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Self\u2010admission has been developed as a treatment tool whereby patients with a history of high healthcare utilization are invited to decide for themselves when brief admission is warranted. The aim of this study was to evaluate the impact of a self\u2010admission program on healthcare utilization, eating disorder morbidity, health\u2010related quality of life (HRQoL), and sick leave for patients with AN.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>In this cohort study, 29 participants with AN in a Swedish self\u2010admission program were compared to 113 patients with longstanding illness but low previous utilization of inpatient treatment, matched based on age, illness duration, and body\u2010mass index (BMI). Data on healthcare utilization, eating disorder morbidity, and sick leave were obtained from national population and eating disorder quality registers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants displayed a &gt;50% reduction in time spent hospitalized at 12\u2010month follow\u2010up, compared to nonsignificant changes in the comparison group. A sensitivity analysis comparing participants to a moderate\u2010utilization comparison subgroup strengthened this observation. In contrast, the approach did not affect participants' BMI or eating disorder morbidity. Regarding HRQoL, mixed results were observed. In terms of sick leave, a beneficial but nonsignificant pattern was seen for participants.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>These findings indicate that self\u2010admission is a viable and helpful tool within a recovery model framework, even though it does not lead to symptom remission. In its proper context, self\u2010admission could potentially transform healthcare from crisis\u2010driven to pre\u2010emptive, and promote autonomy for severely ill patients.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.23346","type":"journal-article","created":{"date-parts":[[2020,7,15]],"date-time":"2020-07-15T07:51:38Z","timestamp":1594799498000},"page":"1685-1695","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Self\u2010admission to inpatient treatment in anorexia nervosa: Impact on healthcare utilization, eating disorder morbidity, and quality of life"],"prefix":"10.1002","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4799-0737","authenticated-orcid":false,"given":"Mattias","family":"Strand","sequence":"first","affiliation":[{"name":"Centre for Psychiatry Research, Department of Clinical Neuroscience Karolinska Institutet, &amp; Stockholm Health Care Services, Stockholm County Council  Stockholm Sweden"},{"name":"Transcultural Centre Northern Stockholm Psychiatry, Stockholm Health Care Services, Stockholm County Council  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cynthia M.","family":"Bulik","sequence":"additional","affiliation":[{"name":"Department of Medical Epidemiology and Biostatistics Karolinska Institutet  Stockholm Sweden"},{"name":"Department of Psychiatry University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"},{"name":"Department of Nutrition University of North Carolina at Chapel Hill  Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanna A.","family":"Gustafsson","sequence":"additional","affiliation":[{"name":"University Health Care Research Center Faculty of Medicine and Health, \u00d6rebro University  \u00d6rebro Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yvonne","family":"von Hausswolff\u2010Juhlin","sequence":"additional","affiliation":[{"name":"Centre for Psychiatry Research, Department of Clinical Neuroscience Karolinska Institutet, &amp; Stockholm Health Care Services, Stockholm County Council  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabeth","family":"Welch","sequence":"additional","affiliation":[{"name":"Centre for Psychiatry Research, Department of Clinical Neuroscience Karolinska Institutet, &amp; Stockholm Health Care Services, Stockholm County Council  Stockholm Sweden"},{"name":"Stockholm Centre for Eating Disorders Stockholm Health Care Services, Stockholm County Council  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,7,15]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"DSM\u2010IV: Diagnostic and statistical manual of mental illness","author":"American Psychiatric Association","year":"1994"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22327"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.1003"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2008.06.012"},{"key":"e_1_2_8_6_1","first-page":"315","volume-title":"Cognitive behavior therapy and eating disorders","author":"Bohn K.","year":"2008"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0167-6296(01)00130-8"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291717002604"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22715"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-013-0496-4"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638230701482394"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/0004867414539398"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.2019.113"},{"key":"e_1_2_8_14_1","first-page":"123","volume-title":"Methods for the economic evaluation of health care Programmes","author":"Drummond M. 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