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Intermediate Formal IVT

Danger to Self

Also written as: DTS — Danger to Self

A criterion for involuntary psychiatric evaluation or commitment indicating that, as a result of a mental disorder, a person poses an imminent risk of self-harm or suicide.

Full Definition

Danger to self (DTS) is a foundational legal and clinical criterion used across U.S. jurisdictions to justify emergency involuntary psychiatric detention. It encompasses imminent suicidal ideation, intent, or behaviour, as well as self-injurious acts resulting from psychiatric illness. Critically, it is distinct from 'grave disability,' which addresses inability to self-care rather than active self-harm. Editors must also distinguish DTS from 'danger to others' (DTO), the separate criterion addressing harm to third parties. In commitment petitions and clinical records, both DTS and DTO may be cited simultaneously; they must be documented and labelled separately.

Usage

Usage note: DTS, DTO (danger to others), and grave disability are legally distinct criteria and must not be conflated in commitment documents. Each requires separate clinical justification in the petition.

In Context

  • "The emergency petition cited danger to self based on the patient's expressed intent to overdose on medications stored at home." — Involuntary commitment petition
  • "Editors reviewing commitment paperwork should confirm that danger to self and grave disability are listed as separate, independently justified criteria when both apply." — Legal document review

Also known as

DTS danger to self criterion SI-based hold criterion

Contrasted with

danger to others grave disability

Don't confuse with

grave disability danger to others self-neglect

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