I agree with Rhuben.
I cant say about the ER but i can say about A&E.
If its just sh, you normally see a triage nurse, who asesses the sh, asked a number of related questions, what you used, why you did it, if you feel depressed, suicidal.The nurse will normally clean the wound, if it is a wound and put a dressing on it. Then you wait out in the waiting room until you are called by a doctor or a nurse. Again they ask questions related; How, Why, what with, are you suicidal? etc. If not then they will patch you again and allow you to go and thats it.
If its an od you will normally be taken straight through to a cubicle, bloods taken, again related questions , normally by a doctor; Why, when, what did you take, how much,etc.
As far as going to the A&E if your suicidal. I would guess you the MH team at the hospital would assess you or the crisis team would ( the crisis team did when i od-ed) Asess the risk eg if you have a plan, with date, etc everything sorted. then from there they may want you to be admitted to a ward or you may go IP. Or they may arrange for the crisis team to see you or home treatment team.
In the UK they wont tell your family if your over 18 unless you life is in danger or someone elses life is.
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