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Clinical resource

Reasons To Be Put in A Mental Hospital

This article highlights the key reasons to be put in a mental hospital, important signs that warrant urgent assessment, and what to expect on arrival in such facilities.

Clinically reviewed byDr. Sarah Boss, MD
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Quick Summary

  • Psychiatric admission may be considered when severe depression, recurring panic, trauma symptoms, psychosis, or extreme mood changes seriously disrupt daily functioning.
  • Suicidal or homicidal thoughts, dangerous self-neglect, and psychotic symptoms need urgent assessment; immediate danger requires emergency help. Care may be inpatient, crisis, or community-based.
  • Emergency assessment must not wait for paperwork. Subsequent admission procedures and treatment plans are individualized.

Contrary to the health checkups and admissions at a regular hospital, visiting a mental health care facility or a psychiatric institution can be nerve-wracking and scary. This is due to multiple reasons, for instance, the stigma attached to the old sanitariums and asylums and the uncertainty about what to expect at the visit. Moreover, a lot of people are never too sure when to seek help or the right cues for checking themselves in such facilities.

This article highlights the key reasons to be put in a mental hospital, important signs that warrant urgent assessment, and what to expect on arrival in such facilities.

Mentioned below are the most common reasons why people may consider visiting a mental hospital:

  1. Severe Depressive Episode

Depression is undoubtedly one of the most common psychiatric illnesses throughout the world. Characterized by sheer hopelessness and a constant feeling of overwhelming sadness, such people are at a high risk of having suicidal thoughts and are unable to carry on with daily activities to a dangerous extent.

  1. Nervous Breakdowns

A nervous breakdown is an acute episode of overwhelming emotions that disables the victim to get on with daily life. Such episodes are fueled by long-standing depression and anxiety and can prove to be extremely dangerous and even life-threatening if appropriate support is not provided. 

  1. Severe Panic Attack

Panic attacks are typically harmless and easy to manage. However, recurrence of this problem can prove to be severely debilitating on a day-to-day basis. These attacks may make one desperate to find long-term relief for which a visit to a psychiatric facility might be required. 

  1. Bipolar disorder

Bipolar disorder, or manic depression, is characterized by strong mood swings that alternate between extreme highs (known as mania) and extreme lows (known as depression). Severe mood episodes can impair functioning and increase some safety risks, but a bipolar diagnosis does not establish criminality or dangerousness; urgent needs should be assessed individually.

  1. Post-Traumatic Stress Disorder

Abbreviated as PTSD, post-traumatic stress disorder is a debilitating psychiatric illness triggered by a traumatic event in the past. It includes repetitive flashbacks of the triggering event followed by overwhelming feelings that can potentiate a mental health crisis.

  1. Hallucinations/Delusions

Hallucinations and delusions are terms used to indicate false sensory perceptions or beliefs that are far from reality; hence, not shared by others. These symptoms need prompt clinical assessment. Possible causes include psychiatric illness, physical illness, medications, substance use, or sleep deprivation; inpatient care is one option depending on safety and support needs. 

  1. Homicidal Thoughts

Homicidal thoughts refer to an intent to harm or potentially kill another person. An intention or plan to harm someone requires immediate emergency help. Other distressing thoughts also need prompt professional assessment; clinicians determine the safest care setting. 

Seeking help from a mental hospital or recommending it to a loved one going through a difficult time can be difficult to assess. Keep an eye out for the following signs you need to go to a mental hospital and act accordingly:

  1. You are a threat to others

If you or your loved one is going through a mental crisis and is threatening to harm others, seeking help from a psychiatric institution is highly recommended. The staff at these facilities are highly-trained to handle such patients with care and prevent them from harming themselves or others. 

  1. You have suicidal thoughts

Suicidal tendencies refer to an urge to self-harm with an intent to end life. Seek urgent professional help for suicidal thoughts. If there is an immediate risk of acting on them, call local emergency services; clinicians assess whether hospital, crisis, or community care is safest. 

