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<p>The mental health of children and young people has become a growing global public health concern, with increasing numbers reaching crisis point. In response, a range of crisis mental health services and interventions have been developed. However, little is known about the extent to which children and young people themselves are represented in research examining these services. This scoping review examines the extent and characteristics of peer-reviewed research on mental health crisis services and interventions in which children and young people are the participants. It aims to map the existing literature, identify methodological trends, highlight gaps in how young people are represented within this research, and provide recommendations for future study. Following the JBI Manual for Evidence Synthesis, a systematic search was conducted across PsycInfo, ASSIA, Medline, CINAHL, and Scopus. Studies were screened using Covidence, and data were extracted to Excel for descriptive analysis. A total of 11,702 studies were identified, with 333 meeting inclusion criteria. Findings reveal a significant methodological imbalance, with over 99% of studies employing quantitative methods and 92% relying on secondary data. Crisis research is overwhelmingly Western-centric, with 88.7% of studies conducted in high-income countries. Additionally, crisis services remain hospital-focused, with over 73% of studies centering on emergency departments, despite growing evidence for community-based models. Demographic reporting is inconsistent, with race/ethnicity, socioeconomic status and sexuality often underreported. Despite the expansion of crisis mental health research, young people remain largely excluded from shaping the field. The reliance on secondary, quantitative data limits understanding of their lived experiences, reinforcing a policy-practice gap in service development. This review calls for a paradigm shift towards qualitative, participatory, and community-centered research, ensuring that children and young people are not just subjects of study but active participants in crisis service improvement. This scoping review was preregistered on the Open Science Framework (OSF) prior to data extraction, in line with best practice for transparency and methodological rigor. The protocol is publicly accessible at <a href="https://osf.io/c3htd/overview">https://osf.io/c3htd/overview</a>. </p>

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Are Young People Heard? A Scoping Review of Their Inclusion in Mental Health Crisis Service Research

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年6月1日

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  • Bobbie Dutton-Ghaus,
  • Neil Humphrey

摘要

The mental health of children and young people has become a growing global public health concern, with increasing numbers reaching crisis point. In response, a range of crisis mental health services and interventions have been developed. However, little is known about the extent to which children and young people themselves are represented in research examining these services. This scoping review examines the extent and characteristics of peer-reviewed research on mental health crisis services and interventions in which children and young people are the participants. It aims to map the existing literature, identify methodological trends, highlight gaps in how young people are represented within this research, and provide recommendations for future study. Following the JBI Manual for Evidence Synthesis, a systematic search was conducted across PsycInfo, ASSIA, Medline, CINAHL, and Scopus. Studies were screened using Covidence, and data were extracted to Excel for descriptive analysis. A total of 11,702 studies were identified, with 333 meeting inclusion criteria. Findings reveal a significant methodological imbalance, with over 99% of studies employing quantitative methods and 92% relying on secondary data. Crisis research is overwhelmingly Western-centric, with 88.7% of studies conducted in high-income countries. Additionally, crisis services remain hospital-focused, with over 73% of studies centering on emergency departments, despite growing evidence for community-based models. Demographic reporting is inconsistent, with race/ethnicity, socioeconomic status and sexuality often underreported. Despite the expansion of crisis mental health research, young people remain largely excluded from shaping the field. The reliance on secondary, quantitative data limits understanding of their lived experiences, reinforcing a policy-practice gap in service development. This review calls for a paradigm shift towards qualitative, participatory, and community-centered research, ensuring that children and young people are not just subjects of study but active participants in crisis service improvement. This scoping review was preregistered on the Open Science Framework (OSF) prior to data extraction, in line with best practice for transparency and methodological rigor. The protocol is publicly accessible at https://osf.io/c3htd/overview.