Cox v. Glanz

FILED
United States Court of Appeals
Tenth Circuit

September 8, 2015
PUBLISH Elisabeth A. Shumaker
Clerk of Court
UNITED STATES COURT OF APPEALS

TENTH CIRCUIT

CAROLYN COX,

Plaintiff-Appellee,
v. No. 14-5022

STANLEY GLANZ,

Defendant-Appellant.

Appeal from the United States District Court
for the Northern District of Oklahoma
(D.C. No. 4:11-CV-00457-JED-FHM)

Daniel E. Smolen of Smolen, Smolen & Roytman, P.L.L.C., Tulsa, Oklahoma
(Donald E. Smolen, II, of Smolen, Smolen & Roytman, P.L.L.C., Tulsa,
Oklahoma; Robert M. Blakemore, Louis W. Bullock, and Patricia W. Bullock of
Bullock Law Firm, Tulsa, Oklahoma, with him on the brief), for
Plaintiff-Appellee.

Guy A. Fortney of Brewster & De Angelis, P.L.L.C., Tulsa, Oklahoma (Clark O.
Brewster and Corbin C. Brewster of Brewster & De Angelis, P.L.L.C., Tulsa,
Oklahoma, with him on the briefs), for Defendant-Appellant.

Before BRISCOE, Chief Judge, HOLMES and BACHARACH, Circuit Judges.

HOLMES, Circuit Judge.
 After Charles Jernegan committed suicide at the David L. Moss Criminal

Justice Center in Tulsa, Oklahoma (“Jail”), his mother, Plaintiff-Appellee Carolyn

Cox, commenced this 42 U.S.C. § 1983 action against Defendant-Appellant

Stanley Glanz, the Tulsa County Sheriff (“Sheriff Glanz” or “the Sheriff”). Ms.

Cox sought to hold Sheriff Glanz liable for Mr. Jernegan’s suicide in his

individual capacity (relying upon a supervisory-liability theory) and in his official

capacity. Regarding both capacities, she alleged Eighth Amendment violations.

Sheriff Glanz moved for summary judgment, asserting the defense of qualified

immunity. The district court issued a ruling in which it denied the Sheriff’s

motion in all respects—albeit without mentioning qualified immunity—based on

the existence of genuinely disputed material facts.

In this interlocutory appeal, Sheriff Glanz contends that extant caselaw at

the time of Mr. Jernegan’s suicide did not clearly establish that he could be held

liable as a supervisor under the circumstances present here—put succinctly, where

Mr. Jernegan denied having a suicidal intent during booking and no Jail staff

members detected a basis for referring him for additional mental-health screening

based on their interactions with him. Accordingly, the Sheriff reasons that this

dearth of clearly established law means that the district court erred in (tacitly)

denying him qualified immunity. The Sheriff also asserts that none of the

policies or procedures he has implemented at the Jail can be characterized as the

2
moving force behind any alleged violation of Mr. Jernegan’s constitutional rights;

consequently, he says, there is no basis for official liability.

For ease of reference, we briefly summarize the conclusions of our ensuing

detailed analysis. First, we agree with Sheriff Glanz that reversal on Ms. Cox’s

individual-capacity claim is justified here and that the case must be remanded to

the district court. We specifically base our decision to reverse on our

determination infra that the then-extant clearly established law would not have

put a jail administrator similarly situated to Sheriff Glanz on notice that he could

be held liable under § 1983 for an Eighth Amendment violation based on a

prisoner’s suicide where, as here, neither he nor any identified staff member

whom he supervised possessed knowledge that the particular inmate who

committed suicide presented a substantial risk of taking his own life. Absent such

knowledge, under then-extant clearly established law, the conduct of neither

Sheriff Glanz nor his identified subordinates with respect to a particular

prisoner—here, Mr. Jernegan—could give rise to an Eighth Amendment violation.

Consequently, Ms. Cox cannot perforce make the requisite showing under the

clearly-established-law component of the well-settled qualified-immunity

standard. We thus reverse the district court’s summary-judgment decision

denying qualified immunity to Sheriff Glanz on Ms. Cox’s individual-capacity

claim.

3
 As for Ms. Cox’s official-capacity claim against Sheriff Glanz, however,

we confront the threshold issue of whether the exercise of our appellate

jurisdiction is proper. This is so because the district court’s denial of the motion

for summary judgment brought by the Sheriff in his official capacity is

indisputably not a final decision amenable to interlocutory review. Our

assumption of jurisdiction over the court’s resolution of the official-capacity

claim would therefore only be appropriate if we invoked our discretionary power

to exercise pendent jurisdiction over this claim. Sheriff Glanz, however, has not

relied upon this generally disfavored doctrine; furthermore, we discern no legally

cognizable basis for exercising pendent appellate jurisdiction under the

circumstances of this case. Accordingly, we dismiss Sheriff Glanz’s appeal from

the district court’s denial of summary judgment on the official-capacity claim for

lack of jurisdiction.

I

A

Mr. Jernegan surrendered at the Jail on July 27, 2009, on an outstanding

warrant. He was immediately arrested and processed into the facility. As part of

the Jail’s routine intake screening, the booking officer asked Mr. Jernegan

whether he “[was] under psychiatric or a general Doctor’s care”; “[was] currently

taking any prescription medications”; “[had] been seen or treated in a clinic,

hospital or emergency room in the last 3 days”; or was suicidal. J.A. at 326

4
(Intake Screening Form, dated July 27, 2009). Mr. Jernegan answered “no” to

each of these questions, id., and he indicated that he was not “currently thinking

of committing suicide” on another intake form, id. at 327 (Gen. Info. Form, dated

July 27, 2009) (reflecting that option “N,” for “no,” is marked directly above Mr.

Jernegan’s signature).

The booking officer also completed a more tailored form with questions

designed to gauge an inmate’s mental health. Mr. Jernegan answered the form’s

six questions as follows:

1. Do you currently feel paranoid, hear voices that others do
not hear or see things that others do not see? [marked
“Yes”]
2. Have there currently been a few weeks when you felt
nervous or depressed? [marked “Yes”]
3. Have you ever tried to kill yourself? [marked “No”]
4. Are you now thinking about hurting or killing yourself?
[marked “No”]
5. Are you currently taking any medication prescribed for
you by a physician for any emotional or mental health
problems? [marked “Yes”]
6. Have you ever been in a hospital for emotional or mental
health problems? [marked “No”]

Id. at 329 (Mental Health Form, dated July 27, 2009). An explanatory note

“Diag. Paranoid-Schizo” accompanies Mr. Jernegan’s “[y]es” response to

Question Five. Id.

This mental-health form indicated that further assessment should take place

if, inter alia, an inmate answered “[y]es” to Question Five or Six, or if he

answered “[y]es” to at least two of Questions One through Four. Mr. Jernegan’s

5
answers satisfied both criteria: that is, he answered “[y]es” to Question Five,

representing that he had been diagnosed with paranoid schizophrenia, and he

answered “[y]es” to Questions One and Two. However, there is no indication in

the record that any Jail employee referred Mr. Jernegan to the facility’s mental-

health team for follow-up care.

Nurse Faye Taylor also performed a medical examination, using her own

personal screening form. On that document, she noted Mr. Jernegan’s

representations to her that he had “had mental health treatment or hospitalization”

for paranoid schizophrenia, that he had smoked marijuana, and that he was not

suicidal. Id. at 603 (Healthcare Intake Screening Form, dated July 27, 2009).

Ms. Taylor observed that Mr. Jernegan had regular vital signs and that he

appeared normal and alert. She did not mark the “[r]eferral to health care

facility” or “[r]eferral to provider” options on her form. Id. On the basis of these

findings, Ms. Taylor recommended that Mr. Jernegan be assigned to the Jail’s

general population.

At 12:18 p.m. the next day (July 28, 2009), Mr. Jernegan filed a medical

request through the Jail’s computer “kiosk” communication system to report that

he needed to “spe[a]k with someone about problems.” Id. at 362 (Request, dated

July 28, 2009) (capitalization altered). He received an automated response the

day after that (July 29, 2009) at 10:07 a.m.; it said, “[y]ou will be place[d] on the

6
Mental Health call out list for . . . July 30, 2009. Please give 48–72 hours from

[the] time this was received to be seen, excluding Weekends and Holidays.” Id.

Mr. Jernegan’s Jail medical record revealed another relevant entry: a

“Problem Oriented Record” entry dated July 30, 2009, at 8:00 a.m., which notes

that healthcare employee Sara Sampson “[a]ttempted to see” Mr. Jernegan but

learned that he had been moved to a different cellblock. Id. at 372 (Problem

Oriented Record, dated July 30, 2009) (capitalization altered). Although the

record does not confirm that Ms. Sampson actually visited Mr. Jernegan,

supervising officers were apparently “satisfied that Sampson had performed her

job as expected.” Id. at 659 (Incident Report, dated Aug. 3, 2009).

