Young v. Swiney (23 F. Supp. 3d 596, 2014)

MEMORANDUM OPINION

ELLEN LIPTON HOLLANDER, District Judge.

This suit arises from an automobile accident that occurred on June 16, 2010, involving, among others, Joseph Young and Donn Swiney. Mr. Young sustained multiple injuries in the accident and, over two years later, on September 6, 2012, he committed suicide, at the age of 45. Thereafter, Mr. Young’s widow, plaintiff Jamie Rose Young, filed suit, “individually and in her capacity as Personal Representative of the Estate of [Mr. Young], and as parent and legal guardian of Chelsea Lynn Young and Jenna Alexandra Young, minors,” against Swiney; Swiney’s employer, In-, dustrial Transport Services, LLC (“Industrial Transport”); and Warehouse Services, Inc. (“Warehouse”). See ECF 2 (Complaint). However, in a Notice of Voluntary Dismissal filed January 10, 2013 (ECF 12), plaintiff dismissed her claims against Swiney and Warehouse. See infra. Thus, only Industrial Transport remains as a defendant.

Plaintiff subsequently filed a First Amended Complaint (ECF 30, the “FAC”) and, like the original Complaint, it contains five counts: a survival action (Count I) and four wrongful death claims (Counts II through V). See id,. Count I, the survival action, is brought by plaintiff in her capacity “as personal representative of the Estate of Joseph Russell Young[.]” FAC at 3. Based on Mr. Swiney’s alleged negligence, Count I seeks judgment in the amount of $3,000,000.00 for, among other things, Mr. Young’s medical expenses; his physical and emotional pain and suffering; his loss of income from the date of the accident until September 6, 2012; funeral expenses; interest; and costs of suit. Id. at 2-3. The remaining counts, Counts II through V, all raise wrongful death claims, and seek $2,000,000 in damages. Count II, originally brought against Industrial Transport and Warehouse, and Count III, brought against Mr. Swiney, both allege that Ms. Young “has suffered pecuniary loss, mental anguish, emotional pain and suffering, and the loss of the society, companionship, comfort, protection, marital care, attention, advice, counsel, and love of her husband.” In Count IV, plaintiff seeks, on behalf of her daughter Chelsea Young, damages from all three defendants, based on Chelsea’s “pecuniary loss, mental anguish, emotional pain and suffering and other damages” due to the death of her father. Likewise, in Count V, plaintiff seeks, on behalf of her other daughter, Jenna Young, damages from all three defendants, due to Jenna’s “pecuniary loss, mental anguish, emotional pain and suffering and other damages.”

Notably, fault for the underlying motor vehicle accident is not at issue. See, e.g., ECF 82 (Industrial Transport’s Motion for Partial Summary Judgment) at 1 (“Fault for the accident is conceded”). Specifically, in the Notice of Voluntary Dismissal (ECF 12), the parties advised that, “[i]n exchange for the voluntary dismissal” of all claims against Mr. Swiney and Warehouse, “counsel for Industrial Transport Services, LLC has agreed to stipulate that Mr. Swiney was an employee of Industrial Transport Services, LLC at the time of the accident, and that Mr. Swiney was responsible for causing the collision that occurred on the night of June 16, 2010 with the vehicle that was driven by Plaintiffs decedent, Joseph R. Young.” Id.; see ECF 13 (Order approving dismissal). Moreover, in its Reply, defendant does not challenge plaintiffs characterization of the accident or the nature and extent of Mr. Young’s physical injuries. Rather, defendant maintains that “[s]uch ‘evidence’ ... is not sufficient to support the wrongful death counts set forth in Counts II, III, IV and V of [the FAC].” Reply at l.

Now pending is Industrial Transport’s Motion for Partial Summary Judgment (ECF 32), to which it has appended a supporting -memorandum (ECF 32-1, “Mem.”) (collectively, the “Motion”). Plaintiff has filed a “Response to Motion for Partial Summary Judgment” (ECF 36), as well as a supporting memorandum (ECF 37, “Opposition” or “Opp.”)-. Defendant has replied (ECF 41, “Reply”). Both sides have also submitted numerous exhibits.

Industrial Transport raises three arguments in its Motion. First, defendant seeks summary judgment as to the four wrongful death claims (Counts II through V), asserting that plaintiffs evidence is insufficient as a matter of law to establish that Mr. Young’s suicide on September 6, 2012, was proximately caused by the motor vehicle accident of June 16, 2010. ECF 32 at 1-2. Second, defendant maintains that it is “entitled to judgment as a matter of law as to any claimed economic loss occurring after September 6, 2012,” on the ground that Mr. Young’s suicide constitutes “a superseding and/or intervening cause” of his death that bars recovery for subsequent economic losses. Id. at 2. Defendant also raises a third challenge, arguing that no evidence exists indicating that the “decedent suffered pre-impact fright prior to the occurrence.” Id. In other words, defendant seeks summary judgment as to Counts II through V in their entirety; regarding Count I, the survival action, defendant seeks to limit plaintiffs potential recovery, but does not move for summary judgment as to that count in its entirety.

With respect to defendant’s third argument, plaintiff'“consents to the entry of summary judgment [in favor of Industrial Transport] on the issue of whether the decedent suffered pre-impact fright prior to the occurrence.” ECF 36 at 2; see also, e.g., Ferdinand-Davenport v. Children’s Guild, 742 F.Supp.2d 772, 777 (D.Md.2010) (“By her failure to respond to [defendant’s] argument” in dispositive motion, “the plaintiff abandons [her] claim.”); Mentch v. E. Sav. Bank, FSB, 949 F.Supp. 1236, 1247 (D.Md.1997). (plaintiffs failure to address in opposition brief an argument raised in defendant’s opening brief constitutes abandonment of claim). Accordingly, summary judgment will be entered in Industrial Transport’s favor as to the issue of pre-impact fright.

No hearing is necessary to resolve the Motion. See Local Rule 105.6; see also note 10, infra. For the reasons that follow, the Motion will be granted in part and denied in part.

I. Background

On June 16, 2010, Mr. Young sustained serious injuries in a motor vehicle accident that occurred in Cecil County, Maryland. See Opp. Exh. J (Singerly Fire Company report) at 2. At the time of the accident, Mr. Young was 43 years of age, worked as a carpenter and a millwright, was married, and had two young daughters. See Psy-chovocational Evaluation of Mr. Young, dated May 10, 2012 (“Anderson Evaluation”) at 1. Although defendant concedes that its employee was at fault, see ECF 32 at 1; Reply at 2, and does not dispute “that Mr. Young suffered certain physical injuries from the accident,” Reply at 2, I will recount facts surrounding the accident and Mr. Young’s resulting injuries, because the accident and the injuries are relevant to the claims.

The accident occurred in Elkton, Maryland. See Opp. Exh. J at 2. Whüe Mr. Young was stopped in his vehicle, a “full size pick up truck,” Opp. Exh. J at 3, he was struck from behind by an eighteen-wheel tractor trailer truck. Deposition of Officer Michael Lewis, Sept. 19, 2013 (“Lewis Dep.”) at 10; Opp. Exh. K (Cecil County EMS report) at 3. According to Bruce Kelly, another accident victim, the tractor trailer truck was traveling at a high rate of speed, “like he was going down 1-95 or something.” Deposition, of Bruce Kelly, Sept. 19, 2013, at 8; see Lewis Dep. at 10 (tractor trailer struck Mr. Young’s vehicle at a “fairly high rate of speed”). Upon being struck from the rear by the tractor trailer truck, Mr. Young’s truck “slammed into” the vehicle in front of his. Opp. Exh. K at 3.

