Objective
Despite advances in our understanding of mental health issues among military forces, a large proportion of military personnel continue to exhibit deployment-related psychological issues. Recent work has identified symptoms of guilt and shame related to moral injury as contributing significantly to combat-related mental health issues. This systematic scoping review explores the association between morality and symptoms of guilt and shame within military forces.
Method

From 1942 to 1945, Sonia Reich, a pre-adolescent Jew, was on the run. Orphaned and alone, she fought to keep herself alive while the majority of her extended family was executed in the Holocaust. When World War II ended, Sonia came to the United States, married a Holocaust survivor and built what her son, Howard, calls “the American Dream": a long marriage, children and grandchildren who went to college, a house without a mortgage, a car, and an extended life. From the outside, it seemed that Sonia had escaped the camps.

Background and Objectives: This study explores the nexus of relationships between memories of Holocaust-related early traumatic events, survivors’ sense of coherence (SOC), and subjective well-being (SWB) in late life. Design: The basic design of this study, based 106 survivors (54% female), was cross-sectional. Methods: Participants underwent an extensive in-depth clinical interview relating to their Holocaust experiences and responded to measures of SOC and SWB.

Objective: The authors evaluated the effectiveness of brief cognitive-behavioral therapy (CBT) for the prevention of suicide attempts in military personnel. Method: In a randomized controlled trial, active-duty Army soldiers at Fort Carson, Colo., who either attempted suicide or experienced suicidal ideation with intent, were randomly assigned to treatment as usual (N=76) or treatment as usual plus brief CBT (N=76). Assessment of incidence of suicide attempts during the follow-up period was conducted with the Suicide Attempt Self-Injury Interview.