Shortly thereafter, at approximately 9:25 a.m. (on July 30), Nurses Robin

Mason and Sara Jeffries were summoned to Mr. Jernegan’s cellblock, having been

informed that an inmate had hanged himself. When they arrived, they found Mr.

Jernegan “still hanging from a make-shift noose and being cut down by detention

staff.” Id. at 468 (Mason Aff., dated Mar. 22, 2013). Mr. Jernegan had no

palpable pulse and did not respond to resuscitative measures. He was

subsequently pronounced dead at a local hospital.

After reviewing Mr. Jernegan’s file, Ms. Mason “became suspicious”

regarding the follow-up to his kiosk request. Id. More specifically, she was not

confident of the truth of Ms. Sampson’s purported visit to Mr. Jernegan because:

(1) she “had never seen any member of the mental health team at the Jail as early

7
as 8:00[ a.m.]”; (2) she had witnessed efforts by Ms. Sampson and other members

of the mental-health team to “mak[e] sure to have consistent stories” about Mr.

Jernegan’s treatment; and (3) she “had previous experience in witnessing the

falsification of records and reports at the Jail.” Id. at 468–69. It was also

disconcerting to Ms. Mason that the Jail’s intake nurses’ apparent practice was to

refer only “acutely suicidal” inmates to the mental-health team for additional

evaluation. Id. at 470.

The Oklahoma State Department of Health (“OSDH”) conducted an

investigation and determined that Mr. Jernegan was not examined by any member

of the Jail’s mental-health team in the time period between the filing of his kiosk

report and his death. It issued a report attributing three particular deficiencies to

the Jail relative to Mr. Jernegan’s suicide: (1) “inmate not properly detained”; (2)

“inmate not housed in an area for more frequent observations” / “inappropriate

medical evaluation”; and (3) “policy used by correctional healthcare management

in direct conflict with the [Oklahoma] Jail Standards.” Id. at 625 (Report of

Death Investigation, dated Aug. 3, 2009) (capitalization altered). The OSDH then

filed a “Notice of Violation” documenting the Jail’s failure to satisfy three of the

Oklahoma Jail Standards (“Standards”).

With regard to the Jail’s particular violations, the OSDH first cited

Standard 5-5(6), which provides: “Prisoners who are mentally ill shall be

separated from other prisoners. Every effort shall be made to contact a local

8
hospital, clinic or mental health facility for the detention of the mentally ill.”

Okla. Admin. Code § 310:670-5-5(6). The OSDH found the Jail in violation of

that standard “because [Mr. Jernegan] was not properly segregated.” J.A. at 631

(Notice of Violation, dated Aug. 12, 2009). Second, the OSDH deemed the Jail’s

medical policies in “direct conflict,” id., with Standard 5-8, which obligates

correctional facilities to provide “[a]dequate medical care” and to “develop and

implement written policies and procedures for complete emergency medical and

health care services,” Okla. Admin. Code § 310:670-5-8.

And, third, the OSDH referenced Standard 5-8(2), which instructs:

Medical triage screening shall be performed on all prisoners
immediately upon admission to the facility and before being
placed in the general population or housing area. Those
individuals who appear to have a significant medical or
psychiatric problem, or who may be a suicide risk, shall be
transported to the supporting medical facility as soon as possible.
They shall be housed separately in a location where they can be
observed frequently by the staff at least until the appropriate
medical evaluation has been completed. . . . [A]fter stringent
evaluation by the highest-ranking mental health professional, in
conjunction with a senior detention supervisor, these prisoners
may be authorized to share the same cell.

Id. § 310:670-5-8(2). The OSDH found that the Jail contravened Standard 5-8(2)

“because [Mr. Jernegan] was not housed in an area for more frequent

observations” and because the Jail conducted an “[i]nappropriate medical

evaluation.” J.A. at 632.

9
 B

1

Ms. Cox commenced the instant litigation in 2011. In the operative version

of her complaint, she asserted claims against Sheriff Glanz, the company that

provided healthcare services to the Jail, and several of the Jail’s healthcare

employees, including Ms. Taylor and Ms. Sampson. As relevant to this appeal,

Ms. Cox sued the Sheriff in his individual and official capacities pursuant to 42

U.S.C. § 1983, alleging that his failure to provide adequate and timely mental-

health screening and care constituted deliberate indifference to Mr. Jernegan’s

serious medical needs in violation of the Eighth Amendment. Ms. Cox averred

that “Mr. Jernegan had a substantial and documented history of serious mental

illness” at the Jail and, in light of this history, she asserted that the Sheriff and his

staff should have perceived “a strong likelihood that Mr. Jernegan was in danger

of serious personal harm.” J.A. at 47 (Second Am. Compl., filed Apr. 4, 2012).

On the individual-capacity claim, Ms. Cox asserted a supervisory-liability

theory grounded in the Sheriff’s alleged failure to properly train and supervise

Jail employees such as Ms. Taylor and Ms. Sampson. On the official-capacity

claim, she stated that the Sheriff had promulgated and administered an

unconstitutional policy of providing insufficient mental-health evaluation and

treatment—a policy that ultimately resulted in Mr. Jernegan’s death.

10
 Sheriff Glanz moved for summary judgment, contending that he was

entitled to qualified immunity on the individual-capacity claim1 because Ms. Cox

had not established that: (1) any Jail employee had acted with deliberate

indifference toward Mr. Jernegan’s serious medical needs; (2) he, as the Jail

administrator, had acted with the requisite state of mind to support a deliberate-

indifference claim; and (3) he had created any policy that produced the

complained-of constitutional harm. He framed his qualified-immunity arguments

in terms of Ms. Cox’s purported failure to suitably establish a violation of a

constitutional right. Similarly, in rebutting the official-capacity claim, the Sheriff

argued that Ms. Cox had not shown that any of the Jail policies he administered

had violated Mr. Jernegan’s constitutional rights.

Ms. Cox responded to the Sheriff’s assertion of qualified immunity in

similar fashion—i.e., by focusing on whether a constitutional violation had

occurred. She opined that her claims “raised bedrock constitutional Eighth

Amendment . . . principles that appl[ied] with obvious clarity to the conduct in

question.” Id. at 444 (Pl.’s Resp. Br., filed Apr. 3, 2013). In particular, Ms. Cox

alleged that Mr. Jernegan’s constitutional rights were violated when he was

“assessed and treated by undertrained and unsupervised [Jail] staff.” Id. at 438.

1
The defense of qualified immunity “is available only in suits against
officials sued in their personal capacities, not in suits against . . . officials sued in
their official capacities.” Starkey v. Boulder Cty. Soc. Servs., 569 F.3d 1244,
1263 n.4 (10th Cir. 2009); accord Becker v. Bateman, 709 F.3d 1019, 1022 (10th
Cir. 2013).

11
She cursorily referenced the other aspect of the well-settled qualified-immunity

rubric—i.e., the existence of clearly established law that dispositively condemned

the conduct at the time it occurred—insisting that Mr. Jernegan’s “right to

adequate medical care and to be free from deliberate indifference ha[d] been

clearly established for decades.” Id. at 444 (citing Estelle v. Gamble, 429 U.S.

97, 103–04 (1976)).

In his reply brief, Sheriff Glanz rejoined that Ms. Cox had still not

“present[ed] any evidence that would satisfy th[e] subjective component [of a

deliberate-indifference claim] for Taylor, Sampson or Glanz.” Id. at 991 (Def.’s

Reply Br., filed Apr. 17, 2013). He concluded that “he w[as] therefore

qualifiedly immune.” Id. at 995. Sheriff Glanz did not go one step further and

argue that there was no extant clearly established law supportive of Ms. Cox’s

claims; he was silent on this question.

2

On March 7, 2014, the district court issued an order denying Sheriff

Glanz’s motion. The court expressly ruled that “genuine disputes as to material

facts[] render[ed] summary judgment inappropriate.” Id. at 1089 (Op. & Order,

filed Mar. 7, 2014). It reached this conclusion without addressing the parties’

qualified-immunity arguments.

12
 At the outset, the district court summarized the evidence it considered most

salient, including evidence pertaining to Mr. Jernegan’s other 2009 Jail bookings, 2

Sheriff Glanz’s alleged knowledge of deliberately indifferent treatment of other

mentally-ill inmates, and the Jail’s actual practices and policies. The court then

addressed Ms. Cox’s individual-capacity § 1983 claim, noting that only the

subjective aspect of the deliberate-indifference standard was in dispute—viz.,

whether there was sufficient “evidence of the prison official’s culpable state of

mind.” Mata v. Saiz, 427 F.3d 745, 751 (10th Cir. 2005). 3

In that regard, the court reasoned, the evidence demonstrated that Jail

employees either knew or should have known certain key facts, including that Mr.

