Studies of the victims of road traffic accidents and of violent crime have shown that a significant minority continue to display mood disorders and posttraumatic symptoms one year later; however, few studies have been conducted on victims of other kinds of accident. Thirty-one subjects admitted to hospitals after a mountain accident in the Scottish Highlands were followed up at 3-month intervals over 9 months to determine the prevalence of psychological sequelae; a variety of questionnaires were used to measure mood and other psychological effects. A large minority experienced at least mild depression and other negative consequences at follow-up, despite relatively minor physical injuries; subjects who experienced intrusive thoughts and avoidance of accident-related phenomena demonstrated the least recovery.