My first T took me straight to ER and niether time did I threaten suicide I just wouldn't agree to her safety plan first time and wanted to end treatment with her 2nd time. My last T trusted me 100% and knew if I promised something I would do everything possible to keep that promise (Last promise I broke led to a friend walking at night and killed by a drunk driver). She did tell me if I was going to follow through with suicide she would personally take me to hospital and wait with me. My Current T is same as last, every session we have to pinky promise our safety plan which includes if I can't keep myself safe I will take myself to the hospital. January I got really bad, wasn't getting more than 2 hours sleep and could barely make it through day. We talked for weeks about possibility of taking myself in versus forced in. I finally agreed and after almost 5 hours in the waiting room the nurse who took my vitals called me back and told me to go get something to eat and go home. My T was furious! My prior T even called while I was in er and was on phone with me for 40 min. They both stayed in touch with me next couple of days and my current T called psych who was supposed to have made arrangements for me and went off. She added extra support to me and I am coming around now. But she would only make me go if I told her I was DEFINITELY going to kill myself. She knows if I were going to that I do have a plan and means, but trust me enough to reach out and keep myself safe. I think it all depends on the T and relationship and trust level between you and T. But even beyond that, their confidence in your judgement in both rational and emotional times.
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KAT 
"You never know how strong you are until being strong is your only choice"
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