This paper aims to review studies in relation to the association between childhood physical (CPA) and sexual abuse (CSA) and illicit drug use among the male clinical and general community populations using a systematic approach. Primary studies were identifi ed using online databases which were searched comprehensively using a set of pre-determined search criteria and terms. Other sources included expert contact and the reference list of a relevant review. Associations between exposure (CPA/CSA) and outcome (illicit drug use) were considered with regards to an array of factors. A total of 5012 references were initially identifi ed out of which 18 studies met the necessary criteria for reviewing. The review demonstrates tentative support for factors such as earlier drug initiation, intravenous drug use and greater frequency of use among some of the samples. It also demonstrates the diffi culties involved in drawing conclusions due to the complex and multifaceted nature of drug use and the variability in the quality of the research available in this area. Limitations of the current review are highlighted and recommendations offered for future research with consideration given to practical implications in clinical and forensic settings. Miller and Mancusco, 2004). Indeed, a number of studies have reported an association between various forms of victimisation and later pro blematic substance use among adolescents and adults, although sexual abuse appears to be the focal point of attention for many studies (e.g. Bergen et al., 2004;Dube et al., 2005;Harrison et al., 1997;Holmes, 1997). This body of research illustrates the role of childhood abuse as a possible contributing factor to the development of substance abuse that not only increases the likelihood of substance use per se but also complicates the clinical picture of substance abuse by adding a component of psychological and behavioural distress (Bergen et al., 2004). Many mechanisms have been postulated to explain the association between childhood victimisation and illicit drug use and abuse. In these conceptualisations, substance use represents a strategy to cope with the stress produced by these forms of violence (e.g. Garnefski and Arends, 1998;Kilpatrick et al., 2000; Miller and Mancusco, 2004;Weiss et al., 1999). Hypothetically speaking, distress caused by negative experiences such as victimisation drives individuals to engage in behaviours that reduce negative emotions, such as situational avoidance or drug use (Kilpatrick et al., 1997). That is to say, substance use or abuse following negative events may be an effective, albeit maladaptive, strategy to mask the negative affect associated with such experiences (Kilpatrick et al., 2000; Miller and Mancusco, 2004;Weiss et al., 1999). However, the correlational nature of the research in this area makes it impossible to ascertain defi nitely whether childhood sexual abuse (CSA) or childhood physical abuse (CPA) is causally related to any later outcomes (Simpson and Miller, 2002). Since victimisation cannot ...