I talk to my therapist and my pdoc pretty openly about any suicidal thoughts, ideation, plans, etc. They know me pretty well and are astute at knowing at what point I've crossed that line from just thoughts into being at risk. Being able to be straight with them about it has been really helpful as most of the time, I just needed to talk about thoughts and they were there to listen. Other times that openness has been life saving for me. They've never even slightly implied that I was being dramatic or seeking attention because they absolutely knew that wasn't the case. They've always handled such situations very supportively and respectfully.