Thank you for being patient with my questions and for your answers. As you know, cutting can be a way of releasing all negative emotions, or a distraction from emotional pain. Therefore, one way to manage the urge to cut is for you to find a way of releasing the emotional pain in a healthy manner. Most people who cut themselves are usually going through a difficult time in their lives.
If you are not willing to go to the hospital per your psychiatrist recommendation its important that you receive some form of professional help. You should start psychotherapy and attend regularly, including more than once a week if recommended. Additionally, find a support group to supplement your individual therapy and seek your family's support if they can appropriately support you.
I know this is really difficult and it can feel really scary but you are doing the right thing by reaching out for help in an attempt to prevent re-engaging in this behavior. Here are a few more tips
1. Talk to someone you trust about your feeling, in addition to therapy
2. Talk to someone when you have the urge to cut
3. Keep a hotline number with you and call when you need support or when you want to cut
4. Remove cutting tools from your immediate area. Its important to control your environment.
5. Identify the triggers that make you want to cut and develop a coping plan that includes what you will do instead
I should say that its important to keep in mind that your psychiatrist has your best interest in mind when making a recommendation. If you find that you cannot manage your symptoms with outpatient help, please consider his recommendation.
I wish you the best and I hope this is helpful.