Andrea Ashbaugh

Danielle Berke

Jessica Carney

Ruth Chartoff

Alanna Coady

Mackenzie Cummings

Lisa Dell

Stephanie Ellickson-Larew

David Forbes

Sheila Frankfurt

Breanna Grunthal

Fardous Hosseiny

Stephanie A. Houle

Kim Jones

Lisa King

Ellie Lawrence-Wood

Yossi Levi-Belz

Brett Litz

Kelsey Madden

Alexandra McIntyre-Smith

Dominic Murphy

Kim Murray

Anthony Nazarov

Andrea Phelps

Rachel A. Plouffe

J. Don Richardson

Luke Rusowicz-Orazem

Patrick Smith

Maya Bina N. Vannini

Frank Weathers

Julie Yeterian

Gadi Zerach

The Moral Injury Outcome Scale (MIOS) is a self-report scale developed by the Moral Injury Outcome Consortium, an international group of researchers and clinicians. The MIOS is designed to capture the severity of moral injury outcomes in response to an index event (potentially morally injurious experience). The scale is made available here on behalf of the consortium. The intention of this webpage is to provide the public with the most current versions of the MIOS, along with an updated list of consortium members, references, instructions, and other relevant materials.

Litz BT, Plouffe RA, Nazarov A, Murphy D, Phelps A, Coady A, Houle SA, Dell L, Frankfurt S, Zerach G, Levi-Belz Y and The Moral Injury Outcome Scale Consortium. (2022). Defining and Assessing the Syndrome of Moral Injury: Initial Findings of the Moral Injury Outcome Scale Consortium. Front. Psychiatry 13:923928. doi: 10.3389/fpsyt.2022.923928

Scale Structure

Depending on administrators needs and contexts, different versions of the MIOS have been created to facilitate optimal data collection needs. In each of the versions, the core 14 items of the MIOS are always included.

Acknowledgement

We would like to acknowledge Drs. Nicholas Carleton, Rob Cribbie, David Streiner, David B. Flora, and Paul F. Tremblay for their statistical and scale development advice.

Funding

MIOS consortium activities were supported in part by VA Cooperative Studies Program, Office of Research and Development, US Department of Veterans Affairs; Department of Veterans' Affairs Australia, Phoenix Australia - Center for Posttraumatic Mental Health; and Atlas Institute.