I've discussed suicidal thoughts frequently with my T, my addictions Dr. and my pdoc, and it's always been ok - in a weird way. They'll probably ask you if you have a plan. If you have a plan it's ok to talk about it, but they'll take that more seriously. You basically have to be able to say that you're feeling or thinking about suicide but won't act on it or have a safety plan. For example, I've made a deal with my T - that if I ever get serious about OD'ing, I'll take myself to my closest ER.
The only time I came close to be admitted involuntarily admitted was last summer, when I was seriously SU, looked a mess and was clearly not coping. My pdoc had been off ill for several months and was shocked when she saw me. She suggested hospitalization, and I said I'd think about it. I e-mailed her about 3 or 4 days later saying I thought it would be a good idea and was admitted within a week. it was only once I was in that she told me that she'd had considered admitting me on a form, which is actually kind of hard to do where I'm at.
Generally T's etc. want to work to keep you out of hospital, as other people have said, so be honest. It's the best way to get help.
Good luck.
--splitimage
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"I danced in the morning when the world was begun. I danced in the moon and the stars and the sun". From my favourite hymn.
"If you see the wonder in a fairy tale, you can take the future even if you fail." Abba
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