To bridge this gap, a qualitative study of 30 veterans explored moral injury in UK military veterans. This study was the first comprehensive exploration of moral injury in the UK. It provided the first evidence that moral injury occurs in UK populations, has a significant and harmful impact on mental health, and UK clinical care teams experience uncertainty when treating patients experiencing moral injury related psychological difficulties. This research also illuminated previously unknown risk factors, including perceived unpreparedness and a lack of leadership support at the time of the event. This body of work represents a key contribution to the field of psychotraumatology, deepening theoretical understanding of how moral injury develops, the context in which it arises, and the types of support that may be most helpful. Additionally, this research assisted in shaping a new theoretical model of moral injury which incorporates socio-cognitive factors.
Read studyWhile much of the existing research has focused on moral injury in military populations, emerging evidence suggests that moral injury is also prevalent among other populations such as healthcare workers and individuals with adverse childhood experiences (ACEs). Research on UK healthcare staff highlights how a significant amount of healthcare staff reported exposure to potentially morally injurious events during the COVID-19 pandemic with specific contributors such as systemic pressures and chronic understaffing increasing distress. Research on women veterans reveals unique barriers to seeking support. Additionally, a growing body of literature highlights the need for tailored interventions that consider broader factors contributing to moral injury. Emerging research also identified the presence of moral injury among human trafficking survivors, highlighting the profound psychological and ethical conflicts they encounter as a result of coerced actions, betrayal and systemic failures. Research on veterinary professionals also reveals a high level of moral injury associated with ethical dilemmas in animal care.
The studies above represent a few examples of the growing body of research exploring moral injury in different populations. Continued research is essential to further identify at-risk groups, refine models, and develop targeted interventions. Please see the Publications to see a full list of our publications on moral injury and specific populations.
