If you're just talking to a pdoc or therapist, and not showing intent, then it's fine to talk. Good, actually, because you can get some help to deal with it in a way that keeps you out of the hospital. A pdoc will want to prescribe meds, of course, but that's not a bad thing. If you don't like them, ask for something else. The only time they will press or force IP is if you are clearly not safe to be on your own (state or demonstrate intent, unable to function, say you don't feel you can stay safe).