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32 F.4th 1246

George v. Beaver County

U.S. Courts of Appeals

Decided May 3, 2022

U.S. Courts of Appeals · decided 2022-05-03

Cited by 2 later decisions — most recently November 2024

Applies 28 U.S.C. § 1291 · 42 U.S.C. § 1983 (Civil Rights Act of 1871 / Section 1983 (Ku Klux Klan Act))

Relies on Matsushita Electric Industrial Co., Ltd. v. Zenith Radio Corporation · Monell v. Department of Social Services of City of New York · Estelle v. Gamble

Good law ✅— No negative treatment on recordhow we know

Decided 2022-05-03

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Appellate Case: 21-4006     Document: 010110678979        Date Filed: 05/03/2022    Page: 1
                                                                                   FILED
                                                                       United States Court of Appeals
                                        PUBLISH                                Tenth Circuit

                       UNITED STATES COURT OF APPEALS                           May 3, 2022

                                                                           Christopher M. Wolpert
                              FOR THE TENTH CIRCUIT                            Clerk of Court
                          _________________________________

  KATHY M. GEORGE, on behalf of the
  Estate of Troy Bradshaw,

        Plaintiff - Appellant,

  v.                                                           No. 21-4006

  BEAVER COUNTY, by and through the
  Beaver County Board of Commissioners;
  CAMERON M. NOEL; RANDALL
  ROSE; DOES 1-10, inclusive,

        Defendants - Appellees.
                       _________________________________

                      Appeal from the United States District Court
                                for the District of Utah
                             (D.C. No. 2:16-CV-01076-TS)
                        _________________________________

 Eric Boyd Vogeler, Vogeler, PLLC, Salt Lake City, Utah, for Plaintiff-Appellant.

 Andrew R. Hopkins, Mylar Law, P.C. (Frank D. Mylar with him on the brief), Salt Lake
 City, Utah, for Defendants-Appellees.
                         _________________________________

 Before HOLMES, McHUGH, and CARSON, Circuit Judges.
                   _________________________________

 CARSON, Circuit Judge.
                     _________________________________

       Order requires respecting policy. And volatile prison environments demand

 consistent training on institutional policies. But failing to follow prison policy is not
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 a constitutional violation in and of itself. Successful 
42 U.S.C. § 1983
 municipal-

 and supervisory-liability claims involve a constitutional violation or pattern of

 constitutional violations. Violating policy alone supports neither.

       We treat jail-suicide claims, like Plaintiff’s, as failures to provide medical

 care. Such claims require proof that a prison official acted with deliberate

 indifference to the detainee’s serious medical needs, violating the Eighth, or

 Fourteenth, Amendment. Although Plaintiff proved that certain officers failed to

 follow Beaver County’s suicide-prevention policy, the district court granted summary

 judgment (1) to the County because Plaintiff failed to show it employed an

 unconstitutional policy and (2) to Sheriff Noel and Corporal Rose because the law

 entitles them to qualified immunity. We exercise jurisdiction under 
28 U.S.C. § 1291

 and affirm.

                                            I.

       Beaver County Correctional Facility’s (“BCCF”) suicide-prevention policy

 requires officers to screen all prisoners for suicide risk. When screening suggests

 such a risk, officers must keep that prisoner in an observation cell in the booking

 area, check on him every fifteen minutes, and remove all property or implements that

 could be used for suicide. BCCF’s practice was to give inmates on suicide watch

 only a suicide smock to wear and only a suicide-proof blanket for bedding. Once an

 officer places a prisoner on suicide watch, only a medical or mental-health provider

 may remove him. BCCF Officers may view BCCF’s policy handbook, containing the

 suicide-prevention policy, on every computer in the facility. And officers must also

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 complete a twelve-week training program at the Utah Peace Officer Standards and

 Training (“POST”) Academy followed by forty hours of annual training, which

 includes a four-hour suicide prevention training. All deputies involved in this lawsuit

 are POST-certified officers in good standing. And before the events that occurred in

 this case, no inmate had ever committed suicide at the BCCF.

