In the situation that the communication with the T is not reliable, I think it's best to make the plan for the ER. How can the T possibly be there for the emergency call when they might not even receive it???

If the money factor enters in, or any other factor, then the actual act is not imminent, imo. (Though it's feelings might be very strong.)Being able to consider some of the consequences to such an action, is a good thing.

As Ben suggested, and I agree, when the person sinks so low as to really consider the act, there is nothing else on their mind. T's have to take the safest (for the patient) route.