If the client has a safety plan as initially stated, I personally think that if they are looking for help, they need to ask for it. I don’t believe in playing games or testing my therapist. My safety plan states to just go to the er if I’m in crisis, that’s it. If a therapist requests you call first, then call, and if the T is unavailable to answer, I say leave a message saying you are in crisis and need urgent help, and if that doesn’t come quickly, call or go to emergency services. Ts aren’t mind readers, and I don’t believe they need to call back every single hang up call they get in a day. A hang up could mean so many things and they truly may not understand it is a crisis in need of a callback.