Evidence map›Paper›PMID 37679519›Full record

ArticleJournal of religion and health2023

Moral Injury is a Risk Factor for Substance Use and Suicidality Among US Military Veterans with and without Traumatic Brain Injury.

Justin T McDaniel, Ryan Redner, Wasantha Jayawardene, Jolie Haun, John Clapp, Dunren Che, Karen Renzaglia, Dania Abou-Jabal

Abstract read
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In one paragraph

Article in Journal of religion and health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.9field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Prevalence of Exposures and Moral Injury in First Responders.Journal of the American College of Emergency Physicians open · 2025
    Article
  5. Article
  6. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Justin T McDanielSchool of Human Sciences, Southern Illinois University, 475 Clocktower Drive, Carbondale, IL, 62901, USA. jtmcd@siu.edu.ORCID http://orcid.org/0000-0001-8008-1645
Ryan RednerSchool of Psychological and Behavioral Sciences, Southern Illinois University, Carbondale, IL, USA.
Wasantha JayawardeneSchool of Human Sciences, Southern Illinois University, Carbondale, IL, USA.
Jolie HaunJames A. Haley Veterans' Hospital, US Veterans Health Administration, Tampa, FL, USA.
John ClappSchool of Social Work, University of Southern California, Los Angeles, CA, USA.
Dunren CheSchool of Computing, Southern Illinois University, Carbondale, IL, USA.
Karen RenzagliaDepartment of Plant Biology, Southern Illinois University, Carbondale, IL, USA.
Dania Abou-JabalSchool of Human Sciences, Southern Illinois University, Carbondale, IL, USA.
Southern Illinois University Carbondale · USUniversity of Southern California · USVeterans Health Administration · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A national survey of United States veterans was conducted, yielding 252 veterans with Traumatic Brain Injury (TBI) and 1235 veterans without TBI. Participants were asked questions about moral injury, suicidality, substance use, and other sociodemographic variables. Multivariable linear regression analysis was used to examine the previously described relationships. Increasing severity of moral injury was associated with higher scores on the substance use tool (b = 0.02, p = 0.04), although the magnitude of effect was not different from those without TBI (Z = - 0.57, p = 0.72). Increasing severity of moral injury was positively associated with suicidal behavior scores (b = 0.10, p < 0.01). The strength of this relationship was stronger in veterans with TBI than those without TBI (Z = 1.78, p = 0.04). Rehabilitation programs that treat veterans for TBI may need to consider the evaluation of moral injury given its association with adverse events in this population.

Indexed as

Brain Injuries, TraumaticMilitary PersonnelStress Disorders, Post-TraumaticSubstance-Related DisordersSuicideVeteransHumansRisk FactorsSuicidal IdeationUnited StatesMoral injurySubstance useSuicideTraumatic brain injuryVeterans

Identifiers

PMID37679519
OpenAlexW4386508508

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.