Longitudinal associations between exposure to potentially morally injurious events and suicidal ideation among recently discharged veterans – The mediating roles of depression and loneliness

Background
Exposure to potentially morally injurious events (PMIEs) during military service is associated with heightened suicidal ideation (SI). However, no longitudinal study has established temporal associations between these variables and examined the possible mediating roles of depression and loneliness in this effect.

Moral Distress and Moral Injury in Military Healthcare Clinicians : A Scoping Review

Introduction
Healthcare clinicians are often at risk of psychological distress due to the nature of their occupation. Military healthcare providers are at risk for additional psychological suffering related to unique moral and ethical situations encountered in military service. This scoping review identifies key characteristics of moral distress and moral injury and how these concepts relate to the military healthcare clinician who is both a care provider and service member.
 

Moral conflict in a (post)war story : Narrative as enactment of and reflection on moral injury

This article examines the discursive construction of moral conflict in a military veteran's (post)war story. By closely examining the linguistic details of a single veteran's narrative of war, this article addresses how moral conflict is revealed in shifts among varying modes of morality: from the conventional moral dispositions of the military, in which soldiers are socialized into acting, often violently and without reflection, to conscious ethical reasoning, which soldiers have historically been socialized not to engage in.

 

Moral injury among first responders : Experience, effects, and advice in their own words

Moral injury is a serious concern among first responders. Not only does moral injury occur with notable frequency among first response groups such as police, fire safety, and emergency medical personnel, but it also poses considerable mental health challenges. Despite a recent explosion of research on moral injury, the literature would benefit from a systematic investigation of how first responders describe their experiences in their own words. We conducted semistructured interviews with 36 graduates of a first responder trauma healing course.

 

Moral Distress, Conscientious Practice, and the Endurance of Ethics in Health Care through Times of Crisis and Calm

When health professionals experience moral distress during routine clinical practice, they are challenged to maintain integrity through conscientious practice guided by ethical principles and virtues that promote the dignity of all human beings who need care. Their integrity also needs preservation during a crisis like the COVID-19 pandemic, especially when faced with triage protocols that allocate scarce resources.

Measuring moral distress and moral injury : A systematic review and content analysis of existing scales

Background

Moral distress (MD) and moral injury (MI) are related constructs describing the negative consequences of morally challenging stressors. Despite growing support for the clinical relevance of these constructs, ongoing challenges regarding measurement quality risk limiting research and clinical advances. This study summarizes the nature, quality, and utility of existing MD and MI scales, and provides recommendations for future use.

 

Method

Associations between International Trauma Questionnaire complex posttraumatic stress disorder symptom clusters and moral injury in a sample of U.K. treatment-seeking veterans : A network approach

Objective: Complex posttraumatic stress disorder (CPTSD) and moral injury are receiving increasing empirical attention. The network approach offers a novel method to understand the association between such mental health constructs.

 

‘Anyone can make bad use of a good law’ : exploring how constrained choice can result in moral injury

There are times within health and social care settings where professionals ask recipients of services to make complex and life altering choices. How these choices are presented by professionals has a profound impact on the experience of those accessing services. These experiences pattern their subsequent understanding of and response to both services and the professionals working within them.

Unified in remembrance : reflections on collective war commemoration by war-affected immigrants in the Netherlands

Decades after World War II, major commemorations are still organised to collectively remember this war. Aiming for inclusive societies, the perspectives of immigrants with different war experiences are important to be heard in relation to these commemorations.

The effect of a single session of psychological first aid in the emergency department on PTSD and depressive symptoms three months postintervention : results of a randomised controlled trial

Background: Despite its popularity, evidence of the effectiveness of Psychological First Aid (PFA) is scarce.

 

Objective: To assess whether PFA, compared to psychoeducation (PsyEd), an attention placebo control, reduces PTSD and depressive symptoms three months post-intervention. 

 

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