Bangladesh’s unique climate vulnerability is well-investigated but the mental health impacts of climate change remain relatively unexplored. Three databases were searched for English primary qualitative studies published between 2000 and 2020. Out of 1202 publications, 40 met the inclusion criteria. This systematic review applies a systems approach to further understand Bangladesh’s ‘climate-wellbeing’ network. The literature indicates diverse factors linking environmental stress and mental ill-health including four key themes: (1) post-hazard mental health risks, (2) human (im)mobility, (3) social tension and conflict, and (4) livelihood loss and economic hardship. This systems analysis also revealed that people’s mental wellbeing is strongly mediated by socio-economic status and gender. The article illustrates how multiple pathways may amplify stress, anxiety, violence, and psychological damage. Greater recognition of the ‘climate-wellbeing’ connections, and incorporation of mental health in current climate action and policy frameworks, will be an effective way to achieve a more sustainable future.

孟加拉国独特的气候脆弱性得到了充分的调查，但气候变化对精神健康的影响仍未得到充分研究。搜索了三个数据库以查找2000年至2020年之间发布的英语主要定性研究。在1202个出版物中，有40个满足纳入标准。这项系统的审查采用系统的方法来进一步了解孟加拉国的“气候-幸福”网络。文献指出了将环境压力与精神疾病联系起来的多种因素，其中包括四个关键主题：（1）危害后的精神健康风险；（2）人员（行动不便）；（3）社会紧张与冲突；以及（4）生计损失和经济困难。该系统分析还显示，人们的心理健康受到社会经济地位和性别的强烈影响。这篇文章说明了多种途径如何加剧压力，焦虑，暴力和心理损害。更好地认识“气候与福祉”的联系，并将精神卫生纳入当前的气候行动和政策框架，将是实现更可持续的未来的有效途径。