Jernegan had self-reported paranoid schizophrenia; that he had lodged kiosk

2
Mr. Jernegan was incarcerated in the Jail’s general population in
January, February, and May of 2009. The summary-judgment record contained
several submissions from each of his bookings, including kiosk requests that he
lodged.
3
Briefly stated, deliberate indifference has both an objective and a
subjective component. The objective inquiry concerns “whether the harm
suffered rises to a level ‘sufficiently serious’ to be cognizable under the Cruel and
Unusual Punishment Clause.” Mata, 427 F.3d at 753 (quoting Farmer v.
Brennan, 511 U.S. 825, 834 (1994)). Sheriff Glanz has not contested the district
court’s tacit conclusion that the objective prong of the deliberate-indifference
standard was satisfied here. And this is wise. See Martinez v. Beggs, 563 F.3d
1082, 1088 (10th Cir. 2009) (observing that death, “without doubt,” is
“sufficiently serious to meet the objective component” (citation omitted)); Collins
v. Seeman, 462 F.3d 757, 760 (7th Cir. 2006) (“[I]t goes without saying that
‘suicide is a serious harm.’” (quoting Sanville v. McCaughtry, 266 F.3d 724, 733
(7th Cir. 2001))). Accordingly, we also accept the court’s tacit conclusion.

13
requests in prior incarcerations; and that “approximately 45 hours before he was

found hanging from a bed sheet in his cell, he requested mental health help for

problems, but there was no mental health visit during the two days that followed.”

J.A. at 1121. The court further found that “[t]he failure to refer [Mr. Jernegan]

for mental health evaluation [was] consistent with the established practice at the

Jail . . . of not referring even obviously mentally ill inmates unless they admitted

to being suicidal.” Id. Rejecting Sheriff Glanz’s reliance upon the existence of

various written policies and training materials to prove that he did not act with

deliberate indifference, the district court found “genuine issues of material fact as

to whether and to what extent [those] policies were followed or enforced by the

Sheriff.” Id. at 1124.

Ultimately, after explicating the content of and otherwise considering the

parties’ submissions, the district court concluded:

Viewing the evidence in the light most favorable to plaintiff, the
Court concludes that there are triable issues of material fact as to
whether the [Sheriff’s Office’s] written policies were the actual
policies, whether they were followed or enforced, and whether
the Jail’s personnel were properly trained to identify and
segregate mentally ill inmates who may be at risk of suicide.

The same evidence presents issues of material fact regarding
whether Sheriff Glanz was on notice of constitutional
deficiencies in the care of mentally ill detainees and whether his
failure to take appropriate measures to remedy those deficiencies
constituted deliberate indifference.

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Id. at 1127 (citations omitted). However, at no point during its analysis did the

court explicitly focus on the legal framework of qualified immunity—viz., it did

not discuss whether Ms. Cox had demonstrated the violation of a clearly

established constitutional right by any of the Jail-employee defendants or by

Sheriff Glanz himself. Nevertheless, it did ultimately deny Sheriff Glanz’s

motion for summary judgment—which asserted a qualified-immunity defense—in

all respects.

This timely appeal followed.

II

A

Before reaching the merits, we must address Ms. Cox’s argument that we

lack jurisdiction to entertain the Sheriff’s interlocutory appeal of the district

court’s denial of qualified immunity. See Franklin Sav. Corp. v. United States (In

re Franklin Sav. Corp.), 385 F.3d 1279, 1286 (10th Cir. 2004) (“Jurisdictional

issues must be addressed first and, if they are resolved against jurisdiction, the

case is at an end.”); see also San Juan Cty. v. United States, 754 F.3d 787, 792

(10th Cir. 2014). Ms. Cox contends that dismissal on jurisdictional grounds is

mandatory because, as noted, the district court based its decision regarding the

individual-capacity claim on the existence of genuinely disputed material facts.

While we recognize the significance of Ms. Cox’s concerns about the district

15
court’s qualified-immunity methodology, we are satisfied, for the reasons stated

below, that we have jurisdiction to proceed to the merits of this claim.

Federal “appellate courts typically do not have jurisdiction to review

denials of summary judgment motions,” Serna v. Colo. Dep’t of Corr., 455 F.3d

1146, 1150 (10th Cir. 2006), but “[t]he denial of qualified immunity to a public

official . . . is immediately appealable . . . to the extent it involves abstract issues

of law,” Fancher v. Barrientos, 723 F.3d 1191, 1198 (10th Cir. 2013).

Specifically, we have jurisdiction “to review ‘(1) whether the facts that the

district court ruled a reasonable jury could find would suffice to show a legal

violation, or (2) whether that law was clearly established at the time of the

alleged violation.’” Roosevelt-Hennix v. Prickett, 717 F.3d 751, 753 (10th Cir.

2013) (quoting Allstate Sweeping, LLC v. Black, 706 F.3d 1261, 1267 (10th Cir.

2013)); see also Castillo v. Day, 790 F.3d 1013, 1019 (10th Cir. 2015) (describing

the two prongs thusly: “(1) the defendant violated [the plaintiff’s] constitutional

or statutory rights, and (2) the right was clearly established at the time of the

alleged unlawful activity”).

The district court’s factual findings and reasonable assumptions comprise

“the universe of facts upon which we base our legal review of whether defendants

are entitled to qualified immunity.” Fogarty v. Gallegos, 523 F.3d 1147, 1154

(10th Cir. 2008); accord Buck v. City of Albuquerque, 549 F.3d 1269, 1276 (10th

Cir. 2008). When the district court “concludes that a reasonable jury could find

16
certain specified facts in favor of the plaintiff, . . . we usually must take them as

true—and do so even if our own de novo review of the record might suggest

otherwise as a matter of law.” Lewis v. Tripp, 604 F.3d 1221, 1225 (10th Cir.

2010).

However, importantly, “whether or not the pretrial record sets forth a

‘genuine’ issue of fact for trial” is not an abstract legal question that we may

review. Johnson v. Jones, 515 U.S. 304, 320 (1995); accord Allstate Sweeping,

706 F.3d at 1267. But our jurisdiction on appeal nevertheless “is clear when the

defendant does not dispute the facts alleged by the plaintiff. . . . [I]f the

defendant does dispute the plaintiff’s allegations[,] ‘the defendant must

nonetheless be willing to concede the most favorable view of the facts to the

plaintiff for purposes of the appeal.’” Farmer v. Perrill, 288 F.3d 1254, 1258 n.4

(10th Cir. 2002) (quoting Berryman v. Rieger, 150 F.3d 561, 563 (6th Cir. 1998));

see also Castillo, 790 F.3d at 1018 (“[Defendant] presents an appellate argument

over which we do have jurisdiction. She asserts Plaintiffs cannot establish a

violation of their Eighth Amendment rights based on the facts they have alleged.”

(emphasis added)).

In this regard, we have said that “[e]ven when the district court concludes

issues of material fact exist, ‘we have reviewed the legal question of whether a

defendant’s conduct, as alleged by the plaintiff, violates clearly established law.’”

Holland ex rel. Overdorff v. Harrington, 268 F.3d 1179, 1186 (10th Cir. 2001)

17
(quoting Medina v. Cram, 252 F.3d 1124, 1130 (10th Cir. 2001)). “We need

not . . . decline review of a pretrial order denying summary judgment [in the

qualified-immunity context] solely because the district court says genuine issues

of material fact remain; instead, we lack jurisdiction only if our review would

require second-guessing the district court’s determinations of evidence

sufficiency.” Medina, 252 F.3d at 1130.

In light of these principles, we conclude that we can properly exercise

jurisdiction over the aspect of this appeal that is based on the district court’s

denial of Sheriff Glanz’s qualified-immunity defense. 4 At the outset, we

acknowledge that Ms. Cox’s concerns regarding the district court’s methodology

have some merit. The court’s analysis was not consonant with our settled mode

of qualified-immunity decisionmaking. Specifically, the court’s central focus was

on the existence vel non of genuinely disputed issues of material fact, and that

focus is counter to our established qualified-immunity approach. See Allstate

Sweeping, 706 F.3d at 1267. At the summary-judgment phase, a federal court’s

factual analysis relative to the qualified-immunity question is distinct:

[T]he objective is not to determine whether a plaintiff survives
summary judgment because plaintiff’s evidence raises material
issues that warrant resolution by a jury. Instead, the principal

4
As we have noted, we apply a different mode of analysis to the
Sheriff’s challenge to the district court’s disposition of Ms. Cox’s official-
capacity claim—specifically, as explicated infra in Part III.B, we conclude that
we lack jurisdiction to review the court’s ruling on that claim, and we dismiss this
aspect of the appeal.

