Cox v. Glanz ( 2015 )


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  •                                                                   FILED
    United States Court of Appeals
    Tenth Circuit
    September 8, 2015
    PUBLISH                  Elisabeth A. Shumaker
    Clerk of Court
    UNITED STATES COURT OF APPEALS
    TENTH CIRCUIT
    CAROLYN COX,
    Plaintiff-Appellee,
    v.                                                  No. 14-5022
    STANLEY GLANZ,
    Defendant-Appellant.
    Appeal from the United States District Court
    for the Northern District of Oklahoma
    (D.C. No. 4:11-CV-00457-JED-FHM)
    Daniel E. Smolen of Smolen, Smolen & Roytman, P.L.L.C., Tulsa, Oklahoma
    (Donald E. Smolen, II, of Smolen, Smolen & Roytman, P.L.L.C., Tulsa,
    Oklahoma; Robert M. Blakemore, Louis W. Bullock, and Patricia W. Bullock of
    Bullock Law Firm, Tulsa, Oklahoma, with him on the brief), for
    Plaintiff-Appellee.
    Guy A. Fortney of Brewster & De Angelis, P.L.L.C., Tulsa, Oklahoma (Clark O.
    Brewster and Corbin C. Brewster of Brewster & De Angelis, P.L.L.C., Tulsa,
    Oklahoma, with him on the briefs), for Defendant-Appellant.
    Before BRISCOE, Chief Judge, HOLMES and BACHARACH, Circuit Judges.
    HOLMES, Circuit Judge.
    After Charles Jernegan committed suicide at the David L. Moss Criminal
    Justice Center in Tulsa, Oklahoma (“Jail”), his mother, Plaintiff-Appellee Carolyn
    Cox, commenced this 42 U.S.C. § 1983 action against Defendant-Appellant
    Stanley Glanz, the Tulsa County Sheriff (“Sheriff Glanz” or “the Sheriff”). Ms.
    Cox sought to hold Sheriff Glanz liable for Mr. Jernegan’s suicide in his
    individual capacity (relying upon a supervisory-liability theory) and in his official
    capacity. Regarding both capacities, she alleged Eighth Amendment violations.
    Sheriff Glanz moved for summary judgment, asserting the defense of qualified
    immunity. The district court issued a ruling in which it denied the Sheriff’s
    motion in all respects—albeit without mentioning qualified immunity—based on
    the existence of genuinely disputed material facts.
    In this interlocutory appeal, Sheriff Glanz contends that extant caselaw at
    the time of Mr. Jernegan’s suicide did not clearly establish that he could be held
    liable as a supervisor under the circumstances present here—put succinctly, where
    Mr. Jernegan denied having a suicidal intent during booking and no Jail staff
    members detected a basis for referring him for additional mental-health screening
    based on their interactions with him. Accordingly, the Sheriff reasons that this
    dearth of clearly established law means that the district court erred in (tacitly)
    denying him qualified immunity. The Sheriff also asserts that none of the
    policies or procedures he has implemented at the Jail can be characterized as the
    2
    moving force behind any alleged violation of Mr. Jernegan’s constitutional rights;
    consequently, he says, there is no basis for official liability.
    For ease of reference, we briefly summarize the conclusions of our ensuing
    detailed analysis. First, we agree with Sheriff Glanz that reversal on Ms. Cox’s
    individual-capacity claim is justified here and that the case must be remanded to
    the district court. We specifically base our decision to reverse on our
    determination infra that the then-extant clearly established law would not have
    put a jail administrator similarly situated to Sheriff Glanz on notice that he could
    be held liable under § 1983 for an Eighth Amendment violation based on a
    prisoner’s suicide where, as here, neither he nor any identified staff member
    whom he supervised possessed knowledge that the particular inmate who
    committed suicide presented a substantial risk of taking his own life. Absent such
    knowledge, under then-extant clearly established law, the conduct of neither
    Sheriff Glanz nor his identified subordinates with respect to a particular
    prisoner—here, Mr. Jernegan—could give rise to an Eighth Amendment violation.
    Consequently, Ms. Cox cannot perforce make the requisite showing under the
    clearly-established-law component of the well-settled qualified-immunity
    standard. We thus reverse the district court’s summary-judgment decision
    denying qualified immunity to Sheriff Glanz on Ms. Cox’s individual-capacity
    claim.
    3
    As for Ms. Cox’s official-capacity claim against Sheriff Glanz, however,
    we confront the threshold issue of whether the exercise of our appellate
    jurisdiction is proper. This is so because the district court’s denial of the motion
    for summary judgment brought by the Sheriff in his official capacity is
    indisputably not a final decision amenable to interlocutory review. Our
    assumption of jurisdiction over the court’s resolution of the official-capacity
    claim would therefore only be appropriate if we invoked our discretionary power
    to exercise pendent jurisdiction over this claim. Sheriff Glanz, however, has not
    relied upon this generally disfavored doctrine; furthermore, we discern no legally
    cognizable basis for exercising pendent appellate jurisdiction under the
    circumstances of this case. Accordingly, we dismiss Sheriff Glanz’s appeal from
    the district court’s denial of summary judgment on the official-capacity claim for
    lack of jurisdiction.
    I
    A
    Mr. Jernegan surrendered at the Jail on July 27, 2009, on an outstanding
    warrant. He was immediately arrested and processed into the facility. As part of
    the Jail’s routine intake screening, the booking officer asked Mr. Jernegan
    whether he “[was] under psychiatric or a general Doctor’s care”; “[was] currently
    taking any prescription medications”; “[had] been seen or treated in a clinic,
    hospital or emergency room in the last 3 days”; or was suicidal. J.A. at 326
    4
    (Intake Screening Form, dated July 27, 2009). Mr. Jernegan answered “no” to
    each of these questions, 
    id., and he
    indicated that he was not “currently thinking
    of committing suicide” on another intake form, 
    id. at 327
    (Gen. Info. Form, dated
    July 27, 2009) (reflecting that option “N,” for “no,” is marked directly above Mr.
    Jernegan’s signature).
    The booking officer also completed a more tailored form with questions
    designed to gauge an inmate’s mental health. Mr. Jernegan answered the form’s
    six questions as follows:
    1.      Do you currently feel paranoid, hear voices that others do
    not hear or see things that others do not see? [marked
    “Yes”]
    2.      Have there currently been a few weeks when you felt
    nervous or depressed? [marked “Yes”]
    3.      Have you ever tried to kill yourself? [marked “No”]
    4.      Are you now thinking about hurting or killing yourself?
    [marked “No”]
    5.      Are you currently taking any medication prescribed for
    you by a physician for any emotional or mental health
    problems? [marked “Yes”]
    6.      Have you ever been in a hospital for emotional or mental
    health problems? [marked “No”]
    
    Id. at 329
    (Mental Health Form, dated July 27, 2009). An explanatory note
    “Diag. Paranoid-Schizo” accompanies Mr. Jernegan’s “[y]es” response to
    Question Five. 
    Id. This mental-health
    form indicated that further assessment should take place
    if, inter alia, an inmate answered “[y]es” to Question Five or Six, or if he
    answered “[y]es” to at least two of Questions One through Four. Mr. Jernegan’s
    5
    answers satisfied both criteria: that is, he answered “[y]es” to Question Five,
    representing that he had been diagnosed with paranoid schizophrenia, and he
    answered “[y]es” to Questions One and Two. However, there is no indication in
    the record that any Jail employee referred Mr. Jernegan to the facility’s mental-
    health team for follow-up care.
    Nurse Faye Taylor also performed a medical examination, using her own
    personal screening form. On that document, she noted Mr. Jernegan’s
    representations to her that he had “had mental health treatment or hospitalization”
    for paranoid schizophrenia, that he had smoked marijuana, and that he was not
    suicidal. 
    Id. at 603
    (Healthcare Intake Screening Form, dated July 27, 2009).
    Ms. Taylor observed that Mr. Jernegan had regular vital signs and that he
    appeared normal and alert. She did not mark the “[r]eferral to health care
    facility” or “[r]eferral to provider” options on her form. 
    Id. On the
    basis of these
    findings, Ms. Taylor recommended that Mr. Jernegan be assigned to the Jail’s
    general population.
    At 12:18 p.m. the next day (July 28, 2009), Mr. Jernegan filed a medical
    request through the Jail’s computer “kiosk” communication system to report that
    he needed to “spe[a]k with someone about problems.” 
    Id. at 362
    (Request, dated
    July 28, 2009) (capitalization altered). He received an automated response the
    day after that (July 29, 2009) at 10:07 a.m.; it said, “[y]ou will be place[d] on the
    6
    Mental Health call out list for . . . July 30, 2009. Please give 48–72 hours from
    [the] time this was received to be seen, excluding Weekends and Holidays.” 
    Id. Mr. Jernegan’s
    Jail medical record revealed another relevant entry: a
    “Problem Oriented Record” entry dated July 30, 2009, at 8:00 a.m., which notes
    that healthcare employee Sara Sampson “[a]ttempted to see” Mr. Jernegan but
    learned that he had been moved to a different cellblock. 
    Id. at 372
    (Problem
    Oriented Record, dated July 30, 2009) (capitalization altered). Although the
    record does not confirm that Ms. Sampson actually visited Mr. Jernegan,
    supervising officers were apparently “satisfied that Sampson had performed her
    job as expected.” 
    Id. at 659
    (Incident Report, dated Aug. 3, 2009).
    Shortly thereafter, at approximately 9:25 a.m. (on July 30), Nurses Robin
    Mason and Sara Jeffries were summoned to Mr. Jernegan’s cellblock, having been
    informed that an inmate had hanged himself. When they arrived, they found Mr.
    Jernegan “still hanging from a make-shift noose and being cut down by detention
    staff.” 
    Id. at 468
    (Mason Aff., dated Mar. 22, 2013). Mr. Jernegan had no
    palpable pulse and did not respond to resuscitative measures. He was
    subsequently pronounced dead at a local hospital.
    After reviewing Mr. Jernegan’s file, Ms. Mason “became suspicious”
    regarding the follow-up to his kiosk request. 
    Id. More specifically,
    she was not
    confident of the truth of Ms. Sampson’s purported visit to Mr. Jernegan because:
    (1) she “had never seen any member of the mental health team at the Jail as early
    7
    as 8:00[ a.m.]”; (2) she had witnessed efforts by Ms. Sampson and other members
    of the mental-health team to “mak[e] sure to have consistent stories” about Mr.
    Jernegan’s treatment; and (3) she “had previous experience in witnessing the
    falsification of records and reports at the Jail.” 
    Id. at 468
    –69. It was also
    disconcerting to Ms. Mason that the Jail’s intake nurses’ apparent practice was to
    refer only “acutely suicidal” inmates to the mental-health team for additional
    evaluation. 
    Id. at 470.
    The Oklahoma State Department of Health (“OSDH”) conducted an
    investigation and determined that Mr. Jernegan was not examined by any member
    of the Jail’s mental-health team in the time period between the filing of his kiosk
    report and his death. It issued a report attributing three particular deficiencies to
    the Jail relative to Mr. Jernegan’s suicide: (1) “inmate not properly detained”; (2)
    “inmate not housed in an area for more frequent observations” / “inappropriate
    medical evaluation”; and (3) “policy used by correctional healthcare management
    in direct conflict with the [Oklahoma] Jail Standards.” 
    Id. at 625
    (Report of
    Death Investigation, dated Aug. 3, 2009) (capitalization altered). The OSDH then
    filed a “Notice of Violation” documenting the Jail’s failure to satisfy three of the
    Oklahoma Jail Standards (“Standards”).
    With regard to the Jail’s particular violations, the OSDH first cited
    Standard 5-5(6), which provides: “Prisoners who are mentally ill shall be
    separated from other prisoners. Every effort shall be made to contact a local
    8
    hospital, clinic or mental health facility for the detention of the mentally ill.”
    Okla. Admin. Code § 310:670-5-5(6). The OSDH found the Jail in violation of
    that standard “because [Mr. Jernegan] was not properly segregated.” J.A. at 631
    (Notice of Violation, dated Aug. 12, 2009). Second, the OSDH deemed the Jail’s
    medical policies in “direct conflict,” 
    id., with Standard
    5-8, which obligates
    correctional facilities to provide “[a]dequate medical care” and to “develop and
    implement written policies and procedures for complete emergency medical and
    health care services,” Okla. Admin. Code § 310:670-5-8.
    And, third, the OSDH referenced Standard 5-8(2), which instructs:
    Medical triage screening shall be performed on all prisoners
    immediately upon admission to the facility and before being
    placed in the general population or housing area. Those
    individuals who appear to have a significant medical or
    psychiatric problem, or who may be a suicide risk, shall be
    transported to the supporting medical facility as soon as possible.
    They shall be housed separately in a location where they can be
    observed frequently by the staff at least until the appropriate
    medical evaluation has been completed. . . . [A]fter stringent
    evaluation by the highest-ranking mental health professional, in
    conjunction with a senior detention supervisor, these prisoners
    may be authorized to share the same cell.
    
    Id. § 310:670-5-8(2).
    The OSDH found that the Jail contravened Standard 5-8(2)
    “because [Mr. Jernegan] was not housed in an area for more frequent
    observations” and because the Jail conducted an “[i]nappropriate medical
    evaluation.” J.A. at 632.
    9
    B
    1
    Ms. Cox commenced the instant litigation in 2011. In the operative version
    of her complaint, she asserted claims against Sheriff Glanz, the company that
    provided healthcare services to the Jail, and several of the Jail’s healthcare
    employees, including Ms. Taylor and Ms. Sampson. As relevant to this appeal,
    Ms. Cox sued the Sheriff in his individual and official capacities pursuant to 42
    U.S.C. § 1983, alleging that his failure to provide adequate and timely mental-
    health screening and care constituted deliberate indifference to Mr. Jernegan’s
    serious medical needs in violation of the Eighth Amendment. Ms. Cox averred
    that “Mr. Jernegan had a substantial and documented history of serious mental
    illness” at the Jail and, in light of this history, she asserted that the Sheriff and his
    staff should have perceived “a strong likelihood that Mr. Jernegan was in danger
    of serious personal harm.” J.A. at 47 (Second Am. Compl., filed Apr. 4, 2012).
    On the individual-capacity claim, Ms. Cox asserted a supervisory-liability
    theory grounded in the Sheriff’s alleged failure to properly train and supervise
    Jail employees such as Ms. Taylor and Ms. Sampson. On the official-capacity
    claim, she stated that the Sheriff had promulgated and administered an
    unconstitutional policy of providing insufficient mental-health evaluation and
    treatment—a policy that ultimately resulted in Mr. Jernegan’s death.
    10
    Sheriff Glanz moved for summary judgment, contending that he was
    entitled to qualified immunity on the individual-capacity claim1 because Ms. Cox
    had not established that: (1) any Jail employee had acted with deliberate
    indifference toward Mr. Jernegan’s serious medical needs; (2) he, as the Jail
    administrator, had acted with the requisite state of mind to support a deliberate-
    indifference claim; and (3) he had created any policy that produced the
    complained-of constitutional harm. He framed his qualified-immunity arguments
    in terms of Ms. Cox’s purported failure to suitably establish a violation of a
    constitutional right. Similarly, in rebutting the official-capacity claim, the Sheriff
    argued that Ms. Cox had not shown that any of the Jail policies he administered
    had violated Mr. Jernegan’s constitutional rights.
    Ms. Cox responded to the Sheriff’s assertion of qualified immunity in
    similar fashion—i.e., by focusing on whether a constitutional violation had
    occurred. She opined that her claims “raised bedrock constitutional Eighth
    Amendment . . . principles that appl[ied] with obvious clarity to the conduct in
    question.” 
    Id. at 444
    (Pl.’s Resp. Br., filed Apr. 3, 2013). In particular, Ms. Cox
    alleged that Mr. Jernegan’s constitutional rights were violated when he was
    “assessed and treated by undertrained and unsupervised [Jail] staff.” 
    Id. at 438.
    1
    The defense of qualified immunity “is available only in suits against
    officials sued in their personal capacities, not in suits against . . . officials sued in
    their official capacities.” Starkey v. Boulder Cty. Soc. Servs., 
    569 F.3d 1244
    ,
    1263 n.4 (10th Cir. 2009); accord Becker v. Bateman, 
    709 F.3d 1019
    , 1022 (10th
    Cir. 2013).
    11
    She cursorily referenced the other aspect of the well-settled qualified-immunity
    rubric—i.e., the existence of clearly established law that dispositively condemned
    the conduct at the time it occurred—insisting that Mr. Jernegan’s “right to
    adequate medical care and to be free from deliberate indifference ha[d] been
    clearly established for decades.” 
    Id. at 444
    (citing Estelle v. Gamble, 
    429 U.S. 97
    , 103–04 (1976)).
    In his reply brief, Sheriff Glanz rejoined that Ms. Cox had still not
    “present[ed] any evidence that would satisfy th[e] subjective component [of a
    deliberate-indifference claim] for Taylor, Sampson or Glanz.” 
    Id. at 991
    (Def.’s
    Reply Br., filed Apr. 17, 2013). He concluded that “he w[as] therefore
    qualifiedly immune.” 
    Id. at 995.
    Sheriff Glanz did not go one step further and
    argue that there was no extant clearly established law supportive of Ms. Cox’s
    claims; he was silent on this question.
    2
    On March 7, 2014, the district court issued an order denying Sheriff
    Glanz’s motion. The court expressly ruled that “genuine disputes as to material
    facts[] render[ed] summary judgment inappropriate.” 
    Id. at 1089
    (Op. & Order,
    filed Mar. 7, 2014). It reached this conclusion without addressing the parties’
    qualified-immunity arguments.
    12
    At the outset, the district court summarized the evidence it considered most
    salient, including evidence pertaining to Mr. Jernegan’s other 2009 Jail bookings, 2
    Sheriff Glanz’s alleged knowledge of deliberately indifferent treatment of other
    mentally-ill inmates, and the Jail’s actual practices and policies. The court then
    addressed Ms. Cox’s individual-capacity § 1983 claim, noting that only the
    subjective aspect of the deliberate-indifference standard was in dispute—viz.,
    whether there was sufficient “evidence of the prison official’s culpable state of
    mind.” Mata v. Saiz, 
    427 F.3d 745
    , 751 (10th Cir. 2005). 3
    In that regard, the court reasoned, the evidence demonstrated that Jail
    employees either knew or should have known certain key facts, including that Mr.
    Jernegan had self-reported paranoid schizophrenia; that he had lodged kiosk
    2
    Mr. Jernegan was incarcerated in the Jail’s general population in
    January, February, and May of 2009. The summary-judgment record contained
    several submissions from each of his bookings, including kiosk requests that he
    lodged.
    3
    Briefly stated, deliberate indifference has both an objective and a
    subjective component. The objective inquiry concerns “whether the harm
    suffered rises to a level ‘sufficiently serious’ to be cognizable under the Cruel and
    Unusual Punishment Clause.” 
    Mata, 427 F.3d at 753
    (quoting Farmer v.
    Brennan, 
    511 U.S. 825
    , 834 (1994)). Sheriff Glanz has not contested the district
    court’s tacit conclusion that the objective prong of the deliberate-indifference
    standard was satisfied here. And this is wise. See Martinez v. Beggs, 
    563 F.3d 1082
    , 1088 (10th Cir. 2009) (observing that death, “without doubt,” is
    “sufficiently serious to meet the objective component” (citation omitted)); Collins
    v. Seeman, 
    462 F.3d 757
    , 760 (7th Cir. 2006) (“[I]t goes without saying that
    ‘suicide is a serious harm.’” (quoting Sanville v. McCaughtry, 
    266 F.3d 724
    , 733
    (7th Cir. 2001))). Accordingly, we also accept the court’s tacit conclusion.
    13
    requests in prior incarcerations; and that “approximately 45 hours before he was
    found hanging from a bed sheet in his cell, he requested mental health help for
    problems, but there was no mental health visit during the two days that followed.”
    J.A. at 1121. The court further found that “[t]he failure to refer [Mr. Jernegan]
    for mental health evaluation [was] consistent with the established practice at the
    Jail . . . of not referring even obviously mentally ill inmates unless they admitted
    to being suicidal.” 
    Id. Rejecting Sheriff
    Glanz’s reliance upon the existence of
    various written policies and training materials to prove that he did not act with
    deliberate indifference, the district court found “genuine issues of material fact as
    to whether and to what extent [those] policies were followed or enforced by the
    Sheriff.” 
    Id. at 1124.
    Ultimately, after explicating the content of and otherwise considering the
    parties’ submissions, the district court concluded:
    Viewing the evidence in the light most favorable to plaintiff, the
    Court concludes that there are triable issues of material fact as to
    whether the [Sheriff’s Office’s] written policies were the actual
    policies, whether they were followed or enforced, and whether
    the Jail’s personnel were properly trained to identify and
    segregate mentally ill inmates who may be at risk of suicide.
    The same evidence presents issues of material fact regarding
    whether Sheriff Glanz was on notice of constitutional
    deficiencies in the care of mentally ill detainees and whether his
    failure to take appropriate measures to remedy those deficiencies
    constituted deliberate indifference.
    14
    
