Here's what I have learned. Past events therapists just write down so they know it can get "that bad". Many therapists deal with clients that self harm. It is not an indication of suicide its an indication of overwhelming feeling that clients can't deal with or trauma. If you tell a therapist you are suicidal they will use a scale like this and depending on what they are comfortable with will increase appointments, make a safety plan, or insist on hospitalization. If you are willing to go volunteerally its usually not a locked ward and 3-5 days. Therapist generally avoid diagnosing and treat symptoms. You have a right to interview the therapist and ask these questions. You are the one that hires the therapist. If you are enough of a threat to yourself that you have to be hospitalized you have every right to stop taking the medication when you are no longer deemed a threat to yourself.

When I interview new therapists I plan to tell them how bad I can get so they can decide whether they are willing to deal with me at my worded.