Objective: The development of a meaningful narrative of trauma experiences is an important factor in recovery, and religious beliefs may constitute an important meaning system for trauma survivors. The study examined the narrative themes which emerged from interviews with survivors of the massacre of a church congregation in South Africa (N=19). Design: A descriptive, retrospective study. Setting: Community based study. Subjects: A volunteer sample of 19 participants. Outcome Measures: An open ended interview and the Structured Clinical Interview for DSM-IV (SCID). Results: Thematic analysis revealed that religious beliefs and practices were frequently utilised to construct a meaningful retrospective narrative of the massacre. The implications of the findings for future research with trauma survivors are discussed. Conclusions: Religion may provide a framework by which survivors of trauma construct a meaningful account of their experience, and may be a useful focus for intervention with trauma survivors.