18
 purpose is to determine whether plaintiff’s factual allegations
are sufficiently grounded in the record such that they may
permissibly comprise the universe of facts that will serve as the
foundation for answering the legal question before the court.

Thomson v. Salt Lake Cty., 584 F.3d 1304, 1326 (10th Cir. 2009) (Holmes, J.,

concurring); see also United States ex rel. Burlbaw v. Orenduff, 548 F.3d 931,

940 n.6 (10th Cir. 2008) (exhorting courts to “exercise care not to confuse the two

analytic frameworks” of qualified immunity and traditional summary judgment,

though acknowledging that, “at least in some instances, this . . . is easier said than

done”).

Although its mode of analysis focusing on the existence vel non of factual

disputes was wanting, the district court clearly adjudicated Sheriff Glanz’s

defense of qualified immunity and ruled against him, albeit tacitly so. Perhaps

because it was set adrift by the deficiencies of the parties’ briefing, which are

explicated infra, the district court did not mention qualified immunity in its

summary-judgment order. However—critically, for purposes of our interlocutory

review—the court did explicitly deny Sheriff Glanz all relief in its order, and part

of the relief that Sheriff Glanz unquestionably sought in his summary-judgment

briefing was qualified immunity. Consequently, the court effectively denied

Sheriff Glanz the defense of qualified immunity when it denied his summary-

judgment motion. 5

5
Even if this were not so, our precedent would safeguard Sheriff
(continued...)

19
 Ms. Cox nevertheless suggests that the court’s fact-based manner of

disposing of the defense divests us of jurisdiction to reach the qualified-immunity

issue on appeal. We disagree. Notably, Sheriff Glanz has accepted the truth of

Ms. Cox’s version of the facts for purposes of this appeal. Under our controlling

caselaw (discussed supra), that ordinarily will permit us to address the legal

issues presented by the agreed-upon set of facts, and there is nothing about this

case that would counsel against following that path. Cf. Castillo, 790 F.3d at

1018 (“Although [Defendant] attempts to characterize the issue on appeal as

Plaintiffs’ failure to assert a violation of a constitutional right under clearly

established law, her argument is limited to a discussion of her version of the facts

and the inferences that can be drawn therefrom. Thus, [Defendant’s] argument is

actually a challenge to the district court’s conclusion Plaintiffs presented

sufficient evidence to survive summary judgment. As such, this court lacks

jurisdiction to review her appeal at the interlocutory stage.” (emphasis added)

(footnote omitted)). Therefore, under settled circuit precedent, we do have

5
(...continued)
Glanz’s opportunity to avail himself of the protections of the qualified-immunity
defense. In this regard, we have observed that “[o]ther circuits have concluded
that orders failing or refusing to consider qualified immunity are also immediately
appealable,” and we have “agree[d] with this approach.” Lowe v. Town of
Fairland, 143 F.3d 1378, 1380 (10th Cir. 1998) (citing caselaw from the Second,
Fifth, and Eighth Circuits). This is quite appropriate because the availability of
the qualified-immunity defense—which has the potential to spare a public official
the burdens of trial, see Allstate Sweeping, 706 F.3d at 1266—should not turn on
whether the district court decided to address the defense or failed (through
oversight or otherwise) to do so.

20
appellate jurisdiction over Sheriff Glanz’s interlocutory appeal from the denial of

qualified immunity.

B

Ms. Cox alternatively claims that even if we have jurisdiction over this

aspect of the appeal, we should not reach the merits of Sheriff Glanz’s qualified-

immunity arguments because he failed to raise them before the district court.

Specifically, she tenders the following issue-preservation argument:

Sheriff Glanz’s primary argument on appeal is that he is entitled
to qualified immunity because it is not “clearly established” that
a detainee has a right to be screened for suicidal tendencies or
that failure to refer an individual for a mental health screening
can give rise to a civil rights violation . . . . [T]his argument was
never properly raised by Sheriff Glanz as a basis for qualified
immunity below.

Aplee. Br. at 30 (citation omitted). Ms. Cox avers that because Sheriff Glanz

exclusively briefed the no-constitutional-violation issue at summary judgment, he

is not entitled to expand the inquiry on appeal by claiming an absence of clearly

established law.

In effect, Ms. Cox asks us to deem Sheriff Glanz’s clearly-established-law

argument to be forfeited. See, e.g., Richison v. Ernest Grp., Inc., 634 F.3d 1123,

1127–28 (10th Cir. 2011) (“Where, as here, a plaintiff pursues a new legal theory

for the first time on appeal, that new theory suffers the distinct disadvantage of

starting at least a few paces back from the block. . . . [I]f the theory simply

wasn’t raised before the district court, we usually hold it forfeited.” (citations

21
omitted)). “Yet, the decision regarding what issues are appropriate to entertain on

appeal in instances of lack of preservation is discretionary.” Abernathy v.

Wandes, 713 F.3d 538, 552 (10th Cir. 2013); accord Bishop v. Smith, 760 F.3d

1070, 1095 (10th Cir. 2014), cert. denied, --- U.S. ----, 135 S. Ct. 271 (2014); see

also Singleton v. Wulff, 428 U.S. 106, 121 (1976) (“The matter of what questions

may be taken up and resolved for the first time on appeal is one left primarily to

the discretion of the courts of appeals, to be exercised on the facts of individual

cases.”); cf. Bishop, 760 F.3d at 1095 (“Waiver through appellate-briefing

omission and forfeiture through silence before the district court are admittedly

distinct failures of preservation, and arguably there is more discretionary leeway

to consider issues not preserved under the latter (forfeiture) than the former

(appellate-briefing waiver).”).

In the unique factual and legal context of this case, even assuming

arguendo that Sheriff Glanz forfeited his appellate arguments based on the

clearly-established-law prong of the qualified-immunity standard, we would deem

consideration of these arguments to be an appropriate exercise of our discretion.

At the outset, we observe that the qualified-immunity arguments of both parties

before the district court left much to be desired. In this regard, Sheriff Glanz’s

briefing was assuredly not robust. Therein, he vaguely asserted, regarding

qualified immunity and in particular, the constitutional-violation question, that

the “materials presented in [his] Statement of Undisputed Facts . . . are direct

22
evidence that [he] [wa]s not indifferent, deliberately or otherwise.” J.A. at 241

(Mot. for Summ. J., filed Feb. 28, 2013). Yet, however poorly asserted, Sheriff

Glanz indisputably did present a qualified-immunity defense in his summary-

judgment briefing. And this defense necessarily included the clearly-established-

law question. See, e.g., Castillo, 790 F.3d at 1019; Roosevelt-Hennix, 717 F.3d at

753.

The forfeiture issue turns on the extent of Sheriff Glanz’s obligation to do

more than nominally raise the qualified-immunity defense—that is, it turns on

whether he was obliged to marshal particularized arguments in support of the

clearly-established-law question, viz., specific arguments demonstrating that,

under then-extant clearly established law, neither he nor any of his identified

subordinates violated Mr. Jernegan’s Eighth Amendment rights. Even assuming

arguendo that he was required to do this, and therefore forfeited his clearly-

established-law arguments by failing to do so, we cannot ignore, in deciding

whether to recognize the forfeiture, the unique briefing burdens of the nonmovant

plaintiff in the qualified-immunity context, and Ms. Cox’s feeble efforts to bear

them.

Specifically, by asserting the qualified-immunity defense, Sheriff Glanz

triggered a well-settled twofold burden that Ms. Cox was compelled to shoulder:

not only did she need to rebut the Sheriff’s no-constitutional-violation arguments,

but she also had to demonstrate that any constitutional violation was grounded in

23
then-extant clearly established law. See, e.g., Riggins v. Goodman, 572 F.3d

1101, 1107 (10th Cir. 2009) (“When a defendant asserts qualified immunity at

summary judgment, the burden shifts to the plaintiff, who must clear two hurdles

in order to defeat the defendant’s motion. The plaintiff must demonstrate on the

facts alleged both that the defendant violated his constitutional or statutory rights,

and that the right was clearly established at the time of the alleged unlawful

activity.” (emphases added)); see also Felders v. Malcom, 755 F.3d 870, 877–78

(10th Cir. 2014) (“[T]he ‘record must clearly demonstrate the plaintiff has

satisfied his heavy two-part burden; otherwise, the defendants are entitled to

qualified immunity.’” (quoting Medina, 252 F.3d at 1128)), cert. denied, ---

U.S. ----, 135 S. Ct. 975 (2015); Mick v. Brewer, 76 F.3d 1127, 1134 (10th Cir.

