18. Pessimistic talk Cluster name Cluster name • • could be revised changed to reflect during conversations. to "Increased examples better. Examples: negativity in negative themes Suicidal ideation • attitudes/responses, in already included in and self-blaming, conversation". reduced safety of expressed pessimism Additional self, so not • examples required here. include suicidal and Despair • ideation, hopelessness despair, included as hopelessness, examples. and increasing negativity. 18. Negative themes Negativity and • in conversations pessimism Examples: negativity could be in cultural. attitudes/responses, May be difficult to • despair, interpret in guilt hopelessness, practice. and self-blaming, expressed pessimism
18. Pessimistic talk during conversations. Examples: negativity in attitudes/responses, and self-blaming, expressed pessimism • Cluster name could be revised to "Increased negative themes in conversation". • Additional examples include suicidal ideation, despair, hopelessness, and increasing negativity. • Negativity and pessimism could be cultural. • May be difficult to interpret in practice. • Cluster name changed to reflect examples better. • Suicidal ideation already included in reduced safety of self, so not required here. • Despair and hopelessness included as examples. 18. Negative themes in conversations Examples: negativity in attitudes/responses, despair, hopelessness, guilt and self-blaming, expressed pessimism