I have been watching this thread with interest, debating whether to get involved or not.
I agree MN can be an amazing support for people when they feel low and despairing.
Someone who posts " please talk to me, I feel empty" is probably reaching out to make a connection, to get reassurance and hopefully make themselves feel better. I think that's fine.
However, I do have a problem with people who post " I am going to kill myself". IME the genuinely suicidal do not do this. They do not want to be talked out of their plan. They will hide way, go to great lengths not to be discovered, they will often use a method from which there is no going back (eg hanging as opposed to overdosing)
So I find myself wondering, what actually is going on on these threads?
I think these threads are unhealthy, I worry that they would encourage attention seeking behaviour in those prone to deliberate self harm, and I think they can be emotionally draining for those who get sucked into the drama.
Help in real life is ALWAYS available. There is ALWAYS an on call psychiatrist, wherever you live - 24hrs a day, 7 days a week.
Being acutely suicidal is a psychiatric emergency and gets responded to. If people have taken an overdose, been seen and then sent home, that means they have beeen assessed as not needing a bed in a psychiatric hospital and that they are ok to go home.Only a small proportion of overdoses need psychiatric inpatient admission.
FWIW I am a consultant psychiatrist