Value neutral... Never thought about it that way. When someone I know self-harms, the first consideration for me is that I must *not* make value judgements.

For them, the value judgements are real and immediate: there are worse things than self-harm, and they are choosing between them.

If I could offer better choices, I would; but there's no way of doing that without making value judgements that aren't mine to make, and imposing 'choices' on them. Better to give unconditional support, or to make sure that it's there when they are ready to accept it.