Just wanted to agree that SI alone isn't, afaik, grounds for hospitalization. Previous T knew about my SI... and never even mentioned a hospital (thankfully). Although he did think I'd benefit from medication, which I was pretty strongly opposed to.

I'm with a fairly new T now. I just wrote up a letter. I didn't actually want to tell him at all, because when I'm feeling good - it's completely in the past, and when it's not in the past, I don't want to tell! But, we bumped up against it with me trying to talk about something else, and since I wouldn't tell him in the moment what things I was referring to (why I thought another T had kicked me out, and why I thought I was such a mess back then), he assumed it was suicidal thoughts.

I just gave him the letter last week, so I'm kind of freaking out a little bit. But it's still so much easier to write it out (even if it took me ~3 hours to get a few sentences out!) than to try to figure out how to say it in the session. We'll see this week what happens... I wish I wasn't so nervous about it now.