Singing River Health System v. Teresa Vermilyea
Singing River Health System v. Teresa Vermilyea
Opinion of the Court
¶ 1. Teresa Vermilyea and her daughter, Julie Vermilyea Kasby, filed suit against Singing River Health System, Jennifer Thomas-Taylor, M.D.; Alva Britt, R.N.; Benjamin W. Hudson, M.D.; and Emergency Room Group, Ltd., pursuant to the Mississippi Tort Claims Act for the wrongful death of Randy Vermilyea, the husband of Teresa Vermilyea and father of Julie Vermilyea Kasby (collectively, "Vermilyea"). Vermilyea alleged that Randy Vermilyea had been admitted to the Singing River Hospital following a suicide attempt and that the defendants had breached the standard of care by failing to assess his mental condition properly and prematurely discharging him, proximately causing his suicide minutes after his discharge. Julie Vermilyea Kasby, who had witnessed her father's suicide, asserted a claim for intentional infliction of emotional distress. The trial court denied the defendants' motions to dismiss for failure to state a claim. The appellants timely sought, and we granted, an interlocutory appeal. Finding that Vermilyea did state viable legal claims based upon Randy Vermilyea's death, we affirm and remand the case to the Circuit Court of Jackson County for further proceedings.
FACTS
¶ 2. Vermilyea filed a complaint on October 8, 2015, and an amended complaint on November 13, 2015.
¶ 3. In the amended complaint, Vermilyea alleged that the defendant medical providers had a duty to their patient, Randy Vermilyea, to exercise such reasonable care and attention as his mental and emotional condition required. Vermilyea claimed that the defendants had breached the standard of care by failing to conduct an adequate suicide assessment because, if one had been conducted, Randy Vermilyea would not have been discharged from the hospital prematurely. Vermilyea claimed that the failure to take adequate measures to assess Randy Vermilyea's mental state and keep him hospitalized proximately had caused his suicide immediately after his discharge. The amended complaint charged that the defendants had failed to assess and treat Randy Vermilyea's psychiatric condition, failed to hospitalize him, negligently and prematurely released him from the hospital, failed to take reasonable steps to prevent him from harming himself, failed to follow the standard of care applicable to a depressed and suicidal patient, and failed to inform Theresa Vermilyea or Julie Vermilyea Kasby of his attempted suicide and need for follow-up care. The amended complaint also alleged that the physicians and nurse had failed to recognize the definitive signs and symptoms of Randy Vermilyea's medical condition. Vermilyea claimed that Singing River Health System and Emergency Room Group, Ltd., were vicariously liable for the negligent acts and omissions of their employees. Additionally, Julie Vermilyea Kasby asserted a claim for intentional infliction of emotional distress based on her having witnessed her father's suicide after the defendants had omitted informing her that he had attempted suicide earlier in the day.
¶ 4. Singing River Health System and Jennifer Thomas-Taylor, M.D., answered and filed a motion to dismiss for failure to state a claim upon which relief could be granted pursuant to Rule 12(b)(6) of the Mississippi Rules of Civil Procedure. Dr. Benjamin Hudson and Emergency Room Group, Ltd., filed an answer and a joinder in Singing River's and Dr. Thomas-Taylor's motion to dismiss. Alva Britt, R.N., filed an answer and affirmative defenses in which she moved to dismiss the amended complaint for failure to state a claim. The defendants asserted that Vermilyea had failed to state a claim because, under
Truddle v. Baptist Memorial Hospital-DeSoto, Inc.
,
¶ 5. After a hearing, the trial court denied the motion to dismiss, finding the case to be distinguishable from Truddle . The defendants jointly filed a petition for an interlocutory appeal of the denial of the motion to dismiss. This Court granted the petition and stayed the proceedings in the trial court.
STANDARD OF REVIEW
¶ 6. A motion to dismiss for failure to state a claim under Rule 12(b)(6) raises an issue of law which we review
de novo
.
City of Vicksburg v. Williams
,
DISCUSSION
WHETHER THE TRIAL COURT ERRED BY DENYING THE MOTION TO DISMISS.
