Evidence map›Paper›PMID 42533939›Full record

ArticleJournal of military, veteran and family health2025

Moral injury, coping strategies, and supports among Canadian public safety personnel.

Andrea M D'Alessandro-Lowe, Mauda Karram, Kim Ritchie, Andrea Brown, Mina Pichtikova, Emily Sullo, James Mirabelli, Hygge Schielke, Ann Malain, Charlene O'Connor and 4 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of military, veteran and family health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

14 authors.

Andrea M D'Alessandro-LoweDepartment of Psychology, Neuroscience and Behaviour, McMaster University, Hamilton, Ontario, Canada.ORCID 0000-0002-7482-0656
Mauda KarramDepartment of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada.
Kim RitchieDepartment of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada.
Andrea BrownDepartment of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada.
Mina PichtikovaDepartment of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada.
Emily SulloDepartment of Psychology, Neuroscience and Behaviour, McMaster University, Hamilton, Ontario, Canada.
James MirabelliDepartment of Psychology, Neuroscience and Behaviour, McMaster University, Hamilton, Ontario, Canada.
Hygge SchielkeHomewood Research Institute, Guelph, Ontario, Canada.
Ann MalainHomewood Research Institute, Guelph, Ontario, Canada.
Charlene O'ConnorHomewood Research Institute, Guelph, Ontario, Canada.
Shannon RemersHomewood Research Institute, Guelph, Ontario, Canada.
Ruth LaniusDepartment of Psychiatry, University of Western Ontario, London, Ontario, Canada.
Margaret McKinnonDepartment of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada.ORCID 0000-0002-8315-7657
Randi E McCabeSt. Joseph's Healthcare Hamilton, Hamilton, Ontario, Canada.ORCID 0000-0001-6437-4982

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Public safety personnel (PSP) are at increased risk of exposure to potentially morally injurious events (PMIEs) and moral injury because of the nature of their work. The purpose of this study was to explore how moral injury relates to coping strategies and supports that PSP may use to care for their mental health. Method: Between June 2022 and June 2023, PSP were invited to participate in an online survey that indexed socio-demographic information, moral injury (with shame and trust violation sub-scales), perceived organizational support, social support, spiritual well-being, self-compassion, alcohol use, cannabis use, and childhood adversity. Hierarchical multiple linear regressions were constructed to assess the relations between coping strategies and supports and 1) overall moral injury, 2) shame-related moral injury, and 3) trust-violation-related moral injury, controlling for age, mental health history, and childhood adversity. Results: Moral injury was negatively associated with perceived organizational support, spiritual well-being, and self-compassion. Shame-related moral injury was negatively associated with spiritual well-being, self-compassion, and social support. Finally, trust-violation-related moral injury was positively associated with alcohol use and negatively associated with perceived organizational support and spiritual well-being. Discussion: Although PSP and related groups may continue to experience moral injury because of job-related duties, there may be room to intervene via spiritually informed resources, self-compassion training, and social and organizational support.

Indexed as

coping strategiesfirst respondersmoral injurypublic safety personnelsupports

Identifiers

PMID42533939
PMCPMC13293011

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.