Crisis safety: the answer that comes before every other answer
"I am not safe right now. Who can help me tonight?"
This one is never treated as a lead. Every draft that touches self-harm is written to route the person immediately to 988, the Suicide and Crisis Lifeline, by call or text, or to 911 or the nearest emergency room, and to say plainly that a private practice is not emergency care. No scheduling request ever sits in front of a person in acute crisis. You check each draft before it goes up.