        On June 13, Beaver County officers responded to reports of a truck running

 into parked cars. The decedent, Troy Bradshaw, drove the truck. When officers

 encountered him at the scene, he smelled of alcohol, spoke incoherently, and could

 barely stand and walk. The officers arrested Bradshaw for driving under the

 influence and placed him in Deputy Nathan Bastian’s vehicle. Once in the patrol

 vehicle, Bradshaw complained of pain, so Deputy Bastian transported him to Beaver

 Valley Hospital. At the hospital, Bradshaw complained that his handcuffs hurt his

 left hand. When Deputy Bastian and Sergeant Laura Davis checked the cuffs, they

 discovered he was missing a finger from a previous injury. To avoid that injury from

 causing him discomfort, they instead uncuffed his wrists and cuffed his arms to the

 hospital bed. At the hospital, Bradshaw twice asked Sergeant Davis to kill him. The

 hospital cleared Bradshaw, and Deputy Bastian transported him to the BCCF.

        At the BCCF, Deputy Cody Allen had Bradshaw take a breath test. Deputy

 Allen then completed the Initial Arrestee Assessment (IAA), which reflects that

 Bradshaw previously considered suicide; was not thinking about it currently; had a

 brother who committed or attempted suicide; and was intoxicated. Bradshaw stated

 that he would kill himself if placed in a cell.

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       After the IAA, the officers placed Bradshaw on suicide watch. Three

 corrections officers and Deputy Allen walked Bradshaw to a holding cell in the

 booking area. Deputy Allen told Bradshaw that he would be in cell two—a “dry” cell

 without a toilet. Bradshaw moved away from Deputy Allen and said he would not go

 into the cell. Deputy Bastian grabbed Bradshaw’s arm, and Bradshaw resisted. The

 officers then forced Bradshaw down to the ground, where Sergeant Davis secured his

 legs. Sergeant Davis ordered Bradshaw to stop resisting. He complied, and the

 officers rolled him on his side and placed him in cell two. Bradshaw beat on the cell

 door for two to three hours. Officers did not place him in a safety smock or create a

 suicide watch log, in violation of BCCF’s suicide-prevention policy, but Corporal

 Sarah Kinross monitored Bradshaw by sitting in the booking area all night. Corporal

 Kinross’s June 14, 2014 shift-change report reflected that Bradshaw was suicidal and

 in cell two. Corporal Kinross stated that, as a matter of practice, she would have

 orally passed this information on to Corporal Randall (“Randie”) Rose, the oncoming

 corporal, but could not recall if that happened.1

       By June 14, 2014, Bradshaw was no longer acting violently, and Officer

 Shawn Higgins transferred Bradshaw from cell two to cell three. While cell three is

 in the booking area, it has a toilet, sink, and bed. Some officers were unaware that

 Bradshaw was on suicide watch. Corporal Rose was on duty when Bradshaw moved


       1
         Defendant Rose testified that BCCF officers conveyed shift-change
 information to the oncoming shift orally, via handwritten notes in the control room,
 or by written reports. At least with oral shift-change reports, in 2014, BCCF had no
 specific written policy for how that should be done.
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 to cell three. While in cell three, Bradshaw received bedding, but the record does not

 reveal who gave it to him. Some officers may have thought that moving Bradshaw to

 cell three meant he was no longer on suicide watch because cell two ordinarily

 housed suicidal inmates (and without bedding), though BCCF sometimes kept

 suicidal inmates in cells one and three.

       That same day, officers completed a second assessment of Bradshaw as part of

 the booking process. Corporal Rose, present for the assessment, heard Bradshaw

 respond “yes,” when asked if he was thinking about committing suicide. The

 assessment conveyed Bradshaw was suicidal and should be on suicide watch. During

 the booking process, before officers placed him in a cell, a nurse saw Bradshaw, still

 wearing his street clothes. Concerned that Bradshaw would go into shock, the nurse

 directed officers to provide him a blanket. Bradshaw received his bedroll, which

 included a blanket, sheet, and pillowcase, while in cell three. Later that evening,

 officers took Bradshaw to the hospital to have his leg examined, and they returned

 him to cell three once back at the jail. The shift-change reports prepared on the

 evening of June 14, 2014, and on June 15, 2014, do not suggest that Bradshaw was

 suicidal. BCCF officers communicated a prisoner’s suicidal status via shift-change

 reports and word of mouth. Several officers said they did not know that Bradshaw

 was on suicide watch.

       By the time Corporal Rose arrived for his shift on June 15, 2014, Bradshaw

 had bedding and clothing. Bradshaw, seeming in good spirits, received breakfast and



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 lunch. Officers last saw him alive at 11:45 a.m. Just after noon, they found him dead

 in his cell after he hanged himself with a pillowcase or sheet.

