I also have signed a few in the past. My T now just has me verbally agree to contact her or someone else when and if I have any thoughts of hurting myself and of course I agree, because I can see the fear / concern in her eyes. I know I would never voluntarily go to the ER if I was just having thoughts - I believe they would have to take me kicking & screaming. Most times I have been talked out of the immediate need to take my life - but there have been times where no matter what was said - I was determined to take matters in my own hands. I can be stubborn...

I just know I would hate to be the T and have someone who I was trying to help - take their life and as a T, I would probably try all that I could to find ways to protect myself and the client... Just a thought...