Following the accident, Mr. Young was transported to Christiana Hospital. Opp. Exh. J at 3. A report of the Singerly Fire Company, which responded to the scene, states, id.:

This unit notified dispatch of a 4 vehicle [collision] involving an 18 wheeler and 3 pick-up trucks with 4 possible patients. Shortly after [Mr. Young] was found to be stuck in his vehicle and not able to exit via normal egress due to the damage, injuries and position of the vehicles. This patient was the driver in the first vehicle struck. Patient’s vehicle was a 4 door [D]odge full size pick up truck. Striking vehicle struck this vehicle in the rear doing substantial damage to the bed of the truck before continuing to strike the vehicle on the driver’s side doing damage there and pushing the vehicle to the right. This vehicle came to rest partially resting on the 18 wheeler’s saddle tank. This vehicle was also leaking fuel. Upon gaining access to the patient via passenger side doors patient was found alert and oriented and complaining of neck pain, a laceration to the back of his head and pain to his left forearm. At this time patient was placed in a c-spine colar [sic]. Patient stated that the last thing he remembers was being stopped in traffic and looking at [a] 7-11, he then doesn’t remember any of the accident just waking up and the accident being over. Due to patient[’s] neck pain, [loss of consciousness] and [the] position of [the] vehicles the decision was made to remove the roof of the vehicle to make for a safe extrication. Crews removed the roof completely and a backboard was placed behind the patient between him and the back of. the seat. Patient was then slid up the board by the crews, laid flat and secured. Patient was then passed down to the stretcher and taken to the ambulance. At this time [C]ecil [C]ounty paramedic 3 assumed patient care.

The Singerly Fire Company’s report indicates that Mr. Young suffered from “Laceration-Head, Pain-Head, Pain-Arm(s),” with a “chief complaint” of “pain to the back of the head, Left forearm and upper neck.” Id. at 1-2. Cecil County paramedics documented Mr. Young’s loss of consciousness, “pain to back of head with controlled bleeding”; “pain to left forearm, which had deformity”; “some pain above right breast”; “some pain to lower left tib fib area”; and “some nausea.” Opp. Exh. K. at 2-4.

Christiana Hospital records dating from June 16 and 17, 2010, reflect a deformity in Mr. Young’s left elbow area, dried blood on the back of his head, pain in the right chest and left wrist areas, and the earlier loss of consciousness, while noting that the patient was “awake, but confused.” Opp. Exh. L. The records also note, inter alia, an “Admitting Diagnosis” of “Concussion.” See id. Additional Christiana Hospital records, dating from June 21, 2010, reference a “scabbed wound” on the back of Mr. Young’s head as well as pain in the head, neck, back, and left arm, and recommend further follow-up with his doctor. Opp. Exh. M.

Due to his injuries, Mr. Young was unable to return to carpentry and millwright work following the accident. His employer terminated him in December 2010, approximately six months after the accident, on the ground that it could no longer hold his position open. See Supplemental Affidavit of Janet K. Anderson, Ph.D., dated Dec. 4, 2013 (“Anderson Supp. Aff.”), Exh. 1 (timeline attached as an exhibit to the Anderson Supp. Aff.).

Two months later, in February 2011, Mr. Young underwent a “[l]eft cubital tunnel release” surgery at Howard County General Hospital, described as an “ulnar nerve decompression at the elbow.” Opp. Exh. N (operative report of Dr. Michael Franchetti, Feb. 23, 2011). Then, in October 2011, Mr. Young underwent an “elective cervical surgery to alleviate protracted and left-sided neck, head, and arm pain,” which involved an anterior cervical decompression, fusion, and plating of several vertebrae. Opp. Exh. O (operative report of Dr. Joseph Jamaris, Oct. 14, 2011); see also Deposition of Janet K. Anderson, Ph.D., Sept. 19, 2013 (“Anderson Dep.”) at 103; Anderson Supp. Aff., Exh. 1 (timeline).

On March 5, 2012, Mr. Young lost his health insurance. Anderson Supp. Aff., Exh. 1. Shortly thereafter, during a followup visit with his orthopedic surgeon on March 8, 2012, Mr. Young reported “significant neck pain and radicular pain down his left arm,” as well as “numbness in his lateral elbow and lateral forearm.” Opp. Exh. W (report of Dr. Franchetti, Mar. 8, 2012) at 1. At that time, Mr. Young remained out of work “due to his injuries.” Id. He was prescribed “physical therapy for rehabilitation of his cervical spine,” but he was unsure whether he would be able to receive the therapy “due to insurance considerations.” Id. at 2.

Subsequently, on May 10, 2012, Mr. Young met with Dr. Janet Anderson, Ph. D., at the request of plaintiffs counsel. See Anderson Evaluation at 1; Anderson Dep. at 35. Dr. Anderson is a psychologist who is licensed to practice in Maryland. Affidavit of Janet K. Anderson, Ph.D., dated Sept. 11, 2013 (“Anderson Aff.”) ¶ l. She is also a certified rehabilitation counselor. Anderson Dep. at 17.

Dr. Anderson has counseled individuals concerning, inter alia, suicide, insanity, delirium, uncontrollable impulses, and depression. Anderson Aff. ¶ 1. She explained that, because her “field” is “rehabilitation,” many of the individuals with whom she has' worked suffered from “terrible chronic pain.” Anderson Dep. at 30. Of relevance here, Dr. Anderson has “worked with many post-injured people who were suicidal, and who ultimately did commit the act,” Anderson Supp. Aff. ¶ 9, including approximately ten to fifteen in her Social Security work and five in her private practice. Anderson Dep. at 30-32 (further noting that she has “tested a lot of people who ultimately committed suicide” but adding that “no actual .therapy clients” of hers have done so). In the context of her Social Security cases, Dr. Anderson had been asked to provide her opinion as to whether a suicide was related to a prior motor vehicle accident. Anderson Dep. at 85. In such cases, the underlying accident typically preceded the suicide by several years. Id.

Mr. Young met with Dr. Anderson for the purpose of psychovocational testing on May 10, 2012. See Anderson Evaluation at 1. Dr. Anderson’s aim was to assess “both his mental situation and his physical situation,” Anderson Dep. at 36, “to determine his current functional abilities.” Anderson Evaluation at 1. Prior to the meeting, Dr. Andersop reviewed Mr. Young’s medical records. Anderson Dep. at 108-09. At the meeting, which lasted at least an hour and a half, id. at 38, Dr. Anderson interviewed Mr. Young and administered several psychological tests. Anderson Evaluation at 1. As of May 2012, Mr. Young had been married to his wife for 11 years. At that time, their daughter Chelsea was approximately 16 years of age, and their younger daughter, Jenna, was 13.

