I am sorry about your pain. I am also sorry that the doctors in the hospital did not hear your pleas. Sometimes nobody knows a mother's intuition better than her. Tough love is easy to preach but hard to practice. I think it has been misinterpreted by too many. Love has to come from a loving caring place. The substance abuse movement is moving towards harm reduction. The field is not moving fast enough for me. Now therapists are trained in new methods of therapy that aim to reduce harm to the person and leave their biases behind. Sometimes Dr Phil drives me crazy because he is not a substance abuse specialist but appears very opinionated about the subject. I wish he read a bit more about motivational interviewing and the research around it. I think you did your best to help your son and I am sorry that treatment did not work for him. Thanks for sharing your thoughts and story with everyone it reminds us to take suicide seriously and fight for our clients to be hospitalized when they need it. Sometimes cutters are seeing as low risk, just self-harm or borderline, attention getting behavior, in the hospital, but the reality is they are 2 times as likely to be successful in committing suicide.