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Emergency care for young people after self-harm: a realist review protocol
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  • Published on: 28 April 2025
    Emergency care for young people after self-harm: a realist review protocol
    • Hania Shahbaz, Dentist Dow university of health sciences , Karachi, Pakistan
    • Other Contributors:
      • Ahmad Sanan, MBBS student
      • Hussain Ramzan, MBBS

    Letter:
    Dear Editor,
    We are writing in response to the article published by Romeu et al., 2025, "Emergency Care for Young People After Self-Harm: A Realist Review Protocol"[1]. The article provides a detailed examination of the factors contributing to the rising number of young people seeking emergency care after self-harm, such as increased mental health issues and limited access to preventive care, effectively highlighting the urgency of this public health issue through detailed literature review. Given increasing concerns about youth mental health and the strain on emergency services, this research is highly relevant and well-timed. The study follows a structured realist review methodology, incorporating Pawson’s five iterative stages, which include clarifying the scope, searching for evidence, appraising the quality of evidence, synthesizing findings, and drawing conclusions. The use of methodical searches, stakeholder engagement, and program theory development adds depth and credibility. Nevertheless, some methodological concerns and excluded factors limit the study’s thoroughness.
    Pilot searches have confirmed the originality and feasibility of this review by demonstrating unique findings not previously covered in existing literature and by successfully identifying relevant data sources and methodologies applicable to the study's scope. However, the limited geographic scope restricts its generalizability to other healthcare systems. W...

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    Conflict of Interest:
    None declared.