Target Audience


Southern Medical Journal (SMJ) is an interdisciplinary, multi-specialty Journal, and articles span the spectrum of medical topics, providing timely, up-to-date information for primary care physicians and specialists alike. The SMJ enables physicians to provide the best possible care to patients in this age of rapidly changing modern medicine.  Therefore, the readers of the SMJ are an appropriate target for this article.

Goals and Objectives


Patients requiring involuntary holds are frequently seen in the emergency department. Much of what is known comes from studies of patients at urban academic centers. Identification of social stressors, psychiatric disorders, substance misuse, and active medical conditions in these patients may help target interventions to improve care in the acute care hospital emergency department. At the conclusion of the session, learners should be better prepared to:

  • Identify the common reasons for involuntary hold status in your hospital’s emergency room.
  • Consider some differences between urban and suburban emergency departments with respect to rate of suicidality and associated mental health and medical co-morbidities.
  • Develop a multidisciplinary plan for the management of patients who would benefit from involuntary hold status at your acute care hospital.

Course Information


CME Release Date: May 6, 2019
Valid for credit through: May 6, 2020
Course type: CME Journal Article
Estimated time of completion: 1 hour

Credits Available


Southern Medical Association is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

AMA PRA Category 1 Credits™

Southern Medical Association designates this CME Journal Article for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

For information on applicability and acceptance of continuing education credit for this activity, please consult your professional licensing board.  All healthcare professionals who are not MDs or DOs will receive a certificate of participation.

Instructions for Participation and Credit


This activity is designed to be completed within the time designated; learners should claim only those credits that reflect the time actually spent in the activity. To successfully earn credit, participants must complete the activity online during the valid credit period noted, following these steps:

  • Read the goals and objectives, accreditation information, and author disclosures.
  • Login in below to access the article in order to study the educational content and references.
  • Online, choose the best answer to each test question. To receive a certificate, you must receive a passing score of 80%.
  • Complete the activity evaluation and attestation.

Upon successful completion of the test, evaluation and attestation, your certificate will be processed and emailed from [email protected] within approximately 1 hour. Credits will be archived for 6 years; at any point within this time period you may login to your account to print a duplicate copy of your certificate.

Click the Disclosure Tab above for Author/Faculty Information

Disclosure of Relevant Financial Relationships


As an organization accredited by the ACCME, Southern Medical Association requires everyone who is in a position to control the content of an education activity to disclose all relevant financial relationships with any commercial interest. The ACCME defines "relevant financial relationships" as financial relationships in any amount, occurring within the past 12 months, including financial relationships of a spouse or life partner that could create a conflict of interest.

Southern Medical Association encourages Speakers/Authors to identify investigational products or off-label uses of products regulated by the US Food and Drug Administration, at first mention and where appropriate in the content.

The following individuals, unless otherwise notedhave no relevant financial relationships to disclose.

Manuscript Author(s):
Archana Roy, MD
Christian Lachner, MD
Adrian Dumitrascu, MD
Nancy L. Dawson, MD
Tyler F. Vadeboncoeur, MD
Michael J. Maniaci, MD
Ian C. Lamoureux, MD
Patricia C. Lewis, ARNP
Teresa A. Rummans, MD
M. Caroline Burton, MD

SMJ Editor-in-Chief:
G. Richard Holt, MD, MSE, MPH, MABE, D BE

Southern Medical Association/Southern Medical Journal Editorial Staff:
Jennifer S. Price, MA, Managing Editor
Anita McCabe, Copyeditor

Course Materials

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