If it helps the only time I've gone in via ER the dr part was about 15 seconds long. He asked why I was there, I said that I was undergoing 2 major med changes rapidly due to a dangerous side effect and that I was feeling suicidal and not safe at home. He said that they would help me and that was it.

The psych resident asked more questions later when I was on the unit but the ER doctor was nothing.

I have done what you are doing and tried to push past one goal after another before. I don't recommend it; it's so much easier for things to be solved if they aren't as bad as they can possibly be.