Mental Health Situation of Sex Workers in Europe: a Scoping Review

Background: Due to the nature of their activity, sex workers often experience a lack of acceptance and stigmatization in society. This results in numerous exclusion mechanisms and stress factors, which might be associated with an increased vulnerability to mental illness. Objective: To identify studies on the mental health situation of sex workers in Europe. Methodology: A scoping review identified n=12 relevant studies published from 1990 onwards in the scientific databases LIVIVO, BASE, PubMed and PSYNDEX. Results: At least one mental disorder was reported in 56-75% of sex worker*respondents. Depression, substance use, suicidality, and post-traumatic stress were particularly common among respondents. The results show that sex workers are vulnerable to psychological stressors and illnesses. Comprehensive psychosocial support and counseling is indicated, taking into consideration the different work contexts and life situations.