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Moral injury, posttraumatic stress disorder, and suicidal behavior among National Guard personnel

Bibliographic Data

ID17815313
AuthorsCraig J Bryan (0000-0002-1582-4411, corresponding author), Annabelle O Bryan (0000-0002-6192-4229), Erika M Roberge (0000-0001-9102-7193), Erika Roberge, Feea R Leifker (0000-0001-9582-0412), David C Rozek (0000-0002-0919-4919)
Year2017
Volume10
Issue1
Pages36-45
Publication date2017-06-05
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenuePsychological Trauma Theory Research Practice and Policy (JOURNAL)
Journal identifiersISSN: 1942-969X • E-ISSN: 1942-9681
PublisherAmerican Psychological Association (PUBLISHER • US)
DOI10.1037/tra0000290
PMID28581315
OpenAlexW2622891581
LanguageEN
Citations received45
References cited19

PTSD and moral injury represent separate constructs with unique signs and symptoms. The combination of PTSD and moral injury confers increased risk for suicidal thoughts and behaviors, and differentiates between military personnel who have attempted suicide and those who have only thought about suicide. (PsycINFO Database Record

Injury prevention · Medical emergency · MEDLINE · Mood · Moral injury · Occupational safety and health · Poison control · Posttraumatic stress · Psychiatry · PsycINFO · Structural equation modeling · Suicidal ideation · Suicide prevention · Clinical Psychology · Human Factors and Ergonomics · Medicine · Posttraumatic Stress Disorder Research · Psychology · Resilience and Mental Health · Social Psychology · Suicide and Self-Harm Studies

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  • Moral Injury

    Open Access•Brandon J Griffin, Natalie Purcell et al.•Journal of Traumatic Stress•2019

  • A Scoping Review of Moral Stressors, Moral Distress and Moral Injury in Healthcare Workers during Covid-19

    Open Access•Priya-Lena Riedel, Alexander Kreh et al.•International Journal of…•2022

  • Walking Forwards with Moral Injury

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  • “I Was Everything What I Never Wanted to Be”—Exploring Moral Injury Within Forensic Healthcare Settings

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  • Unpacking and Extending Moral Injury

    Open Access•Matthew P Crayne•Journal of Business Ethics•2026

  • Homelessness and Contact with the Criminal Legal System among U.S. Combat Veterans

    Open Access•Ugur Orak, Katherine Kelton et al.•Criminal Justice and Behavior•2023

  • Moral Injury as a Transdiagnostic Risk Factor for Mental Health Problems in Detained Youth

    Open Access•Ava R Alexander, Lucybel Mendez et al.•Criminal Justice and Behavior•2024

  • Towards an Extended Cognitive Model of Moral Injury—The Role of Mental Defeat

    Open Access•Madelyn Letendre, Andrea Reinecke•Scandinavian Journal of Psychology•2026

  • Development and initial psychometric evaluation of an adapted Moral Injury Events Scale for Law Enforcement (Mies-LE)

    Gabrielle O’Keefe, Rachel Cusatis et al.•Police Practice and Research•2026

  • Moral injury, posttraumatic stress, and resilience among law enforcement professionals in Wisconsin

    Gabrielle O’Keefe, Rachel Cusatis et al.•Police Practice and Research•2026

  • Upholding Human Dignity as a First Principle

    Open Access•Jan Grimell, Matthias Inniger et al.•Journal of Religion and Health•2026

  • The Body, the Mind, and the Spirit

    Open Access•Jessica Van Denend, Kayla Ford et al.•Journal of Religion and Health•2022

  • The Moral Injury Experience Wheel

    Open Access•Wesley H Fleming•Journal of Religion and Health•2023

  • Moral Injury, Chaplaincy and Mental Health Provider Approaches to Treatment

    Open Access•Kimberley A Jones, Kim Jones et al.•Journal of Religion and Health•2022

  • Understanding Moral Injury Morbidity

    Open Access•Rachel L Boska, Shawn Dunlap et al.•Journal of Religion and Health•2021

  • Moral Injury and the Absurd

    Open Access•Wesley H Fleming•Journal of Religion and Health•2021

  • Towards a Holistic Model of Care for Moral Injury

    Open Access•Andrea Phelps, Kelsey Madden et al.•Journal of Religion and Health•2023

  • Treatment of Moral Injury in U.S. Veterans with PTSD Using a Structured Chaplain Intervention

    Open Access•Donna Ames, Zachary Erickson et al.•Journal of Religion and Health•2021

  • Examining the Association Between Moral Injury and Suicidal Behavior in Military Populations

    Open Access•Nikki Jamieson, Lindsay B Carey et al.•Journal of Religion and Health•2023

  • Features of the image of the psychological trauma in modern textual constructions

    Open Access•Oleksandr M Kyrylchuk, Oleksandr Kyrylchuk et al.•Polish Psychological Bulletin•2022

  • “He’s Agonal”

    Open Access•Patrick J Burke•Journal of Contemporary Ethnography•2023

  • To Trust is to Survive

    Open Access•Mallory C Kidwell, Patricia K Kerig•Journal of Child & Adolescent…•2021

  • Moral Injury in Trauma-Exposed, Treatment-Seeking Police Officers and Military Veterans

    Open Access•Beijka Mensink, Annette van Schagen et al.•Frontiers in Psychiatry•2022

  • Research Gaps and Recommendations to Guide Research on Assessment, Prevention, and Treatment of Moral Injury Among Healthcare Workers

    Open Access•Shira Maguen, Brandon J Griffin•Frontiers in Psychiatry•2022

  • Association Between Trust and Mental, Social, and Physical Health Outcomes in Veterans and Active Duty Service Members With Combat-Related PTSD Symptomatology

