Clinical warning signs preceding severe suicide attempts requiring pediatric intensive care in children and adolescents.

Self‐reported health is a widely used indicator of how individuals perceive their own health status, and it consistently predicts hospitalizations, emergency department use, morbidity, and mortality across populations []. Because a single self‐rating item captures a synthesis of biological, psychological, and social experience, understanding which populations self‐rate their health, and how, is as important as the responses themselves: self‐reported health can reveal disparities in access to care and representation in health research that are not always visible in clinical measures alone. Puerto Ricans have historically faced systemic barriers to receiving health care. High poverty levels, fragile infrastructure, weakened public systems, and hazardous environmental conditions on the island collectively contribute to adverse health outcomes across individual, community, and population levels []. Puerto Ricans experience poorer health status and a higher prevalence of multiple chronic conditions than non‐Hispanic Whites and other Hispanic subgroups, reflecting substantial heterogeneity in health outcomes across Hispanic populations that can be obscured when these groups are analyzed as a single category []. This systematic review synthesizes evidence on the factors associated with self‐reported health within Puerto Rican populations, addressing a literature that remains fragmented across disease‐specific, disaster‐related, and general‐population studies. Clear research questions guide the evidence‐based healthcare process and link each review approach to specific inclusion criteria through a unified typology []. Adhering to Preferred Reporting Items for Systematic Reviews and Meta‐Analyses guidelines ensures a rigorous standard for identifying, selecting, and appraising literature []. The Population, Exposure, and Outcome framework refines study selection: among Puerto Rican populations (P), what factors (E) are associated with self‐reported health or related health‐status outcomes (O)? Following full‐text data extraction, the Health Belief Model was applied as an organizing interpretive framework, consistent with precedent for applying the model as an explanatory lens for health perceptions and behaviors [], rather than as a criterion that determined which studies were eligible for inclusion. Its constructs, perceived susceptibility, severity, benefits, barriers, self‐efficacy, and cues to action, are used in Section , to structure the narrative synthesis of how individual health beliefs interact with broader social and structural influences.