Is it worth telling your therapist every suicidal thought, cut, and skipped meal you have even if they might send you to the emergency room?

Yes: Your therapist may not send you to the ER for every suicidal thought. He or she will assess your entire situation before making a recommendation. Your therapist may be able to help you come up with a plan to stay safe at home. However, he or she will be unable to help you if they do not know you are struggling with suicidal thoughts ore urges to cut.