If I might offer, I agree that if you are experiencing suicidal ideation, and simply cannot cope, then a temporary stay in the hospital would be advised. I would share my personal experience:
I felt depression come on especially in my teen years...not for any specific reason, but simply because I felt ostracized, lonely, disempowered and extremely shy; easily intimidated. What I thought was love finally came to me in my senior year of high school, and the depression faded...finally I felt accepted, loved and re-empowered for a time...I thought I could just leave the depression behind...however through my years of maturity and being married with children, combined with a series of tragedies and death as I turned 30, the despair and yearning became stronger again, and I could not feel fulfilled in the marriage which was rather emotionally abusive. I decided to leave the marriage but what followed was a series of crisis, rather than a renewed sense of freedom. We learned that my mother had a critical heart problem and died a year later: my father was diagnosed with prostrate cancer soon thereafter and we feared for the loss of him as well; instead he fought against the cancer and two years later actually re-married, which caused some contention in some of my siblings; then seeing him through the process as the cancer spread until he too died 2 years later; within a day of the anniversary of Mom's death. There there came an onslaught of executing the will which brought out the worst in some of my siblings, and finally I had to extricate myself from them and actually move away...long story short, I was hit by a barrage of life draining experiences that pounded away at me on a continual basis. Just as I was about to hit 40, the anti-depressants were no longer working and I found myself falling apart in the doctor's office as an emotional wreck. Wisely she sent me to the ER for a psych evaluation, and I did manage to find some relief simply by being taking out of a highly stressful environment overnight.
I went through a period of being in therapy, which helped to a degree but the stressors kept building in my world and for a time I was on suicide watch as well. I finally got more appropriate treatments to treat the chemical imbalance in my brain that contributed to the depression. And then something magickal happened, and I found myself on the road to recovery through my own volition. It was a long and arduous struggle, but somehow I knew that I was the only one who could lead me to a complete healing.
In retrospect, I believe that the depression itself was part of a divine intervention construed to help me re-connect with my own inner divinity...it forces a person to really get to the heart of the matter of the internal goings-on that contribute to a depressive state of being...and that is what depression truly is: a state of being. Looking back, I see that the solution was always in my own hands, and while talk therapy was somewhat helpful, it was by my own doing that I ultimately found my resolution, and that was based on regaining a sense of faith and trust in life...and gaining the total belief in receiving support from my personal spiritual guides and muse.
The truth comes down to the fact that, 'as we think, so we become'...the solution then lies in changing our perceptions about life, restoring the sense of there being a universal plan: we must also find ways to change our state of being through the use of the directed mind; this involves changing our attitudes, our beliefs in negativity and defeat, as well as altering our judgments as well as our expectations in life. As within, so without, and it all starts from within.
I do believe that astrological counselling in depth can be as successful as traditional talk therapy. Your chart depicts that you are here largely to figure things out for yourself rather than to rely on others to fix your problems and correct your misunderstandings. Indeed you have repressed feelings of insecurity and worthlessness that need to be overcome but inevitabley the only validation that matters comes from ourself. When we expect it to come from others, we are typically sorely disappointed.
Currently there are significant developmental changes happening in your life, as shown by the heavy transits of significant planets like Pluto, Saturn and Uranus. Pluto relates to political restructuring, yet on a personal level it relates to whether one feels empowered in their own right or disempowered by others...the choice is ours to make...we can either submit to being a victim in life, or we can chose to be the victor...we all have that inner creative spark that can be utilized to change our circumstances, if we choose to make that our primary intention.