Evidence map›Paper›PMID 40382508›Full record

ArticleJournal of religion and health2025

Moral Injury, Mental Disorders, and Suicidal Behavior Among Health Professionals During the COVID-19 Pandemic: A Network Analysis.

Qiuhui Lei, Zhehao He, Yutong Ye, Xiuquan Shi, Jun Liu, Harold G Koenig, Zhizhong Wang

Abstract read
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In one paragraph

Article in Journal of religion and health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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

7 authors.

Qiuhui LeiDepartment of Epidemiology and Health Statistics, School of Public Health at, Guangdong Medical University, #1 Xincheng Road, Songshanhu, Dongguan, 523808, People's Republic of China.
Zhehao HeDepartment of Epidemiology and Health Statistics, School of Public Health at, Guangdong Medical University, #1 Xincheng Road, Songshanhu, Dongguan, 523808, People's Republic of China.
Yutong YeDepartment of Epidemiology and Health Statistics, School of Public Health at, Guangdong Medical University, #1 Xincheng Road, Songshanhu, Dongguan, 523808, People's Republic of China.
Xiuquan ShiDepartment of Preventive Medicine, School of Public Health at, Zunyi Medical University, Zunyi, 56006, People's Republic of China.ORCID http://orcid.org/0000-0001-7985-6757
Jun LiuDepartment of Epidemiology and Health Statistics, School of Public Health, Zunyi Medical University, Zunyi, 56006, People's Republic of China.ORCID http://orcid.org/0000-0003-2198-2579
Harold G KoenigDepartments of Psychiatry and Medicine, Duke University Medical Center, Durham, NC, 27710, USA.
Zhizhong WangDepartment of Epidemiology and Health Statistics, School of Public Health at, Guangdong Medical University, #1 Xincheng Road, Songshanhu, Dongguan, 523808, People's Republic of China. wzhzh_lion@126.com.ORCID http://orcid.org/0000-0002-0612-3218

Funding

Ph.D. researchers of Guangdong Medical University in 2022 GDMUB2022049
6 · The paper itself

Abstract

During extreme conditions such as the COVID-19 pandemic, health professionals were susceptible to mental health issues. A series of network analyses were performed to explore the relationship between moral injury and depressive symptoms, anxiety symptom, PTSD symptom, and suicidal behaviors in 14,993 health professionals. Depressive symptoms were identified as the main pathway through which moral injury led to suicidal behavior, and betrayal was the most significant bridge symptom for moral injury with PTSD, anxiety, and depressive symptoms. The symptom profiles of MI associated with the common mental outcomes included betrayal, self-condemnation, and feeling punished by God. The most central mental symptoms of health professionals were irritability, nervousness, and feeling afraid. It is crucial to implement targeted measures addressing the bridge symptoms of moral injury and the core symptoms of anxiety to prevent and treat mental health consequences among health professionals.

Indexed as

COVID-19Health PersonnelMental DisordersMoralsSuicidal IdeationAdultAnxietyDepressionFemaleHumansMaleMiddle AgedPandemicsSARS-CoV-2Stress Disorders, Post-TraumaticCOVID-19Mental healthMoral injuryNetwork analysisSuicidal behavior

Identifiers

PMID40382508

What OpenQuestion holds

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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.