The hospitals are caught in a bind. They make the environment friendly with amenities and risk a suicide and a law suit or they make the unit suicide proof and create a punishing atmosphere for all patients. I'm glad I'm not the one who has to make these decisions. I also know that I would never voluntarily admit myself to a unit that treated its patients like that. I'm usually admitted for mania with psychosis so I probably wouldn't notice the austere surroundings until I was recovering. I'd bug the heck out of my psychiatrist to release me when I began having insight however. I'd never consent to a paper gown or no bathroom door. I'm a rape survivor for heavens sake.