    Id. at 1127
    (citations omitted). However, at no point during its analysis did the
    court explicitly focus on the legal framework of qualified immunity—viz., it did
    not discuss whether Ms. Cox had demonstrated the violation of a clearly
    established constitutional right by any of the Jail-employee defendants or by
    Sheriff Glanz himself. Nevertheless, it did ultimately deny Sheriff Glanz’s
    motion for summary judgment—which asserted a qualified-immunity defense—in
    all respects.
    This timely appeal followed.
    II
    A
    Before reaching the merits, we must address Ms. Cox’s argument that we
    lack jurisdiction to entertain the Sheriff’s interlocutory appeal of the district
    court’s denial of qualified immunity. See Franklin Sav. Corp. v. United States (In
    re Franklin Sav. Corp.), 
    385 F.3d 1279
    , 1286 (10th Cir. 2004) (“Jurisdictional
    issues must be addressed first and, if they are resolved against jurisdiction, the
    case is at an end.”); see also San Juan Cty. v. United States, 
    754 F.3d 787
    , 792
    (10th Cir. 2014). Ms. Cox contends that dismissal on jurisdictional grounds is
    mandatory because, as noted, the district court based its decision regarding the
    individual-capacity claim on the existence of genuinely disputed material facts.
    While we recognize the significance of Ms. Cox’s concerns about the district
    15
    court’s qualified-immunity methodology, we are satisfied, for the reasons stated
    below, that we have jurisdiction to proceed to the merits of this claim.
    Federal “appellate courts typically do not have jurisdiction to review
    denials of summary judgment motions,” Serna v. Colo. Dep’t of Corr., 
    455 F.3d 1146
    , 1150 (10th Cir. 2006), but “[t]he denial of qualified immunity to a public
    official . . . is immediately appealable . . . to the extent it involves abstract issues
    of law,” Fancher v. Barrientos, 
    723 F.3d 1191
    , 1198 (10th Cir. 2013).
    Specifically, we have jurisdiction “to review ‘(1) whether the facts that the
    district court ruled a reasonable jury could find would suffice to show a legal
    violation, or (2) whether that law was clearly established at the time of the
    alleged violation.’” Roosevelt-Hennix v. Prickett, 
    717 F.3d 751
    , 753 (10th Cir.
    2013) (quoting Allstate Sweeping, LLC v. Black, 
    706 F.3d 1261
    , 1267 (10th Cir.
    2013)); see also Castillo v. Day, 
    790 F.3d 1013
    , 1019 (10th Cir. 2015) (describing
    the two prongs thusly: “(1) the defendant violated [the plaintiff’s] constitutional
    or statutory rights, and (2) the right was clearly established at the time of the
    alleged unlawful activity”).
    The district court’s factual findings and reasonable assumptions comprise
    “the universe of facts upon which we base our legal review of whether defendants
    are entitled to qualified immunity.” Fogarty v. Gallegos, 
    523 F.3d 1147
    , 1154
    (10th Cir. 2008); accord Buck v. City of Albuquerque, 
    549 F.3d 1269
    , 1276 (10th
    Cir. 2008). When the district court “concludes that a reasonable jury could find
    16
    certain specified facts in favor of the plaintiff, . . . we usually must take them as
    true—and do so even if our own de novo review of the record might suggest
    otherwise as a matter of law.” Lewis v. Tripp, 
    604 F.3d 1221
    , 1225 (10th Cir.
    2010).
    However, importantly, “whether or not the pretrial record sets forth a
    ‘genuine’ issue of fact for trial” is not an abstract legal question that we may
    review. Johnson v. Jones, 
    515 U.S. 304
    , 320 (1995); accord Allstate 
    Sweeping, 706 F.3d at 1267
    . But our jurisdiction on appeal nevertheless “is clear when the
    defendant does not dispute the facts alleged by the plaintiff. . . . [I]f the
    defendant does dispute the plaintiff’s allegations[,] ‘the defendant must
    nonetheless be willing to concede the most favorable view of the facts to the
    plaintiff for purposes of the appeal.’” Farmer v. Perrill, 
    288 F.3d 1254
    , 1258 n.4
    (10th Cir. 2002) (quoting Berryman v. Rieger, 
    150 F.3d 561
    , 563 (6th Cir. 1998));
    see also 
    Castillo, 790 F.3d at 1018
    (“[Defendant] presents an appellate argument
    over which we do have jurisdiction. She asserts Plaintiffs cannot establish a
    violation of their Eighth Amendment rights based on the facts they have alleged.”
    (emphasis added)).
    In this regard, we have said that “[e]ven when the district court concludes
    issues of material fact exist, ‘we have reviewed the legal question of whether a
    defendant’s conduct, as alleged by the plaintiff, violates clearly established law.’”
    Holland ex rel. Overdorff v. Harrington, 
    268 F.3d 1179
    , 1186 (10th Cir. 2001)
    17
    (quoting Medina v. Cram, 
    252 F.3d 1124
    , 1130 (10th Cir. 2001)). “We need
    not . . . decline review of a pretrial order denying summary judgment [in the
    qualified-immunity context] solely because the district court says genuine issues
    of material fact remain; instead, we lack jurisdiction only if our review would
    require second-guessing the district court’s determinations of evidence
    sufficiency.” 
    Medina, 252 F.3d at 1130
    .
    In light of these principles, we conclude that we can properly exercise
    jurisdiction over the aspect of this appeal that is based on the district court’s
    denial of Sheriff Glanz’s qualified-immunity defense. 4 At the outset, we
    acknowledge that Ms. Cox’s concerns regarding the district court’s methodology
    have some merit. The court’s analysis was not consonant with our settled mode
    of qualified-immunity decisionmaking. Specifically, the court’s central focus was
    on the existence vel non of genuinely disputed issues of material fact, and that
    focus is counter to our established qualified-immunity approach. See Allstate
    
