# United States Court **of Appeals** 
**f or the Fifth Circuit** 

No. 19

- 10798

**Patsy K. Cope; Alex Isbell,** as Dependent Administrator of and, on behalf of **Estate of Derrek Quinton Gene Monroe, and his**
**heirs at law,**

Plaintiffs

— Appellees **,**

versus

**Leslie W. Cogdill; Mary Jo Brixey; Jessie W. Laws,**

Defendants

— Appellants

**.**

Appeal from the United States District Court for the Northern District of Texas USDC No. 6:18

- CV

- 15

Before **Stewart, Dennis,** and **Haynes,** Circuit Judges

**. Haynes,**  Circuit Judge **:** This appeal concerns whether three officers employed by the Coleman County Jail are entitled to qualified immunity for claims regarding Derrek Monroe’s death by suicide that occurred at the jail. 1 The district
court determined that the officers were not entitled to qualified immunity.

1 The suit was filed by Monroe’s estate and his mother, Pa tsy Cope. United States Court of Appeals Fifth Circuit 

### FILED July 2, 2021
Lyle W. Cayce Clerk Case: 19-10798 Document: 00515925058 Page: 1 Date Filed: 07/02/2021No. 19

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2 For the following reasons, we REVERSE its holding and RENDER judgment
in the officers’ favor.

Background

Monroe was arrested on September 29, 2017, and booked at the Coleman County Jail. A screening form completed during intake indic ated that Monroe said he “wished [he] had a way to” kill himself that day and that Monroe had attempted suicide two weeks prior. The form also indicated that Monroe had previously received psychiatric services, had been diagnosed
with “some sort of schizo phrenia,” and displayed other signs of mental illness and emotional disturbance. Jail Administrator Mary Jo Brixey put Monroe on a temporary “suicide watch.” That afternoon, Monroe had a medical emergency, and he was taken to the Coleman County Medical

C enter for treatment.
Monroe returned to the jail the next day. Cope alleges that “ only
about 1 7 minutes after returning to the Coleman County Jail [,] .

. . [Monroe] attempted to commit suicide b y hanging .” This attempt was unsuccessful. Cope alleges that Sheriff Leslie Cogdill spoke with Monroe and sought the intake form reflecting Monroe’s mental health issues. Instead of seeking emergency admission at a facility providing mental health treatment, Cog dill and Jailer Jessie Laws continued to hold Monroe in his cell.
On October 1, Laws began his shift at 7:00 a.m., as the only jailer on duty. The jail typically has two jailers on duty during weekdays but only one during nights and weekends due to budge tary considerations. The following
incidents occurred 2 between 8:20 and 9:00 a.m.:

2 These events were captured on jail surveillance video. Case: 19-10798 Document: 00515925058 Page: 2 Date Filed: 07/02/2021No. 19

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3 Laws had a discussion with Monroe. A few minutes later, Monroe went to the phone in his cell and appeared to do something with it, and Laws then spoke to Monroe through the cell bars. After Laws unlocked Monroe’s cell, Monroe exited the cell and walked toward a shower area, and Laws followed. A few minutes later, Monroe returned to his cell, and Laws locked the cell door and pocketed the key. Then, Monroe started to ov erflow his toilet, prompting Laws to turn off a water valve near the ceiling, which shut off water to Monroe’s cell. Monroe became visibly angry and appeared to beat the toilet in his cell with a toilet plunger. Laws then began mopping the
area outside o f Monroe’s cell. While Laws mopped, Monroe remained visibly upset, slamming the phone receiver against the wall several times.
Monroe wrapped the phone cord around his neck around 8:37 a.m., while Laws continued mopping. As Monroe strangled himself with the cord, Laws made a phone call to Brixey. Laws did not call Emergency Medical Services. About a minute or two after the strangulation began, Monroe’s body stopped moving. Throughout the next five minutes, Laws looked into the cell several times, but he never unlocked or entered it.
After Brixey arrived at the jail around 8:47 a.m., Laws took the cell key out of his pocket, unlocked and entered the cell, and unwrapped the cord from Monroe’s body. Neither Laws nor Brixey attempted to resuscitate

Monr oe, but they called paramedics, who began performing chest compressions around 8:54 a.m. Monroe was taken to the hospital, where he died the following day.
Cope sued Cogdill, Brixey, and Laws, alleging that they violated the
Fourteenth Amendment’s Due Pr ocess Clause because they were objectively Case: 19-10798 Document: 00515925058 Page: 3 Date Filed: 07/02/2021No. 19

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4 unreasonable in their treatment of a pretrial detainee and denied Monroe appropriate medical care. 3
Cogdill, Brixey, and Laws moved for summary judgment on the basis of qualified immunity. The district court de nied the motion. As to Laws, the
district court determined that “ watching Monroe wrap the phone cord around his neck and then failing to assist Monroe to free him from the cord
will have to be analyzed by a jury to determine whether his conduct was

reason able under the circumstances .” As to Cogdill and Brixey, the district court determined that they were not entitled to qualified immunity because

“ evidence clearly demonstrates a high and obvious risk of suicide by maintaining a policy of housing suicidal inmates in a cell with a phone (and attached cord) .” Cogdill, Brixey, and Laws timely filed an interlocutory appeal.

Jurisdiction & Standard of Review

“Although a denial of a defendant ’ s motion for summary judgment is ordinarily not immediately appealabl e, the Supreme Court has held that the denial of a motion for summary judgment based upon qualified immunity is a collateral order capable of immediate review.” Kinney v. Weaver , 367 F.3d 337, 346 (5th Cir. 2004) (en banc)

.
We review the district court’s denial of summary judgment de novo and apply the same legal standard as the district court. Estate of Henson v.
Wichita Cnty. , 795 F.3d 456, 461 (5th Cir. 2015)

. Summary judgment is appropriate if “there is no genuine dispute as to any material fact and the

movant is entitled to judgment as a matter of law. ” F ED

. R. C IV

. P. 56(a). “A dispute about a material fact is ‘genuine’ if the evidence is such that a

3 Cope also sued Coleman County, alleging unconstitutional patterns or practices. The allegations against the county are not at issue here. Case: 19-10798 Document: 00515925058 Page: 4 Date Filed: 07/02/2021No. 19

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5 reasonable jury could return a verdict for the non

- moving party.” Shackelford
v. Deloitte & Touch e, LLP , 190 F.3d 398, 403 (5th Cir. 1999) . Since this is an interlocutory appeal, we lack jurisdiction to determine whether any factual disputes are genuine, and we only consider, as a matter of law, if they are
material. Trent v. Wade , 776 F.3d 368, 376 (5th Cir. 2015).

Discussion

Legal Standards

1. Qualified Immunity

“The doctrine of qualified immunity protects government officials from civil damages liability when their actions could reasonably have been believed to be legal.” Morgan v. Swanson , 659 F.3d 359, 370 (5th Cir. 2011) (en banc) . There are two aspects to qualified immunity: whether the plaintiff has alleged a violation of a constitutional right and whether the right at issue was “clearly established” at the time of the alleged violation. Pearson v.
Callahan , 555 U.S. 223, 232 (2009) (citation omitted). Courts retain flexibility as to which step of the two

- step process they consider first. Id. at 236. Still, often “ the better approach to resolving cases in which the defense of qualified immunity is raised is to determine first whether the plaintiff has alleged a deprivation of a constitutional right at all. ” C n ty. o f Sacramento v.
Lewis , 523 U.S. 833, 84 1 n.5 (1998) . This is especially true “ with respect to questions that d o not frequently arise.” Pearson , 555 U.S. at 236

. We are bound by the restrictive analysis of “clearly established” set forth in numerous Supreme Court precedents. A right is “clearly established” if it is “one that is sufficiently clear that every reasonable official
would have understood that what he i s doing violates that right.” Mullenix

v. Luna , 577 U.S. 7, 11 (2015) (per curiam) (internal quotation marks and citation omitted) ; (addressing pretrial detainee) . Courts must not “define Case: 19-10798 Document: 00515925058 Page: 5 Date Filed: 07/02/2021No. 19

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6 clearly established law at a high level of generality”; instead, their “inquiry must be undertaken in light of the specific context of the case.” Id. at 12 (internal quotation marks and citations omitted). Therefore, unless existing precedent “squarely governs” the conduct at issue , an official will be entitled

to qua lified immunity. See Brosseau v. Haugen , 543 U.S. 194, 201 (2004) (per curiam); Mullenix , 577 U.S. at 12 (emphasizing that “[t]he dispositive question is whether the violative nature of particular conduct is clearly established” (internal quotation marks and citation omitted)).
Generally, to satisfy this standard, the plaintiff must “identify[] a case in which an officer acting under similar circumstances was held to have violated the [Constitution], and .



### . . explain[] why the case clearly proscribed

th e conduct of that individual officer.” Joseph ex rel. Estate of Joseph v.
Bartlett , 981 F.3d 319, 345 (5th Cir. 2020) (concluding the defendants were entitled to qualified immunity because the plaintiffs failed to identify an analogous case). While an ex act case on point is not required, the confines of the officers’ violation must be “beyond debate.” Baldwin v. Dorsey , 964 F.3d 320, 326 (5th Cir. 2020) (internal quotation marks and citation omitted), cert. denied , 141 S. Ct. 1379 (2021) (mem.). Broad ge neral propositions are not enough to overcome qualified immunity. 4 Id.

4 The crux of the dissent ing opinion is its rej ection of this well

- established rule. According to the dissent ing opinion , “in the context of a deliberate indifference claim, clearly established rights may be defined generally.” Dissent ing Op. at 13 n.6. The dissent ing opinion reaches this conclusion almost entirely based on its reading of Jacobs v. West Feliciana Sheriff’s Department , 228 F.3d 338 (5th Cir. 2000) , which supposedly denied qualified immunity on two deliberate indifference claims without identifying any factually analogous cases, Dissent ing Op. at 12

– 13, 13 n.6. But nowhere in Jacobs did we purport to decide the question of the degree of specificity at which a clearly established right must be defined , and we certainly did not make any statements suggesting that deliberate indifference claims are subject to a different analysis than other claims

. Perhaps more importantly, Jacobs preceded a series of Supreme Court decisions demand ing a high degree of specificity and the identification of an analogous case to overc ome qualified immunity

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7 Supreme Court cases have been repeated and consistent on this high standard at the second prong. For example, in Mullenix , despite indications
that the officer was told to stand down and he nonetheless shot from a bridge at a moving car on the street, the Court concluded qualified immunity was appropriate. 577 U.S. at 9

– 10, 19. Similarly, in Kisela v. Hughes , the Court determined that a police officer was entitled to qualified immunity after he repeatedly shot a woman who, although holding a kitchen knif e, was apparently calm and was separated from the officer by a chain

- link fence with a locked gate. 138 S. Ct. 1148, 1151

– 52, 1154

– 55 (2018) (per curiam); see also

Brosseau , 543 U.S. at 196

– 97, 201 (ruling that a police officer did not violate a clearly e stablished right when she shot a fleeing suspect in the back).
It might seem that things changed with the recent opinion in Taylor v. Riojas , 141 S. Ct. 52 (2020) (per curiam). But, instead, that decision emphasizes the high standard. In Taylor , the Su preme Court vacated our grant of qualified immunity to a group of corrections officers for an alleged Eighth Amendment violation. 141 S. Ct. at 53. But that was based upon the

E.g. White v. Pauly , 137 S. Ct. 548, 552 (2017) (per curiam); Mullenix , 577 U.S. at 12

. Regardless of what Jacobs may have done twenty

- one years ago, we must enforce the heightened requirements that the Supreme Court has set forth in its recent qualified immunity decisions. Given the clear and unequivocal language used by the Supreme Court in imposing these requirements, we see no basis for recognizing a special exception for deliberate indifference claims

. Moreover, as the diss ent ing op inion recognizes, we have applied the high

- specificity rule to deliberate indifference claims before. See Dissent ing Op. at 13 n.6 (citing Cleveland v. Bell , 938 F.3d 672, 677 (5th Cir. 2019)). Even if these precedents are “misguided,” as the dissent ing opinion claims, Dissent ing Op. at 13 n.6, they are nonetheless binding. See, e.g. , Mercado v. Lynch , 823 F.3d 276, 279 (5th Cir. 2016) (per curiam) ( “Under our rule of orderliness , one panel of our court may not overturn ano ther panel's decision, absent an intervening change in the law, such as by a statutory amendment, or the Supreme Court, or our en banc court.” (quotation omitted)). Rather than follow the dissent ing opinion ’s foreclosed approach, we proceed in accordance with the detailed directives of the Supreme Court. Case: 19-10798 Document: 00515925058 Page: 7 Date Filed: 07/02/2021No. 19

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8 Supreme Court’s conclusion of how “particularly egregious” and over the top th e misconduct at issue was: the officers had allegedly placed the plaintiff, an inmate, in a cell covered in “massive amounts of feces” for four days, only to transfer him to a “frigidly cold cell” where he was “left to sleep naked in sewage.” Id. (interna l quotation marks and citation omitted). Further, the officers acted with a marked callousness; for example, when placing the plaintiff in the second cell, one officer allegedly said that he hoped the plaintiff “would f***ing freeze.” Id. at 54 (internal quotation marks and citation omitted). Accordingly, under Taylor , plaintiffs are only excused of their obligation to identify an analogous case in “extreme circumstances”
where the constitutional violation is “obvious.” Id. at 53

– 54 (internal quotation m arks and citation omitted); see also Joseph , 981 F.3d at 330 (explaining that the Supreme Court’s qualified immunity precedents allow for the “rare possibility that, in an obvious case, analogous case law is not
needed because the unlawfulness of the chall enged conduct is sufficiently clear” (cleaned up)).

