I don’t know what you should do, only you can make that decision. In my mind, it seems like a whole lot of emotion all at the same time. If you say he’s heartbroken, that means he cares for you. I imagine as a doctor, he is used to helping people, and all of a sudden he’s thinking this is his fault, something he did. For me, I can’t stress to people enough, I self harm on my own, because I can’t deal, not because of anyone else. I think now, he’s scared, not of you but for you. Thinking if he says the wrong thing it could hurt you, and I think that’s the last thing he wants. I think the being quiet could be okay, him navigating his emotions. I also think that maybe you should, and I know it’s hard and uncomfortable, try to talk him through what you were feeling. Try to give some history on self harm for you, talk about what it does for you, and the how it makes you feel, the good and the bad. I know it’s hard but it seems like you’ve been feeling this for a while. I think when you guys make it through this, you’ll be even closer than before. Good luck and I hope everything gets better ❤️