    Sweeping, 706 F.3d at 1267
    . At the summary-judgment phase, a federal court’s
    factual analysis relative to the qualified-immunity question is distinct:
    [T]he objective is not to determine whether a plaintiff survives
    summary judgment because plaintiff’s evidence raises material
    issues that warrant resolution by a jury. Instead, the principal
    4
    As we have noted, we apply a different mode of analysis to the
    Sheriff’s challenge to the district court’s disposition of Ms. Cox’s official-
    capacity claim—specifically, as explicated infra in Part III.B, we conclude that
    we lack jurisdiction to review the court’s ruling on that claim, and we dismiss this
    aspect of the appeal.
    18
    purpose is to determine whether plaintiff’s factual allegations
    are sufficiently grounded in the record such that they may
    permissibly comprise the universe of facts that will serve as the
    foundation for answering the legal question before the court.
    Thomson v. Salt Lake Cty., 
    584 F.3d 1304
    , 1326 (10th Cir. 2009) (Holmes, J.,
    concurring); see also United States ex rel. Burlbaw v. Orenduff, 
    548 F.3d 931
    ,
    940 n.6 (10th Cir. 2008) (exhorting courts to “exercise care not to confuse the two
    analytic frameworks” of qualified immunity and traditional summary judgment,
    though acknowledging that, “at least in some instances, this . . . is easier said than
    done”).
    Although its mode of analysis focusing on the existence vel non of factual
    disputes was wanting, the district court clearly adjudicated Sheriff Glanz’s
    defense of qualified immunity and ruled against him, albeit tacitly so. Perhaps
    because it was set adrift by the deficiencies of the parties’ briefing, which are
    explicated infra, the district court did not mention qualified immunity in its
    summary-judgment order. However—critically, for purposes of our interlocutory
    review—the court did explicitly deny Sheriff Glanz all relief in its order, and part
    of the relief that Sheriff Glanz unquestionably sought in his summary-judgment
    briefing was qualified immunity. Consequently, the court effectively denied
    Sheriff Glanz the defense of qualified immunity when it denied his summary-
    judgment motion. 5
    5
    Even if this were not so, our precedent would safeguard Sheriff
    (continued...)
    19
    Ms. Cox nevertheless suggests that the court’s fact-based manner of
    disposing of the defense divests us of jurisdiction to reach the qualified-immunity
    issue on appeal. We disagree. Notably, Sheriff Glanz has accepted the truth of
    Ms. Cox’s version of the facts for purposes of this appeal. Under our controlling
    caselaw 
    (discussed supra
    ), that ordinarily will permit us to address the legal
    issues presented by the agreed-upon set of facts, and there is nothing about this
    case that would counsel against following that path. Cf. 
    Castillo, 790 F.3d at 1018
    (“Although [Defendant] attempts to characterize the issue on appeal as
    Plaintiffs’ failure to assert a violation of a constitutional right under clearly
    established law, her argument is limited to a discussion of her version of the facts
    and the inferences that can be drawn therefrom. Thus, [Defendant’s] argument is
    actually a challenge to the district court’s conclusion Plaintiffs presented
    sufficient evidence to survive summary judgment. As such, this court lacks
    jurisdiction to review her appeal at the interlocutory stage.” (emphasis added)
    (footnote omitted)). Therefore, under settled circuit precedent, we do have
    5
    (...continued)
    Glanz’s opportunity to avail himself of the protections of the qualified-immunity
    defense. In this regard, we have observed that “[o]ther circuits have concluded
    that orders failing or refusing to consider qualified immunity are also immediately
    appealable,” and we have “agree[d] with this approach.” Lowe v. Town of
    Fairland, 
    143 F.3d 1378
    , 1380 (10th Cir. 1998) (citing caselaw from the Second,
    Fifth, and Eighth Circuits). This is quite appropriate because the availability of
    the qualified-immunity defense—which has the potential to spare a public official
    the burdens of trial, see Allstate 
    Sweeping, 706 F.3d at 1266
    —should not turn on
    whether the district court decided to address the defense or failed (through
    oversight or otherwise) to do so.
    20
    appellate jurisdiction over Sheriff Glanz’s interlocutory appeal from the denial of
    qualified immunity.
    B
    Ms. Cox alternatively claims that even if we have jurisdiction over this
    aspect of the appeal, we should not reach the merits of Sheriff Glanz’s qualified-
    immunity arguments because he failed to raise them before the district court.
    Specifically, she tenders the following issue-preservation argument:
    Sheriff Glanz’s primary argument on appeal is that he is entitled
    to qualified immunity because it is not “clearly established” that
    a detainee has a right to be screened for suicidal tendencies or
    that failure to refer an individual for a mental health screening
    can give rise to a civil rights violation . . . . [T]his argument was
    never properly raised by Sheriff Glanz as a basis for qualified
    immunity below.
    Aplee. Br. at 30 (citation omitted). Ms. Cox avers that because Sheriff Glanz
    exclusively briefed the no-constitutional-violation issue at summary judgment, he
    is not entitled to expand the inquiry on appeal by claiming an absence of clearly
    established law.
    In effect, Ms. Cox asks us to deem Sheriff Glanz’s clearly-established-law
    argument to be forfeited. See, e.g., Richison v. Ernest Grp., Inc., 
    634 F.3d 1123
    ,
    1127–28 (10th Cir. 2011) (“Where, as here, a plaintiff pursues a new legal theory
    for the first time on appeal, that new theory suffers the distinct disadvantage of
    starting at least a few paces back from the block. . . . [I]f the theory simply
    wasn’t raised before the district court, we usually hold it forfeited.” (citations
    21
    omitted)). “Yet, the decision regarding what issues are appropriate to entertain on
    appeal in instances of lack of preservation is discretionary.” Abernathy v.
    Wandes, 
    713 F.3d 538
    , 552 (10th Cir. 2013); accord Bishop v. Smith, 
    760 F.3d 1070
    , 1095 (10th Cir. 2014), cert. denied, --- U.S. ----, 
    135 S. Ct. 271
    (2014); see
    also Singleton v. Wulff, 
    428 U.S. 106
    , 121 (1976) (“The matter of what questions
    may be taken up and resolved for the first time on appeal is one left primarily to
    the discretion of the courts of appeals, to be exercised on the facts of individual
    cases.”); cf. 
    Bishop, 760 F.3d at 1095
    (“Waiver through appellate-briefing
    omission and forfeiture through silence before the district court are admittedly
    distinct failures of preservation, and arguably there is more discretionary leeway
    to consider issues not preserved under the latter (forfeiture) than the former
    (appellate-briefing waiver).”).
    In the unique factual and legal context of this case, even assuming
    arguendo that Sheriff Glanz forfeited his appellate arguments based on the
    clearly-established-law prong of the qualified-immunity standard, we would deem
    consideration of these arguments to be an appropriate exercise of our discretion.
    At the outset, we observe that the qualified-immunity arguments of both parties
    before the district court left much to be desired. In this regard, Sheriff Glanz’s
    briefing was assuredly not robust. Therein, he vaguely asserted, regarding
    qualified immunity and in particular, the constitutional-violation question, that
    the “materials presented in [his] Statement of Undisputed Facts . . . are direct
    22
    evidence that [he] [wa]s not indifferent, deliberately or otherwise.” J.A. at 241
    (Mot. for Summ. J., filed Feb. 28, 2013). Yet, however poorly asserted, Sheriff
    Glanz indisputably did present a qualified-immunity defense in his summary-
    judgment briefing. And this defense necessarily included the clearly-established-
    law question. See, e.g., 
    Castillo, 790 F.3d at 1019
    ; 
    Roosevelt-Hennix, 717 F.3d at 753
    .
    The forfeiture issue turns on the extent of Sheriff Glanz’s obligation to do
    more than nominally raise the qualified-immunity defense—that is, it turns on
    whether he was obliged to marshal particularized arguments in support of the
    clearly-established-law question, viz., specific arguments demonstrating that,
    under then-extant clearly established law, neither he nor any of his identified
    subordinates violated Mr. Jernegan’s Eighth Amendment rights. Even assuming
    arguendo that he was required to do this, and therefore forfeited his clearly-
    established-law arguments by failing to do so, we cannot ignore, in deciding
    whether to recognize the forfeiture, the unique briefing burdens of the nonmovant
    plaintiff in the qualified-immunity context, and Ms. Cox’s feeble efforts to bear
    them.
    Specifically, by asserting the qualified-immunity defense, Sheriff Glanz
    triggered a well-settled twofold burden that Ms. Cox was compelled to shoulder:
    not only did she need to rebut the Sheriff’s no-constitutional-violation arguments,
    but she also had to demonstrate that any constitutional violation was grounded in
    23
    then-extant clearly established law. See, e.g., Riggins v. Goodman, 
    572 F.3d 1101
    , 1107 (10th Cir. 2009) (“When a defendant asserts qualified immunity at
    summary judgment, the burden shifts to the plaintiff, who must clear two hurdles
    in order to defeat the defendant’s motion. The plaintiff must demonstrate on the
    facts alleged both that the defendant violated his constitutional or statutory rights,
    and that the right was clearly established at the time of the alleged unlawful
    activity.” (emphases added)); see also Felders v. Malcom, 
    755 F.3d 870
    , 877–78
    (10th Cir. 2014) (“[T]he ‘record must clearly demonstrate the plaintiff has
    satisfied his heavy two-part burden; otherwise, the defendants are entitled to
    qualified immunity.’” (quoting 
    Medina, 252 F.3d at 1128
    )), cert. denied, ---
    U.S. ----, 
    135 S. Ct. 975
    (2015); Mick v. Brewer, 
    76 F.3d 1127
    , 1134 (10th Cir.
    1996) (“Unless the plaintiff carries its twofold burden, the defendant prevails.”).
    However, Ms. Cox made no more than an anemic attempt to carry this
    burden as to the clearly-established-law question, merely asserting in bare-bones
    fashion that Mr. Jernegan’s constitutional “right to adequate medical care and to
    be free from deliberate indifference ha[d] been clearly established for decades.”
    J.A. at 444. 6 Put another way, Ms. Cox did virtually nothing to define the
    6
    In this regard, Ms. Cox did cite in her summary-judgment briefing to
    the Supreme Court’s decision in Estelle v. Gamble, 
    429 U.S. 97
    (1976). See J.A.
    at 444. However, regarding the resolution of the clearly-established-law question,
    Estelle is patently unavailing. Estelle undoubtedly “laid down [some] controlling
    principles” regarding deliberate indifference, Riddle v. Mondragon, 
    83 F.3d 1197
    ,
    1203 (10th Cir. 1996), and likewise made clear that “negligent diagnosis or
    (continued...)
    24
    contours of the clearly-established-law question, as to which she ultimately
    carried the burden of proof in the qualified-immunity context. As a consequence,
    Ms. Cox did little to aid the district court in its resolution of this question and
    perhaps contributed to the confusion evident in the district court’s misguided
    qualified-immunity analysis.
    In any event, in deciding whether it is a proper exercise of our discretion to
    overlook the assumed forfeiture of Sheriff Glanz regarding the clearly-
    established-law question, Ms. Cox’s significant briefing shortcomings on this
    same question—as to which she bears the burden of proof—should be taken into
    account. And we do so when we elect here to reach the merits of Sheriff Glanz’s
    qualified-immunity arguments based on the absence of clearly established law. 7
    6
    (...continued)
    treatment of a medical condition do[es] not constitute a medical wrong under the
    Eighth Amendment,” Ramos v. Lamm, 
    639 F.2d 559
    , 575 (10th Cir. 1980).
    However, Estelle does not speak to a right to proper suicide-screening protocols,
    and its silence sounds a deafening ring given the Supreme Court’s “repeated[ ]”
    admonition “not to define clearly established law at a high level of generality.”
    Ashcroft v. al-Kidd, 
    563 U.S. 731
    , 
    131 S. Ct. 2074
    , 2084 (2011).
    7
    Moreover, we also recognize that we can entertain a defendant’s
    argument on the clearly-established-law prong under certain circumstances, even
    if the argument had been forfeited in district court, because the issue involves a
    pure matter of law. Specifically, “[o]ur discretion allows us to determine an issue
    raised for the first time on appeal if it is a pure matter of law and its proper
    resolution is certain.” United States v. Lyons, 
    510 F.3d 1225
    , 1238 (10th Cir.
    2007). These circumstances are present here, for the clearly-established-law
    prong of qualified immunity involves a pure matter of law. See Mitchell v.
    Forsyth, 
    472 U.S. 511
    , 528 n.9 (1985) (stating that “the appealable issue is a
    (continued...)
    25
    III
    The Sheriff contends that the district court committed two reversible errors
    in ruling on Ms. Cox’s § 1983 claims: he argues that the court erred when it (1)
    failed to grant him qualified immunity on Ms. Cox’s individual-capacity claim,
    and (2) denied him summary judgment on Ms. Cox’s official-capacity claim. For
    the reasons discussed herein, we conclude that the district court committed one
    reversible error. Specifically, we determine that the court erred in denying
    qualified immunity to the Sheriff; accordingly, we reverse that aspect of the
    court’s judgment. However, we do not address the Sheriff’s second claim of error
    (i.e., regarding the denial of summary judgment on Ms. Cox’s official-capacity
    claim)—not only do we lack jurisdiction to review this claim on interlocutory
    appeal, but we also decline to exercise pendent appellate jurisdiction over it.
    Consequently, we are constrained to dismiss the aspect of the Sheriff’s appeal
    concerning liability in his official capacity.
    7
    (...continued)
    purely legal one: whether the facts alleged (by the plaintiff, or, in some cases, the
    defendant) support a claim of violation of clearly established law”). And, as
    discussed infra, resolution of the clearly-established-law prong is certain here. In
    these circumstances, we can therefore entertain the argument of a defendant, like
    Sheriff Glanz, on the clearly-established-law prong even if the argument had been
    forfeited in district court. See Dean v. Blumenthal, 
    577 F.3d 60
    , 67 n.6 (2d Cir.
    2009) (per curiam) (considering an argument on the clearly-established-law prong
    of qualified immunity, even though presented for the first time on appeal, because
    the issue involves a question of law and does not require any additional fact-
    finding).
    26
    A
    As noted, Sheriff Glanz’s entitlement to qualified immunity vel non
    depends on whether Ms. Cox has “show[n] that: (1) [he] violated a constitutional
    right and (2) the constitutional right was clearly established.” Courtney v.
    Oklahoma ex rel. Dep’t of Pub. Safety, 
    722 F.3d 1216
    , 1222 (10th Cir. 2013)
    (quoting Becker v. Bateman, 
    709 F.3d 1019
    , 1022 (10th Cir. 2013)). “We have
    discretion to address either prong [of this standard] first.” Panagoulakos v.
    Yazzie, 
    741 F.3d 1126
    , 1129 (10th Cir. 2013); see also Pearson v. Callahan, 
    555 U.S. 223
    , 236 (2009). Like Sheriff Glanz does in his arguments before us, we
    elect to focus on the second prong—wherein we inquire whether, under Ms. Cox’s
    version of the facts, then-extant clearly established law would have given Sheriff
    Glanz fair warning that he could be held liable for his conduct under a
    supervisory-liability theory for violating Mr. Jernegan’s Eighth Amendment
    rights.
    Regarding the requisite proof of clearly established law, “[a] plaintiff may
    satisfy this standard by identifying an on-point Supreme Court or published Tenth
    Circuit decision; alternatively, ‘the clearly established weight of authority from
    other courts must have found the law to be as the plaintiff maintains.’” Quinn v.
    Young, 
    780 F.3d 998
    , 1005 (10th Cir. 2015) (quoting Weise v. Casper, 
    593 F.3d 1163
    , 1167 (10th Cir. 2010)); see also Klen v. City of Loveland, 
    661 F.3d 498
    ,
    511 (10th Cir. 2011). We conclude that the right that Ms. Cox’s claim
    27
    implicates—i.e., generally, an inmate’s right to proper prison suicide screening
    procedures during booking—was not clearly established in July 2009.
    Significantly, Ms. Cox has not directed our attention to any Supreme Court
    or Tenth Circuit decision (published or otherwise) that would indicate that this
    right was clearly established in 2009, 8 and the district court likewise did not rely
    on any such law. Nor, for that matter, has Ms. Cox attempted to shoulder her
    burden by showing that “the clearly established weight of authority from other
    courts . . . ha[s] found the law to be as [she] maintains.” 
    Becker, 709 F.3d at 1023
    (quoting Morris v. Noe, 
    672 F.3d 1185
    , 1196 (10th Cir. 2012)). On this
    basis alone, we could hold that Ms. Cox has not properly laid the groundwork to
    defeat Sheriff Glanz’s assertion of qualified immunity.
    In the interest of thoroughness, however, we have surveyed the then-extant
    caselaw that would have guided the Sheriff’s endeavors to conform his
    supervisory conduct to constitutional norms. The results of our survey are
    detailed infra. Viewing the clearly-established-law question in this survey’s
    8
    Ms. Cox cannot discharge her burden by relying upon authorities that
    do no more than establish general legal principles—even if those principles are
    apposite in the Eighth Amendment deliberate-indifference context—such as the
    legal truism that medical professionals in certain circumstances can be held liable
    for handling their gatekeeper role with deliberate indifference. See Aplee. Br. at
    49 (discussing grounds for liability stemming from “clearly established law in this
    Circuit with respect to medical staff acting in a ‘gatekeeper’ role” (citing Sealock
    v. Colorado, 
    218 F.3d 1205
    , 1211 (10th Cir. 2000))). Ms. Cox’s arguments
    seeking “to define clearly established law at a high level of generality” are
    unavailing. 
    al-Kidd, 131 S. Ct. at 2084
    ; see also supra note 6.
    28
    light, we confidently conclude that the extant clearly established law in July 2009
    would not have put a reasonable official in Sheriff Glanz’s position on notice that
    his supervisory conduct would effect an Eighth Amendment violation. See 
    Weise, 593 F.3d at 1167
    (noting that “the clearly established law must be such that it
    would put a reasonable official on notice that his conduct was unlawful”); see
    also 
    Quinn, 780 F.3d at 1005
    (stating that, in order to be clearly established law,
    “existing precedent must have placed the . . . constitutional question beyond
    debate.” (quoting 
    al-Kidd, 131 S. Ct. at 2083
    )). Accordingly, as a matter of law,
    we conclude that Ms. Cox has failed to satisfy her burden on the clearly-
    established-law prong of the qualified-immunity standard. Thus, Sheriff Glanz is
    entitled to qualified immunity.
    1
    Prison and jail officials, as well as the municipal entities that employ them,
    cannot “absolutely guarantee the safety of their prisoners.” Lopez v. LeMaster,
    
