I am too worried about the potential to be hospitalized so I don't tell my T directly about my thoughts of suicide/self harm...I wish I could, but I just cannot risk it. I hint at it a lot though by saying things like, "sometimes I'm just so tired, I want to give up." Or "things got so bad...i got VERY scared." I strongly emphasize that these feelings are serious to me. I like to think my T catches my drift but I dunno....