It seems like different therapists are very different. It took me almost a year to trust my T enough to be completely open about my sui thoughts. He'd told me at an early stage that he has never, in over 30 years, sent anybody to hospital against their will, and that helped. I think he knows that it would be a disastrous thing for me to be committed to a psych hospital. And I know that he trusts me to let him know if I do have suicidal thoughts, serious or not.