I was recommended for ECT by my meds doctor. My therapist (different person) was strongly against it as she wanted to see if DBT would help first.

She won out, I postponed ECT and tried DBT. DBT was enough to get me past most of my demons. I still have sui-thought but no actions on it for a couple of years now.

Personally, I view ECT as a last option. Primarily because if you read up on it the "doctors" in the know will admit they do not know how or IF ECT works. One step ahead of leaches in my opinion. But if you are stuck in crisis mode - then I say go for it.