Abstract Seclusion is a restrictive practice used to protect the person or others from harm, however can result in trauma-related harm. While interventions to reduce seclusion have been successful, use in forensic mental health remains high. This integrative review aims to explore factors associated with the duration and frequency of seclusion in forensic mental health settings and determine sex differences in seclusion use. Results indicate that common factors associated with the use of seclusion in forensic mental health settings are younger age, diagnosis of psychotic disorder or personality disorder, and previous seclusion. Sex differences are inconsistent. Common reasons for initiating seclusion relate to actual violence and threats of violence. There is a lack of contemporary literature and current research has not considered how sex may affect seclusion use. Further research is required to identify specific risk factors for males and females and test timely and appropriate interventions to help reduce seclusion use in forensic mental health settings.

中文翻译：

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法医心理健康环境中与隐居使用相关的因素：综合评价

摘要隔离是用于保护人或他人免受伤害的限制性实践，但是可能导致与创伤有关的伤害。尽管减少隔离的干预措施已获得成功，但用于法医精神卫生的应用仍然很高。本综合综述旨在探讨与法医心理健康环境中隐居的持续时间和频率有关的因素，并确定隐居使用中的性别差异。结果表明，与法医心理健康环境中使用隔离相关的常见因素是年龄较小，精神病或人格障碍的诊断以及以前的隔离。性别差异不一致。开始隔离的常见原因与实际暴力和暴力威胁有关。缺乏当代文学，当前的研究还没有考虑性别如何影响隐居的使用。需要进一步的研究来确定男性和女性的特定危险因素，并测试及时和适当的干预措施，以帮助减少法医精神健康环境中的隐居使用。