My T only checks-in about the SI/SUI thoughts if I bring up that I'm struggling with them. And then she only makes sure I'm safe. If I can't promise my safety then she'll call the police on me if I don't agree to take myself to the hospital. Only in the beginning of our relationship did I talk details about the thoughts. She said she needed to know how "bad" bad is. Every once in a while I'll still tell her though.

My Pdoc is slightly different. She doesn't go into much detail either. But she wants to keep me out of the hospital at all costs even if that means I have to leave her and go to county. The only benefit county has is emergency appts.