It's my observation that Ts who work in private practice are better able to exercise reasonable judgment when it comes to this. Other therapists often have to abide by the policies of a hospital or organization, so they lose their autonomy or don't have a choice.

Human behavior is not predictable, but my T said there are 3 psychological profiles (as in forensics I think) of people who do harm themselves in this way, and that I don't fit either one of them, regardless of things I've said to him. I think experience also brings more seasoned decision-making.

I hope things pick up for you soon.