactivations.
What are 5-MeO-DMT reactivations?
Reactivations are the re-experiencing of aspects of a 5-MeO-DMT experience after it has ended. When they occur day and night over many weeks to months, they can be severe and are worth reporting. An integration specialist with 5-MeO-DMT experience can help.
Is my report anonymous?
Your report is confidential and can be anonymous. For our clinical team to reach out with the survey, we ask for your name and email, but the survey itself can be completed anonymously. Your report will be used to help set higher standards of care across the wider field.
What happens after I submit a report?
Our clinical team reviews your initial report and reaches out to have you complete an official, HIPAA-compliant survey. Your experience then helps inform the field’s safety standards, our harm-reduction resources, and our training standards.
Can I report on behalf of someone else?
Yes. Please mention in your description that you are reporting for someone else, and our clinical team will advise on next steps.
What should I do if I need help right now?
Please don’t wait for a reply to your report. If you are in crisis or thinking about suicide, call your local emergency number, or in the US call or text 988. For psychedelic peer support, contact the Fireside Project. For ongoing support, see our integration specialists or join a free Integration Circle.
Fireside Support Line