Traumatology: An International Journal (Jul 16, 2018). DOI:10.1037/trm0000163 Moral injury is a unique type of trauma characterized by guilt and shame that may develop after acting inconsistently with one’s moral values or observing moral violations by trusted individuals. According to the moral injury syndrome model, exposure to potentially morally injurious events (pMIEs—e.g., killing combatants or civilians) statistically predicts the development of proposed moral injury symptoms. Moral injury’s core symptoms (e.g., guilt and loss of meaning) are further hypothesized to mediate relationships between pMIEs and secondary symptoms (e.g., depression, anxiety, and posttraumatic stress disorder symptoms).. To read the full article, log in using your NHS OpenAthens details.