Moral injury in treatment-seeking police officers: A qualitative study.

Abstract

Objective: In their work, police officers are routinely exposed to potentially traumatic events, some of which may also be morally distressing. Moral injury refers to the multidimensional impact of exposure to such potentially morally injurious events (PMIEs). Mainly originating from a military context, there is little empirical research on moral injury in policing. The aim of this study was to gain insight into what PMIEs and moral injury in police officers entail.

Method: We used a generic qualitative research approach inspired by grounded theory. Semistructured interviews were conducted with 13 treatment-seeking, trauma-exposed police officers at a Dutch national center for psychotrauma. Participants were 11 men and two women with a diagnosis of profession-related posttraumatic stress disorder, who reported being troubled by exposure to a morally transgressive event.

Results: Findings were categorized into three categories in terms of PMIEs and moral injury: (1) no high stakes PMIEs, (2) high stakes PMIEs but no moral injury, and (3) high stakes PMIEs and moral injury. Within the third category, three main themes and associated subthemes emerged: (1) a sense of responsibility in death, (2) the illusion of control, and (3) a duty to remember.

Conclusions: This study is the first to explore high stakes PMIEs and moral injury in trauma-exposed, help-seeking police officers. Findings show that moral injury seems a relevant clinical concept in policing. PMIEs may change their fundamental self-perception and lead to deep feelings of guilt and shame. Directions for future research include examining police officers' treatment needs and perspectives on "moral recovery." (PsycInfo Database Record (c) 2025 APA, all rights reserved).