Evidence map›Paper›PMID 40751003›Full record

ArticleNpj mental health research2025

Moral injury is independently associated with suicidal ideation and suicide attempt in high-stress, service-oriented occupations.

Brandon J Griffin, Shira Maguen, Matthew L McCue, Robert H Pietrzak, Carmen P McLean, Jessica L Hamblen, Ashlyn M Jendro, Sonya B Norman

Abstract read
In one paragraph

Article in Npj mental health research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
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  7. Moral injury prevention and intervention.European journal of psychotraumatology · 2025
    Review
  8. Article
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.

Brandon J GriffinMental Health Service, Center for Mental Healthcare and Outcomes Research, Central Arkansas Veterans Healthcare System, Little Rock, AR, USA.
Shira MaguenMental Health Service, Center for Data to Discovery and Delivery Innovation (3DI), San Francisco VA Health Care System, San Francisco, CA, USA.
Matthew L McCueCenter for Excellence in Stress and Mental Health, San Diego VA Health Care System, San Diego, CA, USA.
Robert H PietrzakClinical Neurosciences Division, National Center for PTSD, West Haven, CT, USA.
Carmen P McLeanDissemination and Training Division, National Center for PTSD, Menlo Park, CA, USA.
Jessica L HamblenPsychiatry Department, Geisel School of Medicine at Dartmouth, Hanover, NH, USA.
Ashlyn M JendroMental Health Service, Center for Mental Healthcare and Outcomes Research, Central Arkansas Veterans Healthcare System, Little Rock, AR, USA.
Sonya B NormanPsychiatry Department, University of California San Diego School of Medicine, San Diego, CA, USA. snorman@health.ucsd.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study explores the link between moral injury and suicidal thoughts and behaviors among US military veterans, healthcare workers, and first responders (N = 1232). Specifically, it investigates the risk associated with moral injury that is not attributable to common mental health issues. Among the participants, 12.1% reported experiencing suicidal ideation in the past two weeks, and 7.4% had attempted suicide in their lifetime. Individuals who screened positive for probable moral injury (6.0% of the sample) had significantly higher odds of current suicidal ideation (AOR = 3.38, 95% CI = 1.65, 6.96) and lifetime attempt (AOR = 6.20, 95% CI = 2.87, 13.40), even after accounting for demographic, occupational, and mental health factors. The findings highlight the need to address moral injury alongside other mental health issues in comprehensive suicide prevention programs for high-stress, service-oriented professions.

Identifiers

PMID40751003
PMCPMC12317004

What OpenQuestion holds

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Registered trials

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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.