    172 F.3d 756
    , 759 (10th Cir. 1999). Nonetheless, they “ha[ve] a constitutional
    duty to take reasonable steps to protect the prisoners’ safety and bodily integrity.”
    Berry v. City of Muskogee, 
    900 F.2d 1489
    , 1499 (10th Cir. 1990). “[C]laims
    based on a jail suicide are considered and treated as claims based on the failure of
    jail officials to provide medical care for those in their custody.” Barrie v. Grand
    Cty., 
    119 F.3d 862
    , 866 (10th Cir. 1997). Therefore, such claims “must be judged
    against the ‘deliberate indifference to serious medical needs’ test.” Estate of
    29
    Hocker ex rel. Hocker v. Walsh, 
    22 F.3d 995
    , 998 (10th Cir. 1994) (quoting
    Martin v. Bd. of Cty. Comm’rs, 
    909 F.2d 402
    , 406 (10th Cir. 1990)). As the
    district court noted, the claims at issue here implicate the subjective component of
    the deliberate-indifference rubric, under which the defendant must “both be aware
    of facts from which the inference could be drawn that a substantial risk of serious
    harm exists, and . . . also draw the inference.” Farmer v. Brennan, 
    511 U.S. 825
    ,
    837 (1994).
    Ms. Cox’s individual-capacity claim against Sheriff Glanz is predicated on
    a supervisory-liability theory. It is undisputed that Sheriff Glanz had no personal
    contact with Mr. Jernegan or direct and contemporaneous knowledge of Mr.
    Jernegan’s treatment by Jail officials in July 2009. Yet, in a § 1983 lawsuit,
    “[s]upervisory liability ‘allows a plaintiff to impose liability upon a
    defendant-supervisor who creates, promulgates, [or] implements . . . a
    policy . . . which subjects, or causes to be subjected that plaintiff to the
    deprivation of any rights . . . secured by the Constitution.’” Brown v. Montoya,
    
    662 F.3d 1152
    , 1163–64 (10th Cir. 2011) (second alteration in original)
    (omissions in original) (quoting Dodds v. Richardson, 
    614 F.3d 1185
    , 1199 (10th
    Cir. 2010)). This does not equate to “liability under a theory of respondeat
    superior.” 9 
    Id. at 1164;
    accord Schneider v. City of Grand Junction Police Dep’t,
    9
    The Supreme Court has explained:
    (continued...)
    30
    
    717 F.3d 760
    , 767 (10th Cir. 2013). A plaintiff arguing for the imposition of
    supervisory liability “therefore must show an ‘affirmative link’ between the
    supervisor and the constitutional violation.” Estate of Booker v. Gomez, 
    745 F.3d 405
    , 435 (10th Cir. 2014) (quoting 
    Schneider, 717 F.3d at 767
    ).
    The requisite showing of an “affirmative link” between a supervisor and the
    alleged constitutional injury has “[come] to have three related prongs: (1)
    personal involvement, (2) sufficient causal connection, and (3) culpable state of
    mind.” 
    Dodds, 614 F.3d at 1195
    ; accord 
    Schneider, 717 F.3d at 767
    .
    Admittedly, “[t]he contours of . . . supervisory liability are still somewhat unclear
    after [the Supreme Court decided] Iqbal, which ‘articulated a stricter liability
    standard for . . . personal involvement.’” 
    Gomez, 745 F.3d at 435
    (second
    9
    (...continued)
    In a § 1983 suit . . . —where masters do not answer for the torts
    of their servants—the term “supervisory liability” is a misnomer.
    Absent vicarious liability, each Government official, his or her
    title notwithstanding, is only liable for his or her own
    misconduct. In the context of determining whether there is a
    violation of clearly established right to overcome qualified
    immunity, purpose rather than knowledge is required to
    impose . . . liability on the subordinate for unconstitutional
    discrimination; the same holds true for an official charged with
    violations arising from his or her superintendent responsibilities.
    Ashcroft v. Iqbal, 
    556 U.S. 662
    , 677 (2009). Our caselaw appropriately notes this
    distinction. See, e.g., Schneider v. City of Grand Junction Police Dep’t, 
    717 F.3d 760
    , 767 (10th Cir. 2013) (“‘Section 1983 does not authorize liability under a
    theory of respondeat superior.’ For this reason, the Supreme Court has suggested
    the term ‘supervisory liability’ is ‘a misnomer.’” (footnote omitted) (citations
    omitted)); see also 
    Brown, 662 F.3d at 1164
    .
    31
    omission in original) (quoting 
    Schneider, 717 F.3d at 768
    ); see also 
    Dodds, 614 F.3d at 1198
    (“Much has been made about [the supervisory-liability] aspect of
    Iqbal, but consensus as to its meaning remains elusive.”). Even so, our
    “particularized approach [still] applies with full force when a plaintiff proceeds
    under a theory of supervisory liability.” Pahls v. Thomas, 
    718 F.3d 1210
    , 1226
    (10th Cir. 2013). We continue to require plaintiffs to demonstrate “that each
    defendant acted with the constitutionally requisite state of mind” by
    “identify[ing] . . . specific policies over which particular defendants possessed
    supervisory responsibility[] that violated their clearly established constitutional
    rights.” 
    Id. at 1228.
    Our clearly-established-law analysis centers on whether the controlling
    cases “show that [Sheriff Glanz] took the alleged actions with the requisite state
    of mind.” 
    Schneider, 717 F.3d at 769
    . This state of mind “‘can be no less than
    the mens rea required’ of [any of his] subordinates [i.e., Jail employees] to
    commit the underlying constitutional violation.” 
    Gomez, 745 F.3d at 435
    (quoting
    Porro v. Barnes, 
    624 F.3d 1322
    , 1328 (10th Cir. 2010)). Importantly, as our
    discussion of the pertinent governing caselaw infra demonstrates, this is a
    particularized state of mind: actual knowledge by a prison official of an
    individual inmate’s substantial risk of suicide.
    32
    2
    a
    For purposes of demonstrating the violation of a clearly established
    constitutional (i.e., Eighth Amendment) right in a jail-suicide case, our state-of-
    mind requirement has been settled since at least the mid-1990s. In Estate of
    Hocker, we definitively enunciated the state of mind necessary to impose
    deliberate-indifference liability upon jail employees when an inmate whose
    mental health was compromised by intoxication committed suicide shortly after
    booking. 
    See 22 F.3d at 1000
    . Noting that the trend of authority in the circuit
    courts counseled in favor of requiring inmate-specific knowledge of a risk of
    suicide, 10 we rejected the Estate’s invitation to hold that the booking officers’
    knowledge of the decedent inmate’s intoxication (which the officers obtained
    through routine intake questioning) could, by itself, confer knowledge that she
    posed a specific risk of suicide. See 
    id. We concluded
    that evidence of her
    10
    In that regard, we gleaned guidance from decisions of the First,
    Sixth, Eighth, and Eleventh Circuits. See Bowen v. City of Manchester, 
    966 F.2d 13
    , 17 (1st Cir. 1992) (“Deliberate indifference requires a showing by the plaintiff
    that the public official had actual knowledge, or was willfully blind, to the serious
    risk that a detainee would commit suicide.”); Barber v. City of Salem, 
    953 F.2d 232
    , 239 (6th Cir. 1992) (“[S]imple knowledge that the detainee fits the profile of
    a high suicide risk is not enough. It must be knowledge specific to that particular
    detainee.” (emphasis added)); Bell v. Stigers, 
    937 F.2d 1340
    , 1344 (8th Cir. 1991)
    (focusing on whether there was sufficient evidence that could “reasonably support
    the existence of a strong likelihood that a particular prisoner will attempt
    suicide” (emphasis added)), overruled on other grounds by 
    Farmer, 511 U.S. at 838
    ; Popham v. City of Talladega, 
    908 F.2d 1561
    , 1563 (11th Cir. 1990) (per
    curiam) (same as prior cases).
    33
    “intoxication with its accompanying incoherence” did not confirm, much less
    “suggest[,] that [the inmate’s] risk of suicide was so substantial or pervasive that
    knowledge c[ould] be inferred.” 
    Id. We held
    that, going forward, similarly
    situated plaintiffs could only succeed on this species of claim by presenting “facts
    . . . suggest[ing] that the [facility] staff had knowledge of the specific risk that
    [the deceased inmate] would commit suicide.” 
    Id. Three years
    later, in Barrie v. Grand County, we noted with reference to
    Hocker, that “in this circuit . . . . the custodian must be ‘deliberately indifferent’
    to a substantial risk of 
    suicide.” 119 F.3d at 868
    –69 (emphasis added).
    Maintaining our inmate-specific focus, we declined to hold jail officials liable
    when the decedent inmate had indicated during booking that he was intoxicated,
    but not suicidal; communicated that he felt “alright”; and otherwise appeared
    “fine” to the officers. 
    Id. at 865.
    Under those circumstances, we concluded that
    the officers’ assignment of the inmate to the jail’s “drunk tank” (as opposed to the
    alternative of furnishing immediate mental-health treatment) simply did “not rise
    to the level of ‘deliberate indifference’ to a known or obvious risk, which, in
    [that] case, [wa]s a substantial risk of suicide.” 
    Id. at 869.
    Our review of relevant caselaw postdating Hocker and Barrie indicates that
    the foregoing state of the law in our circuit—which required prison officials to
    possess knowledge that a specific inmate presents a substantial risk of
    suicide—had not changed in material respects by July 2009.
    34
    We are not aware of any controlling Supreme Court or Tenth Circuit
    decisions that directly answer this clearly-established-law inquiry. However, our
    view of the requirements of the clearly established law extant when Mr. Jernegan
    committed suicide (July 2009) does find some support in the Supreme Court’s
    recent decision in Taylor v. Barkes, --- U.S. ----, 
    135 S. Ct. 2042
    (2015) (per
    curiam), where the Court resolved a deliberate-indifference dispute on the clearly-
    established-law prong of the qualified-immunity standard. There, the Court held
    that, as of November 2004, there was no clearly established “right” of an inmate
    to be adequately screened for suicide. See 
    Taylor, 135 S. Ct. at 2044
    –45. The
    Taylor Court emphatically stated that “[n]o decision of this Court even discusses
    suicide screening or prevention protocols.” 
    Id. at 2044.
    Taylor teaches us that, as of November 2004, there was no constitutional
    right to such screening or protocols. See Swanson v. Town of Mountain View, 
    577 F.3d 1196
    , 1200 (10th Cir. 2009) (noting that “we also examine cases published
    after the conduct in question to the extent they shed light on the fact that the law
    was not clearly established at the relevant time” (emphasis added)).
    Consequently, in November 2004, a jail’s nonexistent or deficient suicide-
    screening measures would not have necessarily indicated that an individual
    prisoner’s suicide was the product of deliberate indifference in violation of the
    Eighth Amendment. In light of Taylor, our reading of the contours of the law a
    short five years later should not be surprising. That is, irrespective of the alleged
    35
    deficiencies in the Jail’s suicide-screening protocols, in order for any defendant,
    including Sheriff Glanz, to be found to have acted with deliberate indifference, he
    needed to first have knowledge that the specific inmate at issue presented a
    substantial risk of suicide. Moreover, though not dispositive, our limited corpus
    of nonprecedential jail-suicide decisions supports our reading of the state of the
    law when Mr. Jernegan committed suicide. See, e.g., Gaston v. Ploeger, 229 F.
    App’x 702, 708 (10th Cir. 2007) (“[T]he appellants concede that a jailer violates
    [constitutional rights] if he is deliberately indifferent to a known risk that a . . .
    detainee will commit suicide, and they do not challenge the district court’s
    conclusion that the law was clearly established at the time of [the inmate’s]
    death.” (citations omitted)); Daniels v. Glase, 
    198 F.3d 257
    , 
    1999 WL 1020522
    ,
    at *4 (10th Cir. 1999) (unpublished table decision) (“Accordingly, ‘the custodian
    must be “deliberately indifferent” to a substantial risk of suicide.’” (quoting
    
