Do you have bieber fever?

[Kayenneh]

When you call it "pathetic" that pritty much says all about your attitude.

I might call it wrong, in the sence that someone doing this is inflicting harm on him or herself - which is wrong. But I would never call it pathetic in a way of looking down on people who do this.
When confronted with someone in need of help, my first impulse is to help, and not to look down on someone.

Before you judge me, I mean pathetic in this sense: arousing pity, esp. through vulnerability or sadness. And who said I didn't help? Do you honestly think I looked down upon my best friends hurting themselves, being condescending and not caring? Don't let your emotions get the best of you.

But I have a line and when that is crossed I voice my opinion, but not tell others what to do.
And I find the original phrasing distastefull and disgusting.

Of course you're entitled to voice your opinion, and I understand where the disgust comes from. My point is that I as a person who has suffered through seeing what self-destructiveness can do to people, do not mind when people make jokes like this. We all experience it differently.