{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T15:56:46Z","timestamp":1787500606861,"version":"build-2736575974"},"reference-count":71,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2022,2,28]],"date-time":"2022-02-28T00:00:00Z","timestamp":1646006400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychol Psychother"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Globally, suicide affects more men than women. Emotional pain underpins many theoretical accounts of suicidality, yet little is known about the role of disgust in suicide. Self\u2010directed disgust, whereby aspects of the self\u2010serve as an object of disgust, has been hypothesised to factor in suicide. This research aimed to explore the processes which link self\u2010disgust to attempted suicide in males.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Nine men who had attempted suicide completed semi\u2010structured interviews. The interview data were analysed using a constructivist grounded theory methodology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Three concepts emerged out of the analysis: (1) self\u2010disgust; (2) worthlessness; and (3) the endured emotional distress of \u2018the abyss\u2019\u201d \u2013 these concepts interweaved, leading the men to experience hopelessness, disconnection and an inability to cope, leading ultimately to their suicide attempt. Throughout this journey, various disgust\u2010related processes worsened men's distress and increased their suicidal risk. Historic adversities prevailed across the data, as did the men's difficulties in understanding their emotions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Self\u2010disgust was an important emotion in the men's experiences of suicide and shaped their views of themselves and their lives. The distancing and repellent properties of self\u2010disgust, in addition to the fear of having their \u2018disgustingness\u2019 exposed, increased suicidal risk. Self\u2010disgust appeared more pervasive in the suicidality of men with a history of multiple childhood adversities. The limitations of this research are discussed as implications for clinical practice and directions for future research.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/papt.12389","type":"journal-article","created":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T02:42:59Z","timestamp":1646102579000},"page":"575-599","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["\u2018The last thing you feel is the self\u2010disgust\u2019. The role of self\u2010directed disgust in men who have attempted suicide: A grounded theory study"],"prefix":"10.1111","volume":"95","author":[{"given":"David","family":"Mason","sequence":"first","affiliation":[{"name":"Cardiff University  Cardiff UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darren","family":"James","sequence":"additional","affiliation":[{"name":"Aneurin Bevan Health Board  Newport UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liz","family":"Andrew","sequence":"additional","affiliation":[{"name":"Aneurin Bevan Health Board  Newport UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3039-8024","authenticated-orcid":false,"given":"John R. 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