2. Pretrial Detainees’ Right to Medical Care

“ The constitutional rights of a pretrial detainee are found in the procedural and substantive due process guarantees of the Fourteenth
Amendment .” Estate of He nson , 795 F.3d at 462 . A state may detain defendants for trial; its “ exercise of its power to hold detainees and prisoners, however, brings with it a responsibility under the U.S. Constitution to tend
to essentials of their well

- being .” Hare v. City of Corinth , 74 F.3d 633, 638

– 39 (5th Cir. 1996 ) (en banc).

“S uicide is an objectively serious harm implicating the state ’ s duty to provide adequate medical care. ” Arenas v. Calhoun , 922 F.3d 616, 621 (5th Cir. 2019) . We have articulated “ proper legal measur es of a State ’ s duty to tend to a pretrial detainee posing a risk of suicid e,” which depend on whether Case: 19-10798 Document: 00515925058 Page: 8 Date Filed: 07/02/2021No. 19

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9 the plaintiff challenges the conditions of confinement or if he alleges episodic
acts or omissions. Hare , 74 F.3d at 643.

When, as in this case , “ a pret rial detainee ’ s claim is based on a jail
official ’ s episodic acts or omissions, the proper inquiry is whether the official had a culpable state of mind in acting or failing to act .” 5 Id. An official

“ violates a pretrial detainee ’ s constitutional right t o be secure in his basic human needs only when the official had subjective knowledge of a substantial risk of serious harm to the detainee and responded to that risk with deliberate
indifference .” Estate of Henson , 795 F.3d at 464 ( internal quotation mark s and citation omitted ) . Although deliberate indifference is a high bar and requires egregious conduct, plaintiffs need not prove that the official acted
with the intent to cause harm. Farmer v. Brennan , 511 U.S. 825, 835 (1994) (stating that deliberate indifference “ is satisfied by something less than acts or omissions for the very purpose of causing harm or with knowledge that
harm will result” ). “Deliberate indifference is an extremely high standard to

meet” but can be satisf ied by a “wanton disregard for [an inmate’s] serious
medical needs.” Domino v. Tex. Dep ’ t of Criminal Justice , 239 F.3d 752, 756 (5th Cir. 2001). In the context of inmate suicide, “ to defeat qualified immunity, the plaintiffs must establish that the offi cers

. . . were aware of a substantial and significant risk that [the detainee] might kill [ h im] self, but

5 In contrast, if a pretrial detainee challenges “general conditions, practices, rules, or restrictions of pretrial confinement,” we evaluate whether the condition was “reasonably related to a legitimate governmental objective.” Hare , 74 F.3d at 644

– 47; see also Bell v. Wolfish , 441 U.S. 520, 539 (1979). Conditions of confinement may be explicit (for example, rules about disciplinary segregation) or they may be de facto (that is, acts that are proven to be a pervasive practice). Estate of Henson , 795 F.3d at 463. Conditions are
not “reasonably related to a legitimate governmental objective” if they are “arbitrary or purposeless”; in that case, “a court permissibly may infer that the purpose of the
gove rnmental action is punishment that may not constitutionally be inflicted upon detainees.” Bell , 441 U.S. at 539. “[T]here is no rule barring a plaintiff from pleading both alternative theories.” Estate of Henson , 795 F.3d at 464

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10 effectively disregarded it .” Jacobs v. W. Feliciana Sheriff ’ s Dep’t , 228 F.3d 388, 395 (5th Cir. 2000)

. When multiple officials are named as defendan ts, we “ evaluate each
officer ’ s actions separately, to the extent possible. ” Poole v. City of Shreveport , 691 F.3d 624, 628 (5th Cir. 2012) . Accordingly, each officer’s actions are discussed separately, to the extent possible, below. 6

Laws’s Actions

Law s’s actions fall under a “deliberate indifference” standard “[b]ecause the focus of the claim is one individual ’ s misconduct .” Shepherd
v. Dall . Cnty. , 591 F.3d 445, 452 (5th Cir. 2009) . If this case went to trial, then, the questions would be whether Laws (1) “ had subjective knowledge of
a substantial risk of serious harm ” 7 and (2) “ responded to that risk with

6 In her brief, Cope addresses her claims against Cogdill and Brixey together. The claims center on supervisory decisions made at the jail, and it is unclear exactly who was responsible for each decision. During oral argument, Defendants’ counsel conced ed that Brixey “was not involved in placing [Monroe] in the cell.” As Cope’s claim against Brixey is predicated on Brixey’s involvement in this placement decision, then counsel’s concession demonstrates that Brixey should prevail. See Ashcroft v. Iqbal , 556 U.S. 662, 675 (2009) (explaining that “[b]ecause vicarious liability is inapplicable to Bivens and § 1983 suits, a plaintiff must [show] that each Government

- official defendant, through the official’s own individual actions, has violated the Constitution” ). However, since we conclude that she is entitled to qualified immunity either way, we need not analyze this issue further

.

7 Cope argues that the Supreme Court announced an objective standard for pretrial detainees and that the standard of reasonableness employed here should be objective, not subjective. She relies on Kingsley v. Hendrickson , 576 U.S. 389 (2015). But Kingsley did not address claims regarding medical treatment. Rather, the Supreme Court held that plaintiffs alleging excessive force must show that the force was objectively excessive. Id. at 396

– 97. Since Kingsley discussed a different type of constitutional claim, it did not abrogate our deliberate

- indifference precedent. Thus, Cope must prove subjective knowledge. See Hare , 74 F.3d a t 643 . We recently clarified, however, that subjective intent of harm does not have to be proven. Dyer , 964 F.3d at 380. Case: 19-10798 Document: 00515925058 Page: 10 Date Filed: 07/02/2021No. 19

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11 deliberate indifference .” Estate of Henson , 795 F.3d at 464 ( internal quotation
marks and citation omitted ) . At the very least, Cope has presented sufficient evidence to create a genuine dispute of material fact as to whether Laws had subjective knowledge of the risk of serious harm. Brixey testified that Laws called her saying that Monroe was trying to hang himself. Just one day prio r, Laws had witnessed Monroe attempt suicide by hanging. Notably, Laws appears to concede the point, stating “[t] here is no dispute that Laws knew Monroe was potentially suicidal the morning of the suicide. ” In the context of deliberate indifference, the question is “whether the unlawfulness of the Officers’ conduct was clearly established at the time.” Dyer v. Houston , 964 F.3d 374, 383 (5th Cir. 2020) (quoting District of Columbia v. Wesby , 138 S. Ct. 577, 589 (2018)) (alteration and internal quotation marks omitted).
Therefore , our analysis turns to this second prong: whether the unlawfulness was clearly established.

1. Waiting to Enter Monroe’s Cell Until Back

- Up Arrived

The first issue we address is whether Laws’s failure to immediately
intervene afte r Monroe strangled himself and decision to instead wait until another jailer arrived was constitutionally unlawful under clearly established
law. Laws’s decision not to enter Monroe’s cell was in line with his training and the jail’s policy that jailers n ot enter the cell until back up arrives. Cope argues that, notwithstanding the policy, Laws should have requested permission to enter the cell when he called Brixey and that even if Brixey denied permission, Laws should have entered the cell to render aid because failing to do so unconstitutionally deprived Monroe of medical assistance.

To violate the constitution in this context, Laws must have

“ effectively disregarded ” the risk to Monroe’s health. Jacobs , 228 F.3d at
395 . After Monroe began strangling himself, Laws called Brixey. O nce Brixey arrived, L aws entered the cell to unwrap Monroe’s body from the Case: 19-10798 Document: 00515925058 Page: 11 Date Filed: 07/02/2021No. 19

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12 cord. 8 Waiting for Brixey to arrive was in line with the jail’s policy, and we have held that a jailer supervising a suicidal inmate acted reasonably when he

“ essentially follow [ed] orders ” and “ the orders he received

. . . were not facially outrageous .” Id. at 398 . Moreover, i n affirming a grant of qualified immunity in an inmate

- suicide case in which the prison official waited for help to arrive, we recently stated that requiring a jailer to enter a cell without
back

- up “would create an unenviable Catch

- 22: E ither enter the cel l alone and risk potential attack, or take appropriate precautions and incur liability under § 1983.” Arenas , 922 F.3d at 621.
We conclude that Laws’s decision to wait for Brixey before entering the cell did not violate any clearly established constitut ional right

. Specifically, it would not be “ sufficiently clear that every reasonable official
would have understood that ” waiting for a backup officer to arrive in accordance with prison policy “ violates [a pretrial detainee’s] right.” See
Mullenix , 577 U.S. at 11 (internal quotation marks and citation omitted) (addressing excessive force). Since our case law supports that jailers who follow policies aimed at protecting the jailer should not be considered deliberately indifferent to an inmate’s medical need, s ee A renas , 922 F.3d at

621 , Laws is entitled to qualified immunity on this claim.

8 In addition to waiting to enter the cell until Brixey arrived , Laws also did not try to revive Monroe while waiting for emergency personnel. But “a due process claim [can] never be based on a jail official’s negligent failure to provide either medical care or protection from harm.” Hare , 74 F.3d at 642 ; see also Dyer , 964 F.3d 381 (distinguishing between negligence and deliberate indifference). Because negligence does not support a deliberate indifference claim, Laws’s failure to resuscitate Monroe did not rise to the level of deliberate indifference and therefore ca nnot be a violation of clearly established law

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13 2. Failure to Call Emergency Medical Services

Cope further argues that Laws should have immediately called 911, which Laws failed to do, after calling Brixey. A jailer has a “ duty to not act with subjective deliberate indifference to a known substantial risk of suicide ” and accordingly cannot “ disregard

. . . precautions he kn[ows] should be
taken .” Jacobs , 228 F.3d at 3 97

– 98. In general, a prison official who knew of a serious threat to inmate safety and responded reasonably cannot be held
liable for his actions. Farmer , 511 U.S. at 844. But watching an inmate attempt suicide and failing to call for emergency medical assistance is not a reasonable response. This was especially true in the situation at hand, where jail policy did not permit Laws to personally enter the jail cell to assist Monroe until a second staff member arrived. Calling for emergency assistance was a precaution that Laws knew he should have taken, and failing to do so was both unreasonable and an effective disregard for the risk to
Monroe’s life. See Jacobs , 228 F.3d at 395

. For these reasons, we now make clear that promptly failing to call for emergency assistance when a detainee faces a known, serious medical emergency

— e.g., suffering from a suicide

attempt

— constitutes unconstitutional conduct.
As explained above, in determining whether the law was clearly established at the time the conduct occurred, constitutional rights must not be defined at a high level of generality. Mullenix , 577 U.S. at 12. Until today, we have not spoken directly on wh ether failing to call for emergency assistance in response to a serious threat to an inmate’s life constitutes
deliberate indifference. See Shepard v. Hansford C n ty ., 110 F. Supp. 3d 696, 711, 713 (N.D. Tex. 2015) (noting a lack of Fifth Circuit precedent on, among other things, an official’s failure to call 911). Recently, in Dyer , we engaged in a similar discussion but did not specifically address the 911 issue. 964 F.3d

at 381

– 85 . In that case, officers were aware that the detainee was “in the grip Case: 19-10798 Document: 00515925058 Page: 13 Date Filed: 07/02/2021No. 19

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14 o f a drug

- induced psychosis” and had repeatedly “ struck his head violently against the interior of [the] patrol car ”; nonetheless, the officers neither sought any medical care nor informed the jail officials that the detainee had suffered a head injury. Id

. at 381

– 82. Indeed, they did nothing at all to address his additional injuries; it was another official who finally reacted two
hours later. 9 We concluded that existing precedent showed that officers who,

“ despite being aware of the detainee’s dire con dition [,] .