    Barrie, 119 F.3d at 869
    )); see also 
    Gomez, 745 F.3d at 428
    n.29 (noting that
    “[a]lthough not dispositive of our inquiry because of its unpublished status,” an
    unpublished decision “need not be ignored in determining whether the law was
    clearly established”); cf. 
    Morris, 672 F.3d at 1197
    n.5 (“[W]e have never held that
    a district court must ignore unpublished opinions in deciding whether the law is
    clearly established.”). 11
    11
    We acknowledge that in at least one unique setting—sexual assault in
    prison—we have taken a different stance on the knowledge of risk that must be
    (continued...)
    36
    11
    (...continued)
    alleged. In Tafoya v. Salazar, 
    516 F.3d 912
    (10th Cir. 2008), we held that a
    prison “official’s knowledge of the risk [of sexual assault on a prisoner] need not
    be knowledge of a substantial risk to a particular inmate, or knowledge of the
    particular manner in which injury might 
    occur.” 516 F.3d at 916
    . However, our
    study strongly indicates that Tafoya is distinguishable and should not cause us to
    question the clear guidance of our cases decided in the jail-suicide context.
    Specifically, while the risk of sexual assault at issue in Tafoya frequently may be
    divined from a myriad of external factors—including, notably, the sexual
    victimizer’s characteristics—a substantial risk of suicide may be impossible to
    discern unless the particular inmate reveals indicia of that risk to prison officials.
    Compare Cash v. Cty. of Erie, 
    654 F.3d 324
    , 335 (2d Cir. 2011) (discussing
    evidence of “the risk of sexual exploitation posed by male deputies guarding
    female prisoners” at the county detention facility at issue), and Katherine Robb,
    What We Don’t Know Might Hurt Us: Subjective Knowledge and the Eighth
    Amendment’s Deliberate Indifference Standard for Sexual Abuse in Prisons, 65
    N.Y.U. Ann. Surv. Am. L. 705, 708 (2010) (observing that in § 1983
    sexual-assault cases, “courts typically focus their attention on the attributes of the
    alleged aggressor in order to determine whether subjective knowledge of risk
    existed,” but contending nevertheless that “research shows that victim attributes
    are better indicators of the potential risk of sexual abuse”), and 
    Robb, supra, at 749
    (reporting that “research on rape indicates the majority of rapes are based on
    power dynamics”), with Anasseril E. Daniel, MD, Editorial, Care of the Mentally
    Ill in Prisons: Challenges and Solutions, 35 J. Am. Acad. Psychiatry & L. 406,
    409 (2007) (“A comprehensive review of national and international research
    clearly demonstrates that inmate suicide arises from a complex array
    of . . . self-reinforcing risk factors. . . . includ[ing] mental illness, substance
    abuse, prior serious suicide attempts, chronic stresses of incarceration . . . [and]
    acute psychosocial stressors . . . .” (footnote omitted)), and Katherine L. Smith,
    Comment, Lost Souls: Constitutional Implications for the Deficiencies in
    Treatment for Persons with Mental Illness in Custody, 42 Golden Gate U. L. Rev.
    497, 514 (2012) (noting that “there is a natural tension between providing inmates
    with their mental health needs and their right to refuse treatment”), and 
    Smith, supra, at 517
    (observing that “clinical assessment [of mental health] is subjective.
    . . . because the mental health assessment includes current symptoms that
    manifest differently for different people”).
    We recognize that, in at least one decision in the jail-suicide context, a
    panel of our court cited Tafoya and quoted its knowledge standard. See duBois v.
    (continued...)
    37
    Thus, Ms. Cox had the burden of establishing that Sheriff Glanz possessed
    no less than this particularized mental state with respect to Mr. Jernegan. See
    
    Gomez, 745 F.3d at 435
    (noting that the supervisor’s state of mind “‘can be no
    less than the mens rea required’ of [any of his] subordinates to commit the
    underlying constitutional violation.” (quoting 
    Porro, 624 F.3d at 1328
    )). As
    noted, Sheriff Glanz had no personal interaction with Mr. Jernegan or direct and
    contemporaneous knowledge of his treatment in July 2009. Therefore, insofar as
    he had knowledge sufficient to form the requisite mental state, it would have had
    to necessarily come from his subordinates. But, as demonstrated below, the
    record (even viewed in the light most favorable to Ms. Cox) does not establish
    that any identified Jail employee—including, notably, the two of central concern
    to Ms. Cox, namely, Ms. Taylor and Ms. Sampson—had knowledge that Mr.
    Jernegan presented a substantial risk of suicide. It follows ineluctably then that
    Sheriff Glanz could not have possessed such knowledge.
    11
    (...continued)
    Payne Cty. Bd. of Cty. Comm’rs, 543 F. App’x 841, 846 (10th Cir. 2013).
    However, even if it could be said that duBois embraced the Tafoya standard, we
    of course would not be bound by it, given its nonprecedential status and the fact
    that it was decided after July 2009. But we do not believe in any event that
    duBois could be read in this manner. Notably the panel there also cited Hocker
    and Barrie, see duBois, 543 F. App’x at 846, and when the time arrived to apply
    the law to the facts, the panel clearly relied on the mental state as established in
    those authorities in concluding that the sheriff and the jail administrator could not
    be held individually liable under the Eighth Amendment for deliberate
    indifference, see 
    id. at 848
    (noting that there was no evidence to “support the
    conclusion that [jail officials] knew, or should have known, of [the deceased
    inmate’s] condition”).
    38
    b
    In determining whether Ms. Cox has carried her evidentiary burden on the
    culpable-mind issue, for the reasons 
    noted supra
    , we necessarily focus on the
    interactions of Sheriff Glanz’s subordinates with Mr. Jernegan. Ms. Cox’s
    averments center on two subordinates: Ms. Taylor and Ms. Sampson. See Aplee.
    Br. at 9 (“Plaintiff further argued that two of the individual health care
    professionals responsible for Mr. Jernegan’s care at the Jail, Faye Taylor . . . and
    Sara Sampson . . . were deliberately indifferent to Mr. Jernegan’s serious mental
    health care needs.”). However, as demonstrated infra, the evidence does not
    indicate that either Ms. Taylor or Ms. Sampson possessed sufficient knowledge
    that would permit them to conclude that Mr. Jernegan presented a substantial risk
    of suicide.
    We first assess the quantum of knowledge of Ms. Taylor, who arguably
    spent more time communicating with Mr. Jernegan than any other named
    defendant. Viewed in the aggregate, Ms. Taylor’s clinical findings led her to
    conclude that Mr. Jernegan was not suicidal. Mr. Jernegan was alert and
    confident, and he exhibited a panoply of normal vital signs. When speaking to
    Ms. Taylor, he maintained direct eye contact and behaved in an “appropriate”
    manner, J.A. at 340 (Taylor Dep., dated Oct. 26, 2012)—while definitively telling
    her that he was not contemplating suicide, see 
    id. at 349
    (“[Mr. Jernegan] acted
    perfectly normal and he told me that he had never attempted suicide before. I
    39
    believed him there. I asked if he was suicidal now. He said no.”). She duly
    “inform[ed] [him] that treatment was available if he was to need it.” 
    Id. at 354.
    Later, Ms. Taylor recalled that she identified “nothing to act on” in terms of Mr.
    Jernegan’s medical record except for his reported diagnosis of paranoid
    schizophrenia, 
    id. at 342,
    though even then, he “gave [her] no indication that he
    was having further treatment” for that claimed ailment, 
    id. at 347.
    12
    Thus, based on the information Ms. Taylor obtained from speaking with
    and observing Mr. Jernegan, her recommendation of a “general population”
    assignment did not reflect deliberate indifference to Mr. Jernegan’s mental-health
    12
    By her own admission, Ms. Taylor was “not trained in mental
    health.” J.A. at 338. But the focus of our subjective inquiry under the deliberate-
    indifference standard is on what she actually knew. Before she could abate a
    substantial risk of suicide, she had to know about it. See Sealock v. Colorado,
    
