Feeling Suicidal -- Should I tell my psychiatrist?

[anon0422]

So at the next psychiatrist appointment (in two weeks), we're going to discuss my depression. Should I tell her that I am suicidal even if it means I might have to go back to the hospital? I can't figure out if I should or not.

[CeremonyNewOrder]

Yes you should tell her. If you are serious and have plans, you may get hospitalized but if they are just thoughts then you won't. You need to do whatever makes you safe.

[inabook]

The counselling center of my university uses a "suicidality scale", 1 being suicidal ideation but not intent, 10 being "and I will act on it right now". I found it quite helpful, because not all suicidal ideation requires hospitalisation (otherwise I would spend my life inpatient... )

It may be useful to discuss some similar distinction with your pdoc, because it is still relevant data.

[melissaw72]

Yes, I would tell your pdoc.  2 weeks is too long to wait.

 

If you are in immediate danger (have a plan and/or about to act on it) go to the ER.

[dragonfly23]

Yes do tell

[Wooster]

I suspect you'll find the answer to this question is a universal "yes".

 

Suicidal thoughts are a significant symptom that pdoc needs to know about in order to help effectively.

[The Dead Guy]

Of course you should tell. It might not have to end in hospitalization. When I've been suicidal in the past, but no plans or intents to do anything right away, I've been able to work out a safety contract with my doctors so I don't have to be hospitalized, but can still be supported if I need it. There's no reason not to tell, I don't think. I mean, sure, I don't want to be hospitalized. But I also won't be comfortable at home or enjoying work, family, or anything else if I'm dead.