Our expert says:
I think it depends on hospital or local policy, though this is one areas where I think firm national policy is needed. In Britain, at least when I worked there, it was firm policy that ANYONE admitted to hospital following any episode of self-harm, MUST be seen and evaluated by a psychiatrist before discharge.
Whichever doctor is in charge of the case ( and there must be one ) is entitled to get firther assessments and, if he/she believes that the person is a significant risk to themselves, but is reluctant to accept further treatment, can go through prescriebd procedures to institute comp[ulsory hospital admission for further assessment and potentially for treatment.
Of course families ought not to be left to flounder, though this is indeed too often the case. CBT is of course useful, but other treatments, too, may be needed in the acute stage.
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