(((hugs))) Diana!
1.) No- I've never had a problem being referred to psychiatrists, psychologist, or social workers. I have been hospitalized for major depression 3 times now (twice as an adult, once as a teen) though, if that makes a difference. Even still, up until the last time I spoke with my last psychologist, he's recommended that if I ever seriously feel like ending it, go to the ER (rather than call or e-mail him). My psychiatrist is tougher to get a hold of that the psychologist though, and I always talk with the nurse first. I called before my last hospitalization, hoping to speak with the psychiatrist, but she tried to talk me down. I went to the ER that afternoon.
2.) No- I was offered that option at my second hospitalization & I basically flipped out on the doctors. It seemed cruel to me - I have epilepsy. Why would I want to purposely have seizures?? That was my rationalization.
3.) I don't know
4.) I highly doubt it. They do set up treatment plans on an outpatient basis, I know. But I highly doubt that most hospitals have a plan set aside to provide emergency ECT. First, a physician goes over your general health and whether or not ECT is a decent option for you. Then, a neurologist (or epileptologist) becomes involved to do the procedure.
I hope that helps. Sorry that you've had a rough week
Shez