Lead author Utsha Khatri and PISC Senior Scholars Kit Delgado, Gina South and Ari Friedman questioned whether there was an association between race and/or ethnicity and the receipt of chemical sedation among Emergency Department patients presenting for psychiatric disorders. Black race was associated with a greater probability (2.2%; 95% CI 0.8–3.7, P < .01) of receiving chemical sedation than non-Hispanic white race and/or ethnicity (3.0%). However, when accounting for the proportion of hospital population that was Black, individual patient race was no longer associated with a significant increase in receipt of chemical sedation. Authors conclude that interventions designed within healthcare to combat the forces of racism must focus on more than provider-level bias, as the factors that continue to contribute to racial disparities in management and outcomes are impacted by many additional structural factors.