. . did nothing to
secure medical help ” at all were on “fair warning” that their behavior was deliberately indifferent. Id. 384

– 85 (internal quotation marks and citation omitted). Here, in contrast, Laws did something : he called Brixey for

as sistance and she called 911, albeit not as promptly as should have been done. Existing case law, therefore, was not so clearly on point as to “place[] the statutory or constitutional question beyond debate [,]” and we conclude that the right was not clearl y established. Morgan , 659 F.3d at 372. Unlike
the officers in Taylor , Laws did nothing so extreme or even close as forcing an inmate to sleep naked in raw sewage. 141 S. Ct. at 53. The failings of Laws are in a time of minutes and lack of complete action, not days and affirmative
misconduct. 10 Cf. id. Accordingly, even th ough Laws fails on the first prong, he is nonetheless entitled to qualified immunity.

9 Unlike this case, in Dyer the person in question (Graham) had originally come to the officers’ attention due to a 911 call. Id. at 378. Paramedics had examined Graham and released him to the police. Id. However, during the trip to the police department, Graham continued to injure himself with at least forty head bashes. Id. at 378

– 79. It was not until two hours later, when a sergeant noted Graham’s labored breathing, that paramedics were summoned. Id. at 379. In this case, by contrast, the delay was minutes, not hours, and Laws was at least attempting to obtain help, unlike the officers in Dyer , who never did anything to help.

10 Converse v. City of Kemah , 961 F.3d 771 (5th Cir. 2020)
, also demonstrate s the need for and importance of similar cases. Like this case, Converse concerned Fourteenth Amendment claims against a group of officers arising from a detainee’s suicide. 961 F.3d at 774. Based on the facts of that case, we held that the officers wer e not entitled to qualified Case: 19-10798 Document: 00515925058 Page: 14 Date Filed: 07/02/2021No. 19

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15 Cogdill’s & Brixey’s Actions

Because Cope’s br iefing focus es on deliberate indifference, she appears to be arguing an episodic

- acts theory of liabilit y . To be liable,

t herefore, Brixey and Cogdill must have (1) “had subjective knowledge of a substantial risk of serious harm” and (2) “responded to that risk with
deliberate indifference.” Estate of Henson , 795 F.3d at 46 4 (internal quotation marks and citation omitted)

. Even if their actions were constitutionally unlawful, they are entitled to qualified immunity if the constitutional right at issue was not “clearly established.” Pearson , 555 U.S. at 232.

1. Placement of Monroe in a Cell Containing a Phone Cord

Cope conten ds that Brixey and Cogdill were deliberately indifferent by housing Monroe in a cell “with the means of committing suicide readily
availabl e to him in the form of a lengthy telephone cord.”
We have held that a sheriff was deliberately indifferent when he w as “fully aware that [the detainee] had actually attempted suicide once before, regarded her as a suicide risk at all times during her detention, and yet
still

. . . ordered loose bedding to be given to her” and placed her in a cell with
“several ‘tie

- off’ points (bars and light fixtures from which a makeshift rope could be suspended) ” after “ a nother inmate .

. . had previously committed suicide in the very same cell by hanging himself with a sheet from one of these
tie

- off points.” Jaco bs , 228 F.3d at 390 , 396. Similarly, in Converse v. City of
Kemah , we recently determined that officers who gave a suicidal inmate a

immunity at the motion

- to

- dismiss stage. Id. at 773. While making some general statements, the actual course of our reasoning in Converse demonstrates that we did not rely merely on an abstract legal proposition when denying the defendants qualified immunity; rather, we denied qualified immunity because we identified a prior precedent, Jacobs , with “closely analogous” facts. Converse , 961 F.3d at 777

– 80. Thus, we adhered to the analogous

- case requirement in Converse , and consequently, we do so here as well. Case: 19-10798 Document: 00515925058 Page: 15 Date Filed: 07/02/2021No. 19

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16 blanket were not entitled to qualified immunity. 961 F.3d 771, 773

– 74 (5th Cir. 2020). We noted that the plaintiffs’ all egations supported, among other things, that the officers were aware that “bedding hanging was the most frequent method of suicide” in Texas jails. Id. at 777

. Here, Brixey had placed Monroe on a temporary suicide watch, and Cogdill was aware that Monroe had attempted suicide by hanging the day before. However, the record does not suggest that any inmate had previously attempted suicide by strangulation with a phone cord ; nor is there non

speculative evidence that Brixey and Cogdill were aware of this da nger

. 11 The

11 In light of multiple suicides in Texas jails involving phone cords, in 2015, the Texas Commission on Jail Standards issued a memorandum recommending that phone cords in jails “be no more than twelve (12) inches in length.” The phone cord in Monroe’s cell is longer than the recommended length. In certain circumstances, the Supreme Court has indicated that subjective knowledge may be inferred based on circumstantial evidence , Farmer , 511 U.S. at 842

– 43 . Here, however , the Commission memorandum is insuffici ent to support th e inference that Brixey and Cogdill had subjective knowledge of the risk posed by the lengthy phone cord

. Specifically, the Supreme Court has approved reliance on circumstantial evidence if the relevant risk “was longstanding, pervasive, well

documented, or expressly noted by [jail] officials in the past, and the circumstances suggest that the defendant

- official being sued had been exposed to information concerning the risk and thus ‘must have known’ about it

. ” Id. ( internal quotation mark s omitted)

. There is nothing like that here and certainly no evidence that either Brixey or Cogdill ever received or reviewed the Commission’s memorandum prior to Monroe’s suicide

. Further, even at the summary judgment stage, it would go too far to infer that Brixey and Cogdill were aware of the Commission’s recommendations simply due to their employment in the Texas jail system at the time the memorandum was written

— just because information is available to a defendant does not mean she has been exposed t o it. See Rode v. Dellarciprete , 845 F.2d 1195, 1208 (3d Cir. 1988) (rejecting the plaintiff’s theory that the Governor of Pennsylvania could be inferred to have personal knowledge of state employees’ acts of retaliatory harassment “because of numerous ar ticles that appeared in newspapers throughout the state and through the introduction of a legislative resolution seeking an investigation into [the harassment], the filing of grievances with the Governor's office of administration, and telephone calls and correspondence with the office of the Lieutenant Governor”). Consequently, there is insufficient evidence that Brixey and Cogdill were exposed to the Commission’s memorandum to create a genuine dispute of Case: 19-10798 Document: 00515925058 Page: 16 Date Filed: 07/02/2021No. 19

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17 danger posed by the phone cord was not as obvious as the dangers posed by bedding, which is a well

- documented risk that has been frequently used in suicide attempts. Id. at 777

. We therefore conclude , under these facts and circumstances, that Brixey’s and Cogdill’s holding of Monroe in a cell containing a phone cord did not violate a clearly established constitutional right

. 12

2. Staffing the Jail with Only One Weekend Jailer

Cope also alleges that Brixey and Cogdill acted with deliberate

in difference when they staffed the jail with just one jailer even though they knew both that Monroe was on suicide watch and that the jail’s policy did not allow for the jailer to intervene until backup arrived.
Coleman County employs only one weekend jaile r due to budgetary
constraints

. Our precedent suggests that municipalities, not individuals, should generally be held liable for city policies. 13 See Scott v. Moore , 114 F.3d 51, 54 (5th Cir. 1997). Thus, at the time of the suicide, no clearly establish ed

material fact as to their subjective knowledge of the risk posed by the phone cord in Monroe’s cell.

12 Recently, in Sanchez v. Oliver , we determined that summary judgment on the plaintiff’s deliberate indifference claim was inappropriate where the defendant had placed a suicidal inmate “in general population, with ready access to blankets, other potential ligatures, and tie

- off points .” 995 F.3d 461, 473 (5th Cir. 20 2 1). Sanchez did not involve the possible dangers of phone cords ; hence, whatever its import, Sanchez did not hold that,

at t he time relevant for this case, it was clearly established that a defendant violates the C onstitution by placing a suicidal inmate in a cell containing a phone cord. In short, Sanchez is not contrary to our conclusion here.

13 Indeed, Cope brought such § 1983 claims against Coleman County, along with claims under the Americans with Disabilities Act and the Rehabilitation Act. These claims have been stayed since July 2019 to permit the completion of this interlocutory appeal. Although we express no view a s to the viability of these claims, we note that our decision therefore does not end Cope’s lawsuit entirely. Case: 19-10798 Document: 00515925058 Page: 17 Date Filed: 07/02/2021No. 19

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18 precedent suggested that Brixey and Cogdill could be liable under an episodic

- acts theory for staffing the jail in line with Coleman County’s budget and policies. Cope has cited no case law providing that jailers must deviate from the typical staffing procedures if they believe that a detainee is a suicide
risk. We, therefore, hold that Brixey’s and Cogdill’s decision to staff only one weekend jailer did not violate any clearly established constitutional right

.
Conclusion

Based upon the above analysis , all three defendants are entitled to qualified immunity. We REVERSE the district court’s decision and RENDER judgment in the officers’ favor

. Case: 19-10798 Document: 00515925058 Page: 18 Date Filed: 07/02/2021No. 1 9

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19 **Ja mes L. Dennis**  , Circuit Judge , dissenting : Small county jails are no strangers to in

- custody suicides. Indeed, the suicide rate for local jails of 100 beds or fewer is nearly ten times that of the
nation as a whole. The Role of Corrections Professionals in Preventing Suicide , **National Institute o f Corrections**  , https://nicic.gov/role

corrections

- professionals

- preventing

- suicide (last visited June 17, 2021). Located in a pocket of rural Central Texas, Coleman County Jail is one such small local jail. It comprises four cells and has a staff of seve n

— five jailers, a jail administrator, and a sheriff

— for an inmate population of up to nine

pers ons
. And, like so many other similarly sized jails, it has been the scene
of an in

- custody suicide

— the self

- strangulation of detainee Derrek Monroe via a length y telephone cord that was, inexplicably, contained inside the cell in which jail staff isolated him.
Monroe’s tragic death resulted not just from egregious acts and omissions by Coleman County Jail staff after he was taken into custody on September 29, 20 17. The jail leadership’s decision to implement policies that they knew to be inadequate also contributed to Monroe’s avoidable suicide. In particular, the jail maint ains only one jailer on duty during nights and weekends. But j ail policy forbids a jail er from entering a cell without backup support

. Thus, on nights and weekends, jail policy effectively prevents the lone jailer from rescuing a kn own suicidal detainee who is actively committing suicide inside a cell . In light of the manifest danger this situation presents to suicidal detainees, Sheriff Leslie Cogdill and Jail Administrator Mary Jo Brixey, the jail’s second

- in

- command, ag ree that the policy of staffing the jail with only one jailer on nights and weekends

— a policy they administer

— is “just n ot safe” because it creates the conditions that can lead to tragedies like the suicide in this case of Derrek Monroe. Case: 19-10798 Document: 00515925058 Page: 19 Date Filed: 07/02/2021No. 1 9

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20 A few months before Monroe’s suicide, Coleman County Jail staff attended a training where they learned that the suicide rate for all cou nty jails is nine times greater than in the general population. But trainings and academic presentations were not the only source of jail officials’ knowledge
of the risks of in

- custody suicides. Prior to their tenures with the County Jail,
both Sheriff Cogdill and Jail Administrator Brixey had worked at the Coleman City Jail when inmates had committed suicide, including, as in this case, suicide by strangulation. One suicide involved a detainee who used a ligature

