I'm upfront with my T when I'm feeling suicidal. I'll tell her in person or via email. We don't talk about it much. She just asks if I can stick to our safety plan. I've always been able to. Part of my safety plan is to call her if my other coping skills don't work. I've called her a few times. We talk about what's going on, she reassures me and encourages me. It's always got me through. She has never over reacted or threatened to hospitalize me.