The is a category of self-harm that might not be due to underlying suffering or mental illness, which is Self-sacrifice, it involves enduring hardship and putting the needs and welfare of others before one’s own, like voluntary soldiers, doctors, ems, nurses, etc. Self-sacrifice is often motivated by compassion, love, and a sense of duty towards others.
Sure that exists too… but are you saying those are the only two?
What about things that harm ones self, but is not due to any underlying unhealthy mental state, and also doesnt benefit anyone else.
A tattoo or scarification is an example I would think you would agree with. I would hope you agree that these are not (usually) due to mental illness, they also dont benefit others, and do in fact cause harm to ones self. So how do we handle that in your model? Its clearly self-harm, but in your model its an exception somehow? why?