— his shoestrings

— to choke himself to dea th in manner similar to the way Monroe strangled himself with the phone cord. In short, Defendants here were acutely aware of the danger of suicide at small county jails like the very one they were charged with overseeing.
On Friday, September 29, 2017, D errek Monroe was delivered into the custody of the Coleman County Jail in Texas. During booking, Monroe informed jailhouse authorities that he had attempted suicide by ingesting pills just two weeks before and that he was presently having suicidal thought s. This information was immediately relayed to Sheriff Cogdill and Jail Administrator Brixey. On Monroe’s first night in the jail, Cogdill chose to house him in Cell 2 in the company of several other detainees. Cogdill’s decision was in keeping with the training he had received, which advised against “isolat[ing]” suicidal inmates.
The following day, Saturday, September 30, Monroe had a seizure requiring treatment at a local hospital. After being successfully treated, Monroe was transported back to the County Jail. Jailer Jessie Laws, who, per jail policy, was the only jailer on duty, placed Monroe back in Cell 2 and in the company of other inmates. Laws watched as Monroe proceeded to attempt suicide twice in rapid succession. Monroe sat against the wall, wrapped a blanket around his neck, and, according to one of his cellmates,
tried to “choke himself out.” After that didn’t work, Monroe stood up, Case: 19-10798 Document: 00515925058 Page: 20 Date Filed: 07/02/2021No. 1 9

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21 climbed atop the cell’s latrine, and tried to hang himself by tying the cloth to
a fixture before “bomb div[ing]” off. The knot gave way, and Monroe crashed to the floor of the cell. Undeterred, Monroe wrapped the sheet around his neck again. Only at this point did Laws call Sheriff Cogdill for backup. After arriving at the scene, Cogdill decided to rem ove Monroe from Cell 2 and, with the assistance of Laws, to isolate Monroe in Cell 3, the jail’s only single

- occupancy cell. Cogdill’s decision to relocate Monroe to an isolation cell was directly contrary to his training, which had instructed him
that is olating a suicidal detainee is a dangerous and disfavored policy. Jail
Administrator Brixey, was aware of and effectively ratified Cogdill’s
decision.
In addition to the risks created by isolating Monroe in Cell 3, the cell
contained an obvious potential ligature for suicide: a phone mounted to the wall with a thirty

- inch telephone cord. 1 T wo years earlier, i n 2015, the
Executive Director of the Texas Commission on Jail Standards (“the Texas Jail Commission”) circulated a m emorandum addressed to “All Sheriffs and Jail Administrators” warning jail officials that four suicides involving phone cords had occurred in Texas jails in the span of eleven months. Based on these multiple suicides, the Texas Jail Commission notified Sheriffs and Jail
Admi nistrators that “ ALL phone cords be no more than twelve (12) inches in length.”
Cogdill was also aware that Coleman County Jail’s own policy required that a suicidal detainee

— like Monroe

— “be transferred to a facility better equipped to manage an inmate w ith mental disabilities” if doing so was necessary in order to protect the inmate, and, in fact, had previously

1 The phones are operated by a private company, City Telecoin, that charges inmates for outgoing calls. Coleman County receives a portion of th e revenue from these calls. Case: 19-10798 Document: 00515925058 Page: 21 Date Filed: 07/02/2021No. 1 9

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22 authorized transfers of inmates to other facilities when his inmate population reached 9, the maximum number of inmates the Texas Jail Commissio n permitted to be supervised by a single jailer. Despite this guidance and Cogdill’s awareness that Monroe could be transferred to a more suitable facility, Cogdill chose to keep Monroe at the Coleman County jail and to
house him in isolation in a cell wi th a thirty

- inch phone cord. Late Saturday afternoon, a fter Monroe was relocated to Cell 3, a mental health evaluator
from Central Texas Mental Health and Mental Retardation Services, an outside agency, interviewed Monroe, who told her, “The first chance I get[,] it’s over.” Following the interview, the mental health evaluator met with Cogdill and Brixey and debriefed them on her conversation with Monroe.

T he MHMR staffer advised that jail staff observe Monroe at least every 15 minutes instead of every 3 0 minutes as the jail had been doing. Cogdill and Brixey agreed that staff would monitor Monroe in 15

- minute intervals. But based on Monroe’s suicidal history, the jail’s suicide prevention plan mandated that he be classified as a “high risk” of suicide and, accordingly, that staff observe him not less than every five minutes.
Throughout Saturday night and into the morning of Sunday, October 1, the jailer on duty, per the instructions of Cogdill and Brixey, monitored
Monroe in 15

- minute intervals. At 7 a.m., Jailer Jessie Laws started his shift. Laws was the only jailer on duty, and he continued the practice of monitoring Monroe every 15 minutes. Laws knew from Monroe’s suicide attempts the day before that Monroe was definitely suicidal.
Though jail ers are prohibited from entering a jail cell unless back

- up personnel are present, Brixey, via phone, authorized Laws to escort Monroe, who was unrestrained, from Cell 3 to the shower and then back to the cell, Case: 19-10798 Document: 00515925058 Page: 22 Date Filed: 07/02/2021No. 1 9

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23 even though Laws was unarmed. 2 Minutes later, Monroe became agitated and, at 8:37 a.m., began strangling himself by wrapping the thirty

- inch telephone cord phone cord several times tightly around his neck. Within a minute or two, Monroe’s body became motionless. Maj. Op. at 3. Laws stood on the other side of the bars from Monroe’s cell, mere steps away and
watched.
The simple, obvious, and safe response

— indeed, the one that Laws was specifically trained to undertake and that was required of him by jail policy

— was to immediately c ontact and summon by phone emergency medical services (EMS). Laws knew that Monroe needed immediate help because Laws was aware that a person who is being strangled can suffer brain damage in less than 10 minutes. He also knew that EMS was available 24/7 and would come immediately in response to his call. Yet Laws failed to call EMS. When asked later why he didn’t call, Laws said, “Honestly, I don’t
know.” Instead of contacting EMS, Laws called his superiors, Cogdill and Brixey, 3 even though he knew t hey were off

- duty. Laws requested that Cogdill and return to the jail because of Monroe’s suicidal actions with the thirty

- inch telephone cord. In speaking with his superiors, Laws failed to ascertain their precise locations and thus did not know if they could arrive within the critical period before Monroe would suffer serious brain damage.

2 None of the jail officials explain the seemingly incongruous policy of forbidding a jailer from entering a detainee’s cell without another jail officer present

— regardless of whether the detainee is restrained

— but permitting a lone officer to remove an unrestrained detainee from his c ell and then to escort that detainee through the jail’s hallways and into its shower area before escorting the detainee back to his cell.

3 Laws also called Deputy Tucker, an off

- duty deputy. The summary

- judgment evidence does not reveal Deputy Tucker’s first name nor the contents of Laws’s conversation with Tucker. Case: 19-10798 Document: 00515925058 Page: 23 Date Filed: 07/02/2021No. 1 9

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24 After Laws made these calls

— and with no assurance of when his supervisors would arrive at the jail

— he continued merely to stand outside Monroe’s cell, watching and waiting. Monroe, according to Laws, was motionless and silent as the cord remained wrapped around his neck. Significantly, Laws did not retrieve the beathing mask he would need in order to perform rescue breathing on Monroe once Brixey or Cogdill arrived . At nearly 8:48 a.m., almost ten minutes after Monroe wrapped the phone cord around his neck, Brixey made it to the jail. She and Laws entered Cell 3, and Laws unwound and unwrapped the thirty

- inch cord from Monroe’s neck. He said he did not apply ches t compressions because Monroe still had a pulse. Brixey quickly left the cell to call emergency services. Meanwhile, Monroe could not perform rescue breathing because he had failed to get the breathing mask. Two minutes after completing her call, Brixey went to locate the breathing mask. Ultimately, Laws did not commence rescue breathing until more than 5 minutes after Brixey arrived. EMS arrived at 8:54 a.m., approximately five minutes after Brixey called. By this point, sixteen minutes had elapsed s ince Monroe cinched the cord fast around his neck. Although the first responders tried to save Monroe, their resuscitative efforts came too late, and Monroe died in the hospital the next day. Following Monroe’s death, Coleman County jail officials had th e phone cord in Cell 3 shortened in response to Texas Jail Commission’s recommendation.
Detainee Monroe’s death by his own hand with a thirty

- inch cord in plain sight of a jailer while emergency medical services were on duty only five minutes away is especially tragic. In this interlocut ory appeal from the district court’s denial of qualified immunity, the legal questions for this court are (1) whether the acts and omissions of each of the defendants individually

amount ed to deliberate indifference an d therefore violated Monroe’s constitutional rights and (2) if so, whether Monroe’s constitutional right to be free from each Defendants’ deliberate indifference was clearly established Case: 19-10798 Document: 00515925058 Page: 24 Date Filed: 07/02/2021No. 1 9

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25 at the time of the violation. An officer’s conscious disregard of an inmate’s
known risk of suicide constitutes deliberate indifference in violation of a detainee’s constitutional due process rights. See Converse v. City of Kemah , 961 F.3d 771, 775 (5th Cir. 2020). And that incontestable principle has been
established for decades in this circuit. Jacobs v. W. Feliciana Sheriff’s Dep’t , 228 F.3d 388, 395 (5th Cir. 2000) (“[T] o defeat qualified immunity, the plaintiffs must establish that the officers . . . were aware of a substantial and significant risk that [the detainee] might kill [him]self, but effectively disregarded it.”); accord Converse , 961 F.3d at 775 (“We have repe atedly held that pretrial detainees have a . . . right to be protected from a known risk of
suicide. And it is well

- settled law that jail officials violate this right if ‘they
had gained actual knowledge of the substantial risk of suicide and responded
wi th deliberate indifference.’” (internal citations omitted) (quoting Hare v. City of Co rinth ( Hare II ) , 74 F.3d 633, 650 (5th Cir. 1996) (en banc)).

I n this case, Defendants were all aware of Laws’s risk of suicide. Their

respons es to this known risk con vince me that a reasonable jury could find that they each effectively disregarded the risk by acting in a manner that they
knew or believed was likely inadequate in light of the circumstances. First , based on Laws having watched Monroe wrap the thirty

- inc h phone cord around his neck and yet failing to promptly contact emergency services

— in direct contravention of his training

— a reasonable jury could find that Laws recognized that Monroe was at risk of committing suicide but deliberately disregarded it by n ot taking the one action he knew would be the most likely
to save Monroe’s life. Second, Cogdill had been trained to avoid isolating suicidal inmates, yet he chose to r emove Monroe from Cell 2 where there
were other inmates and to relocate Monroe to Cell 3 by himself, a decision Brixey ratified. Compounding the dangers of isolation, Cell 3 had a thirty

inch telephone cord

— an obvious potential suicidal ligature for a known suicidal inmate, like Monroe, who had just attempted to strangltehimself to Case: 19-10798 Document: 00515925058 Page: 25 Date Filed: 07/02/2021No. 1 9

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26 death th e previous day. In addition to the obviousness of the danger posed by the lengthy cord, a jury could infer that Cogdill and Brixey had received guidance from the Texas Jail Commission recommending jails limit the length of phone cords to no more than 12 i nches and yet ignored this
recommendation.
Moreover, the risks of isolating Monroe and of the lengthy cord in Cell 3 could have been eliminated by transferring Monroe to a better equipped facility, an option Cogdill knew he could employ. Cogdill and Bri xey also could have reduced the risk of harm to Monroe by maintaining a second jailer on duty during when the jail had custody of a suicidal inmate. This simple
and low

- cost change to staffing policy would provide readily available backup support and thus enable a jailer to imm ediately enter a cell in the event of a suicide attempt, avoiding the delays inherent in a lone jailer having to await
the arrival of off

- duty personnel before being able to save a known suicidal detainee. In short, Monroe’s suicide in Cell 3 was highly predictable and easily preventable, and the failure by Cogdill and Brixey to take any of these obvious precautions permits the reasonable inference that they were deliberately indifferent to Monroe’s substantial risk of suicide.

Thus, viewing the evidence in the light most favorable to Plaintiffs and making all reasonable inferences in their favor

— as we must in this appeal

— the officers violated clearly established law. It should be for a jury to decide the factual question of whether Defendants “responded r easonably” to the grave and urgent situation and thus were deliberately indifferent to the risk
of suicide. Farmer v. Brennan , 511 U.S. 825, 837 (1994). 4

4 To be sure, the inquiry into whether an officer responded “reasonably” is not an objective test but instead requires that the officer actually was subjectively aware that her response was inadequate. See Hyatt v. Thomas , 843 F.3d 172, 178 (5th Cir. 2016) (“ What Case: 19-10798 Document: 00515925058 Page: 26 Date Filed: 07/02/2021No. 1 9

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27 Departing from longstanding and binding precedent, the majority erroneously grants the officers’ qualified immunity defense by embracing an excessively narrow definition of the clearly established rights at issue and the
risk of harm Monroe faced. Because I would follow ou r court’s deliberate

indifference caselaw and affirm the district court’s denial of qualified immunity on several of Plaintiffs’ claims, I respectfully dissent.

