Abstract
Utilization Review, Attempted Suicide, and Involuntary Hospitalization
Kirstein L~~Weissman M M
Identified 5 cases where there was independent agreement between the expert’s standards & the treating resident psychiatrists that hospitalization was required, but the patients refused. They had made repeated attempts, used lethal means & were suicidal upon referral. The psychiatrists reported feeling confused, anxious & annoyed in dealing with them. Indicates discussions of social control vs medical responsibility & clear hospitalization criteria should be incorporated into residency training.