ArticleEuropean journal of psychotraumatology2025
Examining moral injury and posttraumatic stress among firefighters, emergency medical services personnel, and emergency dispatchers.
Article in European journal of psychotraumatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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The trial behind it
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Who cites it
4 citing papers in PubMed.
- "We need to keep in mind that battle fatigue": A commentary on moral injury among substance use treatment and community service providers.Journal of substance use and addiction treatment · 2026Article
- TheHealthcare (Basel, Switzerland) · 2026Article
- Posttraumatic Stress Symptoms and Anger Among Police Officers Following a Fatal Knife Attack on a Team Member.Healthcare (Basel, Switzerland) · 2026Article
- Anger and Post-Traumatic Stress Symptoms in Firefighters After a Firefighting Operation with Two Team Member Fatalities.Healthcare (Basel, Switzerland) · 2025Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFirst responders encounter chronic exposure to stressful and potentially traumatic experiences due to the nature of their jobs. First responders are also often confronted with the dilemma of following organisational protocols and/or using personal judgment to respond in high stress situations. Thus, posttraumatic stress disorder (PTSD) and moral injury (MI), defined as the negative impact of witnessing, perpetrating, or failing to prevent an act that violates one's moral beliefs, are potential psychological responses to potentially traumatic events.
objectiveThe present study evaluated MI severity among firefighters, emergency medical services (EMS) personnel, and dispatchers with and without probable PTSD.
methodThe sample included 283 personnel (
resultsConsistent with hypotheses, first responders who met screening criteria for probable PTSD, as compared to those who did not, reported significantly higher MI total scores, MI-shame subscale scores, and MI-trust-violation subscale scores, with large effect sizes (η
conclusionsResults suggest that MI may play a role in the characterisation of the clinical picture of first responders. Future studies should continue to evaluate associations between PTSD and MI in first responders, using interview-based and longitudinal methodologies, to better inform specialised clinical interventions.
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