I.
Since the majority’s articulation of the qualified

- immunity analysis is inconsistent with this court’s cases and unduly restricts plaintif fs’ ability to recover for violations of constitutional rights, it is necessary to set forth the established framework for evaluating claims of deliberate indifference in the context of a known risk of prisoner suicide. “To o vercome qualified

im munity,” a plaintiff “must show: ‘(1) that the official violated a statutory or constitutional right, and (2) that the right [was] clearly established at the time of the challenged conduct.’” Converse , 961 F.3d at 775 (quoting Cass v. City of Abilene , 814 F.3d 721, 728 (5th Cir. 2016)).
As to the first prong of the qualified

- immunity analysis, “pretrial detainees,” like Monroe, “have a Fourteenth Amendment right to be protected from a known risk of suicide.” Id. This right is violated when a jail
offic er responds with d eliberate indifference to a known risk of suicide. Id. And a jail officer is deliberately indifferent in violation of the Fourteenth Amendment when he “knows of and disregards” a detainee’s risk of suicide.

Farmer , 511 U.S. at 837 (analyzing a convicted prisoner’s deliberate indifference claim under the Eighth Amendment); see also Hare II , 74 F.3d at
639 ( observing that , “[s] ince the State does punish convicted prisoners, but

is clear is that, even if an officer responds without the due care a reasonable person would

use

— such that the officer is only negligent

— there will be no liability.”). Case: 19-10798 Document: 00515925058 Page: 27 Date Filed: 07/02/2021No. 1 9

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28 cannot punish pretrial detainees , a pretrial detainee ’s due process rights are
said to be ‘ at least as great as the Eighth A mendmen t protections available to a convicted prisoner. ’” (quoting City of Revere v. Mas s. Gen. Hosp., 463 U.S. 239, 244 (1983) )). But a jailer w ho knew of the risk of harm “ may be free from liability if they responded reasonably to the risk, even if the harm ultimately was not averted.” Id. at 844.
Under the second prong of the qualified

- immunity analysis, a court
must determine “‘whether the [D]efendants’ conduct was objectively unreasonable in light of clearly establish ed law at the time of [Monroe’s]
suicide.’” Converse , 961 F.3d at 775 (first set of alterations in original) (quoting Jacobs , 228 F.3d at 393 ))

. “ It has been clearly established in this
Circuit since at least 1989 that ‘ pretrial detainees have a Fourteenth
Amendment right to be protected from a known risk of suicide, ’ and it is well

settled law that jail officials violate this right if ‘they have actu al knowledge
of the substantial risk of suicide and respond with deliberate indifference.’ ”
Sanchez v. Oliver , 995 F.3d 461, 466 (5th Cir. 2021) (cleaned up) (quoting

Converse , 961 F.3d at 775)

. Thus, a s the majority opinion recognizes, “[i]n
the context of inmate suicide, ‘ to defeat qualified immunity, the plaintiffs must establish that the officers . . . were aware of a substantial and significant risk that [the detainee] might kill [him]self, but effectively disregarded it.’” Maj. Op. at 9 (second and third sets of altera tions in original) (quoting Jacobs , 228 F.3d at 395).

Given that the focus of a deliberate

- indifference claim is on the jailer’s subjective knowledge and intent, it is apparent that, in the uniquely extreme and consequential circumstance where a jail off icial is aware of a prisoner’s risk of suicide but “effectively disregards” that risk, the jailer has violated clearly established law. Jacobs , 228 F.3d at 395 . Put another way, it is always clearly, objectively unreasonable for a jail official to intent ionally disregard a
known suicide risk. Therefore, in this context

— deliberate indifference by a Case: 19-10798 Document: 00515925058 Page: 28 Date Filed: 07/02/2021No. 1 9

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29 jail er who knows that a detainee in his custody and care is at risk of suicide

— establishing prong one of the qualified

- immunity test n ecessarily satisf ies the demands of prong two . A showing that a jailer violated the Fourteenth Amendment by being deliberately indifferent to a known suicide risk is necessarily also a showing that the official’s conduct wa s “objectively unreasonable in light of clearly establish ed law

. ” Converse , 961 F.3d at 775. Put simply, the two prongs of the qualified

- immunity test merge in this specific situation.

This conclusion makes sense because the constitutional violation at issue in a deliberate indifference claim is not a negligent failure to learn of a
suicide risk that should have been apparent, nor is it responding to a known
suicide risk in a manner that the official should have known to be
unreasonable. S ee Farmer , 511 U.S. at 835 (observing “ that deliberate indifference entails something more than mere negligence”); see also Hare II , 74 F.3d at 649 n.5 (explaining that, “where there is recognition of s ubstantial danger and a response thereto” by the officer, that officer must possess a “state of mind more blameworthy than lack of due care” in order to be deliberately indifferent). Rather, deliberate indifference to a risk of suicide requires that an of ficial actually , subjective ly perceive the risk of suicide risk and respond unreasonably, meaning that the officer actually believes his

re sponse to a known risk is likely insufficient but still does not care. See

Farmer , 511 U.S. at 847 (explaining than an officer is deliberately indifferent

“ only if he knows that inmates face a substantial risk of serious harm and disregards that risk by failing to take reasonable measures to abate it”); Hyatt

v. Thomas , 843 F.3d 172, 178 (5th Cir. 2016) (“ What is clear is that, even if

an offic er responds without the due care a reasonable person would use

— such that the officer is only negligent

— there will be no liability.”). There is no need for a prior case to put an officer on notice that a situation presents a risk of inmate suicide or that a particular sort of response is unreasonable Case: 19-10798 Document: 00515925058 Page: 29 Date Filed: 07/02/2021No. 1 9

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30 b ecause, by the very nature of a deliberate

- indifference claim, the officer must actually know both of these things in order for a constitutional violation

to occur. Jacobs , 228 F.3d at 395. In sum, if an officer faced with the greatest possible risk

— the loss of a human life that an officer is charged with protecting

— intentionally disregards that known risk by either failin g to act or acting in a manner that is so clearly inadequ ate as to permit the inference that the officer knew or believed that his “response” was substantially likely to be ineffectual but did not care, the officer’s conduct contravenes clearly
established law.

The majority asserts, however, that the determina tion that a jailer effectively disregarded a prisoner’s known risk of suicide is not sufficient to satisfy the strictures of the qualified

- immunity analysis. Their conclusion

rests on two errors in the qualified

- immunity analysis. First, the majority
tak es an incredibly narrow approach to defining the clearly established right

at issue, claiming that the right must be defined much more specifically than simply the right of a suicidal detainee to be free from a deliberately indifferent

response by officers charged with his supervision. Second, having defined
the clearly established right in an overly narrow manner, the majority requires

in effect that Plaintiffs point to a case with virtually identical facts to prove that this excessively narrow descriptio n of the right has been clearly
established. See Maj. Op. at 12

- 14. Both of these propositions are contrary

to what our precedent in the detainee

- suicide context demands.

In Jacobs v. W. Feliciana Sheriff’s Dep’t , for instance, we stated that “[t]he case law from our own and from our sister circuits offers little guidance for determining whether the defendants’ particular actions toward Jacobs were unreasonable in light of their duty not to act with deliberate
indifference toward a known risk o f suicide.” 228 F.3d at 393

- 94. Nevertheless, and unlike today’s majority, we asked only whether the prison officers “conducted [themselves] in an objectively reasonable manner with Case: 19-10798 Document: 00515925058 Page: 30 Date Filed: 07/02/2021No. 1 9

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31 respect to [their] duty to not act with subjective deliberate indifferen ce to the known risk that Jacobs might have attempted suicide.” Id. at 397. Applying this standard, we had no trouble concluding that two of the officers were not entitled to qualified immunity because their allegedly deliberately indifferent
conduct was objectively unreasonable, even if no particular inmate

- suicide case was factually analogous. Id. at 397

- 98. Our court has continued to approvingly cite Jacobs and apply it in inmate

- suicide cases, see, e.g. , Converse , 961 F.3d at 775, and, indeed, the m ajority itself purports to rely on Jacobs

. 5 Thus, under the law of this circuit, an officer who responds with deliberate indifference to a known risk of suicide violates clearly established law even if the “particular actions” of the officer have not been addressed in a previous

case. Jacobs , 228 F.3d at 394. 6

5 The majority does not contend that Jacobs was abrogated by any intervening Sup reme Court decision, and Jacobs therefore remains “good law” and binding on this and subsequent panels.

6 The majority erroneously relies on Mullenix v. Luna , a Fourth Amendment excessive force case, where the Court stated that clearly established rights s hould not be defined at a “high level of generality.” 577 U.S. 7, 16 (2015). Of course, for many § 1983 claims, the Court has insisted that clearly established rights be defined at a particularized level in order to ensure that “[t]he contours of the rig ht” are “sufficiently clear [such]that a reasonable official would understand that what he is doing violates that right.” Anderson

v. Creighton , 483 U.S. 635, 640 (1987). Put differently, defining the clearly established right at issue at a granular leve l makes sure that an officer has “fair warning” that her actions are unconstitutional before she may be held individually liable for damages. Hope , 536 U.S. at 741; see also Brosseau v. Haugen , 543 U.S. 194, 198 (2004) (explaining that in a qualified immu nity case “t he focus is on whether the officer had fair notice that her conduct was unlawful”). And of course, fair warning is the ultimate touchstone of qualified immunity. Shumpert v. City of Tupelo , 905 F.3d 310, 321 (5th Cir. 2018). Crucially, whene ver an officer is found liable for deliberate indifference, that conclusion necessarily means that the officer had fair warning that his conduct violates the Constitution

— regardless of his particular acts or omissions constituting deliberate indifference. Thus, the requirement that clearly established rights be defined with a high degree of specificity does not apply to a deliberate indifference claim. Case: 19-10798 Document: 00515925058 Page: 31 Date Filed: 07/02/2021No. 1 9

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32 To understand why an officer always has fair notice that conduct that is deliberately indifferent violate s the Constitution requires an appreciation of the particular nature of a meritorious deliberate indifferent claim, which is fundamentally different in kind from an excessive force claim

— or other § 1983 claims for that matter. Deliberate indifference specifically requires that an officer have subjective awareness not only of the risk of harm but also that his response to that risk is inadequate

— that is, the officer must consciously disregard the risk by responding to it in a way that the officer knows to be unreasonable. See Farmer , 511 U.S. at 847. In short, the o fficer must possess a “ state of mind more blameworthy than lack of due care” in order to be deliberately indifferent. Hare II , 74 F.3d at 649 n.5; see also Lawson v. Dallas Cnty. , 286 F.3d 257, 262

- 63 (5th Cir. 2002) (“ The deliberate indifference standard is a subjective inquiry; the plaintiff must establish that the jail officials were actually aware of the risk, yet consciously disregarded it. . . . Deliberate indifference cannot be inferr ed from a prison official’s mere failure to act reasonably, i.e., it cannot be inferred from negligence alone.”). By sharp contrast, excessive force claims apply an “objective not subjective” inquiry in determining whether an officer’s use of force

was ex cessive and therefore the officer’s “state of mind is not a matter that a plaintiff is required to prove.” Kinglsey v. Hendrickson , 576 U.S. 389, 395 (5th Cir. 2015). With this distinction in mind, it cannot be doubted that it would be “sufficiently cle ar” to “a reasonable officer” that it violates the Constitution to be deliberately indifferent to a risk of harm to a detainee. Anderson , 438 U.S. at 640. All reasonable officers would know that it is unlawful to respond to a risk of harm to a detainee i n a manner that the officer consciously believes to be unreasonable. Therefore, officers do not need clearly established rights to be defined so narrowly to the point that the illegality of their particular acts or omissions constituting deliberate indiff erence have been established in a prior case in order to have “fair warning” that it is unconstitutional to deliberately ignore a risk of harm to a detainee. Unsurprisingly, then, the Supreme Court has never applied Mullenix ’s admonition against defining clearly established rights at a “high level of generality” in reviewing a deliberate indifference claim. And even following Mullenix , our sister circuits have recognized that, in the context of a deliberate indifference claim, clearly established rights

m ay be defined generally. See, e.g. , Lewis v. McLean , 864 F.3d 556, 566 (7th Cir. 2017) (“[W] e ask whether the contours of the right are sufficiently clear that a reasonable official would understand that what he is doing violates that right. It has long been clear that deliberate indifference to an inmate’s serious medical needs violates the Eighth Amendment.” (cleaned up)); Rafferty v. Trumbull Cnty. , 915 F.3d 1087, 1097 (6th Cir. 2019) (holding that “ it was clearly established in 2014 that ignoring know n risks of harm to an inmate due to inadequate medical care, inhumane conditions of confinement, or abuse by another inmate could constitute deliberate indifference” (citing, inter alia , Farmer , 511 U.S. at 834)); Cox v. Quinn , 828 F.3d 227, 239 (4th Cir. 2016) (“ It has long been established that jail officials have a duty to protect inmates from a substantial and known risk of harm, Case: 19-10798 Document: 00515925058 Page: 32 Date Filed: 07/02/2021No. 1 9