Dr. Anderson noted that, due to the “ulnar nerve accident to [Mr. Young’s] left arm and having a cubital tunnel release,” Mr. Young experienced “numbness and tingling and severe pain in that arm and hand, which [was] his dominant hand.” Anderson Evaluation at 7. She observed that, at the meeting, Mr. Young’s left hand “was shaking” as he wrote answers to questions. Anderson Dep. at 41. Mr. Young told Dr. Anderson that, “even working for 15 minutes with his hands causes a ‘knife-like, dagger-like ripping feeling that hurts so bad that I have to just stop doing everything.’ ” Anderson Evaluation at 5 (quoting Mr. Young). She noted ■ that, even after surgery, Mr. Young “cannot write for more than five minutes at a time without the pain increasing so much that it brings tears to his eyes.” Id. at 5. Further, “an incomplete cervical fusion ... ha[d] left him with numbness and pain in both hands and arms.” Id. at 7. Mr. Young had also “been told that he ha[d] bulging disks in the lumbar area and may need surgery in that area.” Id. at 3.

During the meeting, Mr. Young told Dr. Anderson that he was “suicidally depressed.” Anderson Evaluation at 5; accord Anderson Dep. at 52. He also stated: “I feel like a loser. I can’t work. I can’t support my family.” Anderson Dep. at 73. Mr. Young discussed his family largely “in the context of his not being able to control his angry behavior,” which he knew “was driving his wife and daughters away from him.” Id. at 74.

Mr. Young explained that “he and his wife began to fight bitterly when he no longer had a source of income, and his wife did not make enough money to support the family.” Anderson Evaluation at 2. Mr. Young admitted “losing his temper and hollering at his daughter,” and then “hatfing] himself for it.” Anderson Dep. at 46. Mr. Young felt “as if his marriage and his life [had] been destroyed,” that there was “no hope for his future,” and that he would “never be able to return to work.” Anderson Evaluation at 5. Because of the accident and associated loss of income, Mr. Young said: “ ‘My whole family has been destroyed.’ ” Id. (quoting Mr. Young).

At the time of the meeting on May 10, 2012, Mr. Young’s wife and daughters had moved to Davie, Florida, where they remained for several months. See Anderson Evaluation at 7; Deposition of Jamie Rose Young, July 23, 2013 (“Jamie Young Dep.”) at 34-35. Mr. Young told Dr. Anderson that he “felt personally responsible for driving his wife away ... to Florida.” Anderson Dep. at 74. While his wife and daughters were in Florida, Mr. Young lived with and was supported by his adult stepson; Joseph Capati. See Anderson Evaluation at 7.

Dr. Anderson concluded that Mr. Young was incapable of performing even light or sedentary work, and thus was “totally and completely disabled” and “would never be able to work again competitively.” Id. She made a “very strong recommendation ... that Mr. Young be sent to counseling and psychotherapy so that he can deal with his very serious depression, which is suicidal at times.” Id. Dr. Anderson also issued a “second strong recommendation,” that Mr. Young “be referred to a weight loss group” due to his “compulsive overeat[ing]” and “obesity.” Id.

Three Weeks after the meeting with Dr. Anderson, Mr. Young’s orthopedic surgeon, Dr. Franchetti, concluded that, “ “within a reasonable degree of medical certainty and probability, as a result of his injuries of June 16, 2010, the patient will not be able to return to his previous occupation as a maintenance contractor and carpenter, and his inability to do so is a direct result of his June 16, 2010 injuries.’ ” Opp. Exh. Q (vocational assessment of Charles Smolkin, Sept. 6, 2012) at 2 (quoting report of Dr. Franchetti, May 31, 2012). Unlike Dr. Anderson, Dr. Fran-chetti opined that Mr. Young “ ‘obviously will be employable for a less strenuous occupation,’ ” and thus “ ‘order[ed] a Functional Capacity Evaluation to assess his functional capacities.’ ” Id. (quoting report of Dr. Franchetti, May 31, 2012).

A functional capacity evaluation was performed at Metropolitan Occupational Therapy on June 21, 2012. See Opp. Exh. Q. Although it is unclear whether that evaluation identified any types of work that Mr. Young remained capable of performing, the evaluation stated: “ ‘IT IS UNLIKELY THAT MR. YOUNG WOULD BE ABLE TO SAFELY OR EFFICIENTLY PERFORM HIS PREVIOUS JOB AT HIS CURRENT LEVEL OF FUNCTIONING.’ ” Id. at 2 (quoting evaluation).

One month later, during a visit with his orthopedic surgeon on July 26, 2012, Mr. Young reported “persistent neck pain,” “back pain and some left lower extremity radicular pain,” and “pain in his ulnar nerve distribution of his left upper extremity.” Opp. Exh. V (report of Dr. Michael Franchetti, July 26, 2012). On August 3, 2012, Mr. Young’s neurosurgeon determined that “continued neck and upper back symptoms” may “eventually require surgical intervention^]” Opp. Exh. U (report of Dr. Jamaris, Aug. 3, 2012).

On August 27, 2012, Charles Smolkin performed a Vocational Assessment of Mr. Young. Opp. Exh. Q. He concluded that Mr. Young “suffered multiple injuries on June 16, 2010 which preclude return to his occupation as a Millwright/Carpenter or any occupation which requires above a Light exertion,” id. at 3, and his “significant physical limitations, pain, depression and the lack of a high school diploma make him a poor prospect for successful return to work.” Id. at 4. As such, Smolkin “recommend[ed] that Mr. Young receive individualized tutoring at a cost of approximately $2,000 as soon as possible .... ” “After successful completion of his G.E.D.,” Smolkin opined, Mr. Young could work as a security guard, although likely only on a part-time basis due to his symptoms. Id. Smolkin observed: “Mr. Young appeared quite distressed over his inability to continue in his Carpenter/Millwright work because of his physical limitations and continuing pain.” Id. at 2.

The impressions of Mr. Young’s family members are also pertinent. For their part, Mr. Young’s daughters reported that their father had undergone “a complete personality change” following the accident. Anderson Dep. at 92. Once, while driving with his stepson, Joseph Capati, over the Chesapeake City Bridge, Mr. Young remarked that he had been “thinking about driving off the bridge.” Deposition of Joseph Capati, July 23, 2013 (“Capati Dep.”) at 15-17. On another occasion, at some point after his wife and daughters had moved to Florida for several months, his stepson overheard him “mentioning jumping off of the bridge” to someone on the phone. Capati Dep. at 25-26.

With respect to Mr. Young’s suicide on September 6, 2012, the principal sources of information are four members of Mr. Young’s family, who were with him for various periods during the evening before his death. Notably, although Mr. Young’s wife and two daughters had temporarily moved to Florida in 2012, at the time of his suicide they had returned to the family’s home in Maryland. See Jamie Young Dep. at 34-36.

Mr. Young’s younger daughter, Jenna, was 14 at the time of her father’s death. She recounted: “I remember my dad making fun of me, because, like, he always, like, made fun of me for, like, my weight or something. [B]ut that’s just like him, like he was just cracking jokes.” Deposition of Jenna A. Young, July 23, 2013 (“Jenna Young Dep.”) at 12. She continued, id.: “And then I remember getting upset about that. But then I went into my room. And that’s all I remember.” Jenna did not recall her father saying anything that would have suggested he “was depressed enough to commit suicide.” Id.

