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Sounds like a failure of the mental health system as much as the medical system. If you were seeing a mental health professional regularly and you had feelings about self harm, I would hope that this would be addressed before it happened.
Except the people who have feelings like these know they can't express them to their therapist (if they have one) without threat of being put into a hospital that's overpopulated and under staffed to the point that people with suicidal ideations are thrown in with people who have schizophrenia or whatever other disorder to the point you can't sleep because a guy keeps screaming about the demons in his head.
Yeah people don't understand how bad the MH industry can be. Its why these things shouldn't be gatekept, it should just be available under informed consent.