I tell my T and we talk about it. She determines if it's a thought or there is intent. Most of the time its just a thought.

Before my meds were figured out I was constantly suicidal. My T wanted me to be hospitalized, but I refused. She would write up a contract stating that I agreed not to cause any harm to myself. This agreement was good for a week. If I was still suicidal I would sign another agreement...and we would add sessions.

The last time I was truly suicidal, my T did call an ambulance and I did sign myself into the inpatient program. I didn't have it in me to fight it.

Talk to your school counselor. That person is there to help you.