{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T18:31:59Z","timestamp":1793385119756,"version":"4.5.0"},"reference-count":40,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100007703","name":"North Carolina State University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007703","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Affective Disorders"],"published-print":{"date-parts":[[2026,12]]},"DOI":"10.1016\/j.jad.2026.122370","type":"journal-article","created":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T15:40:57Z","timestamp":1786376457000},"page":"122370","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Social integration and social contribution moderate the moral injury-suicidality link among veterans"],"prefix":"10.1016","volume":"414","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5266-4747","authenticated-orcid":false,"given":"Elizabeth L.","family":"Wetzler","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9244-4586","authenticated-orcid":false,"given":"Joel K.","family":"Cartwright","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-8747-3693","authenticated-orcid":false,"given":"Chelsea M.","family":"Sims","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3472-523X","authenticated-orcid":false,"given":"Lolita M.","family":"Burrell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0865-424X","authenticated-orcid":false,"given":"James F.M.","family":"Cornwell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9455-7480","authenticated-orcid":false,"given":"Michael D.","family":"Wood","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"4","key":"10.1016\/j.jad.2026.122370_bb0005","doi-asserted-by":"crossref","DOI":"10.54656\/VLKW1083","article-title":"Structural examination of moral injury and PTSD and their associations with suicidal behavior among combat veterans","volume":"13","author":"Battles","year":"2021","journal-title":"J. Community Engagem. Scholarsh."},{"key":"10.1016\/j.jad.2026.122370_bb0010","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1016\/j.cpr.2015.11.008","article-title":"Anxiety and its disorders as risk factors for suicidal thoughts and behaviors: a meta-analytic review","volume":"43","author":"Bentley","year":"2016","journal-title":"Clin. Psychol. Rev."},{"key":"10.1016\/j.jad.2026.122370_bb0015","doi-asserted-by":"crossref","DOI":"10.3389\/fpsyt.2026.1738799","article-title":"Moral injury in modern warfare: clinical reflections and implications for military psychiatry","volume":"17","author":"Braun","year":"2026","journal-title":"Front. Psychiatry"},{"key":"10.1016\/j.jad.2026.122370_bb0020","first-page":"33","article-title":"The Zero Suicide Model: applying evidence-based suicide prevention practices to clinical care","volume":"9","author":"Brodsky","year":"2018","journal-title":"Front. Psychol."},{"issue":"1","key":"10.1016\/j.jad.2026.122370_bb0025","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1002\/da.22002","article-title":"Guilt, shame, and suicidal ideation in a military outpatient clinical sample","volume":"31","author":"Bryan","year":"2014","journal-title":"Depress. Anxiety"},{"key":"10.1016\/j.jad.2026.122370_bb0030","doi-asserted-by":"crossref","DOI":"10.3389\/fcomm.2020.599301","article-title":"Untold stories of moral injury: what we are learning\u2014and not learning\u2014from military veterans in transition","volume":"5","author":"Buechner","year":"2020","journal-title":"Front. Commun."},{"issue":"2","key":"10.1016\/j.jad.2026.122370_bb0035","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1080\/08995605.2021.1994329","article-title":"Military self-stigma as a mediator of the link between military identity and suicide risk","volume":"34","author":"Cacace","year":"2022","journal-title":"Mil. Psychol."},{"issue":"2","key":"10.1016\/j.jad.2026.122370_bb202608112243467127","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1037\/0033-2909.98.2.310","article-title":"Stress, social support, and the buffering hypothesis","volume":"98","author":"Cohen","year":"1985","journal-title":"Psychol. Bull."},{"issue":"4","key":"10.1016\/j.jad.2026.122370_bb0040","doi-asserted-by":"crossref","first-page":"864","DOI":"10.1037\/pspp0000225","article-title":"Meaning is about mattering: evaluating coherence, purpose, and existential mattering as precursors of meaning in life judgments","volume":"118","author":"Costin","year":"2020","journal-title":"J. Pers. Soc. Psychol."},{"key":"10.1016\/j.jad.2026.122370_bb0045","series-title":"Military Health and Well-being Project, United States, 2020","author":"Desmarais","year":"2022"},{"issue":"4","key":"10.1016\/j.jad.2026.122370_bb0050","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1177\/1539449219833351","article-title":"Participation, meaningful activity, and social support among US student service members\/veterans","volume":"39","author":"Eakman","year":"2019","journal-title":"OTJR Occup. Particip. Health"},{"issue":"5","key":"10.1016\/j.jad.2026.122370_bb0055","doi-asserted-by":"crossref","first-page":"634","DOI":"10.1080\/15374416.2025.2521852","article-title":"Future directions: targeting social contribution in youth suicide prevention","volume":"54","author":"Edenbaum","year":"2025","journal-title":"J. Clin. Child Adolesc. Psychol."