Meaning in life moderates the association between morally injurious experiences and suicide ideation among U.S. combat veterans: Results from the National Health and Resilience in Veterans Study.
Open accessAbstract
OBJECTIVE: Effectively responding to suicide risk among veterans involves further developing understanding of reactions to combat experiences, including life-threatening events, traumatic losses, and morally injurious experiences. An important determinant of whether stressors lead to poor mental health outcomes is the perception of meaning. The current study aimed to determine whether global meaning (i.e., general beliefs, goals, and sense of purpose in life) moderates the relationship between morally injurious experiences and suicide ideation among combat veterans. METHOD: This analysis examined 564 participants in the National Health and Resilience in Veterans Study, which surveyed a nationally representative sample of U.S. military veterans, who reported a history of deployment to a combat zone. Multivariable logistic regressions examined interactions between morally injurious experiences and global meaning as predictors of the likelihood of current suicide ideation. RESULTS: There were significant interactions between global meaning and 2 morally injurious experience subtypes-transgressions by others and betrayal experiences. Higher global meaning was associated with significantly lower likelihood of experiencing suicide ideation at higher levels of transgression by others and betrayal experiences. CONCLUSIONS: Veterans who report higher levels of morally injurious experiences involving transgressions by others and betrayal experiences in the presence of higher levels of global meaning are significantly less likely to experience suicide ideation. Continued research is needed to determine whether interventions aimed at cultivating global meaning may help mitigate suicide risk in combat veterans with high exposure to certain potentially morally injurious experiences. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
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Moral injury may persist when morally salient experiences are processed through maladaptive, self-referential frameworks that are self-condemning or identity-threatening, disrupting narrative coherence.
“Developmental and meaning-making models similarly propose that MI may persist when morally salient experiences are processed through maladaptive, self-referential frameworks that are self-condemning or identity-threatening, thereby disrupting narrative coherence (8, 16, 50).”
From The therapeutic role of self-transcendence in moral injury recovery: theory, mechanisms, and clinical implications (2026) · cites this paper as [50]
The Introduction (page unavailable) says that how a person makes sense of a perceived moral violation affects distress and impairment, and describes difficulty integrating the event into one’s understanding of the world. It does not specifically describe self-condemning or identity-threatening frameworks, or establish that they cause moral injury to persist by disrupting narrative coherence. (LLM, conf=0.85)
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- Authors
- Corona, C. D., Van Orden, K. A., Wisco, B. E., & Pietrzak, R. H.
- Affiliations
- United States Department of Veterans Affairs (US)
- Venue
- Psychological Trauma: Theory, Research, Practice, and Policy
- Published
- 2019-09
- Volume
- 11
- Issue
- 6
- Pages
- 614-620
- ISSN
- 1942-9681 (ISSN-L)
- 1942-969X
- PMC
- PMC6722007
- OpenAlex
- W2947732028
- Cited by
- 43
- References
- 39
- Citations by year
- 2026: 7 · 2025: 6 · 2024: 10 · 2023: 5 · 2022: 4 · 2021: 7 · 2020: 4
- FWCI
- 4.38
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psychological Trauma Theory Research Practice and Policy (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- US Department of Veterans Affairs
- Canandaigua Veterans Affairs Medical Center
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Education › Education and Military Integration
- Keywords
- meaning in life, suicidal ideation, combat veterans, moderation, suicide risk, sense of purpose, military deployment
- MeSH terms
- Psychological Trauma, War Exposure, Adult, Aged, Aged, 80 and over, Female, Health Surveys, Humans, Interpersonal Relations, Male, Middle Aged, Morals, Social Behavior, United States, Veterans, Resilience, Psychological, Young Adult, Suicidal Ideation
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