This book explores how literary reading can enable people considering suicide to stay alive. Written by an academic general practitioner with longstanding expertise in mental health, the book is grounded in the lived experience of patients, intertwined with perspectives from social psychology and moral philosophy. At its heart are reflective descriptions of the author's encounters with Tolstoy's Anna Karenina, and the Terrible Sonnets of Gerard Manley Hopkins, illuminating the therapeutic potential of recursive interactions between literature and experience.

The book begins with rich descriptions of the experience of despair, drawn from real life case studies from the author's clinical practice, and a review of current evidence of suicide prevalence, risk and protective factors. A review of theories about suicide highlights two contemporary explanatory models: Integrated Motivational-Volitional (IMV) model, with focus on perceptions of defeat and entrapment; and Interpersonal Theory (IPT), with focus on thwarted belongingness and perceived burdensomeness. The book provides an overview of recent analyses of how literary and poetic texts confront the dilemma of existence in the face of grief and loss, and how literary readings can act as points of transformation.