Originally Posted by
hamishspence
Indifference to the sufferings of others can be Neutral.
However, taken to an extreme, it may fit part of the PHB description "This person simply has no compassion for others"- which is paired with "and will kill if doing so seems convenient"
Not helping someone when doing so would put you at risk, is easier to justify as Neutral "A neutral person will risk themselves for friends or family, but generally not for strangers"
But when helping someone in trouble won't put you at risk, ignoring their need for help may end up with the character very slowly slipping toward evil (if they ignore others in need a lot)