This is when a person should talk to their theraipst so that the thoughts don't intentionally or accidentally get acted on. Course I don't always take that advice myself because I have a huge problem around hospitals and the topic of such. So basically my therapist knows the thoughts are always there but because of my very strong promises to some friends I won't act on it, and right now I prefer not discussing my suicidal thoughts and the fact that if I didn't have that promise to my friends I would be acting on the thoughts and would not even care that death is permanent. All my therapists is asking from me right now surrounding the topic is that I tell her when there is an increase in the thoughts because that usually means the client is experiencing problems that need to be taken care of not nessessarily on the subject of suicide just that something may be coming to the surface or Im getting overwhelmed in other areas. So what LL and I have set up is t hat if I am fine or not suicidal and not cutting I see here every two weeks, three weeks or more depending on what I want but if the suicidal thoughts or self injury thoughts are increasing or changing I see her weekly for a bit. during those weekly sessions we dont talk about my wanting to die or cut (my choice because I know that this therapy agency has a protocal that anyone who is in the active stage of acting on those type of thoughts they should be referred to the local mental health unit or evaluated for possible time on the MHU) but we do talk about what is going on in my life during the change in thoughts.

Something in your life has activated the thoughts to make them change in some way and that something is maybe what you can talk about with your therapist so that if anything you and your therapist can release some of the emotions bouncing around surrounding that situation.

Hang in there.