Learn what "she slit her own wrist under your watch" means, when people say it, and how to use it naturally in English.

It means the speaker is blaming someone for failing to prevent a serious harm.
From The Pendleton Secrete, Episode 52
Someone accuses another person over a self-harm event that happened while they were present.
This is accusatory and very heavy, so it is mainly for intense drama or conflict. It would sound rude or hostile in normal conversation.
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