Chelsea, Mr. Young’s older daughter, returned from work to the family’s home that evening. At the time, she was arguing with her boyfriend, Izzy, “about something little.” Deposition of Chelsea L. Young, July 23, 2013 (“Chelsea Young Dep.”) at 20-21. Chelsea testified, id. at 21-22:

And then my dad came. And he was just saying that we need to stop. And it kind of got me mad that he was, like, up in our business, you know. But then he went back in the room and went to watch the Cowboys game.

Me and Izzy had calmed down, but I guess I was still mad at my dad, ‘cause I was like, oh, my God. Like, why is he in our business? Pretty much that’s what I was thinking.

And then I don’t know how it even, like, started. I think it was over my work. Like, I would — I threw it in [Mr. Young’s] face. “That’s why you need me to work.”

And I said something like about me working. And I didn’t understand his situation completely .... I didn’t know that he wasn’t, like, really allowed to work .... I guess I kind of threw it in his face. I was like, “You need to get a job,” and stuff.

And he just went ballistic. And, like, he just went really ballistic. And he was, like, arguing with me. And then I remember at one point of the night he tried to say sorry. And I kept going. I don’t know why. I mean, I was so mad[ ] at him.

So he went back in his room to watch the rest of the game. Then he came out to apologize to me and Izzy. And I was just like, “No. That’s not cool. You don’t yell at me like that.”

Chelsea also recalled her father having “a can or two or three” of beer around that time. See Chelsea Young Dep. at 23.

When Ms. Young returned to the family’s home that evening, “the argument kept going.” Id. As Chelsea testified, id. at 23-25:

Izzy got, like, really worked up. He also has, I guess, like adrenaline pumping or whatever, because he didn’t like seeing my dad yell at me. And he was, like, mad or something. And then he fell into the door. Like, he was just shaking mad. And I guess he got so hyped he fell into the door. And his arm had shards of glass puncturing, like going into his arm.

We called [Izzy’s] mom to come pick me and him up. But my dad didn’t want me to be at his house alone. Pretty much he didn’t like that. I tried to explain to him that we weren’t going to do nothing.

But so the argument over that was pretty pathetic. But Izzy’s mom didn’t want to leave without Izzy. And Izzy didn’t want to leave without me. And my dad was not going to let me leave. So that was pretty much the whole tie-up. So that’s the only reason why my mom^went with me. My sister and my mom went with me to his house.

Izzy’s mother, Tonya, called the police to the Youngs’ home. Chelsea Young Dep. at 25. A police officer arrived while Mr. Young’s wife and daughters were still present. See Jamie Young Dep. at 38. Ms. Young testified that she went to the home of Chelsea’s boyfriend, Izzy, because she “didn’t really have anyplace else to go immediately.” Id. According to Dr. Anderson, Ms. Young told her that she “asked [the police] to stay or put [Mr. Young] in lock up or something because she was so worried because he was so upset.” Anderson Dep. at 102. Nevertheless, according to Ms. Young, her husband did not say anything to her that evening that suggested he may commit suicide. Jamie Young Dep. at 38.

Joseph Capati, Mr. Young’s adult stepson, who lived at the Chesapeake City home, was also present that evening. He remained at home after the argument and was aware that, at some point, Mr. Young had gone to his room. Capati Dep. at 23. However, the two did not speak following the argument. Mr. Capati testified that he did not hear anything that would have “tipped [him] off,” but noted that Mr. Young’s room was at the opposite end of the house from his own. See id. at 23-24. When asked whether Mr. Young said or did “anything that night that gave [him] a clue that he might be committing suicide that night,” Capati said no. Id. at 24.

That night, Mr. Young committed suicide by ingesting a combination of alcohol, Flexeril (a muscle relaxant), and Tramadol (a pain medication). See Deposition of Dr. Neil Blumberg, Oct. 2, 2013 (“Blumberg Dep.”) at 56-57; Anderson Dep. at 89. Flexeril and Tramadol were among the medications that Mr. Young reported taking as of May 2012. See Anderson Evaluation at 2. The alcohol likely exacerbated the depressive effect of the Flexeril and-Tramadol. Blumberg Dep. at 56. In a suicide note, Mr. Young twice referred to himself as a “loser.” See Blumberg Dep. at 59; Anderson Dep. at 72-73. Mr. Young’s body was not found until Ms. Young returned home the next day. See Capati Dep. at 23.

Following Mr. Young’s suicide, Dr. Anderson’s role in the case expanded, as she was “asked to render an opinion as to whether or not at the time of [Mr. Young’s] suicide he was suffering from a psychotic break with reality.” Anderson Supp. Aff. ¶ 2. To that end, Dr. Anderson reviewed a litany of records, including various medical and emergency response records; Mr. Young’s autopsy; the depositions of Jamie Rose Young, Chelsea Young, Jenna Young, and Joseph Capati, all family members of Mr. Young who were with him the evening prior to his suicide; and a “police accident report and photographs.” Anderson Aff. ¶ 2; see also Anderson Supp. Aff. ¶ 2 (detailing Dr. Anderson’s sources of information). In addition to meeting with and performing tests on Mr. Young prior to his death, Dr. Anderson later met with his wife and two daughters, administering psychological evaluations on them, and visited the scene of the suicide in Chesapeake City, Maryland. Anderson Aff. ¶ 2; Anderson Supp. Aff. ¶ 2.

Dr. Anderson opined: “It is my opinion based upon a reasonable degree of psychological certainty that the suicide of Joseph Russell Young, the decedent, was directly and proximately caused by the psychosis he sustained as a result of the automobile accident of June 16, 2010, which is the subject of this action.” Anderson Aff. ¶ 3. According to Dr. Anderson, her opinions were based on various sources of information, including those identified above, as well as her training, knowledge, and experience in the field of psychology. Id. ¶ 2.

Additional facts are included below.

II. Summary Judgment

Defendant’s Motion is governed by Rule 56 of the Federal Rules of Civil Procedure. It provides, in part: “The court shall grant summary judgment if the movant shows that there is no genuine dispute as to any material fact, and the movant is entitled to judgment as a matter of law.” Fed.R.Civ.P. 56(a); see Celotex Corp. v. Catrett, 477 U.S. 317, 322-24, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986). A fact is “material” if it “might affect the outcome of the suit under the governing law.” Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248, 106 S.Ct. 2505, 91 L.Ed.2d 202 (1986).

“A party opposing a properly supported motion for summary judgment ‘may not rest upon the mere allegations or denials of [its] pleadings,’ but rather must ‘set forth specific facts’ ” establishing a triable issue. Bouchat v. Balt. Ravens Football Club, Inc., 346 F.3d 514, 522 (4th Cir.2003) (quoting former Fed.R.Civ.P. 56(e)), cert. denied, 541 U.S. 1042, 124 S.Ct. 2171, 158 L.Ed.2d 732 (2004); accord Dash v. Mayweather, 731 F.3d 303, 311 (4th Cir.2013). In other words, the non-moving party must show disputes of material fact so as to preclude the award of summary judgment as a matter of law. Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 586, 106 S.Ct. 1348, 89 L.Ed.2d 538 (1986). “By its very terms, this standard provides that the mere existence of some alleged factual dispute between the parties will not defeat an otherwise properly supported motion for summary judgment; the requirement is that there be no genuine issue of material fact.” Anderson, 477 U.S. at 247-48, 106 S.Ct. 2505 (emphasis in original).

In resolving a summary judgment motion, the court may not make credibility determinations. Black & Decker Corp. v. United States, 436 F.3d 431, 442 (4th Cir.2006). Moreover, the court must view all of the facts, including reasonable inferences to be drawn from them, in the light most favorable to the nonmoving party. See Matsushita, 475 U.S. at 587, 106 S.Ct. 1348; see Greater Balt. Ctr. For Pregnancy Concerns, Inc. v. Mayor and City Council of Balt., 721 F.3d 264, 283 (4th Cir.2013); FDIC v. Cashion, 720 F.3d 169, 173 (4th Cir.2013); Dennis v. Columbia Colleton Med. Ctr., Inc., 290 F.3d 639, 645 (4th Cir.2002). The “judge’s function” in reviewing a motion for summary judgment is not “to weigh the evidence and determine the truth of the matter but to determine whether there is a genuine issue for trial.” Anderson, 477 U.S. at 249, 106 S.Ct. 2505. If “the evidence is such that a reasonable jury could return a verdict for the nonmoving party,” there exists a dispute of material fact that precludes summary judgment. Id. at 248, 106 S.Ct. 2505.

III. Experts

By way of its summary judgment motion, defendant has challenged the expert opinion offered by plaintiff. Although parties may challenge expert testimony pursuant to Fed.R.Evid. 702 via a so-called Daubert motion, see Daubert v. Merrell Dow Pharmaceuticals, Inc., 509 U.S. 579, 113 S.Ct. 2786, 125 L.Ed.2d 469 (1993), district courts have also addressed challenges to the admissibility of expert testimony in the context of a motion for summary judgment. See, e.g., Selective Ins. Co. v. Empire Comfort Systems, 2007 WL 7681251, at *2-3 (D.Md. Mar. 21, 2007); Heaps v. General Motors Corp., 2006 WL 2456231, at *3-5 (D.Md. Aug. 22, 2006); see also Campbell v. Fawber, 975 F.Supp.2d 485, 489-90 (M.D.Pa.2013).

Under Federal Rule of Evidence 104(a), the court is responsible for determining “preliminary questions concerning the qualification of a person to be a witness” and “the admissibility of evidence,” including the admissibility of expert testimony under Federal Rule of Evidence 702. In their briefing, both parties make reference to Fed.R.Evid. 702. Mem. at 11; Opp. at 12. It provides:

A witness who is qualified as an expert by knowledge, skill, experience, training, or education may testify in the form of an opinion or otherwise if:

(a) the expert’s scientific, technical, or other specialized knowledge will help the trier of fact to understand the evidence or to determine a fact in issue;

(b) the testimony is based on sufficient facts or data;

(c) the testimony is the product of reliable principles and methods; and

(d) the expert has reliably applied the principles and methods to the facts of the case.

Fed.R.Evid. 702 permits a properly qualified expert witness to testify regarding technical, scientific, or other specialized knowledge in a given field if it would assist the trier of fact in understanding the evidence or to determine a fact in issue. The rule “was intended to liberalize the introduction of relevant expert evidence.” Westberry v. Gislaved Gummi AB, 178 F.3d 257, 261 (4th Cir.1999). “The party seeking admission of the expert testimony bears the burden of establishing admissibility by a preponderance of the evidence.” Fireman’s Fund Ins. Co. v. Tecumseh Prods. Co., 767 F.Supp.2d 549, 558 (D.Md.2011); see Daubert, 509 U.S. at 590, 113 S.Ct. 2786; Cooper v. Smith & Nephew, Inc., 259 F.3d 194, 199 (4th Cir.2001); Maryland Casualty Co. v. Therm-O-Disc., Inc., 137 F.3d 780, 783 (4th Cir.1998); Casey v. Geek Squad ® Subsidiary Best Buy Stores, L.P., 823 F.Supp.2d 334, 340 (D.Md.2011) (Grimm, J.).

In Daubert, 509 U.S. at 597, 113 S.Ct. 2786, the Supreme Court held that scientific evidence is admissible under Rule 702 if “it rests on a reliable foundation and is relevant.” The Supreme Court explained that expert scientific testimony must be ■ grounded “in the methods and procedures of science,” and it must be something more than subjective belief or unsupported assumptions. Id. at 589-90, 113 S.Ct. 2786. Moreover, the evidence or testimony must be relevant to the extent that it will “assist the trier of fact to understand the evidence or to determine a fact in issue.” Id. at 591, 113 S.Ct. 2786; see also United States v. Forrest, 429 F.3d 73, 80-81 (4th Cir.2005). In Kumho Tire Co. v. Carmichael, 526 U.S. 137, 141, 119 S.Ct. 1167, 143 L.Ed.2d 238 (1999), the Supreme Court extended the principles pertaining to scientific expert testimony to other expert testimony requiring technical or specialized knowledge.

As indicated, to satisfy the admissibility requirements of Rule 702, an expert’s opinion must be “based upon sufficient facts or data.” Fed.R.Evid. 702. An expert must also opine based on' reliable principles and methods, applied reliably to the facts. In Benedi v. McNeil-P.P.C., Inc., 66 F.3d 1378, 1384 (4th Cir.1995), the Fourth Circuit recognized that “epidemiological studies are not necessarily required to prove causation,” but a proposed expert must show that “the methodology employed ... in reaching his or her conclusion is sound.”

Under Daubert, the trial court serves as the gatekeeper, making a pretrial determination “of whether the reasoning or methodology underlying the testimony is scientifically valid and of whether that reasoning or methodology properly can be applied to the facts in issue.” 509 U.S. at 592-93, 113 S.Ct. 2786. This gatekeeper role helps to ensure that the jury hears reliable and relevant evidence that will assist the jury in factual determinations, clarify issues, and has probative value. Id. at 596, 113 S.Ct. 2786. As to reliability, Daubert articulated five factors that the trial court should consider in evaluating the reliability of an expert’s reasoning or methodology: (1) whether the particular scientific theory has been or can be tested; (2) whether the theory has been subjected to peer review and publication; (3) the known or potential rate of error; (4) whether there are standards controlling the method; and (5) whether the technique has gained general acceptance in the relevant scientific community. Daubert, 509 U.S. at 593-94, 113 S.Ct. 2786; see United States v. Crisp, 324 F.3d 261, 265-66 (4th Cir.2003).

As a whole, the factors are meant to ensure that “an expert, whether basing his testimony upon professional studies or personal experience, employs in the courtroom the same level of intellectual rigor that characterizes the practice of an expert in the relevant field.” Kumho Tire, 526 U.S. at 152, 119 S.Ct. 1167. But, the factors are meant to be “helpful, not definitive,” and not all factors necessarily apply in a given case. Id. at 151, 119 S.Ct. 1167. Indeed, the Supreme Court has said that the factors are not a “checklist.” Id. at 150, 119 S.Ct. 1167. Regardless, the court “should meticulously focus on the expert’s principles and methodology, and not on the conclusions that they generate.” McDowell v. Brown, 392 F.3d 1283, 1298 (11th Cir.2004).