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33 The majority does note (before promptly foreclosing) an additional path by which Plaintiffs might satisfy the clearly established prong, even without a directly on

- point case. Under Supreme Cour t precedent, an officer
violates clearly established law when his conduct so obviously transgresses
the Constitution such that the unlawfulness would have been apparent to any reasonable officer. E.g. , Hope v. Pelzer , 536 U.S. 730, 741 (2002). The majority even cites the Supreme Court’s recent rebuke of this court in Taylor

v. Riojas , 141 S. Ct. 52 (2020) for failing to apply properly this principle. In Taylor , a panel of this court had determined that officers who left an inmate

in a squalid, excrement

- filled jail cell for “only six days” were entitled to qualified immunity because this court “hadn’t previously held that a time period so short violated the Constitution.” Taylor v. Stevens , 946 F.3d 211,

222 (5th Ci r. 2019), vacated sub nom. Taylor v. Riojas , 141 S. Ct. at 54. The Supreme Court summarily vacated, reaffirming the longstanding rule that a plaintiff need not provide a precisely analogous case to overcome qualified immunity when the circumstances are su ch that “no reasonable correctional

including harm inflicted by other prisoners .” ( citing Farmer , 511 U.S. at 833)). Respectfully, this court’s cases that have relied on Mullenix to narrowly define the right at issue in a deliberate indifference case, see e.g. , Cleveland v. Bell , 938 F.3d 672, 677 (5th Cir. 2019), are misguided, failing to grapple with the distinguishing feature of a deliberate indifference claim, which requires that an officer have subjective awareness of the inadequacy of his acts or omissions in responding to a risk of harm.

I n any event, our c ourt held over twenty years ago in Jacobs that an officer who responds with deliberate indifference to a known risk of a detainee’s suicide violates clearly established law, even though the officer’s particular conduct constituting deliberate indifference had not been addressed in a previous case. See 228 F.3d at 394. Thus, even putting aside the logical conclusion that an officer who acts with deliberate indifference necessarily violates clearly established law, we are bound by Jacob ’s clear holding. Ja cobs ’s conclusion makes eminent sense because the risk of harm in a case involving a claim of deliberate indifference to a known risk of suicide is uniquely high

— indeed, there can be no greater risk. In this circumstance, it would be “sufficiently clear [ to] every reasonable official” that it violates constitutional rights to disregard that risk of harm. Mullenix , 577 U.S. at 11. Case: 19-10798 Document: 00515925058 Page: 33 Date Filed: 07/02/2021No. 1 9

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34 officer could have concluded” that the conduct at issue was constitutional. Taylor , 141 S. Ct. at 53 (citing Hope , 536 U.S. at 741 (explaining that “‘a general constitutional rule already identified in the decisional la w may apply
with obvious clarity to the specific conduct in question’” (quoting United

States v. Lanier , 520 U.S. 259, 271 (1997)). In short, the Court made clear
that the shield of qualified immunity vanishes when there is no “doubt about
the obviousness ” of an officer’s violation of an inmate’s constitutional rights.
Id. at 54 n.2.
Though the majority cites Taylor , it fails to absorb and apply the case’s
lesson. In the majority’s view, because the conduct of Defendants here was

not as extreme as that of the guards in Taylor , the Supreme Court’s decision
is inapplicable. Maj. Op. at 7, 12

- 13. But this essentially repeats the very

same analytical error this court made in Taylor and which the Supreme Court
found necessary to correct. Rather than askin g only whether the facts here

are closely analogous to Taylor and thus if there exists an on

- point precedent

— which is essentially the majority’s analysis

— Taylor teaches that
the proper qualified

- immunity inquiry must also ask whether the violation

was so o bvious that “any reasonable officer should have realized that” their
conduct “offended the Constitution.” Taylor , 141 S. Ct. at 54; see also

Brosseau v. Haugen , 543 U.S. 194, 199 (2004) (“Of course, in an obvious case, [general] standards can ‘clearly est ablish’ the answer, even without a body of
relevant case law.”). 7 And because, as discussed above, deliberate

7 To be sure, it should infrequently be the case that an officer’s conduct so obviously violates constitutional rights such tha t any reasonable officer would have known of the unlawfulness of his conduct. But this is not to say, as the majority appears to believe, that a constitutional violation is only obvious when the facts of a particular case are as “deplorabl[e]” as those in Taylor , 141 S. Ct. at 53. The question, as noted above, is more straightforward: whether “any reasonable officer should have realized that” their conduct “offended the Constitution.” Id. at 54. Case: 19-10798 Document: 00515925058 Page: 34 Date Filed: 07/02/2021No. 1 9

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35 indifference by an officer in the face of an inmate’s known risk of suicide is always objectively unreasonable in light of clearly established l aw, such a violation will necessarily be “obvious” in that “any reasonable officer should
have realized that” their conduct “offended the Constitution.” Taylor , 141
S. Ct. at 54. Where the violation at issue is intentionally disregarding a known
suicide risk, this standard is clearly met.

In sum, in the deeply alarming circumstance where a detainee is
known by jail officials to be at risk of suicide, a response by those officials that deliberately “effectively disregards” that risk violates clearly established law

in a manner that should be clear to all reasonable officers. Jacobs , 228 F.3d

at 395

. Such facts would thus defeat qualified immunity if proven. Id. For
the reasons outlined below, a reasonable jury could infer that Laws was deliberately indifferent by failing promptly to conta ct emergency services

once Monroe had begun actively choking himself and Cogdill and Brixey

were likewise deliberately indifferent for housing Monroe by himself in a cell
with a lengthy phone cord

.
II.

In this appeal from Defendants’ motion for summary judgment, we

must view the evidence in the light most favorable to Plaintiffs and making
all reasonable inferences in their favor. See Jacobs , 228 F.3d at 393. Under
this standard, Jaile r Laws’s alleged response to Monroe’s ongoing suicide

was so inadequate as to permit a reasonable juror to infer that Laws was deliberately indifferent to Monroe’s plight. Indeed, the majority agrees that

Laws may have been deliberately indifferent, but it asserts that he is entitled

to qualified immunity because he “did something,” i.e. , contacting his supervisors. Maj. Op. at 13. But, as discussed above, the issue is not whether a prior case put Laws on notice that calling his supervisors was an inadequate

resp onse because the constitutional violation at issue is not based solely on Case: 19-10798 Document: 00515925058 Page: 35 Date Filed: 07/02/2021No. 1 9

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36 the objective unreasonableness of his response. Instead, the violation is Laws’s alleged deliberate indifference. If Laws knew calling his off

- duty supervisors was likely going to fail to save Monroe’s life but did not care

— that is, if he thought “this is not my problem and someone else can deal with
it”

— the constitutional violation was obvious to any reasonable officer, regardless of the specifics details of his inadequate response

.
Th e majority’s holding is inconsistent with common sense and our precedent. E ven setting aside the specific and acutely urgent context of an ongoing suicide attempt, no one would suggest that an officer who responds
to an inmate in need of medical care but does so in a manner that he knows
or believes to be plainly inadequate is immunized from liability. See, e.g. , Farmer , 511 U.S. at 847 (holding that a prison official is deliberately
indifferent “if he knows that inmates face a substantial risk of ser ious harm and disregards that risk by failing to take reasonable measures to abate it ” (emphasis added)); Austin v. Johnson , 328 F.3d 204, 210 (5th Cir. 2003) (denying qualified immunity where, although a prison guard rendered first aid, the minor

- aged pri soner remained unconscious and vomiting due to heat stroke and the guard waited nearly two hours to call for emergency services); Harris v. Hegmann , 198 F.3d 153,159

– 60 (5th Cir. 1999) (prisoner stated deliberate indifference claim when he alleged that he had complained to prison medical staff that his jaw had “fallen out of place” and that he was in excruciating pain and required immediate medical attention yet prison medical officials performed only a “cursory inspection” of his mouth and otherwise ignore d his repeated requests for treatment for eight days after his jaw re

- broke)

. Rather, “this court ha[s] previously held that t aking some reasonable precautions does not mean the officer, on the whole, behaved reasonably.” Converse , 961 F.3d at 779.

Jacobs well

- illustrates this principle. In that detainee

- suicide case, the jail’s sheriff “did not completely ignore [the detaine e’s] suicidal condition, Case: 19-10798 Document: 00515925058 Page: 36 Date Filed: 07/02/2021No. 1 9

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37 and in fact instituted some preventative measures,” such as prohibiting the detainee from having loose beddi ng during her initial period in detention and ordering more frequent checks on h er. 228 F.3d at 395. Nevertheless, we
hel d these precautions were “not enough to mitigate [the sheriff’s] errors,” including ratifying the decision to place the detainee in a cell that had a “significant blind spot and tie

- off points” that the detainee later used to hang
herself. Id. Similarly, in Converse , we held that, although an officer removed a suicidal detainee’s shoelaces before placing him in a cell, the officer was not entitled to qualified immunity when he failed both to regularly check on the detainee and to remove bedding that the d etainee later used to hang himself. 961 F.3d at 779 (reviewing assertion of qualified immunity at motion

- to

dismiss stage). When an officer “disregard[s] . . . precautions he knew should be taken” or responds to a crisis in a manner that is so deficient as to permit the inference that the officer consciously disregarded the risk, then that
officer acts with deliberate indifference. Jacobs , 228 F.3d at 397; see also Hare

II

, 74 F.3d at 649 n.5.
Applying this standard, a reasonable juror could infer that L aws responded to Monroe’s s elf

- strangulation with deliberate indifference. The risk of death posed by a suicidal inmate actively choking himself with a telephone cord is obvious and clearly ur gent. In fact, Laws knew that less than ten minutes of strangu lation can result in serious brain damage. He also knew that EMS was available 24/7 and would come. Nonetheless, Laws’s only affirmative response was to call Cogdill, Brixey, and Deputy Tucker for help. Thereafter, despite Laws’s alleged awareness that none of the superiors he called were in the jailhouse or even on duty, he “basically just waited for somebody to get there.” This violated the commonsense training Laws had received, which demanded that he promptly call emergency
services. See Arenas v. Calhoun , 922 F.3d 616, 624 (5th Cir. 2019) (“[A] Case: 19-10798 Document: 00515925058 Page: 37 Date Filed: 07/02/2021No. 1 9

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38 knowing failure to execute policies necessary to an inmate’s safety may be evidence of an officer’s deliberate indifference.”).
And such a response would have required minimal effort while posing
no risk to Laws. Cf. Converse , 961 F.3d at 778 (“ Plaintiffs have plausibly alleged that, by failing to take simple and reasonable precautions, Officer
Melton displayed deliberate indifference to the risk of harm to Silvis .”). Instead, with a crisis unfolding right in front of him, Laws allegedly just waited for ten minutes for Brixey to get to the jail, even though he was “sure” from his education and training as a jailer that someone being strangled by a ligature could suffer serious brain damage in “less than ten minutes.” Once Brixey arrived, she took it upon herself to call for emergency medical
assistance. From Laws’s glaring record of inaction, a reasonable juror could infer that, although he “did not completely” ignore Monroe’s risk of suicid e, he “effectively disregarded” that risk and therefore is not absolved of liability. 8 Jacobs , 228 F.3d a t 395

- 96. Because a reasonable juror could

8 The majority cites a district court opinion in Shepard v. Hansford County , 110 F. Supp. 3d 696, 711, 713 (N.D. Tex. 2015), for the proposition that our caselaw has yet to clearly establish (prior to this case, at least) that the failure to promptly call for emergency services i n response to an inmate attempting suicide is a constitutional violation. Maj. Op.
at 13. Reliance on Shepard is misplaced as that decision fundamentally misreads this court’s precedents on deliberate indifference in the face of a suicidal inmate. First, Shepard thought that our determination that officers were deliberately indifferent in Jacobs turned on the fact that the officers in that case failed to implement sufficient suicide prevention measures even though there had been a previous jailhouse suicide. On t hat basis, Shepard sought to distinguish Jacobs from the detainee suicide at issue in that case, which was the first in that jail’s history. See id. at 713. However, in Converse , we expressly rejected this very distinction as immaterial, explaining that the fact of a past suicide in Jacobs “speaks only to the degree , not the occurrence , of unreasonable behavior.” 961 F.3d at 777 (emphasis in original). Hence, we determined that officers responded with deliberate indifference to a suicidal detainee by fa iling to take reasonable preventative measures, despite the fact that no previous inmate had committed suicide in the cell in which the detainee killed himself. See id. Second and more fundamentally, Shepard misconstrues Jacobs ’s statement, mentioned abo ve, that “we cannot say that the law is established with any clarity as to what Case: 19-10798 Document: 00515925058 Page: 38 Date Filed: 07/02/2021No. 1 9

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39 conclude that Laws was deliberately indifferent to the risk that Monroe would die from his suicide attemp t, Laws’s actions, viewed in the light most favorable to Plaintiffs, violated clearly established law. See Converse , 961 F.3d

at 775 . Accordingly, I would affirm the district court’s conclusion that this claim against Laws should proceed to trial.

