Mental health after the sirens: moral injury in responders and survivors of disaster, mass casualty, and crisis care
Natasha Keric, Chidinma Tiko-Okoye, Gerald Wang, Ian J Thomas, Purvi Pravinchandra Patel · 2026
Read Mental health after the sirens: moral injury in responders and survivors of disaster, mass casualty, and crisis care by Natasha Keric, Chidinma Tiko-Okoye, Gerald Wang, Ian J Thomas, Purvi Pravinchandra Patel (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13141044.txt.
Description
Natasha Keric and co-authors argue that disaster medicine needs a name for a wound that burnout and trauma labels miss. Moral injury strikes when clinicians must act against their deepest professional values, rationing care or watching preventable deaths in disasters, mass casualty events, and pandemics. This review gathers what is known about that harm.
The authors separate moral injury from burnout and post-traumatic stress, tally its prevalence and costs to staff and systems, and sort risk factors into personal, organizational, and situational layers. Fixes, they insist, must live at system level: ethical transparency, accountable leadership, and preparation across the disaster cycle. Measurement tools and research in command-driven settings remain thin, a gap they flag plainly.
Catalog record
| CREATOR | Natasha Keric, Chidinma Tiko-Okoye, Gerald Wang, Ian J Thomas, Purvi Pravinchandra Patel |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 15 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |