Regina v. Blaue

[1975] 3 All E.R. 446

Quick Summary

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Blaue (defendant) who was prosecuted after his violent act led to a young woman’s death. This case centered around whether her refusal of a blood transfusion due to religious beliefs interrupted the causation chain linking his attack to her death.

The Court had to determine if such a refusal should affect Blaue’s legal responsibility for her death. The Court concluded that Blaue could not escape liability because the law requires offenders to take their victims as they find them, including their beliefs and subsequent choices.

Facts of the Case

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Blaue (defendant) was charged with the serious crime of murder after he inflicted grievous harm upon a young woman, an 18-year-old, who subsequently died. The circumstances began when Blaue entered the woman’s residence with the intention of engaging in sexual relations. Upon her refusal, he proceeded to stab her multiple times, with one of the injuries piercing her lung.

After being rushed to the hospital, the woman faced a life-threatening situation that required an immediate blood transfusion to save her life. However, due to her deeply held religious convictions as a Jehovah’s Witness, which strictly prohibit the acceptance of blood transfusions, she declined the necessary medical intervention. Her injuries, left untreated by her choice, led to her demise.

The legal proceedings initiated with Blaue contending that the woman’s refusal to undergo a blood transfusion severed the causal link between his act of stabbing and her death. The courts were then presented with the task of determining the impact of the victim’s decision on Blaue’s criminal culpability.

The trial resulted in Blaue being acquitted of murder but convicted of manslaughter on grounds of diminished responsibility—a verdict that Blaue challenged on appeal.

Procedural History

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  1. Blaue was charged with murder following the stabbing incident.
  2. At trial, he was acquitted of murder but found guilty of manslaughter due to diminished responsibility.
  3. Blaue appealed his conviction, arguing that the victim’s refusal of medical treatment should absolve him of liability for her death.

I.R.A.C. Format

Issue

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Whether a victim’s refusal of medical treatment for religious reasons breaks the chain of causation in determining criminal liability for their death.

Rule of Law

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If at the time of death the original wound is still an operating and substantial cause, then the death can be attributed to that wound, even if another cause is also contributing.

Reasoning and Analysis

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The Court of Appeal dismissed Blaue’s appeal, maintaining that individuals who inflict harm on others must accept their victims as they find them. This principle means that perpetrators cannot deflect responsibility for their actions by claiming that their victims could have taken measures to prevent their own deaths.

The Court determined that the victim’s refusal of a blood transfusion was a foreseeable consequence of her religious beliefs and not an intervening act that could exonerate Blaue from his role in causing her death. The Court further noted that it is not for the law to judge the reasonableness of one’s religious convictions when assessing causation in criminal liability.

The Court upheld the jury’s instruction that Blaue’s stabbing was a substantial and operative cause of death. Even though the victim chose not to accept life-saving treatment, it was Blaue’s initial violent act that set into motion the chain of events leading to her death. The law holds individuals accountable for the natural and probable consequences of their wrongful acts, without allowing them to benefit from a victim’s personal choices post-injury.

Conclusion

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The conviction for manslaughter was upheld by the Court of Appeal.

Key Takeaways

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  1. Perpetrators must take their victims as they find them, including any existing conditions or beliefs that may affect their reactions to harm.
  2. A victim’s refusal of medical treatment based on religious beliefs does not break the chain of causation in criminal law.
  3. The law holds individuals accountable for the natural and probable consequences of their wrongful acts, regardless of subsequent decisions made by the victim.

Relevant FAQs of this case

In what situations does the 'thin skull' rule apply?

The ‘thin skull’ rule applies in situations where a defendant must take full responsibility for the harm caused, even if the victim had pre-existing vulnerabilities or conditions that made the harm worse than it would have been for an average person.

  • For example: If a person with a fragile bone condition suffers a fracture due to a light push that would not harm an average individual, the responsible party is still liable for the full extent of the injury.

How might foreseeability affect the chain of causation in tort law?

Foreseeability impacts the chain of causation by determining if the harm was a direct and natural consequence of the defendant’s actions. If an intervening event was foreseeable and sufficiently connected to the original act, the defendant remains liable.

  • For example: If a driver negligently hits a cyclist, and the cyclist does not immediately seek medical attention, leading to complications that were foreseeable, the driver would still be liable for these subsequent injuries.

What distinguishes an intervening act from a superseding cause?

An intervening act does not break the chain of causation and keeps the defendant liable if it was a predictable outcome of their actions. A superseding cause is an unforeseeable, independent event that relieves the defendant from liability as it breaks the causal link between their action and the ultimate harm.

  • For example: An electrician negligently leaves exposed wiring, which is predictable to cause electrocution (intervening act). However, if a flash flood (superseding cause) subsequently damages the wiring and causes harm, it might break the causal chain as this event was unforeseeable.
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