TABLE 3.

Definitions, illustrative examples and descriptive statistics for categories of distressing and safer thoughts showing (i) the number (%) of people recording bubbles in each category and (ii) number of bubbles recorded in each category (and as a % of total worry and safer thought bubbles)

Thought type	Category	Definitions	Illustrative example	n (%) people recording thoughts within category	Total n bubbles per category (% of all recorded thoughts)
Distressing				n = 140	n = 989
	Persecutory	Thoughts related to others’ intention to harm, ideas of reference and thought broadcasting	‘I worry that others are part of a conspiracy that is against me’, ‘People reading my thoughts’	130 (92.9)	494 (50.0)
	Negative social evaluation	Thoughts related to judgement from others where no intention to harm is stated or implied	‘They think I'm a gossip’, ‘People are judging me’	104 (74.3)	298 (30.1)
	Loss/life stresses	Life stresses, negative emotions (unspecified or general cause), catastrophic or intrusive thoughts, fear of harming others	‘I might become homeless’, ‘Uncontrollable thoughts’, ‘Scared that I'm going to crack and seriously hurt someone’	44 (31.4)	80 (8.1)
	Negative self‐concept	Negative self‐evaluative statements	‘I am unlovable’	31 (22.1)	67 (6.8)
	Sensory‐perceptual experiences	Derealisation, hallucinations and dreams	‘Am I passed out somewhere and dreaming this reality’, ‘Voices start unexpectedly’	14 (10.0)	26 (2.6)
	Health anxieties	Worry about own mental or physical health, including worry about self‐harm	‘Worrying about going crazy again and not being able to recognize it’, ‘I worry that I will hurt myself’	14 (10.0)	24 (2.4)
Safer				n = 140	n = 1393
	Second‐wave coping	Attentional strategies, practical changes, normalisation, breath retraining, general advice to self inc. to use the SlowMo app, encouragement	‘Everybody has negative and distressing thoughts at times ‐ its normal’, ‘Working to get my license back’, ‘Use FlowMo to slow my breathing’, ‘positive steps are possible’	119 (85.0)	458 (32.9)
	Safer alternative	All direct counters to individual distressing thoughts, inc. reiterations of SlowMo messages	‘No‐one said I was annoying! No evidence!’, ‘Could my feelings be affecting this thought?’, ‘Slow down and look at the facts’	107 (76.4)	348 (25.0)
	Positive self‐concept	Positive self‐evaluative statements, including linking self to religion	‘I am a kind person’, ‘Jesus loves me’	92 (65.7)	297 (21.3)
	Positive activities	Soothing, enjoyable, or rewarding activities inc. religious activities	‘Going out for a meal with friends’, ‘Gardening’, ‘Praying’	90 (64.3)	233 (16.7)
	Third‐wave coping	Self‐compassion, acceptance of thoughts, mindfulness, meditation	‘Be kind to yourself’, ‘Being the observer (letting go)’ ‘Meditation helps voices become more distant’	42 (30.0)	57 (4.1)