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Discussion

    Published:November 07, 2022DOI:https://doi.org/10.1016/j.surg.2022.09.042
        Dr Daniel Eiferman (Columbus, OH): As you stated in your presentation, these patients often have complex psychosocial histories associated with them. Psychiatry is consulted to come and see these patients while they are in the hospital, and it has been my experience that many times a psychiatric evaluation does not actually recommend inpatient psychiatric care for many of these patients and say they are safe to return to their prior environment. Is there any data to suggest that inpatient hospitalization after self-injurious behavior decreases the risk of future self-harm events, or is outpatient just as efficacious? You even put in the manuscript that patients who are coerced into inpatient psychiatric hospitalization have worse outcomes, possibly because they were coerced to go against their will. Before discussing disparities of who should go, we should understand the benefit.
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