Here is what Matthew Henry has to say on the matter, page 171, Acts To Revelation, Volume 6:
Paul stopped him from his proceeding against himself (v. 28): He cried with a loud voice not only to make him hear, but to make him heed, saying, Do not practice any evil to thyself; Do thyself no harm.
Matthew Henry points out that injury to self, taking one's own life, is doing harm. He proceeds to link all self-harm, including self-murder, to sin:
All the cautions of the word of God against sin, and all appearances of it and approaches to it, have this tendency, "Do thyself no harm. Man, woman, do not wrong thyself, nor ruin thyself; hurt not thyself, and then none else can hurt thee; do not sin, for nothing else can hurt thee.
The expression, You are only hurting yourself, comes to mind, when I think of sin and how it insinuates itself into our thinking, affecting our heart rate, and having us barrel our way right into self-stimulated trouble. Isn't self and other murder symptomatic of a sinful society? Isn't it a curiosity, that killing self, or an elderly person, or someone that is emotionally in turmoil, or a babe in the womb, is now the encouraged norm, when clearly, life is our greatest God given gift?
I think of Job and God's response to him, when Job attempted to curse the day he was born. God silenced him by letting him know, that he, God, is not to be challenged or imputed, given he is Sovereign, and chooses to give life to each living, breathing creature. How dare we, as the created, decide to harm what is not ours, including ourselves, or any other human, when every soul belongs, to him.
Do thyself no harm is a matter of accountability. Might I suggest that when you do yourself injury, you pass along similar tendencies to the next generation. Is it not so, that alcoholism seems an inherited trait? Am I off-roading to imply, that physical, emotional, and psychological abuse, are learned behaviours that repeat themselves, from father to son to grandson; from mother to daughter to granddaughter? Any combination of relations can be used in this example of learned behaviours. Sin is deprivation, a dire and drastic form of deviation from God's commands, and we are promised the death of our own soul, when we indulge our inclinations, by giving in to temptation.
I know you harm yourself dear reader. I don't need to know you personally to make this statement. We live in a carnal world soaked in sin; we are tempted to over eat, over drink, under exercise. We are encouraged to have sex for pleasures sake, and to kill would-be offspring, or put off having them, if the timing for raising a child just isn't quite right. The elderly are considered people to be suffered, temporarily, and put away from society to play bridge or paint by numbers, while housed in expensive apartments with no one visiting them, because it is their children's turn to live wild and free. We are, ultimately, encouraged to indulge our pleasures, at the expense of our health, relationships, and the ultimate price of sinking our souls into the pit ... but not by God, O no, he does not want this for any of his creatures.
You, dear reader, indulge your own brand of self-harm. This is a matter to be investigated and discussed, either with God solo, or with a trusted Christian friend that will hear you, and love you to the cross of Christ, and right into his throne room.
Do thyself no harm. If you belong to Jesus, you are a living stone, and the temple of the Holy Ghost:
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