Well that's what I say...I'm not suicidal. Just because the images are there doesn't mean I'm Sui. But if they are bothering you a lot you can say that you don't feel suicidal and have no plans or intentions but you are getting intrusive thoughts sometimes. Personally I see it as something I will always have to deal with so I never bring it up in pdoc appts because I don't think med adjustments will help, so why bother? If I'm going to bring it up anywhere it will be with my therapist. DBT and CBT I feel would be the only things that would help with intrusive thoughts not related to episodes for me.