I think the thoughts alone is enough to get her a trip to IP. Why does she want to get into the hospital so bad though? She should just go to the ER and tell them she's having thoughts of self harm. And if this was my bff I would do anything to stop her. Tell someone, physically wrestle her if I had to.

Dx: BP2, PTSD, bulimia/anorexia
Seroquel 300mgs
Trileptal 300mgs
Buspar 45mgs
Ativan 1mg PRN
Vyvance 70mgs PRN