@article{ref1,
title="Moral injury as a unique predictor of suicidal ideation in a veteran sample with a  substance use disorder",
journal="Psychological trauma: theory, research, practice, and policy",
year="2020",
author="Cameron, Amy Y. and Eaton, Erica and Brake, C. Alex and Capone, Christy",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: Suicide among military veterans accounts for 22.2% of all suicide deaths  in the United States per year, and veterans with a substance use disorder (SUD) are  at an even higher risk for death by suicide. This prevalence has led to increased  efforts to identify and investigate both potential risks and protective factors for  veterans. This study examines relationships between depression symptomology,  exposure to potentially morally injurious events, posttraumatic stress disorder  (PTSD) diagnosis, and suicidal ideation, with the primary aim of examining exposure  to moral injurious events as a risk factor for suicide in veterans with SUD. <br><br>METHOD:  An inpatient sample of 40 veterans with an active SUD admitted for suicidal ideation  was evaluated to examine differences in suicidal ideation, depression symptomology,  and exposure to morally injurious events in participants with and without a PTSD  diagnosis. Further, exposure to morally injurious events and depression symptomology  were examined as predictors of suicidal ideation. <br><br>RESULTS: Analyses revealed that  exposure to morally injurious events (d = 1.72) and depression symptomology (d =  0.72) were higher in participants with a PTSD diagnosis compared to those without a  diagnosis, though no significant differences emerged between the two groups on  suicidality. A hierarchical regression analysis indicated that only exposure to  morally injurious events significantly accounted for variance in suicidality (β =.31, p =.04, 95% confidence interval [.01,.37]). <br><br>CONCLUSIONS: These results  suggest that although PTSD may be associated with exposure to morally injurious  events and depression symptoms, exposure to morally injurious events may potentially  lead to higher suicide risk among veterans above and beyond PTSD and depressive  symptoms. (PsycInfo Database Record (c) 2020 APA, all rights reserved).<p /> <p>Language: en</p>",
language="en",
issn="1942-9681",
doi="10.1037/tra0000988",
url="http://dx.doi.org/10.1037/tra0000988"
}