Well.. it kind of works like that. I've admitted myself to a local psych hospital in the past - I am diagnosed with anxiety and depression, and my first round of depression meds a few years ago made me suicidal. They took me right in, barely asked me anything. Additionally, my former roommates parents had him involuntarily committed TWICE (over age 18) with no prior diagnosis. This is all in North Carolina, but I don't think its truly that difficult, tbh. The pandemic may make it an issue, but if they say he is suicidal and he shows/says ANYTHING to the intake people like the "episodes" mentioned by the friend Rose, he's in. Plus, he is likely on his parents insurance, being 23 years old. Seems to me like it wouldn't be beneath any of them to lie, MOO.