¶ 7. The defendants argue that, taking the allegations of the complaint as true,
Truddle v. Baptist Memorial Hospital-DeSoto
,
¶ 8. In determining that the trial court properly had granted summary judgment to the defendants, this Court discussed two lines of cases concerning a third party's liability for another's suicide.
¶ 9. The Court in
Edgeworth
found that a rebuttable presumption exists "that a person will not destroy himself by suicide."
¶ 10.
Truddle
found that, after
Edgeworth
, to recover for a decedent's suicide, the plaintiff must plead and prove that "(1) the decedent was under an 'irresistible impulse' rendering him or her unable to discern the nature or consequences of suicide, and (2) the 'irresistible impulse' was proximately caused by the defendant's intentional conduct."
Truddle
,
¶ 11. In
Shamburger
, Michelle Shamburger alleged that Grand Casino's attempt to collect her husband's $3,000 gambling debt had caused his suicide.
¶ 12. Truddle also cited
Collums v. Union Planters Bank, N.A.
,
¶ 13. Unlike
Shamburger
and
Collums
, Truddle's case did not involve an allegation that intentional conduct had caused the decedent's suicide. Rather, Truddle's complaint alleged that the decedent's suicide was the result of medical negligence. The Court recognized Truddle's argument that the common law rule barring recovery for suicide should not apply in a case alleging that medical negligence had caused the death.
Truddle
,
Truddle argues that the side effects of Reglan include depression and suicide, which should have been investigated. But, under Mississippi law, this failure alone is not sufficient to sustain a cause of action for a suicide. In such a case, the plaintiff must show that the defendant committed an intentional act that led to an irresistible impulse to commit suicide in order to prevail.
¶ 14. After discussing and applying the rule from
Edgeworth
, the Court in
Truddle
reviewed another line of cases holding that, under certain circumstances, a defendant can be held liable in a negligence action for another's suicide when the defendant assumed a duty of care to the
decedent.
¶ 15. The Court, noting that Hall had attempted suicide on prior occasions and that her civil commitment order recited that she was a danger to herself and others, found that East Mississippi had a duty to provide a safe environment for people like Hall who could not care for themselves due to their mental illnesses. Id. at 926. The Court found that Hall's injury had been foreseeable because hospital employees testified that it was common knowledge that patients would try to escape by climbing out of the hospital's windows. Id. at 924. Further, the Court concluded that the circuit court had not erred by finding that East Mississippi had breached the duty of care it owed Hall by failing to monitor her behavior and by keeping safety screens on the windows. Id. at 923-24.
¶ 16. The Court in
Truddle
also reviewed
Carrington v. Methodist Medical Center
,
¶ 17. Another case reviewed in
Truddle
was
Mississippi State Hospital v. Wood
,
¶ 18. The Court in
Truddle
also reviewed
Lyle v. Johnson
,
¶ 19.
Truddle
found these cases recognizing liability for the negligent failure to prevent another's act of self-harm distinguishable because each case had involved a patient committing suicide or injuring himself or herself in the custody and control of the facility; and, in some of the cases, the decedent had communicated a desire to harm himself or herself.
¶ 20. The dissent argues that the duty of care identified in
Truddle
and
Hall
applies only in civil commitment cases and to inpatient psychiatric facilities. But
Truddle
never said that the duty of care from
Hall
applies only to inpatient psychiatric facilities or civil commitment cases, and not to hospitals such as Singing River that knowingly accept acutely suicidal patients into the hospital for evaluation and treatment. In fact,
Hall
adopted the Texas standard of care, which is applicable to hospitals and inpatient psychiatric facilities alike.
See
Harris Hospital v. Pope
,
¶ 21. Since
Truddle
, the Court of Appeals decided
Cahn v. Copac, Inc.
,
¶ 22. We recognize that the parties cite
Irby v. Madakasira
, --- So.3d ----, ----,
¶ 23. Having discussed the pertinent case law, we turn to its application to this case. The defendants argue that, because Vermilyea's amended complaint is grounded in medical negligence and does not allege that Randy Vermilyea committed suicide either (1) while in the defendants' custody, or (2) under an irresistible impulse, proximately caused by the defendant's intentional conduct, that rendered him unable to discern the nature and consequences of suicide, the complaint fails to state a claim upon which relief may be granted. We reject this argument.