},{"issue":"3","key":"10.1016\/j.jad.2026.122370_bb0060","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1037\/gpr0000077","article-title":"Meaning in life as comprehension, purpose, and mattering: toward integration and new research questions","volume":"20","author":"George","year":"2016","journal-title":"Rev. Gen. Psychol."},{"issue":"3","key":"10.1016\/j.jad.2026.122370_bb0065","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1002\/jts.22362","article-title":"Moral injury: an integrative review","volume":"32","author":"Griffin","year":"2019","journal-title":"J. Trauma. Stress"},{"key":"10.1016\/j.jad.2026.122370_bb0070","series-title":"Introduction to Moderation, Mediation, and Conditional Process Analysis: A Regression-based Approach","author":"Hayes","year":"2022"},{"issue":"6","key":"10.1016\/j.jad.2026.122370_bb0075","doi-asserted-by":"crossref","first-page":"1029","DOI":"10.1111\/sltb.13107","article-title":"Back to the roots of perceived burdensomeness: the potential role of perceived contribution","volume":"54","author":"Hill","year":"2024","journal-title":"Suicide Life Threat. Behav."},{"issue":"4","key":"10.1016\/j.jad.2026.122370_bb0080","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1016\/j.cpr.2010.12.007","article-title":"Resilience to suicidality: the buffering hypothesis","volume":"31","author":"Johnson","year":"2011","journal-title":"Clin. Psychol. Rev."},{"issue":"3","key":"10.1016\/j.jad.2026.122370_bb0085","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1002\/jts.20334","article-title":"Longitudinal linkages between perceived social support and posttraumatic stress symptoms: sequential roles of social causation and social selection","volume":"21","author":"Kaniasty","year":"2008","journal-title":"J. Trauma. Stress"},{"issue":"1","key":"10.1016\/j.jad.2026.122370_bb0090","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1037\/1040-3590.1.1.53","article-title":"Clinical evaluation of a measure to assess combat exposure","volume":"1","author":"Keane","year":"1989","journal-title":"Psychol. Assess."},{"issue":"6","key":"10.1016\/j.jad.2026.122370_bb0095","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1037\/tra0000447","article-title":"Moral injury and suicidality among combat-wounded veterans: the moderating effects of social connectedness and self-compassion","volume":"11","author":"Kelley","year":"2019","journal-title":"Psychol. Trauma Theory Res. Pract. Policy"},{"key":"10.1016\/j.jad.2026.122370_bb0100","doi-asserted-by":"crossref","first-page":"121","DOI":"10.2307\/2787065","article-title":"Social well-being","volume":"61","author":"Keyes","year":"1998","journal-title":"Soc. Psychol. Q."},{"issue":"11\u221212","key":"10.1016\/j.jad.2026.122370_bb0105","doi-asserted-by":"crossref","first-page":"e659","DOI":"10.1093\/milmed\/usy017","article-title":"Screening for moral injury: the Moral Injury Symptom Scale\u2013Military Version Short Form","volume":"183","author":"Koenig","year":"2018","journal-title":"Mil. Med."},{"issue":"5","key":"10.1016\/j.jad.2026.122370_bb0110","doi-asserted-by":"crossref","first-page":"500","DOI":"10.1080\/10999922.2016.1248881","article-title":"PTSD and suicides among veterans-recent findings","volume":"19","author":"Koven","year":"2017","journal-title":"Public Integrity"},{"issue":"1","key":"10.1016\/j.jad.2026.122370_bb0115","doi-asserted-by":"crossref","first-page":"22","DOI":"10.5617\/suicidologi.6198","article-title":"\u201cZero Suicide\u201d\u2013a model for reducing suicide in United States behavioral healthcare","volume":"23","author":"Labouliere","year":"2018","journal-title":"Suicidologi"},{"issue":"1\u20132","key":"10.1016\/j.jad.2026.122370_bb0120","doi-asserted-by":"crossref","first-page":"NP1031","DOI":"10.1177\/0886260520920865","article-title":"Moral injury and suicide ideation among Israeli combat veterans: the contribution of self-forgiveness and perceived social support","volume":"37","author":"Levi-Belz","year":"2022","journal-title":"J. Interpers. Violence"},{"key":"10.1016\/j.jad.2026.122370_bb0125","doi-asserted-by":"crossref","DOI":"10.3389\/fpubh.2024.1336406","article-title":"From active duty to activism: how moral injury and combat trauma drive political activism and societal reintegration among Israeli veterans","volume":"12","author":"Levy","year":"2024","journal-title":"Front. Public Health"},{"issue":"8","key":"10.1016\/j.jad.2026.122370_bb0130","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1016\/j.cpr.2009.07.003","article-title":"Moral injury and moral repair in war veterans: a preliminary model and intervention strategy","volume":"29","author":"Litz","year":"2009","journal-title":"Clin. Psychol. Rev."