1996) (“Unless the plaintiff carries its twofold burden, the defendant prevails.”).

However, Ms. Cox made no more than an anemic attempt to carry this

burden as to the clearly-established-law question, merely asserting in bare-bones

fashion that Mr. Jernegan’s constitutional “right to adequate medical care and to

be free from deliberate indifference ha[d] been clearly established for decades.”

J.A. at 444. 6 Put another way, Ms. Cox did virtually nothing to define the

6
In this regard, Ms. Cox did cite in her summary-judgment briefing to
the Supreme Court’s decision in Estelle v. Gamble, 429 U.S. 97 (1976). See J.A.
at 444. However, regarding the resolution of the clearly-established-law question,
Estelle is patently unavailing. Estelle undoubtedly “laid down [some] controlling
principles” regarding deliberate indifference, Riddle v. Mondragon, 83 F.3d 1197,
1203 (10th Cir. 1996), and likewise made clear that “negligent diagnosis or
(continued...)

24
contours of the clearly-established-law question, as to which she ultimately

carried the burden of proof in the qualified-immunity context. As a consequence,

Ms. Cox did little to aid the district court in its resolution of this question and

perhaps contributed to the confusion evident in the district court’s misguided

qualified-immunity analysis.

In any event, in deciding whether it is a proper exercise of our discretion to

overlook the assumed forfeiture of Sheriff Glanz regarding the clearly-

established-law question, Ms. Cox’s significant briefing shortcomings on this

same question—as to which she bears the burden of proof—should be taken into

account. And we do so when we elect here to reach the merits of Sheriff Glanz’s

qualified-immunity arguments based on the absence of clearly established law. 7

6
(...continued)
treatment of a medical condition do[es] not constitute a medical wrong under the
Eighth Amendment,” Ramos v. Lamm, 639 F.2d 559, 575 (10th Cir. 1980).
However, Estelle does not speak to a right to proper suicide-screening protocols,
and its silence sounds a deafening ring given the Supreme Court’s “repeated[ ]”
admonition “not to define clearly established law at a high level of generality.”
Ashcroft v. al-Kidd, 563 U.S. 731, 131 S. Ct. 2074, 2084 (2011).

7
Moreover, we also recognize that we can entertain a defendant’s
argument on the clearly-established-law prong under certain circumstances, even
if the argument had been forfeited in district court, because the issue involves a
pure matter of law. Specifically, “[o]ur discretion allows us to determine an issue
raised for the first time on appeal if it is a pure matter of law and its proper
resolution is certain.” United States v. Lyons, 510 F.3d 1225, 1238 (10th Cir.
2007). These circumstances are present here, for the clearly-established-law
prong of qualified immunity involves a pure matter of law. See Mitchell v.
Forsyth, 472 U.S. 511, 528 n.9 (1985) (stating that “the appealable issue is a
(continued...)

25
 III

The Sheriff contends that the district court committed two reversible errors

in ruling on Ms. Cox’s § 1983 claims: he argues that the court erred when it (1)

failed to grant him qualified immunity on Ms. Cox’s individual-capacity claim,

and (2) denied him summary judgment on Ms. Cox’s official-capacity claim. For

the reasons discussed herein, we conclude that the district court committed one

reversible error. Specifically, we determine that the court erred in denying

qualified immunity to the Sheriff; accordingly, we reverse that aspect of the

court’s judgment. However, we do not address the Sheriff’s second claim of error

(i.e., regarding the denial of summary judgment on Ms. Cox’s official-capacity

claim)—not only do we lack jurisdiction to review this claim on interlocutory

appeal, but we also decline to exercise pendent appellate jurisdiction over it.

Consequently, we are constrained to dismiss the aspect of the Sheriff’s appeal

concerning liability in his official capacity.

7
(...continued)
purely legal one: whether the facts alleged (by the plaintiff, or, in some cases, the
defendant) support a claim of violation of clearly established law”). And, as
discussed infra, resolution of the clearly-established-law prong is certain here. In
these circumstances, we can therefore entertain the argument of a defendant, like
Sheriff Glanz, on the clearly-established-law prong even if the argument had been
forfeited in district court. See Dean v. Blumenthal, 577 F.3d 60, 67 n.6 (2d Cir.
2009) (per curiam) (considering an argument on the clearly-established-law prong
of qualified immunity, even though presented for the first time on appeal, because
the issue involves a question of law and does not require any additional fact-
finding).

26
 A

As noted, Sheriff Glanz’s entitlement to qualified immunity vel non

depends on whether Ms. Cox has “show[n] that: (1) [he] violated a constitutional

right and (2) the constitutional right was clearly established.” Courtney v.

Oklahoma ex rel. Dep’t of Pub. Safety, 722 F.3d 1216, 1222 (10th Cir. 2013)

(quoting Becker v. Bateman, 709 F.3d 1019, 1022 (10th Cir. 2013)). “We have

discretion to address either prong [of this standard] first.” Panagoulakos v.

Yazzie, 741 F.3d 1126, 1129 (10th Cir. 2013); see also Pearson v. Callahan, 555

U.S. 223, 236 (2009). Like Sheriff Glanz does in his arguments before us, we

elect to focus on the second prong—wherein we inquire whether, under Ms. Cox’s

version of the facts, then-extant clearly established law would have given Sheriff

Glanz fair warning that he could be held liable for his conduct under a

supervisory-liability theory for violating Mr. Jernegan’s Eighth Amendment

rights.

Regarding the requisite proof of clearly established law, “[a] plaintiff may

satisfy this standard by identifying an on-point Supreme Court or published Tenth

Circuit decision; alternatively, ‘the clearly established weight of authority from

other courts must have found the law to be as the plaintiff maintains.’” Quinn v.

Young, 780 F.3d 998, 1005 (10th Cir. 2015) (quoting Weise v. Casper, 593 F.3d

1163, 1167 (10th Cir. 2010)); see also Klen v. City of Loveland, 661 F.3d 498,

511 (10th Cir. 2011). We conclude that the right that Ms. Cox’s claim

27
implicates—i.e., generally, an inmate’s right to proper prison suicide screening

procedures during booking—was not clearly established in July 2009.

Significantly, Ms. Cox has not directed our attention to any Supreme Court

or Tenth Circuit decision (published or otherwise) that would indicate that this

right was clearly established in 2009, 8 and the district court likewise did not rely

on any such law. Nor, for that matter, has Ms. Cox attempted to shoulder her

burden by showing that “the clearly established weight of authority from other

courts . . . ha[s] found the law to be as [she] maintains.” Becker, 709 F.3d at

1023 (quoting Morris v. Noe, 672 F.3d 1185, 1196 (10th Cir. 2012)). On this

basis alone, we could hold that Ms. Cox has not properly laid the groundwork to

defeat Sheriff Glanz’s assertion of qualified immunity.

In the interest of thoroughness, however, we have surveyed the then-extant

caselaw that would have guided the Sheriff’s endeavors to conform his

supervisory conduct to constitutional norms. The results of our survey are

detailed infra. Viewing the clearly-established-law question in this survey’s

8
Ms. Cox cannot discharge her burden by relying upon authorities that
do no more than establish general legal principles—even if those principles are
apposite in the Eighth Amendment deliberate-indifference context—such as the
legal truism that medical professionals in certain circumstances can be held liable
for handling their gatekeeper role with deliberate indifference. See Aplee. Br. at
49 (discussing grounds for liability stemming from “clearly established law in this
Circuit with respect to medical staff acting in a ‘gatekeeper’ role” (citing Sealock
v. Colorado, 218 F.3d 1205, 1211 (10th Cir. 2000))). Ms. Cox’s arguments
seeking “to define clearly established law at a high level of generality” are
unavailing. al-Kidd, 131 S. Ct. at 2084; see also supra note 6.

28
light, we confidently conclude that the extant clearly established law in July 2009

would not have put a reasonable official in Sheriff Glanz’s position on notice that

his supervisory conduct would effect an Eighth Amendment violation. See Weise,

593 F.3d at 1167 (noting that “the clearly established law must be such that it

would put a reasonable official on notice that his conduct was unlawful”); see

also Quinn, 780 F.3d at 1005 (stating that, in order to be clearly established law,

“existing precedent must have placed the . . . constitutional question beyond

debate.” (quoting al-Kidd, 131 S. Ct. at 2083)). Accordingly, as a matter of law,

we conclude that Ms. Cox has failed to satisfy her burden on the clearly-

established-law prong of the qualified-immunity standard. Thus, Sheriff Glanz is

entitled to qualified immunity.

