Among combat veterans, moral injury (i.e., the guilt, shame, inability to forgive
one’s self and others, and social withdrawal associated with one’s involvement in
events that occurred during war or other missions) is associated with a host of negative
mental health symptoms, including suicide. To better inform and tailor prevention
and treatment efforts among veterans, the present study examined several potential
risk (i.e., overidentification and self-judgment) and protective (i.e., self-kindness,
mindfulness, common humanity, and social connectedness) variables that may moderate
the association between moral injury and suicidality. Participants were 189 combat
wounded veterans (96.8% male; mean age = 43.14 years) who had experienced one or more
deployments (defined as 90 days or more). Nearly all participants reported a service-connected
disability ( n = 176, 93.1%) and many had received a Purple Heart ( n = 163, 86.2%).
Within a series of moderation models, we found 3 statistically significant moderation
effects. Specifically, the association between self-directed moral injury and suicidality
strengthened at higher levels of overidentification, that is, a tendency to overidentify
with one’s failings and shortcomings. In addition, the association between other-directed
moral injury and suicidality weakened at higher levels of mindfulness and social connectedness.
These findings provide insight on risk and protective factors that strengthen (risk
factor) or weaken (protective factor) the association between moral injury and suicidality
in combat-wounded veterans. Taken together, mindfulness, social connectedness, and
overidentification are relevant to understand the increased/ decreased vulnerability
of veterans to exhibit suicidality when experiencing moral injury.