The Impact of Combat Exposure on Suicidal Behavior Among U.S. Military Personnel: The Moderating Roles of Moral Injury and Stigma

This study analyzed data from the Military Health and Well-being Project (MHWBP) to examine the influence of combat exposure on suicidal behavior among U.S. military personnel with combat experience, focusing on the moderated effects of moral injury and stigma. Data from 1,495 service members were analyzed, revealing significant correlations among the variables. The Process Macro was employed to assess the impact of moral injury and stigma on suicidal behavior. Furthermore, moderated moderation analyses were conducted, revealing that combat experience had a stronger relationship on suicidal behavior among individuals with high levels of moral injury and stigma. These findings shed light on the interacting factors through which combat exposure affects suicidal behavior among military personnel and are discussed in terms of their implications, limitations, and future research directions.

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Publication Details

Journal
Journal of Clinical Psychology
Published
2026-01-29
DOI
https://doi.org/10.1002/jclp.70105
Primary Topic
Posttraumatic Stress Disorder Research
Type
article
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article

The Impact of Combat Exposure on Suicidal Behavior Among U.S. Military Personnel: The Moderating Roles of Moral Injury and Stigma

Sungbum Woo, Sojeong Im
Journal of Clinical Psychology
Posttraumatic Stress Disorder Research
article

The Impact of Combat Exposure on Suicidal Behavior Among U.S. Military Personnel: The Moderating Roles of Moral Injury and Stigma

Sungbum Woo, Sojeong Im
article en

Abstract

This study analyzed data from the Military Health and Well-being Project (MHWBP) to examine the influence of combat exposure on suicidal behavior among U.S. military personnel with combat experience, focusing on the moderated effects of moral injury and stigma. Data from 1,495 service members were analyzed, revealing significant correlations among the variables. The Process Macro was employed to assess the impact of moral injury and stigma on suicidal behavior. Furthermore, moderated moderation analyses were conducted, revealing that combat experience had a stronger relationship on suicidal behavior among individuals with high levels of moral injury and stigma. These findings shed light on the interacting factors through which combat exposure affects suicidal behavior among military personnel and are discussed in terms of their implications, limitations, and future research directions.

Journal of Clinical Psychology
Hanyang Cyber University (KR), Korea University (KR)
Peace, Justice and strong institutions
Openalex Percentile: Top 75%
Posttraumatic Stress Disorder Research
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The Impact of Combat Exposure on Suicidal Behavior Among U.S. Military Personnel: The Moderating Roles of Moral Injury and Stigma — Sungbum Woo, Sojeong Im · Journal of Clinical Psychology (2026) | TGRS Research Map | TGRS