With regard to an expert’s qualifications, the Advisory Committee’s notes to Rule 702 provide that experience alone, or in conjunction with “other knowledge, skill, training or education,” can provide sufficient foundation for expert testimony. See Kumho Tire, 526 U.S. at 156, 119 S.Ct. 1167 (stating that “no one denies that an expert might draw a conclusion from a set of observations based on extensive and specialized experience.”). On the other hand, an expert witness may not offer an opinion where the subject matter goes beyond the witness’s area of expertise. See Berry v. City of Detroit, 25 F.3d 1342, 1351 (6th Cir.1994); see also Smith v. Central Admixture Pharm. Servs., Inc., 2010 WL 1137507, at *3 (D.Md. Mar. 19, 2010) (“It is well established that ‘general expertise is not sufficient to qualify [an expert] to testify on a matter that requires particularized knowledge, training, education, or experience.’ ” (quoting Fitzgerald v. Smith & Nephew Richards, Inc., 1999 WL 1489199, at *3 (D.Md. Dec. 30, 1999))).

In addition, “evidence that has a greater potential to mislead than to enlighten should be excluded.” Westberry, 178 F.3d at 261. However, to be admissible, the expert testimony need not be “ ‘irrefutable or certainly correct.’ ” United States v. Moreland, 437 F.3d 424, 431 (4th Cir.2006) (citation omitted); see Daubert, 509 U.S. at 596, 113 S.Ct. 2786; Westberry, 178 F.3d at 261. Rather, the proponent must show that it is reliable. Oddi v. Ford Motor Co., 234 F.3d 136, 145 (3rd Cir.2000). In other words, the Supreme Court did not intend the gatekeeper role to “supplant the adversary system or the role of the jury: ‘[vigorous cross-examination, presentation of contrary evidence, and careful instruction on the burden of proof are the traditional and appropriate means of attacking shaky but admissible evidence.’ ” Allison v. McGhan Med. Corp., 184 F.3d 1300, 1311-12 (11th Cir.1999) (quoting Daubert, 509 U.S. at 596, 113 S.Ct. 2786); see Moreland, 437 F.3d at 431 (recognizing that “expert testimony is subject to testing by vigorous cross-examination, presentation of contrary evidence, and careful instruction on the burden of proof.”).

Nevertheless, a court will exclude testimony based on “belief or speculation,” Oglesby v. Gen. Motors Corp., 190 F.3d 244, 250 (4th Cir.1999), or when not supported by the record. Bryte ex rel. Bryte v. Am. Household, Inc., 429 F.3d 469, 477 (4th Cir.2005); Tyger Const. Co. v. Pensacola Const. Co., 29 F.3d 137, 142 (4th Cir.1994); Casey, 823 F.Supp.2d at 340. Moreover, “nothing in either Dau-bert or the Federal Rules of Evidence requires a district court to admit opinion evidence that is connected to existing data only by the ipse dixit of the expert.” Gen. Elec. Co. v. Joiner, 522 U.S. 136, 146, 118 S.Ct. 512, 139 L.Ed.2d 508 (1997). And, a court may exercise its “discretion to find that there is ‘simply too great-an analytical gap between the data and the opinion proffered.’ ” Pugh v. Louisville Ladder, Inc., 361 Fed.Appx. 448, 454 n. 4 (4th Cir.2010) (quoting Joiner, 522 U.S. at 146, 118 S.Ct. 512).

IV. Wrongful Death Claims

Industrial Transport argues that it is entitled to summary judgment as to Counts II through V, the wrongful death claims. In particular, defendant maintains that, as a matter of law, Mr. Young’s suicide “was not proximately caused by the motor vehicle accident occurring on June 16, 2010 .... ” Mem. at 1. In its view, under Maryland law, a motor vehicle accident can be the proximate cause of a suicide only under limited circumstances that are absent in this case. Id. at 2. Plaintiff counters that Dr. Anderson’s testimony “stems from reliable methodology, a sufficient factual basis, and a reliable application of the methodology to the facts.” Opp. at 16.

Regarding the substantive law governing plaintiffs wrongful death claims, it is apparent that Maryland law applies. A federal court sitting in diversity must apply the law of the state in which the court is located, including the forum state’s choice of law rules. Colgan Air, Inc. v. Raytheon Aircraft Co., 507 F.3d 270, 275 (4th Cir.2007). The parties have presented their arguments under Maryland law, albeit without expressly discussing the issue of choice of law. In tort cases, Maryland courts apply the law of the state where the alleged tort occurred, and in this case the underlying accident (as well as the suicide) occurred in Maryland. See Proctor v. Washington Metropolitan Area Transit Auth., 412 Md. 691, 726, 990 A.2d 1048, 1068 (2010). As such, I will also apply Maryland law.

Maryland’s wrongful death statute is found in Md.Code (2013 Repl. Vol.), §§ 3-901 through 3-904 of the Courts & Judicial Proceedings Article (“C.J.”). Section . 3-902, titled “Liability notwithstanding death,” provides that wrongful death actions “may be maintained against a person whose wrongful act causes the death of another.” C.J. § 3-902(a). “[A] wrongful death action is brought by the relatives of the decedent, seeking recovery for their loss as a result of the victim’s death.” Jones v. Prince George’s Cnty., 541 F.Supp.2d 761, 764 (D.Md.2008) (citation omitted). Such an action “ ‘is brought in the name of a person entitled to recover ....’” Williams v. Work, 192 Md.App. 438, 452, 995 A.2d 744, 753 (2010) (quoting Walker v. Essex, 318 Md. 516, 523, 569 A.2d 645, 648 (1990)), aff'd sub nom. Ace Am. Ins. Co. v. Williams, 418 Md. 400, 15 A.3d 761 (2011). See Eagan v. Calhoun, 347 Md. 72, 82, 698 A.2d 1097, 1102 (1997) (a wrongful death action “is brought by a spouse, parent, or child, or a secondary beneficiary who was wholly dependent on the decedent, to recover damages for his or her own loss accruing from the decedent’s death”); United States v. Streidel, 329 Md. 533, 536, 620 A.2d 905, 907 (1993); C.J. § 3-904(d) (“damages awarded ... are not limited or restricted by the ‘pecuniary loss’ or ‘pecuniary benefit’ rule but may include damages for mental anguish, emotional pain and suffering, loss of society, companionship, comfort, protection, marital care, parental care, filial care, attention, advice, counsel, training, guidance, or education where applicable for the death of ... (1) A spouse ... (3) A parent of a minor child ....”).

Regarding proof of causation in the context of a wrongful death claim, then-Magistrate Judge Grimm explained in Osunde v. Lewis, 281 F.R.D. 250, 260 (D.Md.2012):

To succeed on a wrongful death claim under Maryland law, a plaintiff' who qualifies as a beneficiary under the wrongful death statute “must show by a preponderance of the evidence that the conduct of [the] defendant was negligent and that such negligence was a proximate cause of the death of the decedent.” Weimer [v. Hetrick, 309 Md. 536, 554, 525 A.2d 643, 652 (1987)]; United Elec. Light & Power Co. v. State, 100 Md. 634, 60 A. 248, 248-49 (1905); see also [Paul Mark Sandler & James K. Archibald, Pleading Causes of Action in Maryland 396 (4th ed.2008) ] (listing four elements that a plaintiff must prove to succeed on a wrongful death claim: (1) the victim’s death; (2) that the victim’s death was proximately caused by the negligence of the defendant; (3) that the victim’s death resulted in injury to the plaintiff, who falls within the category of beneficiaries defined by the statute; and (4) that the claim is brought within the applicable statutory period)

Nonmoving parties must “ ‘produce competent evidence on each element of [their] claim’ to survive the motion for partial summary judgment.” Osunde, 281 F.R.D. at 260 (quoting Miskin v. Baxter Healthcare Corp., 107 F.Supp.2d 669, 671 (D.Md.1999)) (modification in Osunde).