1

Prison and jail officials, as well as the municipal entities that employ them,

cannot “absolutely guarantee the safety of their prisoners.” Lopez v. LeMaster,

172 F.3d 756, 759 (10th Cir. 1999). Nonetheless, they “ha[ve] a constitutional

duty to take reasonable steps to protect the prisoners’ safety and bodily integrity.”

Berry v. City of Muskogee, 900 F.2d 1489, 1499 (10th Cir. 1990). “[C]laims

based on a jail suicide are considered and treated as claims based on the failure of

jail officials to provide medical care for those in their custody.” Barrie v. Grand

Cty., 119 F.3d 862, 866 (10th Cir. 1997). Therefore, such claims “must be judged

against the ‘deliberate indifference to serious medical needs’ test.” Estate of

29
Hocker ex rel. Hocker v. Walsh, 22 F.3d 995, 998 (10th Cir. 1994) (quoting

Martin v. Bd. of Cty. Comm’rs, 909 F.2d 402, 406 (10th Cir. 1990)). As the

district court noted, the claims at issue here implicate the subjective component of

the deliberate-indifference rubric, under which the defendant must “both be aware

of facts from which the inference could be drawn that a substantial risk of serious

harm exists, and . . . also draw the inference.” Farmer v. Brennan, 511 U.S. 825,

837 (1994).

Ms. Cox’s individual-capacity claim against Sheriff Glanz is predicated on

a supervisory-liability theory. It is undisputed that Sheriff Glanz had no personal

contact with Mr. Jernegan or direct and contemporaneous knowledge of Mr.

Jernegan’s treatment by Jail officials in July 2009. Yet, in a § 1983 lawsuit,

“[s]upervisory liability ‘allows a plaintiff to impose liability upon a

defendant-supervisor who creates, promulgates, [or] implements . . . a

policy . . . which subjects, or causes to be subjected that plaintiff to the

deprivation of any rights . . . secured by the Constitution.’” Brown v. Montoya,

662 F.3d 1152, 1163–64 (10th Cir. 2011) (second alteration in original)

(omissions in original) (quoting Dodds v. Richardson, 614 F.3d 1185, 1199 (10th

Cir. 2010)). This does not equate to “liability under a theory of respondeat

superior.” 9 Id. at 1164; accord Schneider v. City of Grand Junction Police Dep’t,

9
The Supreme Court has explained:

(continued...)

30
717 F.3d 760, 767 (10th Cir. 2013). A plaintiff arguing for the imposition of

supervisory liability “therefore must show an ‘affirmative link’ between the

supervisor and the constitutional violation.” Estate of Booker v. Gomez, 745 F.3d

405, 435 (10th Cir. 2014) (quoting Schneider, 717 F.3d at 767).

The requisite showing of an “affirmative link” between a supervisor and the

alleged constitutional injury has “[come] to have three related prongs: (1)

personal involvement, (2) sufficient causal connection, and (3) culpable state of

mind.” Dodds, 614 F.3d at 1195; accord Schneider, 717 F.3d at 767.

Admittedly, “[t]he contours of . . . supervisory liability are still somewhat unclear

after [the Supreme Court decided] Iqbal, which ‘articulated a stricter liability

standard for . . . personal involvement.’” Gomez, 745 F.3d at 435 (second

9
(...continued)
In a § 1983 suit . . . —where masters do not answer for the torts
of their servants—the term “supervisory liability” is a misnomer.
Absent vicarious liability, each Government official, his or her
title notwithstanding, is only liable for his or her own
misconduct. In the context of determining whether there is a
violation of clearly established right to overcome qualified
immunity, purpose rather than knowledge is required to
impose . . . liability on the subordinate for unconstitutional
discrimination; the same holds true for an official charged with
violations arising from his or her superintendent responsibilities.

Ashcroft v. Iqbal, 556 U.S. 662, 677 (2009). Our caselaw appropriately notes this
distinction. See, e.g., Schneider v. City of Grand Junction Police Dep’t, 717 F.3d
760, 767 (10th Cir. 2013) (“‘Section 1983 does not authorize liability under a
theory of respondeat superior.’ For this reason, the Supreme Court has suggested
the term ‘supervisory liability’ is ‘a misnomer.’” (footnote omitted) (citations
omitted)); see also Brown, 662 F.3d at 1164.

31
omission in original) (quoting Schneider, 717 F.3d at 768); see also Dodds, 614

F.3d at 1198 (“Much has been made about [the supervisory-liability] aspect of

Iqbal, but consensus as to its meaning remains elusive.”). Even so, our

“particularized approach [still] applies with full force when a plaintiff proceeds

under a theory of supervisory liability.” Pahls v. Thomas, 718 F.3d 1210, 1226

(10th Cir. 2013). We continue to require plaintiffs to demonstrate “that each

defendant acted with the constitutionally requisite state of mind” by

“identify[ing] . . . specific policies over which particular defendants possessed

supervisory responsibility[] that violated their clearly established constitutional

rights.” Id. at 1228.

Our clearly-established-law analysis centers on whether the controlling

cases “show that [Sheriff Glanz] took the alleged actions with the requisite state

of mind.” Schneider, 717 F.3d at 769. This state of mind “‘can be no less than

the mens rea required’ of [any of his] subordinates [i.e., Jail employees] to

commit the underlying constitutional violation.” Gomez, 745 F.3d at 435 (quoting

Porro v. Barnes, 624 F.3d 1322, 1328 (10th Cir. 2010)). Importantly, as our

discussion of the pertinent governing caselaw infra demonstrates, this is a

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

individual inmate’s substantial risk of suicide.

32
 2

a

For purposes of demonstrating the violation of a clearly established

constitutional (i.e., Eighth Amendment) right in a jail-suicide case, our state-of-

mind requirement has been settled since at least the mid-1990s. In Estate of

Hocker, we definitively enunciated the state of mind necessary to impose

deliberate-indifference liability upon jail employees when an inmate whose

mental health was compromised by intoxication committed suicide shortly after

booking. See 22 F.3d at 1000. Noting that the trend of authority in the circuit

courts counseled in favor of requiring inmate-specific knowledge of a risk of

suicide, 10 we rejected the Estate’s invitation to hold that the booking officers’

knowledge of the decedent inmate’s intoxication (which the officers obtained

through routine intake questioning) could, by itself, confer knowledge that she

posed a specific risk of suicide. See id. We concluded that evidence of her

10
In that regard, we gleaned guidance from decisions of the First,
Sixth, Eighth, and Eleventh Circuits. See Bowen v. City of Manchester, 966 F.2d
13, 17 (1st Cir. 1992) (“Deliberate indifference requires a showing by the plaintiff
that the public official had actual knowledge, or was willfully blind, to the serious
risk that a detainee would commit suicide.”); Barber v. City of Salem, 953 F.2d
232, 239 (6th Cir. 1992) (“[S]imple knowledge that the detainee fits the profile of
a high suicide risk is not enough. It must be knowledge specific to that particular
detainee.” (emphasis added)); Bell v. Stigers, 937 F.2d 1340, 1344 (8th Cir. 1991)
(focusing on whether there was sufficient evidence that could “reasonably support
the existence of a strong likelihood that a particular prisoner will attempt
suicide” (emphasis added)), overruled on other grounds by Farmer, 511 U.S. at
838; Popham v. City of Talladega, 908 F.2d 1561, 1563 (11th Cir. 1990) (per
curiam) (same as prior cases).

33
“intoxication with its accompanying incoherence” did not confirm, much less

“suggest[,] that [the inmate’s] risk of suicide was so substantial or pervasive that

knowledge c[ould] be inferred.” Id. We held that, going forward, similarly

situated plaintiffs could only succeed on this species of claim by presenting “facts

. . . suggest[ing] that the [facility] staff had knowledge of the specific risk that

[the deceased inmate] would commit suicide.” Id.

Three years later, in Barrie v. Grand County, we noted with reference to

Hocker, that “in this circuit . . . . the custodian must be ‘deliberately indifferent’

to a substantial risk of suicide.” 119 F.3d at 868–69 (emphasis added).

Maintaining our inmate-specific focus, we declined to hold jail officials liable

when the decedent inmate had indicated during booking that he was intoxicated,

but not suicidal; communicated that he felt “alright”; and otherwise appeared

“fine” to the officers. Id. at 865. Under those circumstances, we concluded that

the officers’ assignment of the inmate to the jail’s “drunk tank” (as opposed to the

alternative of furnishing immediate mental-health treatment) simply did “not rise

to the level of ‘deliberate indifference’ to a known or obvious risk, which, in

[that] case, [wa]s a substantial risk of suicide.” Id. at 869.

