Self harm ideation isn’t the same as suicidal ideation, and for them to report suicidal ideation than you would need to have an active plan. There’s a difference between just kinda wanting it and like, planning it out, saying you’re gonna do it.

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as a therapist, I concur with the other commenters. your therapist may have you create a safety plan (safe people, places, ways to make environment safer, coping skills, etc) which may end in something to the effect of “if you are experiencing any imminent risk of harm to yourself or others please go to/be transported to the nearest emergency department for appropriate care.” otherwise you can just collaborate more effectively together with your suicidal ideation now out in the open.

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but then they would have to tell people and i don’t want them to? right? or do they not tell people? Like yes i think about slicing my arm open, and am i gonna do that? well. maybe not. we will see. but i wont kill myself. so does that count as a yes or no? will they tell someone?

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