Background and Hypothesis The sexual and reproductive health (SRH) of young people with psychosis has been largely overlooked. We hypothesised that there are key deficiencies in the existing literature on the SRH of adolescents and young adults with psychotic disorders. Study Design We conducted a systematic scoping review using Pubmed, Web of Science, Embase, PsycINFO, and CINAHL. We included empirical studies and case reports focused on SRH issues in young people (aged 14–24 years) with psychotic disorders. A qualitative synthesis was completed. Joanna Briggs Institute Critical Appraisal Tools were utilized to assess study quality. Study Results Seventeen empirical studies and 52 case reports met inclusion criteria. Most focused on sexual dysfunction which was identified as common among this cohort and associated with both psychotic disorders and antipsychotics. The study population was more likely to engage in sexual risk-taking behavior and was at higher risk of sexually transmissible infections than those without psychosis. SRH topics of clinical relevance in older patients with psychosis such as pregnancy, abortion, sexual violence, coercion, sexual identity, and gender were poorly addressed in this younger group. We found empirical studies generally lacked identification and controlling of confounders whilst case reports provided limited description of mental health and SRH outcomes following clinical intervention. Conclusion Research and clinical practice addressing sexual and reproductive health is needed for young people living with psychosis. To address research gaps future studies should focus on women’s health, sexual violence, gender, and sexuality in young people with psychosis.

中文翻译：

---

患有精神障碍的青少年和年轻人的性健康和生殖健康：范围界定审查

背景和假设 患有精神病的年轻人的性健康和生殖健康（SRH）在很大程度上被忽视了。我们假设现有关于患有精神障碍的青少年和年轻人的性健康和生殖健康的文献存在重大缺陷。研究设计 我们使用 Pubmed、Web of Science、Embase、PsycINFO 和 CINAHL 进行了系统范围界定审查。我们纳入了针对患有精神障碍的年轻人（14-24 岁）性健康和生殖健康问题的实证研究和病例报告。完成了定性合成。乔安娜·布里格斯研究所使用批判性评估工具来评估研究质量。研究结果 17 项实证研究和 52 份病例报告符合纳入标准。大多数关注的是性功能障碍，这被认为在该群体中很常见，并且与精神病和抗精神病药物相关。与没有精神病的人群相比，研究人群更有可能进行性冒险行为，并且罹患性传播感染的风险更高。与老年精神病患者临床相关的 SRH 主题，如怀孕、堕胎、性暴力、胁迫、性认同和性别，在这一年轻群体中没有得到很好的解决。我们发现实证研究普遍缺乏对混杂因素的识别和控制，而病例报告对临床干预后的心理健康和性健康与生殖健康结果的描述有限。结论 患有精神病的年轻人需要解决性健康和生殖健康问题的研究和临床实践。为了弥补研究空白​​，未来的研究应重点关注妇女健康、性暴力、性别和患有精神病的年轻人的性行为。