The song was also included in the 12-inch EP Institutionalised, which was released exclusively in the UK in 1988 after Suicidal Tendencies had risen in popularity.

They are complemented by the lead guitar, subdued at the start of the verses, but becoming more frantic and powerful with the protagonist's confrontations and emotional outbursts.

[7] Along with "Subliminal", "I Saw Your Mommy" and "I Shot the Devil", "Institutionalized" is one of the most played songs from Suicidal Tendencies,[8] and has frequently been performed at the band's concerts since its live debut in 1982.

Although Rocky George and R.J. Herrera did not play on the album version of "Institutionalized", both can be seen on stage in the video performing the song with Suicidal Tendencies.

It was also popularly covered by the band Senses Fail, and this version can be heard in skateboarding video game Tony Hawk's American Wasteland (where one notable difference is that "Buddy" replaces "Mike" on the lyrics).

[9] "Institutionalized" is referenced in the Sage Francis song "Slow Down Gandhi" in the line "It's death penalty vs. suicidal tendencies / All I wanted was a fucking Pepsi / Institution / Making you think you're crazy is a billion dollar industry."

Australian band Cloud Control use the line "I'm not crazy/You're the one that's crazy" in their song "Moonrabbit" from their album Dream Cave.