    Open Access•Marek S Kopacz, Donna Ames et al.•Frontiers in Psychiatry•2018

  • Moral Injury and Recovery in Uniformed Professionals

    Open Access•Jonathan Jin, Kyle Weiman et al.•Frontiers in Psychiatry•2022

  • Moral injury

    Open Access•Jan Grimell•Frontiers in Psychiatry•2023

  • Meat in a Seat

    Open Access•Lorraine Smith-Macdonald, Liana Lentz et al.•International Journal of…•2021

  • The Association Between Moral Injury and Substance Use Among Israeli Combat Veterans

    Open Access•Daniel Feingold, Daniel L Feingold et al.•International Journal of Mental…•2018

  • Longitudinal Relationships Among Post-Traumatic Stress Disorder Symptoms, Non-Suicidal Self-Injury Severity, and Suicidality in Korean Adolescents

    Open Access•Hayoung Jung, Isak Kim et al.•OMEGA - Journal of Death and Dying•2025

  • Trends and Thematic Clusters in Moral Injury Research

    Open Access•Waseem Hassan, Lindsay B Carey et al.•Journal of Religion and Health•2026

  • Moral Injury as Tragedy

    Open Access•Wesley H Fleming•Journal of Religion and Health•2026

  • Meaning in life moderates the association between morally injurious experiences and suicide ideation among U.S. combat veterans

    Christopher D Corona, Kimberly A Van Orden et al.•Psychological Trauma Theory…•2019

  • The Mental Health Effects of Cumulative Lifetime Violence in Men

    Open Access•Petrea Taylor, Susanne O’Donnell et al.•Global Qualitative Nursing Research•2021

  • A contextual behavioral approach for responding to moral dilemmas in the age of Covid-19

    Open Access•Lauren M Borges, Sean M Barnes et al.•Journal of Contextual Behavioral…•2020

  • A Service Member's experience of Acceptance and Commitment Therapy for Moral Injury (ACT-MI) via telehealth

    Open Access•Lauren M Borges•Journal of Contextual Behavioral…•2019

  • Psychological resilience and valued living as mediators in the relation between moral injury and attitudes toward future among Turkish adults

    Open Access•Feyza Topçu•BMC Psychology•2025

  • A commentary on moral injury among health care providers during the Covid-19 pandemic

    Lauren M Borges, Sean M Barnes et al.•Psychological Trauma Theory…•2020

  • Advancements in the understanding of PTSD and suicide risk

    Open Access•Ian H Stanley•Psychological Trauma Theory…•2021

  • Moral injury experienced by emerging adults with child welfare histories in developmental and sociocultural contexts

    Open Access•Wendy Haight, Minhae Cho et al.•Children and Youth Services Review•2022

  • Transforming Veteran Identity Through Community Engagement

    Open Access•Chris J Antal, Peter D Yeomans et al.•Journal of Humanistic Psychology•2019

  • Spiritual Fitness and Moral Responsibility in the Contemporary United States Military

    Open Access•Rosemary Kellison•Journal of the American Academy…•2023

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    Open Access•Melina Sherman, Eric Klinenberg•Social Science & Medicine•2024

  • Psychospiritual Developmental Risk Factors for Moral Injury

    Open Access•Timothy J Usset, Erika Gray et al.•Religions•2020

  • Psychometric Evaluation of the Moral Injury Events Scale

    William P Nash, Teresa L Marino Carper et al.•Military Medicine•2013

  • On the importance of distinguishing shame from guilt

    Open Access•Ronda L Dearing, Jeffrey Stuewig et al.•Addictive Behaviors•2005

  • Psychometric analysis of the PTSD Checklist-5 (PCL-5) among treatment-seeking military service members.

    Open Access•Jennifer Wortmann, Amity Jordan et al.•Psychological Assessment•2016

  • Prevalence of Mental Health Problems and Functional Impairment Among Active Component and National Guard Soldiers 3 and 12 Months Following Combat in Iraq

    Jeffrey L Thomas, Joshua E Wilk et al.•Archives of General Psychiatry•2010

  • Exploratory Structural Equation Modeling, Integrating CFA and EFA

    Herbert W Marsh, Bengt Muthén et al.•Structural Equation Modeling: A…•2009

  • An exploration of the viability and usefulness of the construct of moral injury in war veterans.

    Kent D Drescher, David W Foy et al.•Traumatology An International…•2011

  • Self-Injurious Thoughts and Behaviors Interview

    Matthew K Nock, Elizabeth B Holmberg et al.•Psychological Assessment•2007

  • Validation of the Insomnia Severity Index as an outcome measure for insomnia research

    Open Access•Célyne Bastien•Sleep Medicine•2001

  • The Audit Alcohol Consumption Questions (Audit-C) An Effective Brief Screening Test for Problem Drinking

    Kristen Bush•A.M.A. Archives of Internal…•1998

  • Exploratory Structural Equation Modeling

    Tihomir Asparouhov, Bengt Muthén•Structural Equation Modeling: A…•2009

  • Moral injury and moral repair in war veterans

    Open Access•Brett T Litz, Nathan R Stein et al.•Clinical Psychology Review•2009

  • The PHQ-9

    Kurt Kroenke, Robert L Spitzer et al.•Journal of General Internal…•2001

  • Shame, guilt, and depressive symptoms

    Sangmoon Kim, Ryan Thibodeau et al.•Psychological Bulletin•2011

  • The role of shame and guilt in traumatic events

    Open Access•Deborah A Lee, Peter Scragg et al.•British Journal of Medical…•2001

  • Stability of emotion experiences and their relations to traits of personality

    Carroll E Izard, Deborah Z Libero et al.•Journal of Personality and Social…•1993

Unique citing works45
Citations per year5,63
Citation span2018 - 2026 (9)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 44
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