Comment on ‘Unpacking Mechanisms of Rapid Response for Mental State Deterioration: A Realist‐Informed Analysis of Field Observations in Acute Hospital Settings’

Key Points Dziruni et al.'s (2026) study pioneers integrating mental health expertise into Rapid Response Systems (RRS), identifying core enablers and barriers for Mental State Deterioration (MSD) management in acute hospitals. The study has three key gaps: exclusion of patient/family lived experiences, overreliance on reactive interventions and limited adaptability across diverse acute care settings.