       Plaintiff Kathy George, Bradshaw’s mother, sued on behalf of her son’s estate,

 asserting claims under 
42 U.S.C. § 1983
 that Defendants Corporal Randie Rose,

 Beaver County, and Beaver County Sheriff Cameron Noel violated Bradshaw’s

 Fourteenth Amendment rights and “Utah Code Article I, Section 7.” Plaintiff

 voluntarily dismissed her state-law claim against Defendants. The district court

 granted summary judgment to all parties on her remaining claims because the law

 entitled Rose and Noel to qualified immunity and no Beaver County policy violated

 Bradshaw’s constitutional rights.

                                            II.

       We review a grant of summary judgment based on qualified immunity de

 novo, applying the same standard as the district court. Becker v. Bateman, 
709 F.3d 1019, 1022
 (10th Cir. 2013) (citation omitted). Summary judgment is appropriate

 when “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). “[O]n

 summary judgment the inferences to be drawn from the underlying facts must be

 viewed in the light most favorable to the party opposing the motion.” Matsushita

 Elec. Indus. Co. v. Zenith Radio Corp., 
475 U.S. 574, 587
 (1986) (citation and

 alterations omitted). But when a defendant asserts qualified immunity on summary

 judgment, the burden shifts, and the plaintiff must show that (1) the defendant’s

 conduct violated a constitutional right and (2) that the constitutional right was clearly

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 established at the time of the incident. Becker, 
709 F.3d at 1022
 (citation omitted).

 Courts may address either prong first. 
Id.
 (citation omitted).

                                             III.

        Plaintiff argues the district court wrongfully granted Beaver County summary

 judgment because a reasonable jury could find the County’s failure to implement

 sufficient safeguards or train its corrections officers on suicide prevention constituted

 deliberate indifference. Plaintiff also appeals the district court’s determination that

 the law entitled Noel and Rose to summary judgment based on qualified immunity.

 She argues that a reasonable jury could find Noel liable as a supervisor and that Rose

 acted with deliberate indifference to Bradshaw’s suicide risk.

                                             A.

        We conclude the district court properly granted summary judgment to Beaver

 County. Plaintiff cannot establish that the County was deliberately indifferent by

 failing to train its corrections officers on preventing suicide, failing to train on

 preparing shift-change reports, or failing to install CCTV monitoring cameras in

 certain cells.

        In enacting § 1983, Congress did not intend to subject municipalities to

 liability unless an official policy caused a constitutional tort. Schneider v. City of

 Grand Junction Police Dep’t, 
717 F.3d 760, 770
 (10th Cir. 2013) (quoting Monell v.

 Dep’t of Soc. Servs., 
436 U.S. 658, 691
 (1978)). Thus, municipalities are responsible

 only for their own illegal acts and “are not vicariously liable under § 1983 for their

 employees’ actions.” Connick v. Thompson, 
563 U.S. 51, 60
 (2011) (citations

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 omitted). Rather, to hold a municipality liable, a plaintiff must prove that (1) an

 official policy or custom (2) caused the plaintiff’s constitutional injury and (3) that

 the municipality enacted or maintained that policy with deliberate indifference to the

 risk of that injury occurring. See Schneider, 717 F.3d at 769−71. Municipal liability

 is “most tenuous where a claim turns on a failure to train.” Connick, 
563 U.S. at 61

 (citation omitted). But a municipality’s decision not to train its officers rises to the

 level of an official government policy under § 1983 only when the failure to train

 “amount[s] to ‘deliberate indifference to the rights of persons with whom the

 [untrained employees] come into contact.’” Id. (second alteration in original)

 (quoting City of Canton v. Harris, 
489 U.S. 378, 388
 (1989)).

       Deliberate indifference requires proof that a municipal actor disregarded a

 known or obvious consequence of his action. 
Id.
 (citation omitted). For example,

 when policymakers have actual or constructive notice that a training deficiency

 caused city employees to commit constitutional violations, the city may be

 deliberately indifferent if it chooses to maintain its deficient training program. 
Id.

 (citation omitted). Ordinarily, a plaintiff must prove a pattern of untrained

 employees’ constitutional violations to show deliberate indifference. Id. at 62

 (citation omitted). “Evidence of a pre-existing pattern of violations is only

 unnecessary in a narrow range of circumstances . . . in which the unconstitutional

 consequences of a failure to train are highly predictable and patently obvious.”

 Waller v. City & Cnty. of Denver, 
932 F.3d 1277, 1285
 (10th Cir. 2019) (internal

 quotation marks omitted) (quoting Connick, 563 U.S. at 63−64).

