Growing concern about self-harm and suicidal behaviors among young physicians in Iran has drawn increased attention to working and training conditions within the healthcare system. Evidence suggests that this phenomenon results from the interaction of institutional, workplace, and individual factors. The hidden curriculum, unwritten norms, heavy workloads and long shifts, certain distressing behaviors within educational environments, and limitations in organizational support have all been identified as contributing factors. At the individual level, perfectionism, self-blame, concerns about social stigma, and worries about the confidentiality of mental health services may hinder help-seeking. Findings indicate that effective prevention requires coordinated interventions at macro, meso, and micro levels, including improving working conditions, strengthening organizational support, developing mentorship programs, and promoting self‑care skills training.