Sounds to me like you'd make a great clinician/dr.! ; ) truth be told, they're paid to "read people," which may be one reason why you haven't found the same success with other resources (than your own personal) when in a crisis state, or something more closely related & connected to it? But you're right, very often they are thinking of your safety as a primary means, or source of inspiration, or meaning of emphasis (realize I am picking all the wrong words...) but my mind & brain is/are quite "Scatterbrianed_?" at the moment-
* ! ~oh, & by the way... I don't even know what asmr means, is it like edmr? or emr? or edm (which I also don't know what that, or it, means!) : ) but sometimes, these doctors, that is their "fail-safe." When in doubt, take / pick the option which will most likely keep you safe, and their record from suffering another, "strike~!" (or 'blemish,') against it. Now, i have found that the most well-trained & therefore both competent & confident (funny how those two things tend to always go hand-in-hand. . .) that is to say the most "experienced," (& the "right," kind of experience, by the way!) are less likely to freak-out & make rash decisions - such as over-reacting & throwing you into the unit/psych ward. Unless, they've got good reason to do so. They can, as I said, read you & the situation, take in all of your information & make a "correct," diagnosis of the situation (on how best to "read & react.."). Sometimes, it's a med change, or a scheduling a visit with them and then the therapist or a participation in a parital hospitilization program (day) for patients with suicidal ideation, and so on. The less comfortable in their abilities, professionally or what have you, are likely to give you the knee-jerk, reaction. 'Better safe, than sorry!' They think / say / and more often than not, Do- but once you've started to build up a "track-record," or a file begins to be built on you. And they can establish that this is more likely a pattern of behavior, or failed coping mechanisms to keep you out of the lock down facililty. The more likely they will be to 'reject,' your advances; warnings; & think more along the lines of, "The boy/or girl, who cried Wolf?" Not always, but it/that CAN happen. . .
Anyway, not sure if you have ever been, but inpatient isn't that bad or the end of the world. It is generally not like you see in the movies, but more like I suppose a documentary, if you're going to consider that analogy. In that it is truly "reality~." Trust me, the more times you're in there, the less phased you are by any of it. There can be chaos all around & you'll be sitting there thinking, "Can someone please pass me the sugar for my Corn Flakes?" (barely batting an eye, or taking a deep breath) as alarms & sirens are going off & staff look like fire ants flying up someone's leg in late July/Early August of the Texas heat whilst out in the back yard, giving that gas lawn mower - "a~go!"