¶ 24. The plaintiffs agree with the contention of the defendants that they have not framed their claims under the irresistible impulse doctrine. Instead, Vermilyea argues that, as in Hall , Carrington , Wood , and Lyle , the amended complaint stated a claim for medical negligence. We agree. While Truddle held that the principle that suicide is an intervening, superseding cause that breaks the causal connection between the wrongful act and the death applies in medical negligence cases, the case also recognized precedent holding that liability exists if the plaintiff shows that the defendant owed the decedent a certain duty of care and breached that duty. Specifically, Truddle recognized that, if the decedent was under the custody and control of a facility, then the facility and treating medical care providers can be held liable for a breach of the duty of care that proximately caused or contributed to the decedent's suicide.
¶ 25. This case is analogous to the medical negligence cases cited in
Truddle
. As in those cases, the defendants were on notice that Randy Vermilyea was suicidal. They specifically accepted him for treatment for being suicidal and depressed. In fact, they accepted Randy Vermilyea for treatment after he had been transported to the hospital by sheriff's deputies who had thwarted his attempt to jump to his death from the Pascagoula River Bridge. Therefore, under
Hall
, they assumed a duty toward Randy Vermilyea to exercise reasonable care to safeguard him from the known danger he presented to himself, and to exercise such reasonable care for his safety as his mental condition required.
Hall
,
¶ 26. The defendants argue that the fact that Randy Vermilyea's suicide occurred when he was outside the hospital's custody is fatal to his claim. They contend that
Truddle
stands for the proposition that the decedent must have been under the custody and control of the facility at the time of the death or there can be no liability for a suicide allegedly caused by medical negligence. The dissent takes this position as well. Considering the specific facts alleged in the amended complaint, we disagree. Just as in
Lyle
, in which the decedent escaped from the facility and then killed herself, Vermilyea's complaint is that the decedent was in the facility's custody and control, but the defendants negligently discharged him from the facility, proximately causing his immediate suicide. Here, suicide was the very thing that his hospitalization was supposed to prevent. The hospital and its staff, by undertaking
treatment of the acutely suicidal Randy Vermilyea, assumed a duty of care toward him and it was foreseeable that a breach of that duty could result in his swift death from suicide. Negligently discharging a suicidal patient and leaving him to his own devices is not materially different from failing to provide a safe environment inside the facility.
¶ 27. This case is distinguishable from the medical negligence alleged in Truddle . Unlike Truddle , in which the suicide occurred days after the patient's discharge, Randy Vermilyea committed suicide "minutes" after he was turned out of the hospital. And, also unlike Truddle , because Randy Vermilyea was admitted to the hospital and treated for being suicidal, the facility and its staff were very much on notice of his mental condition. Finally, and also unlike Truddle , where the plaintiff's claim was that the physician should not have prescribed a drug that the decedent had complained was "making him crazy," here the plaintiffs' claim rests upon the negligent discharge of an acutely suicidal patient.
¶ 28. For these reasons, we hold that the plaintiffs did present a claim of medical negligence regarding the death of Randy Vermilyea. Regarding Julie Vermilyea Kasby's claim for intentional infliction of emotional distress, the defendants admit that the amended complaint actually described this claim as one of negligent, not intentional, infliction of emotional distress. But they argue that the claim fails because it is wholly dependent upon Vermilyea's claim of medical negligence, which they contend must be dismissed. As discussed above, the medical negligence claim was not subject to dismissal under Rule 12(b)(6). And, although the amended complaint mislabeled the claim as one of intentional infliction of emotional distress, the amended complaint indeed stated a claim of negligent infliction of emotional distress.
See
Sanderson Farms, Inc. v. McCullough
,
CONCLUSION
¶ 29. Because the amended complaint stated negligence claims for the death of Randy Vermilyea, this Court affirms the trial court's denial of the motion to dismiss and remands this case to the Jackson County Circuit Court for further proceedings.
¶ 30. AFFIRMED AND REMANDED.
WALLER, C.J., KING, CHAMBERLIN AND ISHEE, JJ., CONCUR. MAXWELL, J., DISSENTS WITH SEPARATE WRITTEN OPINION JOINED BY COLEMAN AND BEAM, JJ. RANDOLPH, P.J., NOT PARTICIPATING.
