|Author, year||Study design||Setting||Participants||Aims/objectives||Outcomes/data related to patient safety||Study quality|
|Mezey, Hassell & Batlett (2005)||
|Medium-secure NHS psychiatric units (England and Wales)||
31 female inpatients|
58 staff (9 consultant forensic psychiatrists, 9 ward managers, 18 staff nurses, 9 nursing support workers, 3 social workers, 5 psychologists and 5 occupational therapist). 53% women, 47% men.
|To examine the impact of gender segregation on the safety of women patients detained in medium-secure psychiatric facilities.||Women patients in both types of units reported high levels of actual and threatened physical and sexual violence. Women in single-sex units reported intimidation, threats and abuse by other women patients, although they were less vulnerable to sexual abuse and exploitation and serious physical assault.||Will be assessed and scored from ‘Good’ to ‘Very Poor’ based upon Hawker et al. (2002)|
|Meehan, Morrison & McDougall (1999)||
Case review and interview
|Acute psychiatric unit on the grounds of a public hospital||
All participants who were recorded as AWOL in the unit’s register within a 6-month study period.
Interviews: 14 patients (9 males, 5 females; 19–58 years old) who were interviewed within 48 h of returning from being AWOL.
|To identify patient and environmental characteristics associated with absconding behaviour and to gain an understanding of the behaviour form the patient’s perspective.||Those who absconded were male (58%), under 40 years of age (74%), admitted involuntarily (78%), and had a diagnosis of schizophrenia (42%). One third of all AWOL incidents resulted from repeated absconding by the same individuals. The first 7 days post admission was a high-risk period for absconding behaviour. Identified situational and environmental factors likely to increase the risk of absconding included: staff skills, communication and management strategies.|