Oh, goodness, . My heart breaks for you. I have close family members that have suffered severe mental health crises, and I know how hard it is to be a witness to these dark moments in our loved ones' lives. I also understand the shortcomings of inpatient care for mental health. If it's your safest option, you may need to consider it, as a short term safety measure. I don't say that lightly. I know not getting one's meds properly is a real issue and that shouldn't be happening at an inpatient facility.
Have you contacted your partner's physician? Can you put a call in to the doctor's emergency number and explain the situation? A doctor may be able to prescribe pain medications or sleep aids that can at least get your partner through the worst of this episode. Going to the ER may be an option as well, but I know they sometimes will trigger a psychiatric hold if a person is expressing suicidal ideations.
You are both in a rough patch. Nothing I can realistically suggest is going to be a perfect answer. And believe me, I understand your hesitations. But, this may be like putting out a fire. Even if you have to start with a garden hose or a bucket of water, you have to start somewhere and with the tools you have at your disposal at the moment.
I sincerely hope your partner's pain passes quickly without having to take these steps, but again, please do what you need to do to keep your partner as healthy and safe as possible.
Gentle Hugs, Erin, Team Member.