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February 8, 2024

Law With Impact – 4 Years Later – Student Suicide Prevention: Nguyen v. Massachusetts Institute of Technology, 479 Mass. 436 (2018) and its Progeny

by Heinlein Beeler Mingace & Heineman, P.C.

On March 29, 2022, the Chronicle of Higher Education published an article referencing the “landmark decision” of Nguyen v. Massachusetts Institute of Technology, 479 Mass. 436 (2018) which reportedly prompted the Massachusetts Association of Community Colleges [MACC] to develop a system-wide protocol “to identify, assess the risk of, intervene in and respond to suicidal behavior.” See Nell Gluckman and Katherine Mangan, “The Hardest Judgment: When suicide is the risk, campuses struggle with doing too little or too much.” Chronicle of Higher Education, March 29, 2022. Attorney Jeffrey S. Beeler at Heinlein Beeler Mingace & Heineman, P.C. was counsel for the Estate of Han Duy Nguyen.

The Chronicle is not alone in noting the impact of the Nguyen decision on student safety and the operations of Institutions of Higher Education [IHEs] in relation to the risk of student suicide. In Nguyen, many Massachusetts IHEs advocated – by way of an Amicus brief — that they should owe no duty of care to students at risk of suicide. The signatory IHEs included: Amherst College, Bentley University, Berklee College of Music, Boston College, Boston University, Brandeis University, College of the Holy Cross, Emerson College, Endicott College, Harvard University, Northeastern University, Simmons College, Smith College, Stonehill College, Suffolk University, Tufts University, Williams College and Worcester Polytechnic University. The Supreme Judicial Court [SJC], in large part, rejected the deplorable position taken by the IHEs in Nguyen. Revealingly, after the issuance of Nguyen, the author of the IHE’s Nguyen Amicus brief addressed Nguyen’s impact and was quoted as stating that: “all colleges and universities are aware of the SJC’s Nguyen standard, [and] they all either have adopted or are in the process of adopting suicide protocols, not just to meet the SJC’s standards, but because they want to try to prevent student suicides to the extent possible.” Eric T. Berkman, Harvard Facing Liability for Student’s Suicide, Massachusetts Lawyers Weekly at 1 (Sept. 19, 2019).

That belated action by IHEs is cold comfort to victims’ families and much work remains to be done in further defining the law with an eye toward saving student lives.

October 20, 2020

Joint Pain Anyone?

by Heinlein Beeler Mingace & Heineman, P.C.

March 13, 2019

See Something, Say Something!

by Heinlein Beeler Mingace & Heineman, P.C.

See Something, Say Something

This simple motto can save so many people from so much harm. I heard the Boston Police Commissioner say it on the news last night in reference to the two young women who were recently abducted after leaving two local bars in Boston. It applies in so many areas of life, however. An example of a recent case handled by HBMH Law comes to mind.

In a recent case in Worcester County a female parishioner at the St. George Antiochian Orthodox Church sought marital and spiritual counseling from the parish priest, Father Charles Michael Abdelahad (Fr. Michael). Over the course of the treatment Fr. Michael, abusing his position of authority and dominance over the parishioner, convinced her that she was possessed by demons and that she was repressing memories of having been sexually abused by her father.

May 23, 2018

Nguyen v. Massachusetts Institute of Technology, 479 Mass. 436 (2018) – Cracks in the Ivory Tower: College and University Liability for Student Suicide

by Heinlein Beeler Mingace & Heineman, P.C.

It is not too early to consider what the Massachusetts Supreme Judicial Court’s decision in Nguyen v. Massachusetts Institute of Technology, 479 Mass. 436 (2018) means for Institutions of Higher Education [IHEs], students and courts. Attorney Jeffrey S. Beeler, at this firm, was counsel for the Nguyen Estate in this case against the Massachusetts Institute of Technology [MIT]. Some initial observations about Nguyen v. Massachusetts Institute of Technology [MIT] are warranted.

First, the Supreme Judicial Court [SJC] made clear – again – that IHEs are “clearly not bystanders or strangers in regards to their students.” Nguyen, 479 Mass. at 450 (citing Mullins v. Pine Manor College, 389 Mass. 47, 51-52 (1983)). The era of IHE “bystander” non-liability is over.

