If this was my therapist the first thing she would do is ask me questions on what she calls her assessment sheet which is a paper she uses in deciding what her next step is - upping the appointment schedule or going with the client to the ER for an assessment for intake on the Mental Health Unit. The reason she does this is because this therapy agency has set protocals that the therapists must go by for suicidal and self injury stuff. And to my therapist it don't matter which is the one engaging in suicide or self injury. She says in order for her DID clients to be switching into altered states that contain this type of behavior the person must be triggered and thinking about this kind of behavior which results in them switching into that suicidal alter. May sound weird to some but my therapist does not treat alters and the person as separate people. this agency treats DID with the focus on the whole person not encouraging separation. So when an alter is suicidal then the person is also feeling triggered by something so much that they too want to die but for some reason are unable to complete the act, which is why they have switched into that alter so that they can complete the suicidal threat or act.