Getting back to the OP . . . so in her case, she had the thoughts, plan, and means to hurt herself if she had chosen to act. What may have been lacking is intent, but that's a very fine line. That's why I responded that in her case, I suspect her therapist would have felt the need to make some sort of intervention at the time, perhaps something as mild as asking her to give him that particular med she was allergic to so it was out of her hands.

But talking about it months later will just result in conversation, perhaps a plan to get rid of the means since obviously having possession of it is of no benefit to her, etc. Getting rid of the means slows us down. It give the patient time to think before acting. It puts a safety net below us that gives or pdocs and T's a little bit of reassurance that they can get to us before we act.