OK, so here is the dumb question of the day...sorry but I would really like to hear thoughts

At what point do you tell your doctor if you are having SI thoughts.....people have them....I am just not sure at what point do you throw in the towel and say....Yah, this is what's going on and I am tired of fighting it....

I just don't want to be an alarmist, and I have told them before I have had them.....so at what point are you concerned? Sometimes I wonder, is it when the barrell is in your mouth....I don't know How many times do they have to hear this? I mean.... I don't want to be someone that is always crying wolf...so....at what point do you say, I am really needing help here?

Thoughts
Thank you

Thoughts???