I think that suicidal thoughts can definatley be non attention seeking. Actually, I think most of the time, they are completely real. Because at the time, it is what you are really feeling. It may not be rational, and it may not last, but at the time u reach out, it is 100% real.

I think that by reaching out, it shows that you have a level of trust in your therapist that deserves some respect. I think that any suicidal thoughts or threats should be taken with all seriousness, because it's better to play it safe than sorry.

I am also aware that there are some attention seekers out there, but really, with suicidal thoughts, I really think the therapist should give the patient at least the benefit of the doubt, because if the proper measures are not taken, and the patient was indeed suicidal, it is an irreversible act.