An 18-year-old youth suffered severe blood loss after attempting to change his physical condition on his own (cutting off his genitals and rushing into the toilet) and was rushed to a hospital in Hangzhou for emergency treatment. Lying on the hospital bed, he weakly told medical staff, “I just want to escape from a body that doesn’t belong to me.” Behind this statement is a long-standing struggle caused by the conflict between self-identity and physiological characteristics. An informed source said he was raised in a gender role opposite to his biological sex since childhood, and throughout his growth, he constantly felt a disconnect between his inner perception and his physical state. After entering puberty, this contradiction intensified, and psychological pressure increased day by day. He had expressed his true feelings to his family multiple times but was met with a lack of understanding and even fierce opposition, with his personal belongings being cleared out. Due to not yet reaching the age for formal medical intervention and lacking family support, he ultimately chose to perform the procedure himself through unofficial means, leading to a dangerous situation. After the incident, medical staff provided timely rescue, and although he was temporarily out of danger, his physical recovery and psychological counseling will require a long time. This incident reflects the multiple difficulties faced by adolescents in self-identity, family communication, and social support, and also serves as a reminder to the public that showing more understanding and patience toward individual differences may help prevent tragedies.