An expert-driven consensus framework for the study of potentially morally injurious events and their impacts: findings from an e-Delphi study

Potentially morally injurious events (PMIEs) involve acts of commission or omission, enacted by oneself or others, and may be single, chronic, or cumulative.

PMIEs are distinguished from traumatic events by the appraisal of a moral transgression, whether immediate or delayed; while traumatic events can be morally injurious, this is not a condition for defining a PMIE.

Key debates in defining PMIEs concern the role of betrayal, subjectivity, contextual factors, and blame, as well as severity and thresholds for functional impairment.