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       Plaintiff contends Beaver County was deliberately indifferent to the

 “predictable consequences” of failing to train its officers on its suicide-prevention

 policy and shift-change reports and failing to install CCTV monitoring cameras in the

 cells housing suicidal inmates. First, concerning Plaintiff’s suicide-prevention-policy

 argument, Plaintiff argues Beaver County neither provided its officers a copy of its

 suicide-prevention policy nor trained them on it. But BCCF’s suicide-prevention

 policy, along with the rest of the policy handbook, was available to officers “on every

 computer in the facility.” And all Beaver County corrections officers complete a

 twelve-week training program at the Utah POST Academy. POST training includes a

 four-hour suicide-prevention training, and BCCF sponsors an annual mental-health

 training, which sometimes includes suicide-prevention training. After POST

 certification, BCCF officers also receive on-the-job training, called FTO training, to

 learn how more experienced officers implement BCCF policies. All deputies on duty

 June 13−15, 2014, were POST-certified officers in good standing. Although some

 officers testified that they were unfamiliar with BCCF’s specific suicide-prevention

 policy, BCCF officers received some suicide-prevention training and could view the

 policy. While BCCF could have offered more or better suicide-prevention training,

 “showing merely that additional training would have been helpful in making difficult

 decisions does not establish municipal liability.” Connick, 
563 U.S. at 68
.

       Plaintiff contends a pattern of misconduct exists showing Beaver County was

 deliberately indifferent “to the predictable consequences of failing to train its officers

 on suicide prevention.” She relies on the following: (1) the arresting officer failed to

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  notify a mental-health provider when Bradshaw asked her to kill him twice; (2) the

  intake officer placed Bradshaw on suicide watch but did not put him in a suicide

  smock, log fifteen-minute safety-checks, or notify a mental-health provider that he

  was suicidal; (3) a booking officer failed to notify a mental-health provider that

  Bradshaw was suicidal; (4) Corporal Rose transferred Bradshaw to cell three, which

  lacked CCTV monitoring, without authorization from a mental-health provider; and

  (5) Rose failed to ensure other officers knew Bradshaw was suicidal, placed him in a

  suicide smock, or performed fifteen-minute checks. But Plaintiff’s examples do not

  show a pattern of constitutional violations by untrained officers over time. They

  instead demonstrate that officers failed to comply with the County’s suicide-

  prevention policy during this incident—a showing insufficient to establish deliberate

  indifference to suicide-prevention training. And Plaintiff does not argue that proving

  a pattern of constitutional violations is unnecessary here. See Waller, 
932 F.3d at 1285
 (“Evidence of a pre-existing pattern of violations is only unnecessary in a

  narrow range of circumstances . . . in which the unconstitutional consequences of a

  failure to train are highly predictable and patently obvious.” (internal quotation

  marks omitted)). Thus, on the facts taken in the light most favorable to Plaintiff,

  Plaintiff cannot establish that BCCF has a policy of failing to train its officers on

  suicide prevention. See Connick, 
563 U.S. at 61
 (stating a municipality’s failure to

  train its officers rises to the level of an official government policy when that failure

  “amount[s] to ‘deliberate indifference to the rights of persons with whom the

  [untrained employees] come into contact’” (second alteration in original)).

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         Second, Plaintiff argues Beaver County failed to train its officers on shift-

  change reports. As support, Plaintiff asserts that no report after the initial intake

  officer’s suggested Bradshaw was suicidal, even though Rose knew Bradshaw was.

  Rose also did not recall whether he orally communicated that information to the next

  shift. But, like Plaintiff’s suicide-prevention-policy argument, a failure to comply

  with BCCF’s shift-change-report policy does not evidence a pattern of constitutional

  violations amounting to a policy of failing to train on shift-change reports. See

  Appellant’s App. Vol. 1 Part II at 326 (BCCF officers conveyed shift-change

  information to the oncoming shift orally, via handwritten notes in the control room,

  or by written reports.). Failing to comply with jail policy does not amount to a

  constitutional violation on its own. See Davis v. Scherer, 
468 U.S. 183, 194
 (1984).

  Municipal-liability claims require proof that the municipal entity acted with

  deliberate indifference. Schneider, 
717 F.3d at 770
 (citations omitted). And proving

  deliberate indifference ordinarily requires showing a pattern of similar instances

  because “continued adherence to an approach that [policymakers] know or should

  know has failed to prevent tortious conduct by employees may establish the

  conscious disregard for the consequences of their action.” Connick, 
563 U.S. at 62

  (citation omitted). Plaintiff offers no evidence showing that Beaver County failed to

  comply with its shift-change-report policy on any occasion other than this incident.

