Moral injury is independently associated with suicidal ideation and suicide attempt in high-stress, service-oriented occupations.

Npj mental health research Pub Date : 2025-08-01 DOI:10.1038/s44184-025-00151-9

Brandon J Griffin, Shira Maguen, Matthew L McCue, Robert H Pietrzak, Carmen P McLean, Jessica L Hamblen, Ashlyn M Jendro, Sonya B Norman

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Abstract

This study explores the link between moral injury and suicidal thoughts and behaviors among US military veterans, healthcare workers, and first responders (N = 1232). Specifically, it investigates the risk associated with moral injury that is not attributable to common mental health issues. Among the participants, 12.1% reported experiencing suicidal ideation in the past two weeks, and 7.4% had attempted suicide in their lifetime. Individuals who screened positive for probable moral injury (6.0% of the sample) had significantly higher odds of current suicidal ideation (AOR = 3.38, 95% CI = 1.65, 6.96) and lifetime attempt (AOR = 6.20, 95% CI = 2.87, 13.40), even after accounting for demographic, occupational, and mental health factors. The findings highlight the need to address moral injury alongside other mental health issues in comprehensive suicide prevention programs for high-stress, service-oriented professions.

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在高压力、服务型职业中，道德伤害与自杀意念和自杀企图独立相关。

本研究探讨了美国退伍军人、医护人员和急救人员（N = 1232）的道德伤害与自杀想法和行为之间的联系。具体来说，它调查了与不能归因于常见精神健康问题的道德伤害相关的风险。在参与者中，12.1%的人报告在过去两周内有过自杀念头，7.4%的人在他们的一生中曾试图自杀。即使在考虑了人口统计学、职业和心理健康因素后，可能的道德伤害筛查呈阳性的个体（占样本的6.0%）当前的自杀意念（AOR = 3.38, 95% CI = 1.65, 6.96）和终生自杀企图（AOR = 6.20, 95% CI = 2.87, 13.40）的几率也显著更高。研究结果强调，在针对高压力、服务型职业的综合自杀预防项目中，需要解决道德伤害和其他心理健康问题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Npj mental health research

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