At what point is a counselor required to involuntarily commit someone to a hospital for self-harm? For example, can you tell them that you have self-harmed or that you have urges to self-harm, without the risk of being committed?

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For a counselor to have someone involuntarily committed, the procedure varies from state to state, but the policies are generally the same. A counselor will generally encourage you to seek commitment on your own, but if they believe you won't follow through, they can call the police, because in the states I've lived in, only police officers can involuntarily commit someone. They are then on a 72 hour hold, and the case must be brought before a judge. Counselors will generally ask you to have yourself committed if they feel that within a short period of time, like 24 hours, you have a strong desire to harm yourself or someone else, you have the means (i.e. materials required to follow through), and you have a plan (i.e.) a thought out, premeditated strategy of how you will do this). Urges may or may not prompt some counselors to ask you to check yourself into a hospital, but in a busy ward, that usually is not enough to warrant you getting a bed. Past suicide attempts or self harm incidents also are not enough for commitment without future intent. They will only commit you or ask you to commit yourself if they have the belief that you are definitely going to harm yourself in the immediate future.

A counselor is required to commit someone to a hospital if they are showing suicidal or homicidal thoughts. Self harm and suicide are very far from one another on the spectrum. Admitting you have self harmed in the past is perfectly fine and is encouraged.

You can enter a psych ward either voluntarily or you can be committed under the mental health act. Normally, to be sectioned, three people - mental health professionals, doctors, close relatives (varies from country to country) must agree that you are suffering from a mental disorder and need to be detained either for your own safety or the safety of others. So if your self harming threatens your safety then it is the counselor's duty under law to get you evaluated for possible hospitalization. Talking about urges to self harm won't get you committed, in fact, talking about it, reaching out and ask for help is a first step on the path to healing.

This probably varies from country to country. Here (Australia) a health professional has no right to involuntarily commit someone to a hospital because of self-injury (cutting or burning). On the other hand a health professional is legally required to commit somebody if s/he has reasonable grounds for believing that a client is at serious risk of suicide (suicide and self-injury are different things).

Counselors only have to pass on information if you are at risk to yourself or to other people. If you're self harming but are not suicidal then you may still risk being committed, but if you stress that you are not suicidal and self harm is used as a coping strategy then from my own experience i don't believe you will be committed

The laws and rules about involuntary commitment are different from country to country and state to state. But in general, a counselor is required to take action when a person is in imminent danger of hurting themselves or someone else. In most places in the US, this initial period of observation in the hospital can only go on for 72 hours before more action is needed; this could take the form of the patient voluntarily admitting themselves to the hospital, or a court proceeding could begin determine whether the person should be held involuntarily. You should always tell your counselor if you've self harmed or feel like you might. The counselor is there to help you, and hospitalizing someone without their consent is a step that is only taken when imminent harm has or is going to occur.

Unless it is to a big extent , or the cuts you are in forcing is putting your life in danger they wont section you. Probably would want to speak to you more regularly. But it is highly unlikely they would section you with you just admitting it.

Hi there, I imagine there are probably at least slightly different rules in different places, but from what I know, a counselor would be required to involuntarily commit someone if that person is actively suicidal (i.e., has a plan and says they will act on it). As far as I know, telling your counselor that you have self-harmed or that you have urges to self harm would /not/ be grounds for being involuntarily committed. It is certainly still something that a counselor would take seriously, but I don't believe they would commit you. Also, this probably does vary by person, but at least some people self harm but are not actively suicidal or maybe even suicidal at all. If you are self harming or have urges to self harm, I do encourage you to speak to a counselor because you deserve to get help and be safe and cared for. I understand that this is easier said than done. You can also talk to listeners on 7 Cups about self-harm if you would like. Take good care!

From my personal experience. I have self-harmed.I trusted my wonderful therapist with my life .she had me sign a safety plan with her(she calls it my contract with her) . She knows me and knows I can cope with so much. Plus I promised myself and those around me I will go talk to her . After that happen we never spoke about it again. She never did I still told her it's been weeks since I self-harm. A promise to her is a promise . I never want to hurt her.my therapist has made a huge impact in my life sadly no longer see her because her internship is over