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Retrieving the qualitative literature can be challenging, but the number and specific choice of databases are key factors. The aim of the present study is to provide guidance for the choice of databases for retrieving qualitative health research. Seventy-one qualitative systematic reviews, from the Cochrane Database of Systematic Reviews and JBI database of Systematic Reviews and Implementation Reports, including 927 qualitative studies, were used to analyze the coverage of the qualitative literature in nine bibliographic databases. The results show that 94.4% of the qualitative studies are indexed in at least one database, with a lower coverage for publication types other than journal articles. Maximum recall with two databases is 89.1%, with three databases recall increases to 92% and maximum recall with four databases is 93.1%. The remaining 6.9% of the publications consists of 1.3% scattered across five databases and 5.6% that are not indexed in any of the nine databases used in this study. Retrieval in one or a few—although well selected—databases does not provide all the relevant qualitative studies. The remaining studies needs to be located using several other databases and alternative search strategies. •94.4% of the included studies in qualitative reviews are indexed in at least one of the nine databases. Coverage is higher for journal articles.•Using four databases, it is possible to retrieve 93.1% of the publications.•Retrieval in one or a few databases does not provide all the relevant qualitative literature, and the remaining studies need to be located using several other databases and alternative search strategies.

Despite the fact that eating disorders (EDs) are conditions that are potentially life-threatening, many people decline treatment. The aim of this study was to investigate why women decline specialized ED treatment, including their viewpoints on treatment services. Eighteen semi-structured qualitative interviews were conducted with women who had declined inpatient or outpatient specialized ED treatment. A thematic analysis revealed five main themes: (1) Disagreement on treatment needs, (2) rigid standard procedures, (3) failure to listen, (4) deprivation of identity, and (5) mistrust and fear. The women had declined ED treatment because they believed that treatment was only focused on nutritional rehabilitation and that it failed to address their self-identified needs. From their perspectives treatment was characterized by rigid standard procedures that could not be adapted to their individual situations and preferences. They felt that the therapists failed to listen to them, and they felt deprived of identity and reduced to an ED instead of a real person. This investigation is one of the first of its kind to provide clues as to how treatment could be moderated to better meet the needs of women who decline specialized ED treatment.

Postsecular theory is developing in academic circles, including the psychiatric field. By asking what the postsecular perspective might imply for the secular discipline of psychiatry, the aim of this study was to examine the postsecular perspective in relation to the secular nature of psychiatry, by way of a narrative review. In a systematic search for literature, relevant articles were identified and analyzed thematically. Thirteen articles were included, and three intertextual themes were identified, which represented ongoing international dialogues in relation to psychiatry and religion—such as intervention, integration, identity, the religious or irreligious psychiatrist, and the multicultural setting of the discipline. Furthermore, the postsecular perspective reveals a (potential) bias against the religious worldviews inherent in the secular. Postsecular theory can contribute to the ongoing discussions of how psychiatry, as a secular discipline, approaches the religious in the lives of patients and psychiatrists.

Grey literature complementing evidence from common scientific sources, such as journals, may serve to provide a broader range of evidence, fill in commercial literature gaps and reduce publication bias in research. However, grey literature from legal sources has been used only to a limited extent in forensic mental health research. In this paper, we presented the newly established Danish Court Case Database in the light of forensic mental health. A systematic review was conducted and 15 cases focusing on forensic mental health issues were identified. The cases contained information about indictment, explanations and testimonies and also the court’s decision and underlying reasoning. The different included case types provided a broad range of information about current issues in forensic mental health regulation and the interpretation of Danish law. The database is thus a relevant grey source in forensic research. However, this paper also demonstrated that the database may be improved in terms of its current coverage and ease of use.

QuestionEvidence on the likelihood of receiving rapid tranquillisation (RT) across ethnic groups is mixed, with some studies suggesting that ethnic minorities are more likely to receive RT than others. We aimed to investigate the association between ethnicity and RT use in adult mental health inpatient settings and to explore explanations for RT use in relation to ethnicity.Study selection and analysisWe searched six databases, grey sources, and references from their inception to 15 April 2024. We included studies reporting the association between RT and ethnic groups in adult mental health inpatient settings. A meta-analysis with a random-effects model was performed using odds ratio (OR) to estimate the association. Grading of Recommendations Assessment, Development, and Evaluation (GRADE) was used to assess the overall certainty of the evidence. We reported narratively any explanations for RT use in relation to ethnicity. PROSPERO: CRD42024423831.FindingsFifteen studies with 38 622 individuals were included, mainly using white or native as the ethnic majority group compared with other ethnic groups. Individuals from ethnic minority backgrounds were significantly more likely to receive RT than those with ethnic majority backgrounds (OR=1.49; 95% confidence interval (CI): 1.25 to 1.78; moderate certainty), corresponding to a relative risk of 1.32 (95% CI: 1.17 to 1.48).ConclusionDisparities appear to exist in RT use across ethnic groups in adult mental health inpatient settings, disproportionately affecting ethnic minorities. Further research is required to gain a more comprehensive understanding of this issue.

Purpose To identify and summarise extant knowledge about patient ethnicity and the use of various types of restrictive practices in adult mental health inpatient settings. Methods A scoping review methodological framework recommended by the JBI was used. A systematic search was conducted in APA PsycINFO, CINAHL with Full Text, Embase, PubMed and Scopus. Additionally, grey literature searches were conducted in Google, OpenGrey and selected websites, and the reference lists of included studies were explored. Results Altogether, 38 studies were included: 34 were primary studies; 4, reviews. The geographical settings were as follows: Europe ( n  = 26), Western Pacific ( n  = 8), Americas ( n  = 3) and South-East Asia ( n  = 1). In primary studies, ethnicity was reported according to migrant/national status ( n  = 16), mixed categories ( n  = 12), indigenous vs. non-indigenous ( n  = 5), region of origin ( n  = 1), sub-categories of indigenous people ( n  = 1) and religion ( n  = 1). In reviews, ethnicity was not comparable. The categories of restrictive practices included seclusion, which was widely reported across the studies ( n  = 20), multiple restrictive practices studied concurrently ( n  = 17), mechanical restraint ( n  = 8), rapid tranquillisation ( n  = 7) and manual restraint ( n  = 1). Conclusions Ethnic disparities in restrictive practice use in adult mental health inpatient settings has received some scholarly attention. Evidence suggests that certain ethnic minorities were more likely to experience restrictive practices than other groups. However, extant research was characterised by a lack of consensus and continuity. Furthermore, widely different definitions of ethnicity and restrictive practices were used, which hampers researchers’ and clinicians’ understanding of the issue. Further research in this field may improve mental health practice.

This article presents the findings of an empirical research project on how psychiatrists in a secular country (Denmark) approach the religious patients, and how the individual worldview of the psychiatrist influences this approach. The study is based on 22 interviews with certified psychiatrists or physicians in psychiatric residency. The article presents the theoretical and methodical grounding and introduces the analytical construct \"subalternalizing,\" derived from subaltern studies. \"Subalternalizing\" designates a process where a trait in one worldview (patient) is marginalized as a consequence of another worldview's (psychiatrist) \"disinterest.\" The analysis located four categories: (a) religion as a negative part of the patient story, (b) religion as a positive part of the patient story, (c) religion in relation to radicalization, and (d) there are no religious patients. The discussion shows that the approach is influenced by the psychiatrist worldview. Examples of \"subalternalizing\" are given and how this excludes \"positive religious coping\" and \"existential and spiritual care\" from treatment.