The parties agree that, in the context of this case, the relevant standards regarding proof of causation are found in the case of Sindler v. Litman, 166 Md.App. 90, 887 A.2d 97 (2005). See, e.g., Mem. at 7-10; Opp. at 12-14. Sindler arose from a motor vehicle accident in 1994, involving Ms. Sindler and her husband. Ms. Sindler sustained minor physical injuries as a result of the accident. 166 Md.App. at 106, 887 A.2d at 106. In 1997, the Sindlers sued both the driver of the other vehicle and the driver’s husband. Id. at 99, 887 A.2d at 102. In July 2004, several months before trial, Ms. Sindler committed suicide. Id. Subsequently, her husband filed an amended complaint, adding wrongful death and survival claims, alleging that the accident caused his wife's death. Id. at 103, 887 A.2d at 104.

Prior to trial, the circuit court granted summary judgment in favor of the defendants as to the wrongful death claim. Id. at 99, 887 A.2d at 102. In particular, the defendants argued before the trial court that “suicide is not a legally cognizable basis for a wrongful death claim because it is barred as a matter of law,”' and that the evidence in the case did not support such a claim. Id. at 103, 887 A.2d at 104. At a hearing on the summary judgment motion, the trial court considered deposition testimony from Ms. Sindler and from plaintiffs expert, Dr. Gary Lefer, who was Ms. Sin-dler’s treating psychiatrist at the time of her death. Id. at 104, 108, 119, 887 A.2d at 105, 107, 114. In the trial court’s view, Dr. Lefer’s deposition testimony addressed “the possibility of suicide” only “in general terms,” which were “insufficient to maintain a cause of action” for wrongful death. Id. at 107, 887 A.2d at 106.

On appeal, the Maryland Court of Special Appeals affirmed the entry of judgment for the defendants as to the wrongful death claim. As an initial matter, the court addressed the relevant legal standards when a wrongful death claim arises from a suicide. Under one approach, “courts have held that suicide is a common law crime and, as such, it is a per se bar to a wrongful death claim.” 166 Md.App. at 109, 887 A.2d at 108. In order to commit common law suicide, one must: “(1) take his own life; (2) be ‘of years of discretion;’ and (3) be of ‘sound mind.’ ” Id. (quoting Wackwitz v. Roy, 244 Va. 60, 65, 418 S.E.2d 861, 865 (1992)). Under this “per se” standard, a court will “analyze the question of liability for suicide by determining whether the person who took his/ her own life was sane within the meaning of common law suicide.” 166 Md.App. at 110, 887 A.2d at 108 (citing Wackwitz, 244 Va. at 65-66, 418 S.E.2d at 864-65). However, as the Sindler Court observed, the reasoning of Virginia and Fourth Circuit decisions endorsing the per se approach was grounded in the fact that suicide had remained a common law crime in Virginia. Id. at 110, 887 A.2d at 108 (citing Wackwitz, 244 Va. at 65-66, 418 S.E.2d at 864-65). By contrast, the Sindler Court said, “it is questionable at best whether Maryland recognizes suicide as a common law crime.” 166 Md.App. at 111, 887 A.2d at 109 (citing Wilmington Trust Co. v. Clark, 289 Md. 313, 328, 424 A.2d 744, 754 (1981) (“Suicide is no longer a crime either in England or the majority of American jurisdictions, and no American jurisdiction punishes a suicide through forfeiture of goods or any other means.”); Mayne v. State, 45 Md.App. 483, 488, 414 A.2d 1, 4 (1980) (declining to address whether suicide is a crime in Maryland)).

A second approach, identified by the Sindler Court as the “majority view,” holds that “suicide, as a consequence of a negligent act, is not legally cognizable under general principles of proximate causation, either because it is a superseding intervening cause or otherwise not a proximate cause.” 166 Md.App. at 111, 887 A.2d at 109. That general rule, however, is subject to an exception, reflected in the Restatement (Second) of Torts (“Restatement”), § 455. Id. Specifically, § 455 (“Acts Done During Insanity Caused by Negligent Conduct”) states:

If the actor’s negligent conduct so brings about the delirium or insanity of another as to make the actor liable for it, the actor is also liable for harm done by the other to himself while delirious or insane, if his delirium or insanity

(a) prevents him from realizing the nature of his act and the certainty or risk of harm involved therein, or

(b) makes it impossible for him to resist an impulse caused by his insanity which deprives him of his capacity to govern his conduct in accordance with reason.

Characterizing the issue as “one of first impression in Maryland,” the Sindler Court found “the majority approach, based on principles of proximate cause, to be more persuasive.” 166 Md.App. at 112, 887 A.2d at 109. Indeed, it rejected the per se rule and expressly “adopt[ed] the Restatement approach, which is simply a statement of proximate cause in a specific context.” Id. See also, e.g., District of Columbia v. Peters, 527 A.2d 1269, 1276 (D.C.1987) (adopting § 455 standard); Baxter v. Safeway Stores, Inc., 13 Wash.App. 229, 232-33, 534 P.2d 585, 588 (1975) (same); Exxon Corp. v. Brecheen, 526 S.W.2d 519, 524 (Tex.1975) (same); Fuller v. Preis, 35 N.Y.2d 425, 429, 363 N.Y.S.2d 568, 322 N.E.2d 263, 265 (1974) (same).

Further, the Sindler Court observed, id. at 112-13, 887 A.2d at 109-10:

Under the proximate cause analysis, the general rule is that “one may not recover damages in negligence for the suicide of another. The act of suicide is generally considered to be a deliberate, intentional, and intervening act which precludes a finding that a given defendant is, in fact, responsible for the decedent’s death.” E.g., Peters, 527 A.2d at 1276 (citing McLaughlin [v. Sullivan, 123 N.H. 335, 337, 461 A.2d 123, 124 (1983) ]); see also Cleveland v. Rotman, 297 F.3d 569, 572 (7th Cir.2002) (“It is well-established under Illinois law that a plaintiff may not recover for a decedent’s suicide following a tortious act because suicide is an independent intervening event that the tortfeasor cannot be expected to foresee.”); Watters v. TSR, Inc., 904 F.2d 378, 383 (6th Cir.1990) (“Generally speaking, it has been said, the act of suicide is viewed as ‘an independent intervening act which the original tortfeasor could not have reasonably [been] expected to foresee.’ ” (Citations omitted)); Jamison v. Storer Broadcasting Co., 511 F.Supp. 1286, 1292 (E.D.Mich.1981) (“If a person commits suicide in response to a mental condition, as distinguished from a mental illness, a prior tortfeasor, perhaps in part responsible for that condition, will not be liable because the act of the deceased is viewed as an independent intervening cause.”) ....

