This study aimed to further understand psychological abuse in sports and contribute to the development of elite sports and athletes’ persistent performance by identifying the causal effects of psychological abuse on elite athletes’ exercise stress, job satisfaction, intention to quit exercise, and quality of life (QOL). Data were collected from 363 elite South Korean male athletes (ages ≥ 20 years) from August to September 2023. The independent variable for comparative analysis was the presence or absence of psychological abuse in elite male athletes by coaches. The participants were divided into two groups: a non-abuse-experienced group (Group 1) and an abuse-experienced group (Group 2). Participants’ demographic and athletic background information (e.g., career and sport) were also collected. This study showed that the three factors (exercise stress, intention to quit exercise, and QOL) were higher in Group 2 than in Group 1. These findings provide a meaningful analysis of the impact of psychological abuse on the mental health, persistence, and overall QOL of elite male athletes that can be used to develop countermeasures and policies against psychological abuse that threatens the mental health of elite athletes.