I think it would be okay to say to your CPN if things to do with suicidal thoughts are worse than normal and ask if any additional support is possible. I get that might seem awkward but the worst they can do is say no. It might be that if you talk about it they assume it is not any different than normal so you might have to clarify. I know I have to do that sometimes.
I think lack of transport and having other routines in the evening are important and valid reasons for not trying things. Could you explain that and ask if there are more options that exist for during the day?
Did not self harming in hospital make you feel any different than self harming does?
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