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Even before someone wears these outfits during the festivity, these Halloween costumes that are often inspired by popular culture works have sparked controversies.

AceShowbiz - As with the case of the "lady boy" costume, people thought it's not funny to make fun of mental health patients. There were several interpretations of the mental patient Halloween costumes, with one including a blood-spattered uniform bearing the words "Dorothea Dix Psych Ward". Dorothea Dix Hospital opened in 1856 in Raleigh and served patients with mental illness until it closed in 2012. After people expressed their outrage over the outfit, Halloween Alley store owners pulled the products to avoid protests by mental health advocacy groups.

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