A review of research on moral injury and suicide risk

Purpose of Review This review summarizes empirical studies investigating the associations between moral injury and suicide-related outcomes. Recent Findings A total of 47 studies met inclusion criteria and were reviewed. Samples included military, veteran, and civilian populations. Overall, more exposure to potentially morally injurious events (PMIE) and greater morally injurious symptom severity were both related […]

Moral injury and suicide ideation among combat veterans: The moderating role of self-disclosure

Background: Modern warfare in a civilian setting may expose combatants to severe moral challenges. Whereas most of these challenges are handled effectively, some potentially morally injurious events (PMIEs) may have deleterious psychological effects on the combatants, such as suicide ideation (SI). Self-disclosure, which includes sharing distressing thoughts and emotions, has been recognized as a protective factor against SI […]

Suicide risk among combatants: The longitudinal contributions of pre-enlistment characteristics, pre-deployment personality factors and moral injury

Background Recent studies have shown that exposure to potentially morally injurious events (PMIEs) in deployment situations facilitates higher suicide risk among combatants. However, knowledge about pre-deployment factors that may moderate the negative contribution of PMIEs to suicide risk is rare. In this prospective study, we examined pre-enlistment characteristics and pre-deployment personality factors as possible moderators […]

Moral distress experienced by online suicide prevention volunteers: Qualitative research

Background: With the increasing number of internet users, it becomes feasible to identify individuals at high risk of suicide and then carry out online suicide prevention. At the same time, online suicide prevention volunteers may encounter moral distress, which requires more attention. Purpose: This study aimed to explore the experience of moral distress in online […]

Moral injury, mental health and behavioural health outcomes: A systematic review of the literature

Despite a burgeoning of research on moral injury in the past decade, existing reviews have not explored the breadth of consequences and the multitude of pathways through which moral injury and potentially morally injurious experiences (PMIEs) influence mental and behavioural health outcomes. This study aimed to identify associations between moral injury on mental and behavioural […]

The witness to witness program: Helping the Helpers in the context of the COVID-19 pandemic

The Witness to Witness Program (W2W), based on Weingarten’s witnessing model (2000, 2003, 2004), began in July 2018 and originally was established to support health care workers and attorneys (our partners) who were experiencing empathic distress working with people involved in various stages of the detention process. The W2W program evolved to offer four primary […]

Moral stress amongst healthcare workers during COVID-19: A guide to moral injury

This guide to moral injury during COVID-19 has been developed as a practical resource for healthcare workers and organisations to better understand the range of moral emotions arising from the COVID-19 pandemic and to develop organisational and individual strategies to mitigate risks of lasting harm. In seeking to understand moral distress and moral injury in […]

Dynamic Diffusion Network: Advancing moral injury care and suicide prevention using an innovative model

Healthcare providers across a wide variety of settings face a common challenge: the need to provide real time care for complex problems that are not adequately addressed by existing protocols. In response to these intervention gaps, frontline providers may utilize existing evidence to develop new approaches that are tailored to specific problems. It is imperative […]