III.

T urning to the claims against Sheriff Cogdill and Administrator Brixey, I consider first whether each subjectively perceived the substantial
risk of harm Monroe faced before addressi ng each of their responses to that
risk. 9 Cogdill concedes that he believ ed Monroe to pose a real risk of suicide. So, too, was Brixey aware of this risk as she, along with Cogdill, knew that Monroe had attempted suicide on his second day in the jail and made the initial decision to place Monroe on suicide watch. Accordingly, I would address the second part of the deliberate indifference inquiry, i.e. , whether

[measures jailers must take to prevent inmate suicide].” Shepard , 110 F. Supp. 3d at 713 (alterations in original) (quoting Jacobs , 228 F.3d at 394

- 95). Notwithstanding this statement, Jacobs continued on to explain what is required, as a matter of law, to overcome qualified immunity when an inmate presents an ongoing risk of suicide: to defeat qualified immunity, the plaintiffs must establish that the officers in this case we re aware of a substantial and significant risk that Jacobs might kill herself, but effectively disregarded it.” 228 F.3d at 395. Jacobs then applied that standard, ultimately finding a violation of clearly established law by multiple officers. See id. a t 397. In other words, Jacobs makes clear what Shepard does not recognize: even if the law has not spelled out each precise measure a jailer must take in response to a known suicide risk, a jailer’s response that is deliberately indifferent to such a risk violates clearly established law. See id. at 393

- 94.

9 Of course, each officers’ subjective deliberate indifference

— and therefore liability

— must be analyzed separately. See, e.g. , Jacobs , 228 F.3d at 395. While adhering to this requirement, the evidenc e pertaining to Cogdill’s and Brixey’s individual deliberate indifference is mentioned together for the sake of concision. But again, the legal analysis is individualized because each officer must personally act with deliberate indifference in order for l iability to attach. Case: 19-10798 Document: 00515925058 Page: 39 Date Filed: 07/02/2021No. 1 9

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40 the officers “effectively disregarded” Monroe’s risk of suicide by housing him in a cell alone with a thirty

- inch phone cord. Jacobs , 228 F.3d at 395.
The majority, ho wever, determines that Cogdill and Brixey escape liability because they lacked knowledge of the specific risk of suicide by strangulation posed by placing Monroe in a cell with a lengthy phone cord.

See Maj. Op. at 15

- 17. 10 Under Supreme Court and circuit precedent, however, the risk of harm in the first step of the deliberate

- indifference test should not be defined so narrowly. Rather, as the Supreme Court made clear

in Farmer v. Brennan , 511 U.S. 825, 843 (1994), all tha t must be established is that the jail official had actual knowledge that the inmate faced a risk of harm.
Id. (holding that the deliberate

- indifference standard requires that the official
“both be aware of facts from which the inference could be drawn th at a substantial risk of serious harm exists, and he must also draw the inference”).

10 Curiously, the majority suggests that Plaintiffs cannot prevail on their claim against Brixey because “ Defendant’s counsel conceded that Brixey ‘was not involved in placing [Monroe] in the cell’” and because a § 1983 claim cannot be b ased on vicarious liability. Maj. Op. at 9 n.5 (emphasis added). First, it transgresses fundamental rules of fairness to assert that an argument put forward by a defendant that is intended to avoid liability

— here, the contention by Brixey’s counsel that she was not involved in the decision to place Monroe in the cell with the phone cord

— (1) constitutes a “concession” by that party and (2) somehow binds a plaintiff who might point to facts leading to a different conclusion. And to simply take the defendan t’s charac terization of the facts as gospel violates the long

- established rule that we are to view the facts in the light most favorable to the non

- moving party. But even assuming that Brixey was not involved in the initial decision to place Monroe in the cell in which h e ultimately committed suicide, our court has held that a supervisor can be deliberately indifferent in response to a known risk of suicide when they “effectively ratified th[e ] decision” to place a detainee in a particular cell “by keeping [the detainee] in the cell while he considered her to be a significant suicide risk.” Jacobs , 228 F.3d at 395; cf. Hunt v. Davis , 749 F. App’x 522, 524 (9th Cir. 2018) (explaining that “ a su pervisor’s acquiescence in a subordinate’s constitutional violation may result in his individual liability” if the supervisor “‘knowingly refuse[s] to terminate’ acts by others which he knows or has reason to know inflict constitutional injury.’” (quoting Starr v. Baca , 656 F.3d 1202, 1205

- 06 (9th Cir. 2011)). Case: 19-10798 Document: 00515925058 Page: 40 Date Filed: 07/02/2021No. 1 9

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41 The Court did not impose an additional burden on plaintiffs to show that the official possessed knowledge of the specific manner or source of harm. To the contrary, it s quarely rejected engrafting such a requirement, explaining that the official’s knowledge as to “whether the risk comes from a single source or multiple sources” is irrelevant to the inquiry into the officer’s
awareness of the risk of harm. Id. (internal q uotation marks omitted).

I n a case involving a detainee with a known risk of suicide, the risk of
harm is the risk of the detainee’s suicide, not the risk of suicide by a particular

means. See Converse , 961 F.3d at 779 (“Plaintiffs have alleged sufficient facts to demonstrate that Officer Kimball was subjectively aware of the risk of
suicide Silvis faced.” (emphasis added)); Hyatt v. Thomas , 843 F.3d 172, 179 (5th Cir. 2016) (explaining that plaintiffs were “not required to demonstrate that [the officer] w as aware of the particular means that [the detainee] would ultimately use to hurt himself, only of the substantial risk that he might try to hurt himself”); Sanchez , 995 F.3d at 473 (“ Thus, the question is whether
Sanchez has presented evidence from which a reasonable jury could infer that
Oliver knew Gauna was at risk of suicide and ignored the risk. ”); cf.
Hernandez ex rel. Hernandez v. Tex. Dep’t of Protective & Regul. Servs. , 380
F.3d 872, 881

- 82 (5th Cir. 2004) (State

- employed social workers “contend

t hat the plaintiffs cannot show that by placing [a foster child] with the [foster family] the social workers had actual knowledge of a specific danger of the particular injury of suffocation.

. . . [T]his court has neve r required state officials to be warned of a specific danger.

. . . [T]o require state officials to
have knowledge of the exact risk of harm, i.e. suffocation, would be inapposite with the Supreme Court’s decision in Farmer

. . . . We need not
address the f orm that such a risk might eventually manifest”). 11 Thus,

11 Relying on Farmer , other circuits have applied similar reasoning. See, e.g. , Tafoya v. Salazar , 516 F.3d 912, 916 (10th Cir. 2008) (McConnell, J.) (“The official’s knowledge Case: 19-10798 Document: 00515925058 Page: 41 Date Filed: 07/02/2021No. 1 9

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42 Cogdill’s and Brixey’s knowledge of the specific risk of strangulation by the phone cord should be considered only at the second stage of the deliberate
indifference test

— which asks whether Cogdill and Brixey “effectively disregarded” the risk of harm, Jacobs , 228 F.3d at 395

— where this awareness may demonstrate that the officers knew or believed that their response to Monroe’s suicidal ideation and attempts could be inadequate.
With regard to the second part of the deliberate

- indifference test, I would hold that a reasonable juror could conclude that Cogdill ’s and Brixey’s

res ponses to Monroe’s known risk of suicide were deliberately indifferent,
viz. , that the officials “effectively disregarded” M onroe’s risk of suicide. Id.

. Cogdill decided to transfer Monroe, who just attempted to strangle and hang himself, to Cell 3, an isolation cell with a thirty

- inch phone cord, and Brixey ratifed that decision, even though they both knew that other, safer options for housing Monroe were available.

“ A supervisory official may be held liable” if he “ implements
unconstitutional policies th at causally result in the constitutional injury.” In
this case , Cogdill and Brixey chose to have only one jailer on duty when the jail houses a suicidial detainee in its custody. However, the jail’s policy requires a jailer to wait for backup support to arrive before entering a cell,

of the risk need not be knowledge of a substantial risk to a particular inmate, or knowledge of the particular manner in which injury might occur.” (citing Farmer , 511 U.S. at 843) ); Haley v. Gross, 86 F.3d 630, 643 n.33 (7th Cir. 1996) (“Likewise Sergeant Ellis and Superintend e nt Gross are no less liable for deliberate indifference because, while they knew that [prisoner] Wilborn presented a substantial risk of serious harm to [his cellmate] Haley, they may not have envisioned that Wilborn would light the cell on fire. While th ere must be some link between the risk of which the official was aware and the harm that actually occurred

— as it would be unfair to hold officials liable for risks they could not have anticipated simply because they ignored other unrelated risks

— prison off icials need not be specifically aware of the precise risk that unfolds. It is sufficient that Ellis and Gross knew that Haley was in danger of some kind of attack from Wilborn and made no attempt to prevent it.” (citing Farmer , 511 U.S. at 843) ). Case: 19-10798 Document: 00515925058 Page: 42 Date Filed: 07/02/2021No. 1 9

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43 even when, as here, a detainee i s actively attempting suicide inside his cell. Maintaining only one jailer on duty thus increases the response time before a jailer can physically intervene to prevent a detainee from committing suicide. The obvious consequence of a policy of keeping onl y a single jailer on duty even when a suicidal detainee is in the jail’s custody is that a suicidal detainee may commit serious self

- harm before a jailer can effectively intercede. And critically, Cogdill and Brixey knew that this staffing policy

— which th ey were responsible for administering

— was “just not safe” precisely because of the delays it creates in responding to a crisis situation. Had an additional jailer been on duty the morning that Monroe wrapped the phone cord around his neck, either Laws or that additional jailer could have immediately intervened and prevented the suicide. On this record, a reasonable jury could infer that Cogdill and Brixey’s policy of keep only a single jailer on duty when the jail houses a suicidal detainee “causally resu lt[ed]” in Monroe’s death. Porter , 659 F.3d at 446.
Cogdill and Brixey’s liability as supervisors can also be framed as their conscious choice not to implement policies even though they knew that the likely result of failing to implement these policies wo uld eventually be a detainee’s suicide; in other words, Cogdill and Brixey can be liable for opting not to put into effect policies that they knew would decrease substantially the
risk of harm to suicidal detainees and instead to continue to adhere to a mo re dangerous policy that was apt to lead to an in

- custody suicide. See Porter , 659
F.3d at 446 (“A failure t o adopt a policy can be deliberately indifferent when
it is obvious that the likely consequences of not adopting a policy will be a deprivation of constitutional rights. ” ( internal quotation marks omitted)). Cogdill and Brixey both knew that they had multiple options available for housing Monroe that would have been safer than keeping him in the jail’s custody with only a single jailer on duty. For example, Cogdill was aware that jail policy mandated that Monroe “be transferred to a facility better equipped Case: 19-10798 Document: 00515925058 Page: 43 Date Filed: 07/02/2021No. 1 9

