I can provide some general information that might be helpful.
If you are experiencing urges to self-harm or are feeling unsafe, it is crucial to communicate this to your therapist as soon as possible. Therapists are there to help and support you through difficult times, and they want to ensure your safety and well-being.
It is unlikely that a therapist will view your openness and honesty about your struggles as breaking their trust. On the contrary, sharing such information with your therapist is an essential part of the therapeutic process. It allows them to understand your experiences better and work with you to develop coping strategies and a safety plan.
If you are worried about being hospitalized, it's essential to remember that the primary concern for mental health professionals is the safety of their clients. If your therapist believes you are at immediate risk of harm to yourself, they may take steps to ensure your safety, which could include hospitalization. The goal is to provide you with the support and care you need during a crisis.
It's crucial to be open and honest with your therapist about your feelings and urges, as they can help guide you through difficult emotions and situations. If you are not already receiving professional help, I encourage you to seek support from a mental health professional or a helpline if you're experiencing distressing thoughts or feelings. Remember that you don't have to face these challenges alone, and there are people who want to help you.