Purpose

The more disadvantaged members of society generally experience poorer outcomes following the development of mental ill-health. The purpose of this paper is to scope the literature and synthesise findings on the inequalities and mental health within secure mental health settings.

Design/methodology/approach

Six electronic databases were searched to identify relevant studies. These were included if they examined the association between inequalities and mental health in women’s secure mental health settings.

Findings

Of the 608 studies reviewed, 14 met the inclusion criteria. In these papers, violence and/or abuse were described as the most prevalent inequalities. The second most frequent group of inequalities identified were socio-economic. Only three published studies researched the impact of ethnicities. Physical health, alcohol abuse and a dysfunctional family upbringing were only mentioned in one of the studies. Gender identity, transitioning and sexual orientation was not considered in any papers. These are areas, which require further investigation to determine their specific impact in this setting.

Research limitations/implications

This review highlights the dearth of high-quality research-based evidence underpinning an understanding of the impact of inequalities on women in secure mental health settings. The existing studies suggest that inequalities have a very particular impact and that intersectionality plays a key role. Further research is required to further understand how inequalities impact the lives of women in secure mental health settings.

Practical implications

The inequalities that women experience in relation to mental health need to be further researched in the context of intersectionality. There are also research gaps in terms of gender identity, sexual orientation and socio-economic background. Further primary research using a more complex methodological paradigm is required to explore these factors and their impact on mental health service provision.

Social implications

The role of inequalities should be considered as part of an overall care package, including the experiences of adverse childhood experiences and this should contribute towards the development of a trauma-based care approach.

Originality/value

To the best of the authors’ knowledge, this is the first study to scope literature about inequalities experienced in women’s secure psychiatric settings considering intersectionality.

中文翻译：

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妇女中等或低安全心理健康环境中的不平等：范围界定审查

目的

随着精神疾病的发展，社会中处境较不利的成员通常会经历更糟糕的结果。本文的目的是在安全的心理健康环境中对有关不平等和心理健康的文献进行范围界定并综合调查结果。

设计/方法/方法

搜索了六个电子数据库以识别相关研究。如果他们检查了女性安全的心理健康环境中的不平等与心理健康之间的关联，则将这些人包括在内。

发现

在审查的 608 项研究中，14 项符合纳入标准。在这些论文中，暴力和/或虐待被描述为最普遍的不平等。发现的第二类最常见的不平等是社会经济不平等。只有三项已发表的研究研究了种族的影响。其中一项研究仅提到身体健康、酗酒和不正常的家庭教养。任何论文都没有考虑性别认同、过渡和性取向。这些领域需要进一步调查以确定它们在此环境中的具体影响。

研究限制/影响

本综述强调缺乏基于高质量研究的证据，以支持理解不平等对安全心理健康环境中女性的影响。现有研究表明，不平等具有非常特殊的影响，而交叉性起着关键作用。需要进一步研究以进一步了解不平等如何影响处于安全心理健康环境中的妇女的生活。

实际影响

需要在交叉性的背景下进一步研究女性在心理健康方面所经历的不平等。在性别认同、性取向和社会经济背景方面也存在研究空白。需要使用更复杂的方法论范式进行进一步的初步研究，以探索这些因素及其对精神卫生服务提供的影响。

社会影响

不平等的作用应被视为整体护理包的一部分，包括童年不良经历的经历，这应有助于发展基于创伤的护理方法。

原创性/价值

据作者所知，这是第一项研究考虑交叉性，对女性安全精神病学环境中所经历的不平等现象进行研究。