Adequate causality denied for psychological sequelae after minor accident

ATA/666/1996Court of Justice / Administrative ChamberNov 12, 1996Partially Granted

Extracted by Omnilex

Omnilex summary

The case concerns an insured person who suffered a minor fall on stairs at a swimming pool and later claimed benefits for shoulder injury and psychological sequelae. The court denied adequate causal connection between the benign accident and the psychological disorders. It nevertheless confirmed the assessment of a 10% impairment of physical integrity in relation to the physical injury. The decision therefore separates the psychical consequences from the somatic harm and maintains the physical impairment assessment.

Omnilex headnote

LAA art. 6 para. 1 and art. 18; adequate causality for psychological sequelae after an accident. A minor accident of low intensity does not, absent special circumstances, justify attributing later psychological disorders to the event under the theory of adequate causation. By contrast, where the somatic consequences of the accident are established, the assessment of impairment of physical integrity may be confirmed independently of the denial of psychical causation.

Full text

Descripteurs

ASSURANCE SOCIALE; ACCIDENT; AA; INCAPACITE DE TRAVAIL; PHYSIOTHERAPIE; CAUSALITE ADEQUATE; LESION DE L'EPAULE; DEPRESSION; ACCIDENT ANODIN; CHUTE; ASSU

Normes

LAA.6 al.1; LAA.18

Résumé

Lien de causalité adéquat non admise entre une chute bénigne dans un escalier de piscine et des troubles d'ordre psychologiques. En revanche, confirmation d'une incapacité de gain de 10 % pour atteinte à l'intégrité physique. Lien de causalité adéquat non admise entre une chute bénigne dans un escalier de piscine et des troubles d'ordre psychologiques. En revanche, confirmation d'une incapacité de gain de 10 % pour atteinte à l'intégrité physique.

Keywords

social insuranceaccidentadequate causalitypsychological disordershoulder injuryimpairment of integrityminor accidentfallbenefit entitlement

Extracted by Omnilex

Key legal question

Whether the minor pool-stair fall had an adequate causal link to the psychological disorders.

Extracted holding

No adequate causal connection was established between the accident and the psychological complaints.

Extracted reasoning

The event was assessed as a slight accident, which did not justify attributing later psychological symptoms to the accident under the adequate causality test.

Key legal question

Whether the 10% impairment of physical integrity should be confirmed.

Extracted holding

The 10% impairment of physical integrity was confirmed.

Extracted reasoning

The physical consequences of the shoulder injury justified maintaining the assessed impairment level.

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