The objective of this study was to evaluate past suicidal attempt, history of self‐harm, and current suicidal ideation in chronic pain patients. Based upon the review of 260 psychological evaluation reports at a university‐based multidisciplinary pain center, we found that 25% reported at least one suicidal attempt or self‐harming incident. Current suicidal ideation was reported by 23%. The history of childhood abuse was more common in those with a history of self‐harm. Current suicidal ideation was associated with current diagnoses of mood and anxiety disorders. The analyses showed suicidal behaviors and self‐harm behaviors are differentially associated with the trauma history. The assessment of self‐harm as an independent concept for the risk management of chronic pain patients may be important.