  Thus, Plaintiff cannot prove Beaver County acted with deliberate indifference in

  failing to train its officers on shift-change reports.



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         Last, Plaintiff argues that Beaver County’s failure to install CCTV monitoring

  cameras in the cells used for suicidal inmates in violation of its suicide-prevention

  policy amounted to deliberate indifference. But again, Plaintiff complains only that

  the County violated its policy here and offers no evidence of a pattern of

  constitutional violations showing the County’s deliberate indifference to the

  consequences of failing to install CCTV monitoring cameras in those cells. After all,

  no inmate had ever committed suicide at BCCF before this incident. And Plaintiff

  does not argue that proving a pattern of constitutional violations is unnecessary.

  Because Plaintiff cannot show that the County was deliberately indifferent in failing

  to train its corrections officers on preventing suicide and preparing shift-change

  reports or in failing to install CCTV monitoring cameras in certain cells, the district

  court properly granted summary judgment to Beaver County.

                                               B.

         The district court granted Sheriff Noel summary judgment on qualified

  immunity because “[t]here is no evidence that Sheriff Noel knew that . . . Bradshaw

  presented a substantial risk of suicide.” George v. Beaver County, No. 2:16-CV-

  1076 TS, 
2019 WL 3892940
, at *5 (D. Utah Aug. 19, 2019). Plaintiff claims the

  district court erred because a reasonable jury could find Noel liable as a supervisor as

  a result of his “lax enforcement and utter lack of training on the BCCF Suicide

  Prevention Policy.” We disagree.

         Supervisory liability under § 1983 may attach to a defendant-supervisor who

  creates, promulgates, or implements a policy that injures that plaintiff’s constitutional

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  rights. Cox v. Glanz, 
800 F.3d 1231, 1248
 (10th Cir. 2015) (quoting Brown v.

  Montoya, 
662 F.3d 1152
, 1163–64 (10th Cir. 2011)). But supervisors are not vicariously

  liable for their employees’ acts. See 
id.
 So a plaintiff must “show an ‘affirmative link’

  between the supervisor and the constitutional violation” to hold the supervisor

  liable. Est. of Booker v. Gomez, 
745 F.3d 405, 435
 (10th Cir. 2014) (quoting Schneider,

  
717 F.3d at 767
). To show an “affirmative link” between a supervisor and the alleged

  constitutional injury, a plaintiff must prove: “(1) the defendant promulgated, created,

  implemented or possessed responsibility for the continued operation of a policy that (2)

  caused the complained of constitutional harm, and (3) acted with the state of mind

  required to establish the alleged constitutional deprivation.” Dodds v. Richardson, 
614 F.3d 1185
, 1199–200 (10th Cir. 2010) (citing Summum v. City of Ogden, 
297 F.3d 995, 1000
 (10th Cir. 2002)).

         Courts treat jail-suicide claims as a failure to provide medical care, Barrie v.

  Grand County, 
119 F.3d 862, 866
 (10th Cir. 1997), which implicates the Eighth

  Amendment. Estelle v. Gamble, 
429 U.S. 97, 104
 (1976) (holding that a prison official’s

  deliberate indifference to a prisoner’s “serious medical needs” violates the Eighth

  Amendment). The Fourteenth Amendment’s due-process clause provides pretrial

  detainees the same protection for medical attention as convicted inmates receive under

  the Eighth Amendment. Barrie, 
119 F.3d at 867
 (citation omitted). And we apply the

  same deliberate-indifference standard no matter which amendment provides the

  constitutional basis for the claim. Strain v. Regalado, 
977 F.3d 984, 989
 (10th Cir. 2020)

  (citing Est. of Hocker v. Walsh, 
22 F.3d 995, 998
 (10th Cir. 1994)), cert. denied, 142 S.

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  Ct. 312 (2021). Plaintiff’s supervisory-liability claim in this case requires

  “a particularized state of mind: actual knowledge by a prison official of an individual

  inmate’s substantial risk of suicide.” Cox, 
800 F.3d at 1249
.