    218 F.3d 1205
    , 1209 (10th Cir. 2000) (“The subjective component is met if a
    prison official ‘knows of and disregards an excessive risk to inmate health or
    safety.’” (quoting 
    Farmer, 511 U.S. at 837
    )); see also Heidtke v. Corr. Corp. of
    Am., 489 F. App’x 275, 283 (10th Cir. 2012) (“Before a physician can abate a
    risk, he must know of that risk.”). Ms. Taylor said that she elected not to refer
    Mr. Jernegan to the mental-health team because he could not “give [her] any . . .
    particulars” regarding his self-reported paranoid schizophrenia. J.A. at 348.
    Perhaps if Mr. Jernegan had provided Ms. Taylor with such particulars, she would
    have possessed sufficient information to trigger an Eighth Amendment obligation
    to refer Mr. Jernegan for further mental-health evaluation. However, we will
    never know because Mr. Jernegan did not provide Ms. Taylor with such
    particulars. Nor is there any support in the record for the view that, absent such
    communications from Mr. Jernegan, his alleged substantial risk of suicide would
    have been obvious to someone like Ms. Taylor, who lacked mental-health
    training. See Self v. Crum, 
    439 F.3d 1227
    , 1232 (10th Cir. 2006) (noting that “the
    subjective component [of the deliberate-indifference standard] is not satisfied,
    absent an extraordinary degree of neglect” and “[a] claim is therefore actionable
    only in cases where the need for additional treatment or referral to a medical
    specialist is obvious”).
    40
    needs and, more specifically, his risk of suicide. Altogether, under the totality of
    the circumstances, it is pellucid that Ms. Taylor had no knowledge that Mr.
    Jernegan presented a substantial risk of suicide. Consequently, Ms. Taylor could
    not have formed the requisite state of mind that would constitute deliberate
    indifference.
    Turning to Ms. Sampson, the mental-health employee apparently assigned
    to visit Mr. Jernegan on the morning of his death, we have even less information
    to evaluate with respect to her. The principal component of the record speaking
    to Ms. Sampson’s knowledge is her note in Mr. Jernegan’s file stating:
    “Attempted to see [inmate] but [inmate] had been re-located to J1 from F18. Plan
    to assess in J1.” 
    Id. at 372
    . Presumably, Ms. Sampson was aware of the reason
    for her visit—viz., Mr. Jernegan’s submission of a kiosk report claiming that he
    needed to “spe[a]k with someone about problems,” 
    id. at 362,
    and the subsequent
    standard automated response, which served as notice that he had been placed on
    the Jail’s mental-health call-out list. But these extremely vague data points miss
    the mark for purposes of deliberate indifference. Nothing about the limited
    information to which Ms. Sampson was privy would have reasonably, much less
    obviously, conveyed to her that Mr. Jernegan presented a substantial risk of
    suicide. See Self v. Crum, 
    439 F.3d 1227
    , 1232 (10th Cir. 2006) (“A claim is
    therefore actionable only in cases where the need for additional treatment or
    referral to a medical specialist is obvious.”); see also Sealock v. Colorado, 218
    
    41 F.3d 1205
    , 1209 (10th Cir. 2000). More specifically, because the parts of the
    record germane to Ms. Sampson’s knowledge indicate virtually nothing about the
    nature of Mr. Jernegan’s ostensible medical problem, they certainly could not
    support the conclusion that Ms. Sampson had knowledge that Mr. Jernegan posed
    a substantial risk of suicide. For that reason, we reject Ms. Cox’s argument that
    Ms. Sampson possessed the requisite mental state to constitute deliberate
    indifference.
    In sum, Ms. Cox has not demonstrated that either Ms. Taylor or Ms.
    Sampson had sufficient knowledge regarding Mr. Jernegan’s purported risk of
    suicide to be found to have acted with deliberate indifference toward the risk.
    Mr. Jernegan’s observable symptoms were susceptible to a number of
    interpretations; suicide may well have been one possibility, but the facts known to
    those with whom he interacted did not establish that it was a substantial one. Cf.
    Hott v. Hennepin Cty., 
    260 F.3d 901
    , 906 (8th Cir. 2001) (noting, in a case where
    the inmate denied suicidal ideation during booking, that “something more than an
    inmate’s gloomy affect is required to trigger a duty to inquire whether he is
    feeling suicidal”); Estate of Novack ex rel. Turbin v. Cty. of Wood, 
    226 F.3d 525
    ,
    530 (7th Cir. 2000) (noting, regarding an inmate who had been prescribed
    medication for obvious psychiatric problems, that “strange behavior alone,
    without indications that that behavior has a substantial likelihood of taking a
    suicidal turn,” could not give rise to deliberate-indifference liability). We cannot
    42
    say that Ms. Taylor—who directly interacted with Mr. Jernegan—understood Mr.
    Jernegan to be an inmate who presented a substantial risk of suicide. We likewise
    cannot say that Ms. Sampson possessed that particularized knowledge regarding
    Mr. Jernegan—especially given that, on Ms. Cox’s version of the facts, Ms.
    Sampson never directly interacted with Mr. Jernegan. In sum, we cannot say that
    these two Jail employees possessed the kind of knowledge that, under controlling
    circuit precedent, could form the basis of a deliberate-indifference claim in the
    jail-suicide context.
    At bottom, when confronting individual-capacity § 1983 claims, our “focus
    must always be on the defendant—on the . . . injury he inflicted or caused to be
    inflicted, and on his motives. This is because § 1983 isn’t a strict liability
    offense.” 
    Porro, 624 F.3d at 1327
    . As noted, Sheriff Glanz had no personal
    interaction with Mr. Jernegan or direct and contemporaneous knowledge of his
    treatment in July 2009. Therefore, insofar as he had knowledge sufficient to form
    the requisite mental state, it would have had to necessarily come from his
    subordinates, notably Ms. Taylor or Ms. Sampson. Because they did not possess
    such knowledge, the conclusion inexorably follows that Sheriff Glanz could not
    have possessed such knowledge. Accordingly, though we have not ignored Ms.
    Cox’s strong assertions regarding the systemic failings of the Jail’s mental-health
    screening and treatment protocols, which quite understandably troubled the
    district court, we conclude that Ms. Cox has nevertheless failed to establish that
    43
    Sheriff Glanz acted as to Mr. Jernegan with the requisite mental state to constitute
    deliberate indifference. In other words, she has not carried her burden regarding
    the essential subjective component of the deliberate-indifference standard.
    In sum, for the reasons stated, we cannot conclude that Sheriff Glanz’s
    conduct constituted an Eighth Amendment violation under the law that was
    clearly established at the time of Mr. Jernegan’s death. Therefore, Ms. Cox
    cannot satisfy the clearly-established-law component of the qualified-immunity
    standard. We must accordingly reverse the district court’s denial of qualified
    immunity to the Sheriff on Ms. Cox’s individual-capacity claim under § 1983.
    B
    Next, Sheriff Glanz challenges the district court’s denial of summary
    judgment to him on Ms. Cox’s official-capacity § 1983 claim. This species of
    claim “represent[s] only another way of pleading an action against an entity of
    which an officer is an agent.” Monell v. Dep’t of Soc. Servs., 
    436 U.S. 658
    , 690
    n.55 (1978). Under Monell, a local governmental unit such as a municipality or a
    county, like Tulsa County, “is a ‘person’ subject to § 1983 liability,” McDonald v.
    Wise, 
    769 F.3d 1202
    , 1215 (10th Cir. 2014), and a “suit against Sheriff [Glanz] in
    his official capacity as sheriff is the equivalent of a suit against [Tulsa] County,”
    
    Lopez, 172 F.3d at 762
    .
    On appeal, Sheriff Glanz contends that the district court “erred when it
    denied [his] Motion for Summary Judgment because [his official] policies,
    44
    patterns or practices . . . were not the moving force behind any alleged
    constitutional deprivation of Mr. Jernegan.” Aplt. Opening Br. at 4; see City of
    Canton v. Harris, 
    489 U.S. 378
    , 389 (1989) (holding that a county “can be liable
    under § 1983 only where its policies are the ‘moving force [behind] the
    constitutional violation’” (alteration in original) (citations omitted)). The Sheriff
    likewise argues that the court “erred when it denied [his] Motion for Summary
    Judgment on . . . institutional liability in the absence of any underlying
    [constitutional] violation.” Aplt. Opening Br. at 5; see City of 
    Canton, 489 U.S. at 395
    (noting that imposing official-capacity § 1983 liability is not appropriate
    “absent . . . a very close causal connection to [some] violation of constitutional
    rights”). He consequently presents for our review arguments concerning the
    overarching policymaking and policy-implementation procedures of the county,
    which are typically focal points in an official-capacity-liability inquiry. As we
    have specifically explained, this type of claim requires “the plaintiff [to] prove
    (1) the entity executed a policy or custom (2) that caused the plaintiff to suffer
    deprivation of constitutional or other federal rights.” Moss v. Kopp, 
    559 F.3d 1155
    , 1168 (10th Cir. 2009); see also Whitesel v. Sengenberger, 
    222 F.3d 861
    ,
    870 (10th Cir. 2000).
    All of the foregoing considerations aside, however, Sheriff Glanz faces a
    problem that necessarily precedes any inquiry concerning Tulsa County’s
    policymaking apparatus or the commission vel non of a constitutional violation.
    45
    That problem stems from the fact that his appeal is interlocutory—and, although
    (as discussed at some 
    length supra
    ) an interlocutory appeal is proper under
    certain circumstances from a district court’s denial of qualified immunity, see
    
