Opinion by
Dеfendant appeals from an award, — made by the Workmen’s Compensation Boаrd, affirmed, by the lower court, — of compensation to claimant for the death of her husband, who was instantly killed by jumping from the window of the sixth story'of a. hospital, in which he was undergoing treatment at the time. Claimant contended, —and the compensation board аnd the lower court, in affirming the award of the referee, found, — that decedent committed suicide while temporarily insane and that the insanity was a direct sequence аnd result of injuries sustained by deceased while in the employ of defendant coal company and in the course of his employment, about three years previous. Appellant asserts no sufficient evidence was produced on which to base the award and to justify its affirmance by the lower court. “In this class of cases, our revisory powers are limited to such consideration of the record as will enable us to ascertain whether there is evidence to support the findings and, if so, whether the law has been properly applied”: Watkins v. Pittsburgh Coal Co.,
Decedent, a miner, while in the еmploy of defendant company in 1923, suffered a fracture of the back and other serious injuries by a fall of rock in the mine in which he was employed. A compensation agreement was later executed by the Workmen’s Compensation Board and thе injured man was paid compensation for total disability. His condition steadily growing worse, he was removed to the hospital, where, in February, 1926, he underwent a corrective operation for fracture of a vertebra. The operation was apparently successful, but *591 about a month later, while still confined to his bed in that institution, he eludеd the attention of his nurse at four o’clock in the morning, reached a window, jumped оr rolled from the sill, and was instantly killed by his fall to the ground below. There appears.to be no question as to these circumstances as detailed in the evidence befоre the referee, and in our opinion the testimony was ample to sustain his finding, — subsequently affirmed by the compensation board and the lower court, — that decedent was temporarily insane at the time he met his death and that his death was the direct result of thé injuries sustained in defendant’s mine in 1928.
The testimony of the surgeon who performed the operаtion is directly probative of that conclusion. Decedent fell into a state оf acute worriment and melancholia before and particularly after the оperation; fancied,, wrongly, that his family was about to be evicted from their home, аnd this was daily in his thought; he was extremely excitable and greatly disturbed over the fact of his inability to resume work in the future. It was shown that, previous to his injuries in 1923, he had at no time displayed mental weakness or disturbance or condition of melancholia. The surgeon testified that he considered him insane when he jumped from the window. He was asked: “Q. You don’t know whаt caused him to jump out of the window? A. I think it was a form of insanity. Q. And he was demented at the time? A. Yеs, I ¡think so.”
The theory of suicide is also materially strengthened by the guardedly-given testimony of thе hospital nurse who was decedent’s attendant in the ward at the time he met his death. She testified he seemed to be worried at times “about family affairs” and about “where hе was to get the money to pay his hospital bill.” On the night of the suicide she sat at a desk within twenty feet of the bed he occupied, which was within three feet of the window. She did not hеar him leave the bed, but glancing up, she saw him on the window sill. She ran towards *592 him, and, as she testified, “Just as I got hold of his arm he went out. I did not ,get good enough hold on him to keep him from going.”
From a careful examination of all the testimony before the referee, as found in the record, the reasonable inference is inevitable that the injured man, — physiсally and later mentally broken by the injuries sustained while engaged in the course of his employment for defendant coal company in 1923, — suffered mental collapse аnd finally insanity as the culminating results of those earlier physical injuries. The preponderance of evidence supports the finding of both the referee and compensation board that a direct and unbroken causal connection existed between those injuries and his death.
The judgment of the lower court is affirmed.