Introduction: Deliberate self harm, psychological distress and suicidal behaviour is found to be prevalent among students as per research from wester world, but there is a derth of research from developing countries like India despite its serious implication. Thus this study aim to assess deliberate self harm and suicidality among medical interns. Method: cross sectional study, convenient sample of 100 medical interns. Assessment included- General Health Questionnaire-12 (GHQ-12) Deliberate Self harm inventory-9R (DSHI-9r) Suicide Behaviour Questionnaire-r (SBQ-r) Along with semi-structured proforma consisting of socio-demographic variables. Results: Mean age of sample was 23.9 yrs, 52% were females and 48% males. Mean GHQ score was 13.8, 38% were distressed as per GHQ-12. Mean SBQ-r score was 4.52, 27% interns scored were above cut off range of SBQ-r, 26 % had attempted any kind of deliberate self harm. Conclusion: Index study showed high level of psychological distress, suicidal behaviour and deliberate self harm in a significant proportion of medical interns. There is an urgent need for targeted action and further research to address the issue.