         “[P]rison officials are deliberately indifferent if they fail to take reasonable steps

  to protect a pre-trial detainee or an inmate from suicide when they have subjective

  knowledge that person is a substantial suicide risk.” Crane v. Utah Dep’t of Corr., 
15 F.4th 1296
, 1307 (10th Cir. 2021) (citation omitted). Thus, to hold Noel liable as a

  supervisor, Plaintiff must demonstrate that he had “actual knowledge . . . of [Bradshaw’s]

  substantial risk of suicide.” Cox, 
800 F.3d at 1249
. That knowledge could have come

  from his subordinates even if he “had no personal interaction with [the prisoner] or direct

  and contemporaneous knowledge of his treatment.” 
Id. at 1254
.

         Plaintiff puts forth no evidence showing Noel had actual knowledge of

  Bradshaw’s substantial risk of suicide. See, e.g., Appellant’s App. Vol. 1 Part I at 93

  (stating that Noel “was unaware Mr. Bradshaw was incarcerated at the Jail on June 15,

  2014”). Instead, she contends Supreme Court precedent only requires Noel to have

  known of the “generalized risks presented by conditions at his jail,” rather than “the risk

  to a specific detainee,” to have the culpable state of mind. And she argues that she

  presented evidence to the district court from which a jury could reasonably conclude that

  Noel endorsed a widespread custom or policy at BCCF of failing to report suicide risks

  and that he failed to train officers on suicide prevention. According to Plaintiff, “[t]he

  very existence of the Suicide Prevention Policy and accompanying procedures . . . should

  have put Sheriff Noel on notice of the substantial risk presented by suicidal detainees”

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  because “those policies . . . required updating and implementation,” and Noel failed to act

  “in the face of a substantial risk of suicide to BCCF inmates.”

         Plaintiff is correct that Farmer v. Brennan, 
511 U.S. 825
 (1994), “opened the door

  to a showing that a supervisory jail official could have the requisite mens rea if he knew

  of the generalized risks presented by conditions at his jail, not merely the risk to a

  specific detainee.” Indeed, Farmer states, “it does not matter whether the risk comes

  from a single source or multiple sources, any more than it matters whether a prisoner

  faces an excessive risk . . . for reasons personal to him or because all prisoners in his

  situation face such a risk.” 
511 U.S. at 843
. But Farmer concerned deliberate

  indifference to an inmate’s safety who “would be particularly vulnerable to sexual

  attack,” 
id. at 831
, and we have applied its deliberate-indifference-to-a-generalized-risk

  requirement in cases involving the risk of sexual assault. See, e.g., Tafoya v. Salazar,

  
516 F.3d 912
, 915–16 (10th Cir. 2008) (stating “[t]he official’s knowledge of the risk

  need not be knowledge of a substantial risk to a particular inmate” in a prison-sexual-

  assault case). But in Cox, we determined that supervisory-liability in the inmate-suicide

  context requires the prison official to have had actual knowledge of an individual

  inmate’s substantial risk of suicide. 
800 F.3d at 1249
. We acknowledged that “we have

  taken a different stance on the knowledge of risk that must be alleged” in the prison-

  sexual-assault context. 
Id.
 at 1251 n.11. But we found those cases distinguishable

  because one can assess the risk of sexual assault from the sexual victimizer’s

  characteristics and other external factors, while “a substantial risk of suicide may be



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  impossible to discern unless the particular inmate reveals indicia of that risk to prison

  officials.” 
Id.
 (citations omitted).

         Still, Plaintiff urges us to reject reading Cox to mean “that no supervisory liability

  can attach to a jail official unless that official subjectively knows of the suicide risk to a

  particular inmate.” Under that reading, Plaintiff contends, jail officials could implement

  unconstitutional policies leading directly to inmate suicide and “escape liability by

  simply maintaining ignorance of the day-to-day, inmate-specific operations of their jail.”

  But Cox is clear: § 1983 jail-suicide supervisory-liability claims require the supervisor to

  have known that the specific inmate at issue presented a substantial risk of suicide. Id. at

  1250; see also Crane, 15 F.4th at 1307 (“[A]s we explained in Cox v. Glanz, prison

  officials are deliberately indifferent if they fail to take reasonable steps to protect a pre-

  trial detainee or an inmate from suicide when they have subjective knowledge that person

  is a substantial suicide risk.”). “[W]e are bound to follow our . . . precedent, absent en

  banc reconsideration or a super[s]eding contrary decision by the Supreme Court.” United

