In principle, you could store your Bitwarden database on a public torrent at no risk to your security :)
So, if you do trust the Bitwarden software in the first place, self-hosting it shouldn't be any more dangerous than using the managed service, because the server security isn't really a critical part of the defence model. And self-hosting allows you to build from source, if you're inclined to paranoia (Even though the worst a malicious server could do is delete your database).
That said, I have still bothered to set up strict fail2ban rules on my BW instance, because why not.