Nevada Supreme Court abandons "suicide rule" and adopts proximate cause analysis for all suicide cases

 Long time readers of this blog may remember I have often posted about cases involving claims for wrongful death arising out of someone’s suicide.  (See here.)  These are always difficult cases, not only because of the underlying circumstances surrounding the death but also because, as you probably know, the prevailing approach to the issue is that suicide is a superseding cause as a matter of law.

Yet, I have noticed in recent years more courts are coming around to the view that this so-called “suicide rule” should be abandoned – a position I happen to agree with.  See my comments on cases from Tennessee, Arizona, Alabama and Illinois, for example.

So, today I am writing about this topic again, because the Supreme Court of Nevada just issued an opinion doing away with the suicide rule in a very well written opinion in a case called Bourne v. Valdes,  569 P.3d 971 (Nev. 2025).  As the court explained:

We conclude that a patient’s suicide does not preclude liability for medical malpractice as a matter of law.  Rather, like any other action alleging that a medical provider’s negligence caused injury or death to a patient, the ordinary principles of medical malpractice apply.  Consistent with existing Nevada medical malpractice law, a medical provider who is alleged to have provided negligent care to a patient owes a duty of care to that patient, regardless of whether the medical provider has control over, or custody of, the patient.  If the medical provider’s conduct is proven to fall below the standard of care, then “the crucial inquiry is whether the defendant’s negligent conduct led to or made it reasonably foreseeable that the deceased would commit suicide.” White v.  Lawrence, 975 S.W.2d 525, 530 (Tenn.  1998).  If the patient’s suicide is a foreseeable consequence of the medical provider’s negligence, then the medical provider may be held liable.  See Patricia C.  Kussmann, Annotation, Liability of Doctor, Psychiatrist, or Psychologist for Failure to Take Steps to Prevent Patient’s Suicide, 81 ALR 5th 167, § 4 (2000) . . .  However, where the patient’s suicide is not foreseeable, then the suicide is a superseding intervening cause, severing the causal chain and relieving the medical provider of liability for their negligence.  White, 975 S.W.2d at 530.  

I agree that this is the correct analysis that should be applied. Suicide is sometimes unforeseeable, but often it is foreseeable and plaintiffs should have the chance to prove it.  The notion that suicide should be considred to be unforeseeable as a matter of law is based on the notion that committing suicide goes so against human nature that it is inconceivable that someone would decide to do so.  The problem with this is that this view is not realistic.  Suicide is common.  In fact, it is one of the top leading causes of death among juveniles in the US.  And, if you take into account mental health issues, and known medication side effects, it is unrealistic to say that suicide is necessarily unforeseeable.  In many cases, it can fairly be argued (and proven) that it was totally foreseeable.