Second, while breaking new ground in accord with long-standing principles of negligence law, the Court held that IHEs and their employees have “a special relationship with a student and a corresponding duty to take reasonable measures to prevent [a student’s] suicide” in three circumstances. Nguyen, 479 Mass. at 453. They have an affirmative “duty to take reasonable measures under the circumstances to protect the student from self-harm[,]” where they have “actual knowledge” of: (1) a student’s suicide attempt that occurred while enrolled at the [IHE]; (2) a student’s suicide attempt recently before matriculation; or, (3) a student’s stated plans or intentions to commit suicide. See id. at 453-454. In such circumstances, “suicide is sufficiently foreseeable as the law has defined the term, even for [IHE] nonclinicians without medical training” to owe a duty. See id. at 455. The duty, at least for nonclinicians, is “limited to initiating the [IHE’s] suicide prevention protocol, and if the school has no such protocol, arranging for clinical care by trained medical professionals or, if such care is refused, alerting the student’s emergency contact[,]” — often a parent. Id. at 457. Among the reasonable measures noted by the SJC for IHEs are: (1) initiating the IHE’s suicide prevention protocol, if any; (2) requiring the IHE employee who learns of a student’s suicide risk to contact the IHE employee(s) empowered to assist the student in getting professional mental health support; (3) contacting the student’s emergency contact (often the parents) if the student is resistant to intervention; and, (4) “obviously[,]” in emergency situations, contacting police, fire, or emergency personnel. See id. at 456.

December 6, 2017

I shot the Clerk? – Why video taping testimony is so important!

by Heinlein Beeler Mingace & Heineman, P.C.

One of my favorite movies is “My Cousin Vinnie”. In one scene, Ralph Macchio, who accidently left a convenience store with an extra can of tuna fish, thinks he is being questioned about this “shoplifting” when, in fact, he is being questioned about the murder of the clerk.

A written transcript of the dialogue would be:

Q: You paid for the groceries?

December 1, 2017

The Problem of Pre-injury Releases

by Heinlein Beeler Mingace & Heineman, P.C.

We have all been there. You wait in a long line to sign a son or daughter up for an activity in which they are excited to participate. By the time you get to head of the line, you are ready to quickly sign anything – including the innocuous-sounding registration form. Even if you don’t read it, if someone gets seriously hurt, signing such a document can be a big mistake.

Many of these forms contain pre-injury releases of liability – often buried and in small print. While treated differently in many States, in Massachusetts, such a release may well bar a subsequent case regardless of the seriousness of one’s injuries. For example, in Cormier v. Central Mass. Chapter of the Nat. Safety Council, 416 Mass. 286 (1993), the Massachusetts Supreme Judicial Court upheld such a release finding that the “allocation [of] risk by agreement is not contrary to public policy.” More to the point, the Court reasoned that placing the risk of negligently caused injury on an inexperienced consumer as a condition of that person’s voluntary choice to engage in a potentially dangerous activity ordinarily does not contravene Massachusetts public policy. In the absence of fraud, deceit or undue duress, requiring a person to sign such a release before participating in such an activity does not render the release unconscionable. So you’re stuck, right? Not always.

Each case must be examined on its own facts. The language of these releases varies widely. Some are broad, others narrow and all are subject to interpretation. Doubts about the interpretation of the release must be resolved in the injured person’s favor, but the law books are littered with cases that ended badly for the Plaintiff due to these releases. In addition, there is a body of law that stands for the proposition that these releases cannot protect against claims for gross negligence nor can they protect against liability arising out of the violation of a statutory or regulatory duty. See White Const. Co., Inc. v. Commonwealth, 11 Mass. App. Ct. 640, 647 (1981). Finding such statutory and regulatory duties can be difficult, but finding one can be decisive and render a claimed release void, allowing the case to proceed.

November 22, 2017

Medical Errors Now 3rd Leading Cause of Death

by Heinlein Beeler Mingace & Heineman, P.C.

Medical researchers at Johns Hopkins University estimate that medical error is now the third leading cause of death in the United States. Over 250,000 people die each year because of medical error. Only Heart Disease and Cancer take more lives. Accidents, like car accidents for example, kill approximately 135,000 people annually. The results of the Hopkins research were published in the BMJ, a journal published for the medical community and reported in the Washington Post.

In Massachusetts medical malpractice cases are handled very differently from auto collision cases and require the services of an attorney with experience in the area. There are strict time requirements (statutes of limitations) and notice requirements (presentment type letters to the potential defendants) which must be followed. Additionally, injured people are required to have a qualified expert render opinions that the defendant health care provider’s medical care deviated from, or fell below, the standard of care required of them.

All too often people are being injured or dying from the medical treatment they receive rather than the injury or disease for which they were seeking care.

November 15, 2017

School Liability for Injuries on Field Trips

by Heinlein Beeler Mingace & Heineman, P.C.

Often, one of the best parts of an educational experience comes from putting the books and lectures aside while getting out into the real world to see and experience things. Unfortunately, such trips sometimes come with various risks of injury, and the Courts are, at times, called on to address resultant claims.

Recently, the Connecticut Supreme Court, in Munn v. The Hotchkiss School, 326 Conn. 540 (2017), was called upon to decide whether Connecticut public policy mandated an exception to the general rule that schools must refrain from negligently exposing their students to foreseeable dangers. The Court answered this question with a definitive no, and held that Connecticut public policy does not preclude imposing a duty on the school to warn about or to protect against the risk of serious insect-borne disease when taking a school trip.

