Journal of Behavioral Health and Psychology. 2023; 12(1):(325-333)


Moral Injury and Suicide Attempts in Nigerian Military Veterans

Augustine Ejiroghene EBIAI, James ABEL, Anongo Fredrick SONTER, Binan Evans DAMI

Abstract

Military suicide prevention and control has become a priority to military authorities due to its increasing rates and consequences. However, there is still paucity of research examining associated factors that put veterans at risk for suicidal attempts. This study examined association between moral injury, mental health outcomes, contextual factors (pre-deployment ideation, post-deployment duration) and suicidal attempts by rank in Nigerian military veterans. A total of 582 purposively sampled military veterans who were exposed to insurgency completed a cross-sectional survey and standardised instruments were utilised to assess study variables. To examine associations of exposure to potentially morally injurious events (PMIEs; witnessing, perpetrating, and betrayal), control variables and suicidal attempts, we estimated two series of multivariable binary logistic regressions stratified by rank, with suicide attempt as the dependent variable. Results indicated that potentially morally injurious events, particularly due to perpetration was the greatest risk factor for suicidal attempts for both enlisted and officers. Enlisted veterans who reported perpetration (OR1.9, 95%CI; 1.1-2.8) and betrayal (OR-1.7,95%CI; 1.2-2.6) were more likely to report suicidal attempts than those who denied perpetration and betrayal. Witnessing morally injurious events emerged as a significant risk factor for suicidal attempts in military officers (AOR = 1.54, 95% CI 1.2-1.8) but not in the enlisted veterans. The fully adjusted model revealed no significant association between moral injury due to betrayal and suicide attempts after post-deployment other factors were controlled. Military authorities should give more attention to moral injury when assessing and designing intervention for suicide prevention, especially among enlisted veterans.

Most Viewed Article
  • Evaluation of a Brief Training of Police Constables in Recognizing Suicidal Behaviour in Lagos, Nigeria
    Olushola Olibamoyo, Azizat Lebimoyo, Tunde Adegbite.
    » Abstract » doi: 10.33425/2832-4579/23057

  • The Enablers and Barriers Associated With the Performance of Physical Exercise in Patients with Gestational Diabetes Mellitus
    Godsday Udoji Ogbutor, Ephraim Chukwuemeka, Nworah Awele Maria, Akaeme Daniel Chidubem, Onapkoma Bight Eniwareke, Overcomer Temiloluwa Binuyo, Kizito Emeka Bright, Ezunu Emmanuel, Omorode Deborah, Collins Ogbeivor, Ruth Kikachukwu Chibuzor, Ogbutor Great Emeke.
    » Abstract » doi: 10.33425/2832-4579/23056

  • Culture and Faith in the Healing Process of Recovery
    Pascal Scoles
    » Abstract » doi: 10.33425/2832-4579/23055

  • Galileo All Over Again: The Sexual Revolution
    Daniel A. Helminiak
    » Abstract » doi: 10.33425/2832-4579/23054

  • The Perspectives and Experiences of Women Who Attend a Mind-Body Dance Fitness Program: A Qualitative Descriptive Study
    Tracy Hellem, Hanne Dolan, Megan Parker, Ruth Taylor-Piliae
    » Abstract » doi: 10.33425/2832-4579/23053

Most Downloaded
  • Evaluation of a Brief Training of Police Constables in Recognizing Suicidal Behaviour in Lagos, Nigeria
    Olushola Olibamoyo, Azizat Lebimoyo, Tunde Adegbite.
    » Abstract » doi: 10.33425/2832-4579/23057

  • The Enablers and Barriers Associated With the Performance of Physical Exercise in Patients with Gestational Diabetes Mellitus
    Godsday Udoji Ogbutor, Ephraim Chukwuemeka, Nworah Awele Maria, Akaeme Daniel Chidubem, Onapkoma Bight Eniwareke, Overcomer Temiloluwa Binuyo, Kizito Emeka Bright, Ezunu Emmanuel, Omorode Deborah, Collins Ogbeivor, Ruth Kikachukwu Chibuzor, Ogbutor Great Emeke.
    » Abstract » doi: 10.33425/2832-4579/23056

  • Culture and Faith in the Healing Process of Recovery
    Pascal Scoles
    » Abstract » doi: 10.33425/2832-4579/23055

  • Galileo All Over Again: The Sexual Revolution
    Daniel A. Helminiak
    » Abstract » doi: 10.33425/2832-4579/23054

  • The Perspectives and Experiences of Women Who Attend a Mind-Body Dance Fitness Program: A Qualitative Descriptive Study
    Tracy Hellem, Hanne Dolan, Megan Parker, Ruth Taylor-Piliae
    » Abstract » doi: 10.33425/2832-4579/23053