Involuntary psychiatric inpatient care presents a unique ethical challenge not least because the dignity of a person whose liberty and autonomy are restricted is inherently at risk. Understanding patients' experience of voluntary and involuntary care is an important part of ensuring that dignity is upheld as a key value. This study aimed to provide the first thematic synthesis of the existing literature on patient experience of dignity in voluntary and involuntary inpatient psychiatric care. PubMed (United States National Library of Medicine), PsycInfo (American Psychological Association), the Cochrane Library and bibliographies of relevant articles were searched for peer-reviewed, English-language studies from the start date of the databases through May 2020. Systematic searches identified 202 original papers. Consensus criteria were used to determine study inclusion through abstract and manuscript review. Eighteen articles were initially identified as suitable and nine met criteria for the final analysis. This study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Given the high proportion of qualitative literature, a thematic synthesis approach was adopted. Critical Appraisal Skills Program (CASP) checklists were used to assess quality of papers. Familiarization and line-by-line coding were carried out on qualitative studies and a thematic framework developed using an iterative approach. Six key themes emerged: coercion; powerlessness; care environment; relationship to staff; impact of involuntary treatment, and paradoxes. These encompassed 15 subthemes, comprising 111 individual statements. Despite dignity being at the core of this review, only five of the identified papers explicitly referenced the term. Nevertheless, core similarities in patient experiences and perspectives existed across a wide variety of primary studies from multiple sites. These themes can be taken to represent the components of dignified care and used as a framework for further research and service reform.

非自愿精神科住院治疗提出了独特的伦理挑战，尤其是因为自由和自主权受到限制的人的尊严本质上处于危险之中。了解患者自愿和非自愿护理的经历是确保尊严作为关键价值得到维护的重要组成部分。本研究旨在提供关于自愿和非自愿住院精神科护理中患者尊严体验的现有文献的第一个主题综合。从数据库开始日期到 2020 年 5 月，在 PubMed（美国国家医学图书馆）、PsycInfo（美国心理学会）、Cochrane 图书馆和相关文章的参考书目中搜索了同行评审的英语研究。 202篇原创论文。共识标准用于通过摘要和手稿审查来确定研究的纳入。最初确定了 18 篇文章是合适的，9 篇符合最终分析的标准。本研究遵循系统评价和元分析的首选报告项目 (PRISMA) 指南。鉴于定性文献的比例很高，采用了主题综合方法。关键评估技能计划 (CASP) 清单用于评估论文的质量。对定性研究和使用迭代方法开发的主题框架进行了熟悉和逐行编码。出现了六个关键主题：胁迫；无力感；护理环境；与员工的关系；非自愿治疗的影响和悖论。这些包括 15 个子主题，包括 111 个单独的陈述。尽管尊严是本次审查的核心，但只有五篇确定的论文明确引用了该术语。尽管如此，来自多个站点的各种主要研究在患者体验和观点方面存在核心相似性。这些主题可以代表有尊严的护理的组成部分，并用作进一步研究和服务改革的框架。