Assessing water security requires integrated approaches capable of capturing its multiple dimensions, methodological perspectives, and spatial dependencies. This scoping review examines 170 publications from 2015 to 2026 to identify global trends in water security research, focusing on conceptual dimensions, indicators, methodological approaches, and spatial-scale dependency. Based on the reviewed literature and major international frameworks, water security was organized into five interconnected dimensions: availability and access, water quality, risk management and resilience, governance and ecosystems and sustainability. Results reveal a strong predominance of watershed-scale assessments, particularly for dimensions associated with biophysical and ecological processes. Methodologically, studies were grouped into six categories, with hydrological models dominating (64%), followed by statistical and climate trend analyses (11%), water security indices (8%), risk and scenario assessments (7%), socioeconomic models (6%), and ecological approaches (4%). Methodological selection showed scale dependency: hydrological models were strongly associated with watershed assessments; statistical and climate analyses and composite indexes were more transferable across scales; risk and scenario approaches gained prominence at broader scales; and socioeconomic models shifted from local stakeholder interactions toward macroeconomic dynamics. Several indicators, including water demand, water pressure, runoff, land-use change, and ecological flows, exhibited cross-dimensional linkages. Despite the multidimensional conceptualization of water security, governance and particularly ecosystems and sustainability remained comparatively underrepresented. These findings highlight the need for more integrated, coupled, and scale-sensitive methodologies capable of linking hydrological processes with socioeconomic dynamics, governance, ecosystem functioning, climate uncertainty, and compound risks to support adaptive and sustainable water management.