  1. You are neglecting yourself

Multiple psychiatric illnesses, such as severe depression, can lead to self-neglect. In some cases, this self-neglect can extend to a point where you are putting your life at stake. If you’ve reached this point and are exhibiting one or more of the following symptoms, seek help from a mental hospital:

  • Prolonged starvation
  • Skipping work or school
  • Withdrawal from regular medications
  • Sleep disturbances (very little sleep or sleeping all day)
  • Skipping showers and baths for days/weeks
  • Withdrawal from social activities
  1. You are having a psychotic episode

A psychotic episode can disturb thoughts and perceptions and make it difficult to distinguish what is real; it requires prompt assessment but does not by itself mean a person is dangerous. The symptoms of a psychotic attack include:

  • Hearing sounds or seeing people that aren’t there 
  • Worrying that someone is spying on you
  • Fearing that someone has an intent to harm you

Seek urgent assessment for these symptoms. Care may be provided by early-psychosis, crisis, home-treatment, or inpatient services according to individual needs. Call local emergency services if there is immediate danger or a medical emergency. 

If there is immediate danger, call local emergency services or go to an emergency department; do not delay for family calls or paperwork. Otherwise, contact your local mental health team or hospital for an assessment, with support from someone you trust if helpful.

If possible, it is always a good idea to call the mental hospital ahead of time and confirm their procedure of admission and rules. The appointed staff can also guide you better about what items to bring with you if you are required to stay.

Make sure to have the following information readily available as most mental hospitals require it as a part of the admission process:

  • Name and contact number
  • Contact information for the next of kin (family members or trustworthy friends)
  • Any medical illnesses in the past 
  • A list of all medicines that you are currently taking
  • Any food/drug allergies
  • Insurance information
  • Any particular health concerns in your mind

Clinical urgency should determine when assessment occurs; administrative steps must not delay emergency care. A clinician will assess you and discuss the appropriate treatment plan and setting. 

Within a mental hospital or luxury rehab, a treatment plan is organized for you, tailored to your individual goals and needs. This is carried out after a detailed analysis by a psychiatrist in liaison with a nurse and a psychologist. 

  • Common treatments usually offered at most mental hospitals include:
  • Prescribing/changing a medication
  • Support sessions with psychologists
  • Occupational therapy
  • Access to gyms, art activities, and other leisure activities to promote positive attitudes
  • Weekly reviews with the appointed psychiatrists
  • Weekly meetings with multidisciplinary teams to check treatment response 

Mental illness is a common reason for individuals to go to a hospital. However, learning when to pay a visit before the issue gets out of hand is extremely important. As a rule of thumb, consider checking yourself in a mental health facility if you feel too low to function normally or believe that you are an imminent threat to yourself or others. 

If you are confused if you fulfill the criteria to be checked in, don’t hesitate to call your local mental health team for advice. 

Questions

Frequently Asked Questions

Should I go to a mental hospital?
Seek urgent professional assessment for the following concerns; hospital admission depends on individual needs. Call local emergency services if there is immediate danger:
You are having suicidal thoughts
You are thinking of harming others
You are too depressed or overwhelmed to carry out the normal activities of life, such as eating or sleeping
What should I expect as an inpatient in a mental hospital?
The treatment plans in mental hospitals vary depending on individual patients. However, most of them include prescribing suitable drugs combined with support sessions that involve a psychologist. Various other activities, such as art activities, gym, and game sessions are also organized for leisure purposes. 
Can I be admitted to a mental hospital against my will?
Involuntary admissions are usually the last resort for severely unstable patients and are only authorized if the relevant authorities feel like you are a threat to your own or others’ safety and leaving you out would increase the risk of dangerous consequences. 

Editorial evidence

Evidence & sources

Selected clinical guidelines, peer-reviewed research, and public-health sources used in this article.

View all 10 sourcesShow fewer sources
06National Institute of Mental Health. (n.d.). Depression.View source
07National Institute of Mental Health. (n.d.). Bipolar Disorder.View source
08National Institute of Mental Health. (n.d.). Post Traumatic Stress Disorder Ptsd.View source
09National Institute of Mental Health. (n.d.). Schizophrenia.View source
10American Psychiatric Association. (n.d.). What is mental illness?View source
What this includes
01

Clinical context

Clear information is framed around complex and co-occurring presentations.

02

Individual factors

Assessment remains essential because needs and risks differ from person to person.

03

Next steps

A confidential conversation can help clarify the most appropriate route forward.

Not sure where the situation fits?

Your admissions team

Jil Moore
Jil MooreClient Relations Director
Cynthia Nakhle
Cynthia NakhleAdmissions Manager

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