Moral Injury Among Youth: Historical Accounts, Current Research and Future Directions

Abstract This manuscript explores the definition and historical context of Moral Injury (MI), detailing its psychological and spiritual impact on individuals, including youth populations. Morals are our beliefs and understanding of what is right and wrong. They are often informed by cultural and social norms and typically encompass values and responsibilities that individuals use to judge whether an action is right or wrong. MI is a psychological phenomenon that can unfold when there is a loss of trust in these beliefs or others' ability to keep our shared moral agreements. Traditionally associated with military personnel, MI has evolved to include other populations, including youth and family systems. This piece explores moral development among youth populations and how injuries to moral codes are particularly salient in youth populations and family systems. Special attention is given to MI's unique manifestations and implications in childhood and adolescence. The manuscript concludes with a call to action for further research that prioritizes and integrates youths' own voices in understanding and addressing MI.