A T sending you to the hospital truly depends on the nature of the thoughts(i.e.: a plan and intent to carry it out). I lean on the side of caution for my case because I have tried. No one wants to go to the hospital but I totally trust my T and NP to make that call and they normally include me in the decision...sometimes there are alternatives to IP like more frequent therapy and pdoc appointments, Partial, etc. The hospital is typically a last resort doesn't mean it can't happen but unless you have a determination to carry it out I don't see it happening. But I don't know your T. That's just my experience.