    Fancher, 723 F.3d at 1198
    –99, “[n]o such right of appeal applies to [a county’s]
    appeal” from the denial of summary judgment, Walter v. Morton, 
    33 F.3d 1240
    ,
    1242 (10th Cir. 1994). The reason for this distinction is that “[t]he denial of a
    motion for summary judgment, unrelated to qualified immunity, is not a final
    action.” 
    Walter, 33 F.3d at 1242
    (emphasis added); see also Lynch v. Barrett, 
    703 F.3d 1153
    , 1163 (10th Cir. 2013) (noting that a court’s denial of a local
    governmental entity’s “standard motion for summary judgment[,]. . . . a motion
    which raised a ‘mere defense to liability[,]’ . . . does not constitute a final
    decision under § 1291 and is not appealable as such” (quoting Swint v. Chambers
    Cty. Comm’n, 
    514 U.S. 35
    , 43 (1995))). Further, under well-settled precedent,
    ordinarily an official-capacity defendant—who is not entitled to rely upon
    qualified immunity, see Beedle v. Wilson, 
    422 F.3d 1059
    , 1069 (10th Cir.
    2005)—cannot pursue an interlocutory appeal as a matter of right, because he
    “cannot invoke the collateral order doctrine to justify appeal of an otherwise
    nonappealable decision,” Moore v. City of Wynnewood, 
    57 F.3d 924
    , 929 (10th
    Cir. 1995).
    Nonetheless, “[w]e have previously recognized the doctrine of pendent
    appellate jurisdiction, under which we exercise jurisdiction over an otherwise
    46
    nonfinal and nonappealable lower court decision that overlaps with an appealable
    decision.” 
    Moore, 57 F.3d at 929
    ; accord Crowe & Dunlevy, P.C. v. Stidham, 
    640 F.3d 1140
    , 1148 (10th Cir. 2011). The doctrine is “discretionary, [and] the
    exercise of pendent appellate jurisdiction ‘is generally disfavored.’” Armijo ex
    rel. Chavez v. Wagon Mound Pub. Sch., 
    159 F.3d 1253
    , 1264 (10th Cir. 1998)
    (quoting 
    Moore, 57 F.3d at 929
    ); accord Timpanogos Tribe v. Conway, 
    286 F.3d 1195
    , 1200 (10th Cir. 2002); see also Bryson v. Gonzales, 
    534 F.3d 1282
    ,
    1285–86 (10th Cir. 2008) (“Pendent appellate jurisdiction is . . . disfavored in the
    qualified immunity context.”).
    As the Supreme Court has suggested, our discretionary exercise of pendent
    jurisdiction over an otherwise unappealable (i.e., pendent) claim “may be
    appropriate where a district court’s decision on a pendent claim was ‘inextricably
    intertwined’ with the district court’s decision on a non-pendent claim, or ‘where
    [appellate] review of the former [is] necessary to ensure meaningful review of the
    latter.’” Crowe & 
    Dunlevy, 640 F.3d at 1148
    (alterations in original) (quoting
    
    Swint, 514 U.S. at 51
    ). We exercise this discretionary authority sparingly, see
    
    Moore, 57 F.3d at 930
    (characterizing Swint as a “narrow avenue for the
    continued use of pendent appellate jurisdiction left open by” the Supreme Court),
    and “[w]e have interpreted Swint to mean that the exercise of our pendent
    appellate jurisdiction is only appropriate [1] when ‘the otherwise nonappealable
    decision is inextricably intertwined with the appealable decision, or [2] where
    47
    review of the nonappealable decision is necessary to ensure meaningful review of
    the appealable one,’” Crowe & 
    Dunlevy, 640 F.3d at 1148
    (quoting Tarrant Reg’l
    Water Dist. v. Sevenoaks, 
    545 F.3d 906
    , 915 (10th Cir. 2008)). Further, “[t]o be
    inextricably intertwined, . . . the pendent claim must be ‘coterminous with, or
    subsumed in,’ the claim properly before the court.” Lee v. Nicholl, 
    197 F.3d 1291
    , 1297 (10th Cir. 1999) (quoting 
    Moore, 57 F.3d at 929
    ).
    Sheriff Glanz has not asked us to exercise our discretion to assume pendent
    jurisdiction over the official-capacity claim in this interlocutory appeal, and we
    “will not make arguments for [him] that [he] did not make in [his appellate]
    briefs.” O’Neal v. Ferguson Constr. Co., 
    237 F.3d 1248
    , 1257 n.1 (10th Cir.
    2001). But quite apart from that failing, we harbor grave doubt as to the propriety
    of exercising pendent jurisdiction over this claim. In other words, we question
    whether either of the two accepted rationales for exercising pendent appellate
    jurisdiction could be established here—i.e., interrelatedness of claims or the need
    to ensure meaningful review of a properly appealable claim.
    First, we strongly doubt that Ms. Cox’s pendent (i.e., official-capacity) and
    non-pendent (i.e., individual-capacity) claims are interrelated. We generally will
    allow “a suit [against the county] to proceed when immunity [based on a lack of
    clearly established law] shields the individual defendants.” 
    Lynch, 703 F.3d at 1164
    (second alteration in original) (quoting Watson v. City of Kan. City, 
    857 F.2d 690
    , 697 (10th Cir. 1988)). This is because, as we suggested in Moore,
    48
    when we resolve an individual-capacity § 1983 claim on the clearly-established-
    law prong of qualified immunity, our analysis often, as a matter of law, does not
    turn on issues inextricably intertwined with those implicated by an official-
    capacity claim arising out of the same facts. 
    See 57 F.3d at 930
    (“[T]he
    [governmental entity’s] appeal might present different issues than [the individual
    defendant’s] appeal if we conclude[] that . . . [the individual defendant] was
    protected by qualified immunity because th[e plaintiff’s constitutional] rights
    were not clearly established.”); see also 
    Lynch, 703 F.3d at 1163
    –64 (“Moore
    tells us that if we had held in this case that Defendant Officers’ conduct did not
    violate Plaintiff’s constitutional right . . . , that holding would have resolved any
    issue presented by Defendant City’s appeal. . . . But because we assumed
    Defendant Officers violated Plaintiff’s right . . . and held they were entitled to
    qualified immunity based on the lack of clearly established law, Defendant City’s
    appeal i[s] not ‘inextricably intertwined’ with Defendant Officer’s appeal.”
    (citations omitted)). Stated otherwise, even if the Sheriff had sought pendent
    appellate jurisdiction, we would be inclined to reject his request on the ground
    that determining his entitlement vel non to qualified immunity here implicates an
    issue distinguishable from the official-capacity inquiry. And that specific
    qualified-immunity issue, as 
    discussed supra
    , is whether the challenged conduct
    constituted an Eighth Amendment violation under clearly established law existing
    in July 2009.
    49
    Additionally, we can undertake—indeed we have undertaken in Part III.A,
    supra—a meaningful analysis of Sheriff Glanz’s appeal from the denial of
    qualified immunity (i.e., the non-pendent claim) without exercising pendent
    jurisdiction over the official-capacity claim. Our determination that Sheriff Glanz
    is entitled to qualified immunity on the individual-capacity § 1983 claim, as we
    have discussed at length, turns on whether Sheriff Glanz’s conduct and that of his
    identified subordinates with respect to Mr. Jernegan constituted an Eighth
    Amendment deliberate-indifference violation under then-extant clearly
    established law. We were not required to decide the core issues implicated in the
    official-capacity § 1983 claim, which include whether, under our current law,
    that challenged conduct as regards Mr. Jernegan gave rise to an Eighth
    Amendment violation. Therefore, as shown from our 
    analysis supra
    , we have
    grave doubt that there would be any appropriate basis for our exercise of pendent
    jurisdiction over the official-capacity claim.
    Ultimately, under our controlling circuit precedent, “[t]here is nothing
    anomalous about allowing . . . a suit [against an official defendant] to proceed
    when immunity [based on a lack of clearly established law] shields the individual
    defendants.” 
    Lynch, 703 F.3d at 1164
    (third alteration in original) (omission in
    original) (quoting 
    Watson, 857 F.2d at 697
    ). The foregoing applies with equal
    force to this appeal: Sheriff Glanz does not ask us to exercise pendent appellate
    jurisdiction over the official-capacity claim, and we perceive no reasoned basis to
    50
    do so sua sponte. As a result, “[n]othing at this point prevents [Ms. Cox’s] claim
    against [the Sheriff in his official capacity] from proceeding.” 
    Id. We thus
    decline to exercise pendent jurisdiction over Ms. Cox’s official-capacity claim.
    And, because the pendent-jurisdiction doctrine is the only legally cognizable
    jurisdictional foothold for this claim, we are constrained to dismiss this aspect of
    the Sheriff’s appeal for lack of appellate jurisdiction. 13
    13
    In our view, Sheriff Glanz is not situated to claim any unfairness
    associated with our determination that we lack jurisdiction to review the district
    court’s resolution of Ms. Cox’s official-capacity claim. As 
    discussed supra
    , the
    Sheriff confined his appellate briefing to the issue of whether any alleged
    constitutional right would have been clearly established at the time Mr. Jernegan
    committed suicide, and we have honored his strategic choice in assessing the
    merits of this appeal. One consequence of this choice, however, is the creation of
    a disconnect between the individual-capacity and official-capacity claims that
    renders these claims’ core issues distinguishable. And this disconnect,
    occasioned by the Sheriff’s own presentation of his appellate arguments, sounds
    the death knell for the official-capacity aspect of his appeal, which we ultimately
    dismiss.
    Morever, although Ms. Cox does not contend that Sheriff Glanz cannot
    properly avail himself of the pendent-jurisdiction doctrine to interlocutorily
    appeal from the district court’s denial of summary judgment on her official-
    capacity claim, it is clear that her silence on the matter is of no moment. See,
    e.g., United States v. Battles, 
    745 F.3d 436
    , 447 (10th Cir.) (“It is axiomatic that
    we are obliged to independently inquire into the propriety of our jurisdiction.”
    (emphasis added)), cert. denied, --- U.S. ----, 
    135 S. Ct. 355
    (2014); United States
    v. Torres, 
    372 F.3d 1159
    , 1161 (10th Cir. 2004) (“Although the government has
    not challenged our jurisdiction to hear this appeal, ‘it is the duty of the federal
    court to determine the matter sua sponte.’” (quoting Basso v. Utah Power & Light
    Co., 
    495 F.2d 906
    , 909 (10th Cir. 1974))).
    51
    IV
    For the foregoing reasons, we REVERSE the district court’s denial of
    summary judgment to Sheriff Glanz on Ms. Cox’s individual-capacity Eighth
    Amendment claim and REMAND with instructions to the court to enter judgment
    in favor of Sheriff Glanz on this claim (that is, to grant him qualified immunity).
    We DISMISS the portion of the appeal relating to the district court’s denial of
    summary judgment to Sheriff Glanz on Ms. Cox’s official-capacity claim for lack
    of appellate jurisdiction and REMAND for further proceedings consistent with
    this opinion.
    52