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Printing - FECA-PT2 - National Association of Letter Carriers

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c. Development.<br />

(1) It is the CE's responsibility to develop the necessary information to determine<br />

whether the "chain-<strong>of</strong>-causation" test is met if it is asserted, or there is evidence to<br />

suggest, that a mental disturbance or physical condition is present and such condition was<br />

causally related to the injury or conditions <strong>of</strong> employment. Statements as to the<br />

employee's mental or physical condition prior to the suicide should be requested from the<br />

employee's family, supervisor, co-workers, and other associates who might have pertinent<br />

knowledge or information concerning the circumstances surrounding and leading to the<br />

suicide. Since almost all, if not all, suicides are investigated by local authorities, a copy <strong>of</strong><br />

the investigation report should be obtained. Copies <strong>of</strong> any notes or other communication<br />

left by the employee should also be obtained.<br />

(2) A rationalized opinion concerning the relationship between the suicide and the<br />

employment-related injury should be obtained from the employee's attending physician or<br />

second opinion specialist. The physician should be advised <strong>of</strong> the test to be met for the<br />

death to be compensable (that the suicide was a direct result <strong>of</strong> the employment injury) and<br />

should be asked to describe the employee's mental and physical condition prior to the<br />

suicide. If a conflict <strong>of</strong> medical opinion develops in the case, it should be resolved by<br />

referral to a psychiatrist or clinical psychologist.<br />

(3) For the suicide to be compensable, the chain <strong>of</strong> causation from the injury to the<br />

suicide must be unbroken. Therefore, if the evidence indicates or suggests the existence <strong>of</strong><br />

other factors in the employee's life which may break the chain-<strong>of</strong>-causation (such as<br />

personal or family problems, non-employment-related injuries, etc.), the CE must develop<br />

such factors to determine what effect, if any, they had in causing the employee to commit<br />

suicide, and whether they constitute independent intervening factors sufficient to break the<br />

direct chain <strong>of</strong> causation from the injury to the suicide.<br />

(4) All development efforts in a suicide case must be documented clearly in the case<br />

file, and all reasoning behind the recommended decision (be it approval or denial) must be<br />

made a part <strong>of</strong> the record in the form <strong>of</strong> a Memorandum to the Director.<br />

(5) A decision either accepting or denying a suicide case must be made by the District<br />

Director or higher authority.<br />

<strong>FECA</strong>-<strong>PT2</strong> Printed: 06/08/2010 193

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