The patients below were evaluated in the emergency department. The psychiatric unit has one bed available. Which patient should be admitted?

Choice A reason: While self-harm requires assessment, a superficial cut following an argument often represents a maladaptive coping mechanism rather than an imminent threat to life. If the patient is now stable and has a safety plan, they may be managed through outpatient crisis services rather than an inpatient bed. Choice B reason: This patient is experiencing command hallucinations directed toward infanticide, representing an immediate and high-risk psychiatric emergency (postpartum psychosis). This situation requires immediate inpatient admission to ensure the safety of the infant and the parent, and to initiate intensive antipsychotic stabilization and monitoring. Choice C reason: Dry mouth and tremors are common side effects of haloperidol (anticholinergic and extrapyramidal symptoms). These can usually be managed by adjusting the medication dosage or administering an anticholinergic like benztropine in the emergency department or an outpatient setting; they do not necessitate an acute psychiatric admission. Choice D reason: Anxiety and sadness following a significant life event like a divorce are normal grief reactions. Unless the patient expresses active suicidal ideation with a plan or an inability to care for themselves, they are best served by community support groups or outpatient therapy rather than inpatient hospitalization.