I can understand the desire to want to talk about certain things. As others have said, thoughts without intent should not force hospitalisation...but others don't always understand things the same way we do. For example, if my pdoc knew certain things, he probably wouldn't have advocated for my release from hospital last month, even though being there was also harmful to me. So I figure "what they don't know, can't hurt me" and keep my mouth shut to keep my freedom.

But there's still this desire to talk about things. I haven't yet come up with a safe/effective solution, but you could try a therapist, or posting about it here, or a crisis line, and emphasise repeatedly that they're just thoughts and you remain in control of them. I mean, They put thoughts in my head all of the time, usually to shock or upset me, but I know that I won't act on them so I keep them quiet as I don't feel the need to discuss it. But you need to talk about them, which is understandable and you should be able to if you want to. I'm not sure if my suggestions will be sufficient for what you need to express, but it might be worth a try, idk?

I hope you can find a way to express yourself and get support without being forced into a hospitalisation you can't afford

*Willow*