Table 4 Typical indications for inpatient treatment 2, 3.

Posing a threat to oneself or to others, including suicidal tendencies (absolute indication), need to have medical help constantly on hand to deal with potential crises

Severe physical symptoms and/or severe somatic co-morbidities, severe psychological symptoms and/or marked psychological co-morbidities

Unable to work for a longer period of time (at least 4 weeks) which may put the patientʼs ability to earn a living at risk, limited social support, serious familial or workplace-related conflicts, other relevant socio-medical aspects

Insufficient motivation to undergo treatment or lack of resilience with regard to pursuing outpatient therapy, purely somatic understanding of illness

Serious stresses in the patientʼs prior history

Serious interaction difficulties between healthcare staff and patient

No success reported for outpatient treatment after 6 months ([temporary] inpatient therapy should be considered if an evaluation of the patientʼs progress, which should be done every 3 months, twice shows that outpatient treatment has not been successful)

Problems of logistics or availability when attempting to make a multimodal (differential) diagnosis and offer treatment by a range of different healthcare professionals

Treatment plan must be change or adapted and progress must be monitored by a team composed of different professionals supervised by a physician, onward treatment necessary to change the external framework

Patientʼs own request