Well depends on how you reach out, and how severe or serious the thoughts are. I have thoughts but want to try to keep going on with my life so I’ll text or call a warm line or hotline to talk to a counselor or peer support specialist. I may also try texting or messaging friends/ acquaintances. I try to stay away from the ER because of the wait and two usually ended up in the hospital which I hate the beds, medications changed and then quickly discharged never know about side effects and it take weeks or months to find or if the combo works. Sometimes just texting or phone calls are enough.