Trying to be safe. And i know need to communicate it before too lateI remember what that feels like.
You just communicate it, however you can let it out in the moment.
Some things I could only say if I looked away, almost turning the chair around. Other things I couldn't speak at all, so I wrote it down... barely legible. Once all I could do was raise an eyebrow.
If it will save your life, communicate it.
Are you safe?
All wise ideas. Really trying to avoid EDDoes your doc have an email address? That would be my first go-to. Means I can be much more frank than I have the guts to be in person, and I can give them the heads up asap. Which gives them the chance to help you out faster if they check it regularly.
Some people like the phone. That's always an option - you're allowed to call and say that you're worried about your own safety. You don't actually have to know what words to use. "I'm not safe right now" is a good enough start. "I'm having trouble with mu suicidal thoughts, and I don't feel safe" is pretty clear.
I did it in writing. When it got really bad recently, I did a checklist of my issues:
That it was no longer habitual rumination, but had become active planning;
That I could guarantee my safety only for a period of....;
The degree to which I had intent (strong/average/mild).
Those were the main points. Hand em over at the start of the appointment. And from there, we talk about the options available.
And if none of that is going to deal with it soon enough? I stop wondering what to do and just get myself to the nearest ED and tell triage "I'm suicidal, I need help".
Hope something in there is helpful for your situation.
What's been going on in your life that has led you to feel like this?