My understanding of this type of situation is that if you tell your pdoc that they will first try to talk you out of hurting yourself and then you would talk about options. Now if they feel that you are in danger they can get a court order to have you put into a psych ward but I think that it's a last option they would first talk to you about your feelings. I used to be terrified of going to my pdoc out of fear of being sent to the hospital but my T took the time to explain how the process works and that has helped.