  States v. Austin, 
426 F.3d 1266
, 1278 n.4 (10th Cir. 2005) (citations omitted). Thus, to

  defeat Noel’s summary-judgment motion, Plaintiff must offer evidence showing Noel

  had actual knowledge of Bradshaw’s substantial risk of suicide, rather than a generalized

  risk. Plaintiff has pointed to no evidence showing Noel had actual knowledge of

  Bradshaw’s substantial risk of suicide.2


         2
          Plaintiff also argues that Cox is factually dissimilar to this case because
  “none of the jail officials in Cox knew or could have known that the detainee
  presented a suicide risk,” and therefore none of Sheriff Glanz’s subordinates could
  have communicated that knowledge to him. Appellant’s Br. at 38. In Plaintiff’s
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         Even if § 1983 jail-suicide supervisory-liability claims only required the actor to

  have known of a generalized risk of suicide at the prison, the record does not show Noel

  knew of any generalized risk. That officers ignored portions of the County’s suicide-

  prevention policy is not enough to raise a fact issue that Noel knew about a generalized

  risk to suicidal detainees, contrary to Plaintiff’s argument, because no inmate had ever

  successfully committed suicide at the BCCF before this incident. Appellant’s App. Vol.

  1 Part I at 93 (declaring that Noel “had no reason to believe that there was any defect of

  [sic] problem with the way the policy was enforced or implemented at the Jail prior to

  Troy Bradshaw’s unfortunate death”). And, to the extent Plaintiff contends that Noel

  endorsed a custom or policy of failing to report suicide risks and train officers on suicide-

  prevention, thus creating a generalized risk to suicidal detainees, Plaintiff failed to show

  such a custom or policy existed. As discussed above, Plaintiff demonstrated no pattern of

  untrained employees’ constitutional violations showing deliberate indifference to suicide-

  prevention or shift-change-report training to rise to the level of County policy or custom.

  See Connick, 
563 U.S. at 61
.3 Rather, Plaintiff only showed a failure to comply with the


  case, the evidence shows that Corporal Rose was present during Bradshaw’s booking
  assessment and learned that Bradshaw was suicidal. But though at least some of
  Sheriff Noel’s subordinates knew that Bradshaw was suicidal, no evidence shows
  they communicated that to Noel.
         3
           “Deliberate indifference . . . is defined differently for Eighth Amendment and
  municipal liability purposes.” Barney v. Pulsipher, 
143 F.3d 1299
, 1307 n.5 (10th
  Cir. 1998). “In the prison conditions context, deliberate indifference is a subjective
  standard requiring actual knowledge of a risk by the official” while, “[i]n the
  municipal liability context, deliberate indifference is an objective standard which is
  satisfied if the risk is so obvious that the official should have known of it.” 
Id.
  (citation omitted). We do not equate the two deliberate-indifference standards here.
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  County’s policies in Bradshaw’s case. And any argument that Noel affirmatively

  endorsed not reporting suicide risks in shift-change reports, rather than failing to train on

  reporting them, also falls short because Plaintiff does not attempt to prove a pattern

  evidencing that custom. Because there is no evidence that Noel knew Bradshaw

  presented a substantial risk of suicide, the district court properly granted summary

  judgment to Sheriff Noel.

                                               C.

         Last, we affirm the district court’s grant of summary judgment to Corporal

  Rose. Whether Rose violated Bradshaw’s constitutional rights by placing Bradshaw

  in a regular cell and failing to inform other officers of his suicide risk was not clearly

  established in June 2014.

         In the qualified-immunity context, “[a] clearly established right is one that is

  sufficiently clear that every reasonable official would have understood that what he is

  doing violates that right.” Cummings v. Dean, 
913 F.3d 1227, 1239
 (10th Cir. 2019)

  (internal quotation marks omitted) (citing Mullenix v. Luna, 
577 U.S. 7, 11
 (2015) (per

  curiam)). “Ordinarily, a plaintiff may satisfy this clearly-established-law standard by

  identifying an on-point Supreme Court or published Tenth Circuit decision that


  We note only that Plaintiff cannot show the County was deliberately indifferent
  (under the municipal-liability standard) in failing to train its corrections officers on
  preventing suicide and preparing shift-change reports. Plaintiff is therefore unable to
  show the County had a widespread custom or policy of failing to train on suicide
  prevention and shift-change reports. As a result, Plaintiff cannot rely on that policy
  or custom to raise a fact issue concerning whether Noel was deliberately indifferent
  (under the Eighth or Fourteenth Amendment standard) to a substantial risk of suicide
  to prison inmates.
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  establishes the unlawfulness of the defendant’s conduct,” or “the clearly established

  weight of authority from other courts must have found the law to be as the plaintiff

  maintains.” 
Id.
 (quotation and brackets omitted).4 “[T]he precedent must have clearly

  established the right ‘in light of the specific context of the case, not as a broad general

  proposition.’” Frasier v. Evans, 
992 F.3d 1003, 1014
 (10th Cir. 2021) (citation omitted).

