{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T09:07:36Z","timestamp":1778922456072,"version":"3.51.4"},"reference-count":65,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T00:00:00Z","timestamp":1778457600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Health Psychol"],"abstract":"<jats:p>\n                    This scoping review examines psychiatric gatekeeping (PG) in somatic care, its prescribed settings and perceived role. Considered were English peer-reviewed articles published between January 1994 and January 2025 with the terms \u201cpsychiatric gatekeeper-s\u201d and\/or \u201cgatekeeping\u201d in the title, abstract, or full text, addressing the adult population. The initial search retrieved 4398 publications of which 34 were included. Citation searching yielded an additional 12 articles. Most articles discussed PG in gender-affirming medical care (GAMC;\n                    <jats:italic toggle=\"yes\">N<\/jats:italic>\n                    \u2009=\u200931), followed by medical assistance in dying (MAD;\n                    <jats:italic toggle=\"yes\">N<\/jats:italic>\n                    \u2009=\u20097), and other settings (\n                    <jats:italic toggle=\"yes\">N<\/jats:italic>\n                    \u2009=\u20098). Seventeen were empirical studies. Authors highlight the negative clinical, ethical, and political effects of gatekeeping in GAMC and MAD. In other settings, the lack of evidence for outcome prediction and clinical benefit, as well as role confusion, are emphasized regarding PG. Results are discussed from clinical, scientific, context-related, ethical, and economic, political and societal perspectives.\n                  <\/jats:p>","DOI":"10.1177\/13591053261445922","type":"journal-article","created":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T08:16:29Z","timestamp":1778487389000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Firmly in the saddle? A scoping review of the role of consultation-liaison clinicians as gatekeepers"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0326-7918","authenticated-orcid":false,"given":"Friedrich","family":"Stiefel","sequence":"first","affiliation":[{"name":"Lausanne University Hospital (CHUV), Switzerland"},{"name":"University of Lausanne, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C\u00e9line","family":"Bourquin","sequence":"additional","affiliation":[{"name":"Lausanne University Hospital (CHUV), Switzerland"},{"name":"University of Lausanne, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hermance","family":"Chanel","sequence":"additional","affiliation":[{"name":"Lausanne University Hospital (CHUV), Switzerland"},{"name":"University of Lausanne, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2954-3848","authenticated-orcid":false,"given":"Laurent","family":"Michaud","sequence":"additional","affiliation":[{"name":"Lausanne University Hospital (CHUV), Switzerland"},{"name":"University of Lausanne, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,5,11]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2022.1006024"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/medethics-2018-105293"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/HRP.0000000000000392"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2023.111446"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2015.06.023"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/00207578.2021.1999773"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1037\/pst0000034"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.1176\/ps.48.5.583"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1530\/REP-24-0041"},{"key":"e_1_3_3_11_1","first-page":"344","volume-title":"Taking Sides: Clashing Views on Controversial Issues in Abnormal Psychology","author":"Farberman RK","year":"2005","unstructured":"Farberman RK, Sullivan MD, Ganzini L, et al. (eds) (2005) Issue 19: Should mental health professionals serve as gatekeepers for physician-assisted suicide? In: Hill MG (ed) Taking Sides: Clashing Views on Controversial Issues in Abnormal Psychology, 3rd edn. (Ballot Measure 16. (1994). In Oregon voters\u2019 pamphlet. Portland, Ore.: Multnomah County Elections Division, 1994.) 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