The issue arose in connection with a school trip to China that led to a 15-year-old student contracting a very rare tick-borne encephalitis that resulted in horrific neurological injuries. In connection with a trip to Mt. Panshan, where the tick bite occurred, the Plaintiff argued that students were not warned to wear clothing that would protect against bites or to apply insect repellant. A Federal Court jury agreed the school was at fault, that the risks encountered were foreseeable to the school, and that economic damages in the amount of $10.25 Million and $31.5 Million in noneconomic damages were warranted. The U.S. Second Circuit Court of Appeals affirmed the judgment insofar as it agreed that the Plaintiff had presented sufficient evidence at trial for the jury to find that her illness was foreseeable. This last point is quite important: it is for the fully-informed jury – at trial – to answer the foreseeability question that is central to all negligence cases.

November 6, 2017

Negligence and Winter in New England

by Heinlein Beeler Mingace & Heineman, P.C.

Owners of property and persons in control of property have a responsibility under the law to keep the property in a reasonably safe condition. Now that winter is approaching, questions arise as to the responsibility of property owners, landlords and business owners to clear snow and ice on their properties.

Beginning in 1883 the Massachusetts Supreme Judicial Court began to analyze the duty of a landlord to a tenant who fell in a common area. From this earliest decision arose what other states and commentators have called the “Massachusetts Rule.” This rule provided that a landlord and others who owned or controlled property could not be held liable for natural accumulations of snow or ice. When snow fell, the landlord or business owner could simply let the snow accumulate without fault. However, owners of land could be found liable if a person was injured on the property due to an unnatural accumulation of snow or ice. One of the earlier decisions in Massachusetts involved a tenant that slipped and fell on ice in a common area of a tenement house. In this case, the accumulation of ice was created by a broken water pipe. The court imposed liability for the landlord’s failure to fix the pipe “for which he was as much responsible as if he had placed the water there by his voluntary act.” Watkins v. Goodall, 138 Mass. 533, 537 (1885).

For over 100 years this distinction between natural and unnatural accumulations of snow and ice served as the basis for deciding whether an owner of land could be found responsible for the harms and losses of people who were injured due to winter conditions. However in 2010, the Massachusetts Supreme Judicial Court in Papadopoulos v. Target Corporation, 457 Mass. 368 (2010), eliminated this distinction and held that there exists for “all hazards arising from snow and ice the same obligation of reasonable care that a property owner owes to lawful visitors regarding all other hazards.” In other words, a landowner owes a duty of reasonable care for all conditions on his/her property.

September 1, 2015

Construction Site Accidents and Building Collapses

by Heinlein Beeler Mingace & Heineman, P.C.

Construction site accidents are a leading cause of serious — and often fatal — injuries to workers. In 2013, according to the Occupational Safety & Health Administration [OSHA], 4,585 workers were killed on the job. This equates to more than 12 deaths every day. Of these, 20.2%, or 1 in every 5, were in construction. Four types of incidents lead to most of these deaths: (1) falls; (2) being struck by an object; (3) electrocutions; and, (4) being caught-in/between. Not surprisingly, OSHA has issued safety regulations in an effort to address safety hazards at construction sites. Nonetheless, in FY 2014, the top 10 most frequently cited OSHA violations included those in the areas of: (1) fall protection; (2) scaffolding failures; (3) ladders; (4) electrical, wiring methods, components and equipment; (5) powered industrial trucks; and, (6) machines and machine guarding.

People suffering serious injuries in the work or construction industry often face significant hurdles. First, they need expensive medical treatment. Second, they lose earning capacity, some of them permanently. While most employers are required to have workers compensation insurance to provide for medical care and the provision of some payments for lost wages, workers compensation is not designed to make an injured person whole in connection with their harms and losses. Rather, the medical treatment it provides is often subject to being fought by the employer’s insurer and the payments for lost wages are only a percentage of what the employee would have earned if not injured. In most cases, when an injured worker gets workers compensation payments, they are barred from bringing a claim against their employer.

That does not mean, however, that an injured employee is without other remedies. While an injured worker who is covered by workers compensation cannot bring a claim against his employer or co-workers, there are often other third-parties who can be held responsible if they negligently caused harm. General contractors, sub-contractors, vendors, suppliers and others may provide viable means of third-party recovery for injured workers. These third-party cases provide the opportunity for a more complete recovery on behalf of an injured worker, or their estate if they died on the job. Thus, claims can be made for all of the lost earning capacity and for all of the medical expenses. Unlike a workers compensation claim, in a third-party case the injured party can seek recovery for pain and suffering and the loss of enjoyment of life. These types of damages are often the most important and weighty for an injured person when their life has been fundamentally and permanently changed due to an on the job injury. In addition, the spouse and children of an injured worker may have the right to recover in a third party action for damage done to their relationship with the injured family member. This type of claim, known as a loss of consortium claim, is simply not available under workers compensation law. Thus, a third-party claim offers injured workers, and their families, their best chance for a full and fair recovery for their harms and losses.