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Do we harm ourselves by choice?
In life, we are faced with many choices, some of which are of benefit, while other choices are often very harmful. The choice to continue drinking beyond the point where we are unable to remember what has taken place, what we have done, or what has happened to us or others, is one example of not making a good choice. The choice being, not to continue drinking when such events are likely to take place.
As in this example, there is also the question of responsibility, when continuing to drink alcohol. It is easy to say that we are not responsible for what takes place and it is very likely that a person may be beyond being responsible due to the amount of alcohol consumed. However, the individual is responsible for the events that take place due to their actions.
Putting ourselves in danger, is not a responsible decision.
Taking chances with your life or the lives of others, is not a responsible decision.
Not taking reasonable care with your life, is not a responsible decision.
Taking part in an activity that is dangerous, is not a responsible decision.
We do have the choice to make responsible decisions, just as we have the choice to ignore them.