The court reiterated that § 455 of the Restatement “provides an important exception to the general rule that suicide is a superseding intervening act- or, in any event, that the negligent act was not the legal or proximate cause of the suicide.” 166 Md.App. at 117, 887 A.2d at 112 (citing Peters, 527 A.2d at 1275). In essence, this provision “assumes that negligent conduct caused delirium or insanity of another and addresses the question as to when the negligent actor is liable for suicide committed by the delirious or insane person.” 166 Md.App. at 117, 887 A.2d at 112. As to § 455, the Sindler Court further explained, id. at 117-18, 887 A.2d at 112-13:

Under the Restatement exception, “a plaintiff must show more than that the alleged negligent incident started a chain of circumstances that led to suicide.” Peters, 527 A.2d at 1276. The plaintiff must prove that the defendant’s action caused insanity, which prevented the decedent from realizing the nature of the act of suicide or resulted in the decedent’s having an uncontrollable impulse to commit suicide, “in the sense that the decedent could not have decided against and refrained from killing himself, and because of such uncontrollable impulse, the decedent committed suicide.” Id. (quoting Orcutt [v. Spokane County, 58 Wash.2d 846, 853, 364 P.2d 1102, 1105 (1961) ]).

As the Sindler Court noted, 166 Md.App. at 118, 887 A.2d at 113, the comments to § 455 provide further guidance. “Comment on Clause (a)” states:

Clause (a) is applicable when the other’s insanity is so extreme as to prevent him from understanding what he is doing or, if he understands what he is doing, from understanding its inevitable or probable consequences. It also applies to acts done during delirium.

The appellate court then referred to the “Comment on Clause (b),” id., which provides:

This Clause applies where the other’s insanity does not deprive him of his capacity to realize the nature or consequences of his act or from forming a purpose to kill or cause harm to himself and selecting means appropriate to accomplish his purpose, but his act is done under an insane impulse which is irresistible because his insanity has prevented his reason from controlling his actions. It, therefore, includes acts done under insane delusions if they are sufficiently strong to preclude resistance by such reason as his insanity leaves to the person laboring under them.

In addition, the Sindler Court quoted “Comment d,” id., which states as follows:

On the other hand, the fact that the actor’s negligence causes harm to another which subjects him to recurrent attacks of extreme melancholia does not make the actor liable for death or other harm which the other deliberately inflicts upon himself during a lucid interval in an effort to terminate his life because of his dread of the increasingly frequent recurrence of these attacks.

Regarding proximate causation in the context of liability for suicide, the Sindler Court also quoted from a case citing a passage from Prosser, Torts § 49 (2d ed.1955), as follows, 166 Md.App. at 118-119, 887 A.2d at 113:

Although there are cases to the contrary, it seems the better view is that when [the injured person’s] insanity prevents him from realizing the nature of his act or controlling his conduct, his suicide is to be regarded either as a direct result and no intervening force at all, or as a normal incident of the risk, for which the defendant will be liable .... But if the suicide is during a lucid interval, when he is in full command of his faculties but his life has become unendurable to him, it is agreed that his voluntary choice is an abnormal thing, which supercedes the defendant’s liability-

After analyzing these authorities, the Sindler Court observed that “whether Ms. Sindler was insane or delirious and that suicide resulted, not from her own voluntary conduct, but from lack of realization or an ‘uncontrollable impulse’ that was the product of insanity created by appellees, was a jury question that required expert testimony.” 166 Md.App. at 119, 887 A.2d at 113. However, the Maryland Court of Special Appeals concluded that, when summary judgment was entered in favor of the defendants, “the evidence was insufficient to sustain a finding of liability for the suicide of Ms. Sindler under the Restatement.” Id., 887 A.2d at 113-14. Both Dr. Lefer’s report and deposition dated from early 2004, before Ms. Sindler’s suicide. Id., 887 A.2d at 114. Ms. Sindler first consulted Dr. Lefer in January 2002, and subsequently met and spoke with him on several other occasions. Id. at 119-20, 887 A.2d at 114. Although Ms. Sindler reported periods of “ ‘severe suicidal ideation,’ ” Dr. Lefer opined in early 2004 that he “ ‘d[id] not feel the patient pose[d] an imminent suicidal risk’ ” and found no evidence of psychosis. Id. (citing generally to Dr. Lefer’s report and deposition). At his April 2004 deposition — taken several months before Ms. Sindler’s suicide — Dr. Lefer testified that although he “did not think Ms. Sindler presented an active risk of suicide” at the time of their initial meeting, he believed that “she would need someone such as himself to call to monitor her ‘suicidality’ because ‘there’s a significant risk that she’ll take her life.’ ” Id. at 120-21, 887 A.2d at 114.

The Sindler Court acknowledged: “Dr. Lefer testified that Ms. Sindler exhibited organic brain syndrome that caused depression. He also indicated that she was a suicide risk.” 166 Md.App. at 121, 887 A.2d at 115. Critically, however, “given the date of his report and deposition, he could not have and did not opine that the suicide was caused by the accident.” Id. Further, “Dr. Lefer did not opine that Ms. Sindler was insane or otherwise was in a mental state such that she did not realize the nature and risk of her act of suicide or that she had an uncontrollable impulse or anything sufficiently close to the Restatement test to create a jury question.” Id. Therefore, the appellate court affirmed the trial court’s order granting summary judgment to the defendants on the wrongful death claim. 166 Md.App. at 121-22, 887 A.2d at 115.

In this case, Industrial Transport asserts that plaintiffs “evidence that her husband was depressed and upset following the June 2010 accident ... does not meet the legal standard in Maryland as concerns a causal connection between an accident and a subsequent suicide.” Mem. at 2. According to defendant, Dr. Anderson’s testimony concerning Mr. Young’s mental state at the time of his suicide “is insufficient to create an issue of fact, as she has no foundation for such an opinion.” ECF 32 at 2.

In her Affidavit, Dr. Anderson set forth the foundation for her conclusions as to Mr. Young’s mental state, id. ¶ 2:

I make this affidavit after my review of the following records: Singerly Fire Company ambulance report of June 16, 2010; Christiana Hospital of June 16, 2010 and June 21, 2010; ' Susan Liu, M.D. from June 28, 2010 through October 8, 2010; Arthur Kurlanzik, M.D. from July 1, 2010 through April 26, 2012; Michael Franchetti, M.D. from July 29, 2010 through July 26, 2012; Scott T. Irrgang, D.C., CCSP from March 14, 2011 through June 1, 2011; Joseph K. Jamaris, M.D[J through August 3, 2012; Alan P. Schemer, D.C. from June 22, 2010 through September 13, 2010; Ran-chan D. Kotak, M.D. through October 12, 2011; Kathryn Nicholson, P.T., FCE of June 21, 2012; Howard County General Hospital of February 23, 2011 and October 14, 2011; Charles Smolkin, CRC, CVE, CDMS, CCM, Vocational Assessment report of August 27, 2012; and, the autopsy report dated September 7, 2012. I have also reviewed the deposition transcripts of Jamie Rose Young, Chelsea Young, Jenna Young and Joseph Capati as well as the police accident report and photographs. I have also met with and tested the decedent, Joseph Russell Young, prior to his suicide, and have met with and tested his wife, Jamie Rose Young and his two daughters, Chelsea Young and - Jenna Young.- The tests administered were complete psychological evaluations, including intelligence, academics, testing for any type of brain injury or disability, and for any psychological problems. Specific tests included: Wechsler Adult Intelligence Scale; the Wide Range Achievement Test; the Bender Gestalt and its recall; the Symptom Check List; and various projectives. My opinions are based upon all of the above and the familiarity of the subject matter as wel