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44 to manage an inmate with mental disabilities” if a transfer was required in order to protect Monroe. And in the past, Cogdill had specifically ordered transfers of inmates to other jails. See Jacobs , 228 F.3d at 397 (holding that a jail official’s “disregard for precautions he knew should be taken” can evidence subjective deliberate indifference)

. Besides this alternative to housing Monroe at the Coleman County Jail, Cogdill and Brixey could have taken the simple and obvious step of employing a second jailer to be on

- duty at all times when a suicidal inmate, like Monroe, was in the jail’s custody. This latter course of action would have averted the delays in responding to a suicide attempt when a single jailer is on duty. And even though Cogdill and Brixey averred that budgetary restrictions prevent hiring more than six total staff, this does not i ndicate that financial limitaitons would prevent maintaining (and paying for) one additional jailer on duty in the limited circumstance where a suicidal detainee is custody.
In sum, Cogdill and Brixey adhered to a policy of maintaining just one jailer on duty even when a suicidal detainee was in the jail’s custody, despite knowing that this policy was unsafe, and instead of transferring suicidal detainees to better equipped facilities or keeping a second jailer on duty

— policies that they knew were availab le to them. A jury could determine that the supervisors’ were deliberately indifferent based on their “ failure to adopt [] polic[ies]” when they knew

— as any reasonable jailer would know

— that
the consequence of not implementing these policies was likely to be an in

custody suicide. Porter , 659 F.3d at 446.
There are further grounds upon which a jury could conclude that Cogdill and Brixey were deliberately indifferent. Both officials were aware of the risk and prevalence of suicide in local jails and had p reviously worked in a local jail where multiple inmates had committed suicide by strangulation. Moreover, C ogdill had been trained to house suicidal inmates in cells with
other inmates and not in insolation. In other words, based on Cogdill’s Case: 19-10798 Document: 00515925058 Page: 44 Date Filed: 07/02/2021No. 1 9

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45 training, i t would have been safer to simply leave Monroe in Cell 2 after

Monroe attempted suicide than to move him to Cell 3. Further , the fact that the jail contained only four cells supports an inference that both Cogdill and Brixey were aware that Cell 3 was out fitted with a lengthy phone cord. And the very length of the cord constitutes circumstantial evidence from which a factfinder could infer that Defendants were aware of the obvious risk it posed to an individual who had just attempted to hang himself. See Farmer , 511 U.S. at 842 (explaining that a prison official’s “knowledge of a substantial risk” can be demonstrated based on “inference from circumstantial evidence, and [that] a factfinder may conclude that a prison official knew of a substantial
risk fro m the very fact that the risk was obvious” (internal citation omitted)). Indeed, Cogdill spent time with Monroe in Cell 3 just the day before Monroe strangled himself with the phone cord, attempting to dissuade Monroe from committing sel f

- harm . It strain s credulity to accept that Cogdill would not have noticed the lengthy cord and considered it a potential ligature, and at the very least, it is rational to infer that Cogdill was aware of the risk posed by the cord.

Furthermore, the absence in the record of past suicides by strangulation with telephone cords specifically in the Coleman County Jail does not foreclose a finding that Cogdill and Brixey were aware of the risk posed by the lengthy phone cord. A s mentioned above, in 2015 the head of the Texas J ail Commission circulated a memorandum notifying “All Sheriffs and Jail Administrators” in the state that multiple suicides had occurred in Texas jails in less than a years’ time through the use of lengthy phone cords. Accordingly, the Commission advised that phone cords in jails “be no more than twelve (12) inches in length.” Although Cogdill and Brixey testified that they had not received or read the memorandum, a reasonable factfinder could
find their denials incredible. See Deville v. Marcantel , 567 F.3d 156, 165

– 166 (5th Cir. 2009) (summary judgment inappropriate “where the credibility of Case: 19-10798 Document: 00515925058 Page: 45 Date Filed: 07/02/2021No. 1 9

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46 key witnesses loom large” (cleaned up)). Cogdill was Deputy Sheriff of the Coleman County Jail at the time the memorandum was circulated, and one could reasonably infer that Cogdill’s predecessor as sheriff would have informed him of the memo’s contents when it was circulated. And Cogdill had been Sheriff for two years at the time of Monroe’s suicide. A juror could infer that Cogdill

— like any responsible senior ja il official, particularly one starting a role as the head of a jail

— would have familiarized himself with reports issued by the Texas Jail Commission, the state’s regulator of county jails, 12 and thus that he reviewed the Jail Commission’s 2015 memorandum

w arning officials about the risk to suicidal inmates posed by lengthy phone cord. Likewise, a juror could reasonably conclude that Brixey reviewed the memorandum after she became Jail Administrator in 2017 given that it was addressed to Jail Administrators and given the fact that Cogdill tasked her with handling communications with the Jail Commission.
Even assuming that neither Cogdill nor Brixey received the memo or heard reports of its contents

— which would be contrary to our duty to make
reasonable inf erences in favor of Plaintiffs as the non

- movants

— the existence of the document suggests that the clear and obvious nature of the risk posed by housing a suicidal prisoner in a cell with a phone cord in excess of twelve inches was generally known within th e Texas jail system. See

Farmer , 511 U.S. at 842. What is more, Cogdill and Brixey’s extensive experience in jails lends support to the inference that they would have been generally aware of the risk posed by lengthy phone cords as potential ligatures

12 “ The Texas Commission on Jail Standards is the regulatory agency for all county jails and privately operated municipal jails in the state.” **Texas Commission on Jail Standards**  , **Compact with Texas** , https://www.tcjs.state.tx.us/compact

- with

texas/ (last visit ed June 23, 2021). Among other oversight duties, the Jail Commission establishes “reasonable minimum standards for the . . . operation of jails” and “monitor[s] and enforce[s]” compliance with jail standards. Id. Case: 19-10798 Document: 00515925058 Page: 46 Date Filed: 07/02/2021No. 1 9

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47 to suicidal detainees. Thus, although Cogdill and Brixey did not admit that they were aware of the risk the phone cord presented, a factfinder could
disbelieve their denials in light of the substantial circumstantial evidence pointing the other way. See De ville , 567 F.3d at 165

– 166

. 13 And it is not our

13 In determining that Cogdill and Brixey were not aware of the risk of the phone cord, the majority purports to rely on Farmer ’s statement that risks that are “longstanding, pervasive, well

- documented, or expressly noted by prison officials in the past” can serve as circumstantial evidence that an official “has been exposed to information concerning the risk and thus ‘must have known’ about it.” Maj. Op. at 15 n.10 (quoting 511 U.S. at 842). First, as explained above, Farmer itself and this court’s caselaw make clear that the relevant risk of h arm in this case is the risk of suicide, not the risk of suicide by a thirty

- inch telephone cord. See Farmer , 511 U.S. at 843 (“Nor may a prison official escape l iability for deliberate indifference by showing that, while he was aware of an obvious, subst antial risk

to inmate safety, he did not know that the complainant was especially likely to be assaulted by the specific prisoner who eventually committed the assault. The question under the Eighth Amendment is whether prison officials, acting with delibe rate indifference, exposed

a prisoner to a sufficiently substantial risk of serious damage to his future health, and it does

not matter whether the risk comes from a single source or multiple sources, any more than it matters whether a prisoner faces an ex cessive risk of attack for reasons personal to him

or because all prisoners in his situation face such a risk.” (cleaned up)); Hyatt , 843 F.3d at 179 (explaining that plaintiffs were “not required to demonstrate that [the officer] was aware of the particul ar means that [the detainee] would ultimately use to hurt himself, only of the substantial risk that he might try to hurt himself”); Hernandez , 380 F.3d at 881

- 82 (5th Cir. 2004) (State

- employed social workers “contend that the plaintiffs cannot show that by placing [a foster child] with the [foster family] the social workers had actual knowledge of a specific danger of the particular injury of suffocation.

. . . [T]his court has

never required state officials to be warned of a specific danger.

. . . [T]o r equire state officials to have knowledge of the exact risk of harm, i.e. suffocation, would be inapposite with the Supreme Court’s decision in Farmer

. . . . We need not address the form that such

a risk might eventually manifest”). And it is undisputed here that Cogdill and Brixey were aware that Monroe was suicidal, and thus subjectively appreciated that Monroe faced a risk of harm. Although Cogdill and Brixey’s awareness of the danger posed by the phone cord does not bear on wh ether they knew Monroe was at a risk of harm, their awareness is relevant to the second prong of the deliberate indifference test

— whether they effectively disregarded that risk by failing to act or acting in a manner they believed to be unreasonable. In t his case, Cogdill and Brixey’s decision to house Monroe in Cell 3, despite their awareness that the lengthy phone cord in that cell could be used as a suicidal ligature, evidences the inadequacy of their individual responses to Monroe’s risk of suicide. A nd Case: 19-10798 Document: 00515925058 Page: 47 Date Filed: 07/02/2021No. 1 9

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48 province to weigh this competing evidence in reviewing a summary judgment
order. See Schroeder v. Greater New Orleans Fed. Credit Union , 664 F.3d 1016,

1026 (5th Cir. 2011).

To summarize, Cogdill and Brixey chose to house Monroe, who they knew was a suicide risk, alone in a cell with a thirty

- inch long phone cord despite (1) their training, which generally advised against housing suicidal prisoners by themselves; (2) their knowledge that there were oth er, safer facilities to house Monroe and that they had a duty to relocate him if their jail could not adequately protect Monroe; (3) the risk posed by the lengthy cord, which was both obvious and a specific risk that a jury could infer that the
officials w ere made aware of by the Texas Jail Commission. Considering this
evidence in the light most favorable to P laintiffs and drawing all reasonable inferences in their favor, a juror could conclude that Cogdill and Brixey knew or believed that their response t o Monroe’s risk of suicide was deficient and
ther efore possessed a “state of mind more blameworthy than lack of due

care.” Hare II , 74 F.3d at 649 n.5. Put differently, one could conclude that the officers “effectively disregarded” the risk of harm to Mo nroe. Jacobs , 228 F.3d at 395. Plaintiffs have thus raised material questions as to whether

contrary to the majority’s contention, the dangers to suicidal inmates from phone cords more than twelve

- inches in length

— like the cord in Cell 3

— were “longstanding” and “well

- documented” because two years before Monroe’s suicide the Texas Jail Commissi on expressly warned senior jail officials like Cogdill and Brixey of the risk created by phone cords of over twelve inches in length. Moreover, Farmer expressly states that whether a risk was “longstanding, pervasive, or expressly noted” by past officials are merely examples of the types of circumstantial evidence that could support the inference that an official had subjective knowledge of a risk of harm; they are not the exclusive forms of such evidence. 511 U.S. at 842. Rather, “a factfinder may concl ude that a prison official knew of a substantial risk from the very fact that the risk was obvious.” Id. There is no doubt that a lengthy phone cord contained inside a jail cell poses an obvious risk of harm to a suicidal inmate housed in that cell where the inmate had attempted to strangle himself to death just the previous day. Thus, a jury could reasonably find that Cogdill and Brixey were aware of the risk to Monroe created by the thirty

- inch phone cord in Cell 3. Case: 19-10798 Document: 00515925058 Page: 48 Date Filed: 07/02/2021No. 1 9

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49 each officer independently was deliberately indifferent and, as explained above, have therefore also established a violation of clearly established law.
See id. ; see also Converse , 961 F.3d at 775.

* * *
Qualified immunity is not the judicial equivalent of the Armor of Achilles, an impenetrable shield that governmental actors can wield to insulate themselves from liability no matter how flagrant their conduct. As the Supreme Court has recently reminded this court, qualified immunity vanishes where an official’s action or inaction so obviously violates the Constitution that “any reasonable officer should have realized” the
unlawfulness of the conduct. Taylor , 141 S. Ct. at 54. And “any reasonable
officer” would know that it offends the Constitution to be deliberately
indifferent to a detainee’s known risk of suicide. Taking the facts and
inferences in the light most favorable to Plaintiffs, a reasonable juror could
conclude that the officers here responded with deliberate indifference to the
risk that pretrial detainee Derrek Monroe would commit suicide, and
therefore the officers are not entitled to qualified immunity. It should be left

to a jury to weigh the competing evidence and resolve the factual disputes,

most particularly Defendants’ subjective states of mind. Instead, today’s majority ends all claims against all officers by erroneously granting them qualified immunity. Because the ma jority misapprehends decades of clearly
established law and denies Plaintiffs the jury trial to which they are entitled,

I respectfully dissent. Case: 19-10798 Document: 00515925058 Page: 49 Date Filed: 07/02/2021