ATA/596/1996•Adequate causation of psychical disorders after a medium accident
ATA/596/1996Corte di giustizia / Camera amministrativa15 ott 1996Confirmed
Estratto da Omnilex
A pedestrian struck by a car suffered an elbow wound and later claimed psychological sequelae. The court held that the event had to be classified as a medium accident. In such a case, adequate causation between the accident and psychological disorders is not presumed; it requires examination of the criteria developed by the Federal Insurance Court. The decision therefore confirms the need for a structured adequacy analysis before liability for psychiatric consequences can be accepted.
Art. 6 al. 1 LAA; adequate causation of psychical sequelae after a medium accident. A road traffic accident involving a pedestrian struck by a vehicle and suffering only limited bodily injury is to be qualified according to its overall seriousness; where the accident falls within the intermediate category, the existence of adequate causal connection with later psychological disorders depends on a case-specific assessment of the established criteria of accident severity and post-traumatic development, as developed in the Federal Insurance Court case law. Adequacy cannot be inferred solely from the occurrence of psychiatric symptoms after the accident.
Descripteurs
ASSURANCE SOCIALE; ACCIDENT; AA; TRAUMATISME CERVICAL; LESION DE LA COLONNE VERTEBRALE; DEPRESSION; PSYCHIATRIE; CAUSALITE NATURELLE; CAUSALITE ADEQUATE; ASSU
Normes
LAA.6 al.1
Résumé
L'accident impliquant un piéton renversé par une voiture et souffrant d'une plaie au coude doit être qualifié de moyen. Dan ces cas, le lien de causalité adéquat entre l'accident et des troubles psychiques ne pourra être admis qu'après examen des critères posés par le Tribunal fédéral des assurances.
Estratto da Omnilex
Whether the traffic accident must be qualified as a medium accident.
The accident was classified as a medium accident.
The court considered the nature of the collision and the injury sustained, which did not justify treating the event as a trivial or severe accident.
Whether there is adequate causal connection between the accident and the claimant’s psychological disorders.
Adequate causation cannot be assumed automatically for psychological sequelae after a medium accident; it must be examined using the criteria developed by the Federal Insurance Court.
For medium accidents, the court requires assessment of the established adequacy criteria before liability for psychiatric consequences can be affirmed.
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