Our review of relevant caselaw postdating Hocker and Barrie indicates that

the foregoing state of the law in our circuit—which required prison officials to

possess knowledge that a specific inmate presents a substantial risk of

suicide—had not changed in material respects by July 2009.

34
 We are not aware of any controlling Supreme Court or Tenth Circuit

decisions that directly answer this clearly-established-law inquiry. However, our

view of the requirements of the clearly established law extant when Mr. Jernegan

committed suicide (July 2009) does find some support in the Supreme Court’s

recent decision in Taylor v. Barkes, --- U.S. ----, 135 S. Ct. 2042 (2015) (per

curiam), where the Court resolved a deliberate-indifference dispute on the clearly-

established-law prong of the qualified-immunity standard. There, the Court held

that, as of November 2004, there was no clearly established “right” of an inmate

to be adequately screened for suicide. See Taylor, 135 S. Ct. at 2044–45. The

Taylor Court emphatically stated that “[n]o decision of this Court even discusses

suicide screening or prevention protocols.” Id. at 2044.

Taylor teaches us that, as of November 2004, there was no constitutional

right to such screening or protocols. See Swanson v. Town of Mountain View, 577

F.3d 1196, 1200 (10th Cir. 2009) (noting that “we also examine cases published

after the conduct in question to the extent they shed light on the fact that the law

was not clearly established at the relevant time” (emphasis added)).

Consequently, in November 2004, a jail’s nonexistent or deficient suicide-

screening measures would not have necessarily indicated that an individual

prisoner’s suicide was the product of deliberate indifference in violation of the

Eighth Amendment. In light of Taylor, our reading of the contours of the law a

short five years later should not be surprising. That is, irrespective of the alleged

35
deficiencies in the Jail’s suicide-screening protocols, in order for any defendant,

including Sheriff Glanz, to be found to have acted with deliberate indifference, he

needed to first have knowledge that the specific inmate at issue presented a

substantial risk of suicide. Moreover, though not dispositive, our limited corpus

of nonprecedential jail-suicide decisions supports our reading of the state of the

law when Mr. Jernegan committed suicide. See, e.g., Gaston v. Ploeger, 229 F.

App’x 702, 708 (10th Cir. 2007) (“[T]he appellants concede that a jailer violates

[constitutional rights] if he is deliberately indifferent to a known risk that a . . .

detainee will commit suicide, and they do not challenge the district court’s

conclusion that the law was clearly established at the time of [the inmate’s]

death.” (citations omitted)); Daniels v. Glase, 198 F.3d 257, 1999 WL 1020522,

at *4 (10th Cir. 1999) (unpublished table decision) (“Accordingly, ‘the custodian

must be “deliberately indifferent” to a substantial risk of suicide.’” (quoting

Barrie, 119 F.3d at 869)); see also Gomez, 745 F.3d at 428 n.29 (noting that

“[a]lthough not dispositive of our inquiry because of its unpublished status,” an

unpublished decision “need not be ignored in determining whether the law was

clearly established”); cf. Morris, 672 F.3d at 1197 n.5 (“[W]e have never held that

a district court must ignore unpublished opinions in deciding whether the law is

clearly established.”). 11

11
We acknowledge that in at least one unique setting—sexual assault in
prison—we have taken a different stance on the knowledge of risk that must be
(continued...)

36
 11
(...continued)
alleged. In Tafoya v. Salazar, 516 F.3d 912 (10th Cir. 2008), we held that a
prison “official’s knowledge of the risk [of sexual assault on a prisoner] need not
be knowledge of a substantial risk to a particular inmate, or knowledge of the
particular manner in which injury might occur.” 516 F.3d at 916. However, our
study strongly indicates that Tafoya is distinguishable and should not cause us to
question the clear guidance of our cases decided in the jail-suicide context.
Specifically, while the risk of sexual assault at issue in Tafoya frequently may be
divined from a myriad of external factors—including, notably, the sexual
victimizer’s characteristics—a substantial risk of suicide may be impossible to
discern unless the particular inmate reveals indicia of that risk to prison officials.
Compare Cash v. Cty. of Erie, 654 F.3d 324, 335 (2d Cir. 2011) (discussing
evidence of “the risk of sexual exploitation posed by male deputies guarding
female prisoners” at the county detention facility at issue), and Katherine Robb,
What We Don’t Know Might Hurt Us: Subjective Knowledge and the Eighth
Amendment’s Deliberate Indifference Standard for Sexual Abuse in Prisons, 65
N.Y.U. Ann. Surv. Am. L. 705, 708 (2010) (observing that in § 1983
sexual-assault cases, “courts typically focus their attention on the attributes of the
alleged aggressor in order to determine whether subjective knowledge of risk
existed,” but contending nevertheless that “research shows that victim attributes
are better indicators of the potential risk of sexual abuse”), and Robb, supra, at
749 (reporting that “research on rape indicates the majority of rapes are based on
power dynamics”), with Anasseril E. Daniel, MD, Editorial, Care of the Mentally
Ill in Prisons: Challenges and Solutions, 35 J. Am. Acad. Psychiatry & L. 406,
409 (2007) (“A comprehensive review of national and international research
clearly demonstrates that inmate suicide arises from a complex array
of . . . self-reinforcing risk factors. . . . includ[ing] mental illness, substance
abuse, prior serious suicide attempts, chronic stresses of incarceration . . . [and]
acute psychosocial stressors . . . .” (footnote omitted)), and Katherine L. Smith,
Comment, Lost Souls: Constitutional Implications for the Deficiencies in
Treatment for Persons with Mental Illness in Custody, 42 Golden Gate U. L. Rev.
497, 514 (2012) (noting that “there is a natural tension between providing inmates
with their mental health needs and their right to refuse treatment”), and Smith,
supra, at 517 (observing that “clinical assessment [of mental health] is subjective.
. . . because the mental health assessment includes current symptoms that
manifest differently for different people”).

We recognize that, in at least one decision in the jail-suicide context, a
panel of our court cited Tafoya and quoted its knowledge standard. See duBois v.
(continued...)

37
 Thus, Ms. Cox had the burden of establishing that Sheriff Glanz possessed

no less than this particularized mental state with respect to Mr. Jernegan. See

Gomez, 745 F.3d at 435 (noting that the supervisor’s state of mind “‘can be no

less than the mens rea required’ of [any of his] subordinates to commit the

underlying constitutional violation.” (quoting Porro, 624 F.3d at 1328)). As

noted, Sheriff Glanz had no personal interaction with Mr. Jernegan or direct and

contemporaneous knowledge of his treatment in July 2009. Therefore, insofar as

he had knowledge sufficient to form the requisite mental state, it would have had

to necessarily come from his subordinates. But, as demonstrated below, the

record (even viewed in the light most favorable to Ms. Cox) does not establish

that any identified Jail employee—including, notably, the two of central concern

to Ms. Cox, namely, Ms. Taylor and Ms. Sampson—had knowledge that Mr.

Jernegan presented a substantial risk of suicide. It follows ineluctably then that

Sheriff Glanz could not have possessed such knowledge.

11
(...continued)
Payne Cty. Bd. of Cty. Comm’rs, 543 F. App’x 841, 846 (10th Cir. 2013).
However, even if it could be said that duBois embraced the Tafoya standard, we
of course would not be bound by it, given its nonprecedential status and the fact
that it was decided after July 2009. But we do not believe in any event that
duBois could be read in this manner. Notably the panel there also cited Hocker
and Barrie, see duBois, 543 F. App’x at 846, and when the time arrived to apply
the law to the facts, the panel clearly relied on the mental state as established in
those authorities in concluding that the sheriff and the jail administrator could not
be held individually liable under the Eighth Amendment for deliberate
indifference, see id. at 848 (noting that there was no evidence to “support the
conclusion that [jail officials] knew, or should have known, of [the deceased
inmate’s] condition”).

38
 b

In determining whether Ms. Cox has carried her evidentiary burden on the

culpable-mind issue, for the reasons noted supra, we necessarily focus on the

interactions of Sheriff Glanz’s subordinates with Mr. Jernegan. Ms. Cox’s

averments center on two subordinates: Ms. Taylor and Ms. Sampson. See Aplee.

Br. at 9 (“Plaintiff further argued that two of the individual health care

professionals responsible for Mr. Jernegan’s care at the Jail, Faye Taylor . . . and

Sara Sampson . . . were deliberately indifferent to Mr. Jernegan’s serious mental

health care needs.”). However, as demonstrated infra, the evidence does not

indicate that either Ms. Taylor or Ms. Sampson possessed sufficient knowledge

that would permit them to conclude that Mr. Jernegan presented a substantial risk

of suicide.

