George v. Beaver County ( 2022 )


Menu:
  • 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
    Appellate Case: 21-4006    Document: 010110678979        Date Filed: 05/03/2022      Page: 2
    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
    2
    Appellate Case: 21-4006     Document: 010110678979      Date Filed: 05/03/2022     Page: 3
    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.
    3
    Appellate Case: 21-4006    Document: 010110678979       Date Filed: 05/03/2022    Page: 4
    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.
    4
    Appellate Case: 21-4006    Document: 010110678979        Date Filed: 05/03/2022      Page: 5
    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
    5
    Appellate Case: 21-4006    Document: 010110678979        Date Filed: 05/03/2022      Page: 6
    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
    6
    Appellate Case: 21-4006     Document: 010110678979         Date Filed: 05/03/2022       Page: 7
    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
    7
    Appellate Case: 21-4006     Document: 010110678979        Date Filed: 05/03/2022     Page: 8
    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).
    8
    Appellate Case: 21-4006    Document: 010110678979         Date Filed: 05/03/2022     Page: 9
    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
    9
    Appellate Case: 21-4006     Document: 010110678979        Date Filed: 05/03/2022     Page: 10
    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)).
    10
    Appellate Case: 21-4006     Document: 010110678979         Date Filed: 05/03/2022     Page: 11
    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.
    11
    Appellate Case: 21-4006      Document: 010110678979         Date Filed: 05/03/2022      Page: 12
    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
    12
    Appellate Case: 21-4006      Document: 010110678979          Date Filed: 05/03/2022     Page: 13
    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.
    13
    Appellate Case: 21-4006      Document: 010110678979           Date Filed: 05/03/2022      Page: 14
    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”
    14
    Appellate Case: 21-4006      Document: 010110678979          Date Filed: 05/03/2022        Page: 15
    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
    15
    Appellate Case: 21-4006       Document: 010110678979          Date Filed: 05/03/2022       Page: 16
    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
    16
    Appellate Case: 21-4006      Document: 010110678979          Date Filed: 05/03/2022     Page: 17
    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.
    17
    Appellate Case: 21-4006       Document: 010110678979         Date Filed: 05/03/2022      Page: 18
    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.
    18
    Appellate Case: 21-4006      Document: 010110678979          Date Filed: 05/03/2022        Page: 19
    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).
    19
    Appellate Case: 21-4006      Document: 010110678979           Date Filed: 05/03/2022      Page: 20
    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’
    20
    Appellate Case: 21-4006      Document: 010110678979           Date Filed: 05/03/2022      Page: 21
    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.
    21