Learn what "are you trying to hurt yourself or what" means, when people say it, and how to use it naturally in English.

It means the speaker suspects the other person may be acting in a self-destructive way and is challenging them directly.
From Marry The Wrong Bride, Episode 35
The speaker is worried someone may be about to hurt themselves.
Use this only in a serious, emotional confrontation. It can sound harsh or accusatory, so it is not a gentle way to check on someone.
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