The Sims 4 is rated T for Teen, meaning the developers at Maxis intentionally keep the game lighthearted. To fill the gap for "mature" or "gritty" gameplay, modders have created various "Extreme" or "Life Tragedy" mods.
While mainstream platforms have strict guidelines regarding sensitive content, many reputable modders focus on creating respectful overhauls of the game's wellness systems. sims 4 self harm mod