Usually inpatient is reserved for people who are deemed to pose a very real threat to their own life or the lives of other people. It's not something that is dished out like sweets.
Usually if you're not suicidal and you go in to have self inflicted injuries treated they'll patch you up, maybe have a chat with you to check that you'll be ok once you leave, and then discharge you.
If you're suicidal and you go in, once again it doesn't necessarily mean they'll make you go inpatient there and then. Usually they'll assess you and see what the best options are.
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