Although the authors state that if the patient is hospitalized there is no need for immediate notification, they continue to justify the notification. First, they state that because they could not determine the "reasonable probability that the patient may carry out the threat," it was a "reasonable precaution" to contact the Secret Service. Given that hospitalization was clearly indicated, I do not understand why the police or the Secret Service needed to be invited to the emergency department and given access to the patient. Second, the authors state that it was not in the patient's interest to "minimize his threatening verbalizations toward the President." Here, the authors announce their own moral judgment—that "an autonomous adult takes full responsibility for his or her actions, and there are consequences to violating the statute." This decision was made before the authors made a comprehensive diagnosis or any assessment of how autonomous the patient actually was. In addition, they made no suggestion to the patient that he might want to consult with an attorney if they felt a mandatory report was necessary, and they were concerned about his best interests.