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To the Editor.—
In the article by Meyerson et al appearing in the Archives (36:423-427, 1979), clinical decisions of inexperienced and experienced clinicians were compared. The inexperienced clinicians were said to show "overreaction" and "admit too many and give medication too infrequently." The training implications were discussed with recommendations made. Since there was no follow-up reported, it is unclear whether either group made "better" decisions, ie, what percentage of suicidal patients sent home had to be hospitalized at a later date or actually did commit suicide. Although there is much to be said in favor of nonhospital treatment, the decision not to admit is not, per se, a decision that less experienced trainees should strive for.
Lesser I. Clinical Decision Making. Arch Gen Psychiatry. 1981;38(1):114. doi:10.1001/archpsyc.1981.01780260116014