Mason, David, James, Darren, Andrews, Liz and Fox, John R. E.  ORCID: https://orcid.org/0000-0003-3039-8024
      2022.
      
      "The last thing you feel is the self-disgust”. the role of self-directed disgust in men who have attempted suicide: a grounded theory study.
      Psychology and Psychotherapy: Theory, Research and Practice
      95
      
        (2)
      
      , pp. 575-599.
      
      10.1111/papt.12389
    
  
    
    
       
    
  
  
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Abstract
Objective 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-directed disgust, whereby aspects of the self-serve as an object of disgust, has been hypothesised to factor in suicide. This research aimed to explore the processes which link self-disgust to attempted suicide in males. Method Nine men who had attempted suicide completed semi-structured interviews. The interview data were analysed using a constructivist grounded theory methodology. Results Three concepts emerged out of the analysis: (1) self-disgust; (2) worthlessness; and (3) the endured emotional distress of ‘the abyss’” – 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-related 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. Conclusion Self-disgust 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-disgust, in addition to the fear of having their ‘disgustingness’ exposed, increased suicidal risk. Self-disgust 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.
| Item Type: | Article | 
|---|---|
| Date Type: | Publication | 
| Status: | Published | 
| Schools: | Schools > Psychology | 
| Additional Information: | This is an open access article under the terms of the Creative Commons Attribution License | 
| Publisher: | Wiley | 
| ISSN: | 2044-8341 | 
| Date of First Compliant Deposit: | 10 February 2022 | 
| Date of Acceptance: | 10 February 2022 | 
| Last Modified: | 09 May 2023 21:51 | 
| URI: | https://orca.cardiff.ac.uk/id/eprint/147391 | 
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