Each T is different. Each SI'er is different too.
I think what a T is likely to do, as mine does, is not focus on the SI itself but the message of the SI that says, imo, "This is how much I hurt". (This is also the message of suicidal ideation, etc.)

My T and I talk about what was happening at the time of the SI, what was I feeling. I think that this is the support being offered, her being there and we can talk about it. She is wise to remain seemingly unmoved because anything else could encourage more; she can't let that be a way we communicate, but something we communicate about.

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I feel like I need help in dealing with these self destructive impulses.

</div></font></blockquote><font class="post"> I hope you will share this need with him and all of your thoughts about this. I don't see any reason he would be mad about this or any other topic in therapy. "Anything and everything; whatever comes to mind" is what my T tells me.