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Across the United States, state laws most commonly limit the duration of emergency psychiatric holds to 72 hours. Estimates suggest that more than 1 million emergency psychiatric holds are placed in the United States each year, and this 72-hour limit can shape the lives of patients, clinicians, law enforcement officials, and others in the community. Yet, from where did this time frame originate, and why is it so prevalent in psychiatric care? The author examines the evolution of 72-hour limits on psychiatric holds in the United States, as well as the eviden