  While we do not require a case directly on point, existing precedent “must have placed

  the statutory or constitutional question beyond debate.” 
Id.
 (citation omitted). “The

  plaintiff bears the burden of citing to us what he thinks constitutes clearly established

  law.” Crane, 15 F.4th at 1303 (quoting Thomas v. Durastanti, 
607 F.3d 655, 669
 (10th

  Cir. 2010)).

         Plaintiff contends she presented sufficient evidence from which a fact finder could

  determine that Rose knew Bradshaw presented a suicide risk and acted with deliberate

  indifference to that risk by placing him in a regular cell and failing to inform other

  officers of that suicide risk “formally or otherwise.” But, on June 13−15, 2014, when the

  incident occurred, no Tenth Circuit or Supreme Court decision put Rose on notice that his

  conduct violated Bradshaw’s constitutional rights. As of June 1, 2015, no Supreme Court


         4
          The Supreme Court has left open whether only its precedent may clearly
  establish law. See D.C. v. Wesby, 
138 S. Ct. 577
, 591 n.8 (2018) (“We have not yet
  decided what precedents—other than our own—qualify as controlling authority for
  purposes of qualified immunity.”); Rivas-Villegas v. Cortesluna, 
142 S. Ct. 4, 8
  (2021) (per curiam) (“Even assuming that Circuit precedent can clearly establish law
  for purposes of § 1983, LaLonde is materially distinguishable and thus does not
  govern the facts of this case.”). Yet “we do not think only Supreme Court precedents
  are relevant in deciding whether a right is clearly established.” Ullery v. Bradley,
  
949 F.3d 1282, 1292
 (10th Cir. 2020).

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  decision established a right to the “proper implementation of adequate suicide prevention

  protocols” or “even discusse[d] suicide screening or prevention protocols.” Taylor v.

  Barkes, 
575 U.S. 822, 826
 (2015) (per curiam). In Cox, we determined that “an inmate’s

  right to proper prison suicide screening procedures during booking . . . was not clearly

  established in July 2009.” 
800 F.3d at 1247
. But even Cox did not establish in 2015 that

  Sheriff Glanz’s conduct violated a constitutional right. “There, we assumed the existence

  of a constitutional violation and held that the right at issue—‘an inmate’s right to proper

  prison suicide screening procedures during booking’—wasn’t clearly established.” Perry

  v. Durborow, 
892 F.3d 1116, 1124
 (10th Cir. 2018) (quoting Cox, 
800 F.3d at 1247
).

         But Plaintiff argues Barrie, 119 F.3d at 866−67, clearly established a suicidal

  pretrial detainee’s right to reasonable safeguards against harming himself in 1997, long

  before Bradshaw’s death in 2014. Barrie concerned a pretrial detainee’s post-booking

  suicide in the county jail’s “drunk tank.” 
Id.
 at 863−64. Grand County officers arrested

  Alan Ricks around 6:00 p.m. on October 26, 1991; at 7:30 p.m., they placed him in the

  drunk tank after booking and permitted him to keep his street clothes; and by 2:00 a.m.,

  Ricks had hanged himself with his sweatpants draw cord. 
Id.
 Ricks’s estate and family

  members filed suit against the county and several county officials. Id. at 863. We

  clarified that prisoners—pretrial detainees or postconviction inmates—have claims

  against their custodians for failure to provide adequate medical attention, including jail-

  suicide claims, only when the custodian knows of the risk involved and is deliberately

  indifferent to it. Id. at 868–69. We determined that the defendants were not deliberately

  indifferent to a substantial risk of suicide, id. at 869, and did not hold that the defendants’

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  conduct violated Ricks’s constitutional rights. Thus, Barrie did not clearly establish a

  right to proper implementation of prison-suicide-prevention protocols in this circuit.

  Plaintiff failed to carry her burden to point us to law clearly establishing that right, and,

  based on our review of the caselaw, circuit precedent did not clearly establish that right in

  June 2014. Thus, Rose’s conduct did not violate clearly established law, and he is

  entitled to qualified immunity.

          The district court properly granted summary judgment to the County, Noel, and

  Rose.


          AFFIRMED.




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