People who use drugs are encouraged to employ harm reduction strategies to reduce risk of acute adverse effects. The aim of this study was to identify engagement in drug checking and other behaviours that might decrease/increase risk of harm amongst a sentinel sample of adults who regularly use ecstasy/MDMA and other illicit stimulants.

Between April-June 2019, participants (n=800) recruited from Australian capital cities were interviewed for the Ecstasy and Related Drugs Reporting System. Participants reported on behaviours that could increase/decrease risk of harm when using ecstasy and related drugs.

A range of harm reduction strategies were reported, most notably, use of personal drug testing kits and asking peers about substances they intended to consume.