},{"issue":"2","key":"10.1016\/j.jad.2026.122370_bb0135","first-page":"109","article-title":"The problem of narrative coherence","volume":"19","author":"McAdams","year":"2006","journal-title":"J. Constr. Psychol."},{"issue":"3","key":"10.1016\/j.jad.2026.122370_bb0140","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1037\/trm0000287","article-title":"Moral injury and mental health: a systematic review and meta-analysis","volume":"27","author":"McEwen","year":"2021","journal-title":"Traumatology"},{"issue":"8","key":"10.1016\/j.jad.2026.122370_bb0145","doi-asserted-by":"crossref","first-page":"868","DOI":"10.1038\/mp.2009.29","article-title":"Mental disorders, comorbidity and suicidal behavior: results from the National Comorbidity Survey Replication","volume":"15","author":"Nock","year":"2010","journal-title":"Mol. Psychiatry"},{"issue":"4","key":"10.1016\/j.jad.2026.122370_bb0150","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1177\/107319110100800409","article-title":"The Suicidal Behaviors Questionnaire-Revised (SBQ-R): validation with clinical and nonclinical samples","volume":"8","author":"Osman","year":"2001","journal-title":"Assessment"},{"issue":"6","key":"10.1016\/j.jad.2026.122370_bb0155","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1016\/j.cpr.2009.05.001","article-title":"Post-traumatic stress disorder and suicidal behavior: a narrative review","volume":"29","author":"Panagioti","year":"2009","journal-title":"Clin. Psychol. Rev."},{"key":"10.1016\/j.jad.2026.122370_bb0160","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1016\/j.jad.2024.07.141","article-title":"Risk and protective correlates of suicidality in the Military Health and Well-Being Project","volume":"363","author":"Schafer","year":"2024","journal-title":"J. Affect. Disord."},{"issue":"2","key":"10.1016\/j.jad.2026.122370_bb0165","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1002\/jts.22086","article-title":"Social causation versus social erosion: comparisons of causal models for relations between support and PTSD symptoms","volume":"29","author":"Shallcross","year":"2016","journal-title":"J. Trauma. Stress"},{"key":"10.1016\/j.jad.2026.122370_bb0170","series-title":"Preventing Suicide: A Technical Package of Policies, Programs, and Practice","author":"Stone","year":"2017"},{"key":"10.1016\/j.jad.2026.122370_bb0175","series-title":"2024 National Veteran Suicide Prevention Annual Report","author":"U.S. Department of Veterans Affairs","year":"2024"},{"issue":"2","key":"10.1016\/j.jad.2026.122370_bb0180","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1037\/a0018697","article-title":"The interpersonal theory of suicide","volume":"117","author":"Van Orden","year":"2010","journal-title":"Psychol. Rev."},{"key":"10.1016\/j.jad.2026.122370_bb0185","doi-asserted-by":"crossref","DOI":"10.3389\/fpsyg.2025.1422441","article-title":"Moral trauma, moral distress, moral injury, and moral injury disorder: definitions and assessments","volume":"16","author":"VanderWeele","year":"2025","journal-title":"Front. Psychol."},{"key":"10.1016\/j.jad.2026.122370_bb0190","series-title":"What Are Organizations Doing to Strengthen Veterans\u2019 Social Connections? An examination of Program Operations and Evaluation Efforts","author":"Werber","year":"2022"},{"issue":"4","key":"10.1016\/j.jad.2026.122370_bb0195","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1002\/da.22614","article-title":"Moral injury in US combat veterans: results from the National Health and Resilience in Veterans Study","volume":"34","author":"Wisco","year":"2017","journal-title":"Depress. Anxiety"}],"container-title":["Journal of Affective Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0165032726012231?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0165032726012231?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T17:52:40Z","timestamp":1793382760000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0165032726012231"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,12]]},"references-count":40,"alternative-id":["S0165032726012231"],"URL":"https:\/\/doi.org\/10.1016\/j.jad.2026.122370","relation":{},"ISSN":["0165-0327"],"issn-type":[{"value":"0165-0327","type":"print"}],"subject":[],"published":{"date-parts":[[2026,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Social integration and social contribution moderate the moral injury-suicidality link among veterans","name":"articletitle","label":"Article Title"},{"value":"Journal of Affective Disorders","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jad.2026.122370","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Published by Elsevier B.V.","name":"copyright","label":"Copyright"}],"article-number":"122370"}}