The amended complaint added Emergency Room Group, Ltd., as a defendant.
The Court recognized that, in the withdrawn opinion of
Young v. Guild
,
The defendants also rely on the order in Haney v. River Oaks Hospital , 2006-CA-00219-SCT (Order, May 17, 2007), the per curiam affirmance of the grant of summary judgment to a doctor and hospital in a case alleging medical negligence in which the patient committed suicide after being released from the hospital over the family's objection. Vermilyea argues that Haney is distinguishable because, as shown by the briefs in that case, the decedent had been hospitalized for an anxiety attack, not a suicide attempt. But because Haney was a per curiam opinion, the facts of the case and the Court's reasoning are unknown. See M.R.A.P. 35-A ( [t]he Court, with the concurrence of all justices participating ... may affirm the action of the trial court without rendering a formal opinion when an opinion would have no precedential value ...."). Therefore, we decline to construe Haney to bar recovery in this case.
Dissenting Opinion
¶ 31. There is no dispute that what happened to the Vermilyea family was tragic-that
much is without question. But our duty as an appellate court, reviewing the dismissal of their related lawsuit, is to specifically answer whether it is
actionable
under our current law. And after review, I find that it simply is not. This court made very clear in
Truddle
that in
Mississippi
allegations of medical negligence are "not sufficient to sustain a cause of action for suicide."
Truddle v. Baptist Mem'l Hospital-DeSoto, Inc.
,
¶ 32. Despite this, the majority holds
Truddle
does not apply. Instead, the majority imposes the same duty as in
Mississippi Department of Mental Health v. Hall
,
¶ 33. The same is true for
Carrington v. Methodist Medical Center, Inc.
,
¶ 34. On a similar note, the other cases the majority cites,
Lyle
and
Copac
, involved inpatient treatment by private facilities-private facilities that
expressly assumed
the duty to provide custodial care of clients they knew posed a danger to themselves.
Lyle v. Johnson
,
¶ 35.
Truddle
recognized custodial control as the key distinction. Just as in this case, the wrongful-death beneficiary in
Truddle
argued that
Hall
,
Carrington
,
Wood
, and
Lyle
all supported the hospital's potential liability for the alleged role medical negligence played in her son's suicide, which he committed after he was discharged. But this Court recognized her reliance on this line of cases was misplaced, because "the cases [she] cited involve[d] patients committing suicide or injuring themselves
in the custody and control of the facility
[.]"
Truddle
,
¶ 36. The majority here concedes that Randy was not in the custody and control of the hospital when he committed suicide. And yet it still insists Truddle does not apply. While the majority likens this case to Lyle , unlike the sanitarium patient in that case, there is no allegation Randy "escaped" from the hospital and committed suicide. Instead, the complaint alleges Randy committed suicide after being released following treatment.
¶ 37. I do sympathize with what the majority is doing. In the face of such tragedy, speculation easily arises about what might have been prevented had the hospital assumed custody and control of Randy and forcefully kept him in its care. But wishing the hospital had assumed custody and control, in light of what happened after his discharge, does not give rise to a duty on the hospital's behalf. Nor is it a sound legal reason to create a new duty to assume custody and control-which is essentially what the majority does.
¶ 38. Based on the facts as alleged in the complaint, Randy was not under the custody and control of the hospital when he committed suicide. So
Truddle
applies. And
Truddle
emphasizes that, even if the hospital was negligent in its treatment of Randy, "this failure alone is not sufficient to sustain a cause of action for a suicide."
Truddle
,
¶ 39. Therefore, based on our current precedent, I dissent.
COLEMAN AND BEAM, JJ., JOIN THIS OPINION.
In fact, the sole issue in
Carrington
was whether the defendant hospital was immune under the civil-commitment act.
Carrington
,
Reference
- Full Case Name
- SINGING RIVER HEALTH SYSTEM, Jennifer Thomas-Taylor, M.D., Alva Britt, R.N., Benjamin W. Hudson M.D., and Emergency Room Group, Ltd. v. Teresa VERMILYEA and Julie Vermilyea Kasby as the Wrongful Death Beneficiaries of Randy Vermilyea and Julie Vermilyea Kasby, Individually
- Cited By
- 3 cases
- Status
- Published