If you are feeling to the point of self harm and don't feel the meds are working, going inpatient might be the best idea. You would be safe and the drs could work on your meds while observing you instead of handing you a rx and sending you home and hoping for the best. It would give you a time out from the stress at home. I know when I went, I needed it, to be away from my husband and kids and everything associated with home and all the anxiety involved. I had medicines added too that helped my bipolar depression and anxiety stabilize.
That's only a suggestion, not everyone feels the same way about the hospital.