I agree she needs help. It is fairly lucid. Can only imagine that reflective conversation, "so your saying when your around me you feel anxiety, despair, and want to kill yourself?" Maybe I won't start the technique with that conversation
I do take her seriously, and I suspect that she has thought out a lot. It almost feels like a good bye letter. In addition to getting her help, I realize she obviously doesn't feel that way with the OM, which is probably why she wrote this on the way to see him. Actually, very irrelevant. Disregard that, when or where it was written is irrelevant.
I'm looking into the SBT and other help. Also not really sure what I can change to minimize her feeling those ways. I've been trying all sorts of different things.