Cookies on this website

We use cookies to ensure that we give you the best experience on our website. If you click 'Accept all cookies' we'll assume that you are happy to receive all cookies and you won't see this message again. If you click 'Reject all non-essential cookies' only necessary cookies providing core functionality such as security, network management, and accessibility will be enabled. Click 'Find out more' for information on how to change your cookie settings.

© 2016 John Wiley & Sons, Ltd. All rights reserved. This chapter explores the hypothesis that the way people react to distressing stimuli, including the presence of suicidal ideation, is critical in determining whether these problems become "adhesive", perpetuating a sense of entrapment. In particular, it suggests that the greatest difficulties arise when the presence of distressing situations, thoughts, or feelings immediately and automatically triggers a sense of discrepancy; a mode of mind that has developed to support discrepancy reduction is adopted to solve the problem, but fails to do so; and there is a tendency to automatically resort to increasingly maladaptive forms of discrepancy-based processing, such as rumination and experiential avoidance, which over time may become habitual responses to discrepancies of all types. The chapter also presents the findings of several studies which, using convergent methodologies and examines elements of the mode of mind hypothesis as it applies to suicidal people.

Original publication





Book title

The International Handbook of Suicide Prevention: Second Edition

Publication Date



450 - 465