We first assess the quantum of knowledge of Ms. Taylor, who arguably

spent more time communicating with Mr. Jernegan than any other named

defendant. Viewed in the aggregate, Ms. Taylor’s clinical findings led her to

conclude that Mr. Jernegan was not suicidal. Mr. Jernegan was alert and

confident, and he exhibited a panoply of normal vital signs. When speaking to

Ms. Taylor, he maintained direct eye contact and behaved in an “appropriate”

manner, J.A. at 340 (Taylor Dep., dated Oct. 26, 2012)—while definitively telling

her that he was not contemplating suicide, see id. at 349 (“[Mr. Jernegan] acted

perfectly normal and he told me that he had never attempted suicide before. I

39
believed him there. I asked if he was suicidal now. He said no.”). She duly

“inform[ed] [him] that treatment was available if he was to need it.” Id. at 354.

Later, Ms. Taylor recalled that she identified “nothing to act on” in terms of Mr.

Jernegan’s medical record except for his reported diagnosis of paranoid

schizophrenia, id. at 342, though even then, he “gave [her] no indication that he

was having further treatment” for that claimed ailment, id. at 347. 12

Thus, based on the information Ms. Taylor obtained from speaking with

and observing Mr. Jernegan, her recommendation of a “general population”

assignment did not reflect deliberate indifference to Mr. Jernegan’s mental-health

12
By her own admission, Ms. Taylor was “not trained in mental
health.” J.A. at 338. But the focus of our subjective inquiry under the deliberate-
indifference standard is on what she actually knew. Before she could abate a
substantial risk of suicide, she had to know about it. See Sealock v. Colorado,
218 F.3d 1205, 1209 (10th Cir. 2000) (“The subjective component is met if a
prison official ‘knows of and disregards an excessive risk to inmate health or
safety.’” (quoting Farmer, 511 U.S. at 837)); see also Heidtke v. Corr. Corp. of
Am., 489 F. App’x 275, 283 (10th Cir. 2012) (“Before a physician can abate a
risk, he must know of that risk.”). Ms. Taylor said that she elected not to refer
Mr. Jernegan to the mental-health team because he could not “give [her] any . . .
particulars” regarding his self-reported paranoid schizophrenia. J.A. at 348.
Perhaps if Mr. Jernegan had provided Ms. Taylor with such particulars, she would
have possessed sufficient information to trigger an Eighth Amendment obligation
to refer Mr. Jernegan for further mental-health evaluation. However, we will
never know because Mr. Jernegan did not provide Ms. Taylor with such
particulars. Nor is there any support in the record for the view that, absent such
communications from Mr. Jernegan, his alleged substantial risk of suicide would
have been obvious to someone like Ms. Taylor, who lacked mental-health
training. See Self v. Crum, 439 F.3d 1227, 1232 (10th Cir. 2006) (noting that “the
subjective component [of the deliberate-indifference standard] is not satisfied,
absent an extraordinary degree of neglect” and “[a] claim is therefore actionable
only in cases where the need for additional treatment or referral to a medical
specialist is obvious”).

40
needs and, more specifically, his risk of suicide. Altogether, under the totality of

the circumstances, it is pellucid that Ms. Taylor had no knowledge that Mr.

Jernegan presented a substantial risk of suicide. Consequently, Ms. Taylor could

not have formed the requisite state of mind that would constitute deliberate

indifference.

Turning to Ms. Sampson, the mental-health employee apparently assigned

to visit Mr. Jernegan on the morning of his death, we have even less information

to evaluate with respect to her. The principal component of the record speaking

to Ms. Sampson’s knowledge is her note in Mr. Jernegan’s file stating:

“Attempted to see [inmate] but [inmate] had been re-located to J1 from F18. Plan

to assess in J1.” Id. at 372. Presumably, Ms. Sampson was aware of the reason

for her visit—viz., Mr. Jernegan’s submission of a kiosk report claiming that he

needed to “spe[a]k with someone about problems,” id. at 362, and the subsequent

standard automated response, which served as notice that he had been placed on

the Jail’s mental-health call-out list. But these extremely vague data points miss

the mark for purposes of deliberate indifference. Nothing about the limited

information to which Ms. Sampson was privy would have reasonably, much less

obviously, conveyed to her that Mr. Jernegan presented a substantial risk of

suicide. See Self v. Crum, 439 F.3d 1227, 1232 (10th Cir. 2006) (“A claim is

therefore actionable only in cases where the need for additional treatment or

referral to a medical specialist is obvious.”); see also Sealock v. Colorado, 218

41
F.3d 1205, 1209 (10th Cir. 2000). More specifically, because the parts of the

record germane to Ms. Sampson’s knowledge indicate virtually nothing about the

nature of Mr. Jernegan’s ostensible medical problem, they certainly could not

support the conclusion that Ms. Sampson had knowledge that Mr. Jernegan posed

a substantial risk of suicide. For that reason, we reject Ms. Cox’s argument that

Ms. Sampson possessed the requisite mental state to constitute deliberate

indifference.

In sum, Ms. Cox has not demonstrated that either Ms. Taylor or Ms.

Sampson had sufficient knowledge regarding Mr. Jernegan’s purported risk of

suicide to be found to have acted with deliberate indifference toward the risk.

Mr. Jernegan’s observable symptoms were susceptible to a number of

interpretations; suicide may well have been one possibility, but the facts known to

those with whom he interacted did not establish that it was a substantial one. Cf.

Hott v. Hennepin Cty., 260 F.3d 901, 906 (8th Cir. 2001) (noting, in a case where

the inmate denied suicidal ideation during booking, that “something more than an

inmate’s gloomy affect is required to trigger a duty to inquire whether he is

feeling suicidal”); Estate of Novack ex rel. Turbin v. Cty. of Wood, 226 F.3d 525,

530 (7th Cir. 2000) (noting, regarding an inmate who had been prescribed

medication for obvious psychiatric problems, that “strange behavior alone,

without indications that that behavior has a substantial likelihood of taking a

suicidal turn,” could not give rise to deliberate-indifference liability). We cannot

42
say that Ms. Taylor—who directly interacted with Mr. Jernegan—understood Mr.

Jernegan to be an inmate who presented a substantial risk of suicide. We likewise

cannot say that Ms. Sampson possessed that particularized knowledge regarding

Mr. Jernegan—especially given that, on Ms. Cox’s version of the facts, Ms.

Sampson never directly interacted with Mr. Jernegan. In sum, we cannot say that

these two Jail employees possessed the kind of knowledge that, under controlling

circuit precedent, could form the basis of a deliberate-indifference claim in the

jail-suicide context.

At bottom, when confronting individual-capacity § 1983 claims, our “focus

must always be on the defendant—on the . . . injury he inflicted or caused to be

inflicted, and on his motives. This is because § 1983 isn’t a strict liability

offense.” Porro, 624 F.3d at 1327. As noted, Sheriff Glanz had no personal

interaction with Mr. Jernegan or direct and contemporaneous knowledge of his

treatment in July 2009. Therefore, insofar as he had knowledge sufficient to form

the requisite mental state, it would have had to necessarily come from his

subordinates, notably Ms. Taylor or Ms. Sampson. Because they did not possess

such knowledge, the conclusion inexorably follows that Sheriff Glanz could not

have possessed such knowledge. Accordingly, though we have not ignored Ms.

Cox’s strong assertions regarding the systemic failings of the Jail’s mental-health

screening and treatment protocols, which quite understandably troubled the

district court, we conclude that Ms. Cox has nevertheless failed to establish that

43
Sheriff Glanz acted as to Mr. Jernegan with the requisite mental state to constitute

deliberate indifference. In other words, she has not carried her burden regarding

the essential subjective component of the deliberate-indifference standard.

In sum, for the reasons stated, we cannot conclude that Sheriff Glanz’s

conduct constituted an Eighth Amendment violation under the law that was

clearly established at the time of Mr. Jernegan’s death. Therefore, Ms. Cox

cannot satisfy the clearly-established-law component of the qualified-immunity

standard. We must accordingly reverse the district court’s denial of qualified

immunity to the Sheriff on Ms. Cox’s individual-capacity claim under § 1983.

B

Next, Sheriff Glanz challenges the district court’s denial of summary

judgment to him on Ms. Cox’s official-capacity § 1983 claim. This species of

claim “represent[s] only another way of pleading an action against an entity of

which an officer is an agent.” Monell v. Dep’t of Soc. Servs., 436 U.S. 658, 690

n.55 (1978). Under Monell, a local governmental unit such as a municipality or a

county, like Tulsa County, “is a ‘person’ subject to § 1983 liability,” McDonald v.

Wise, 769 F.3d 1202, 1215 (10th Cir. 2014), and a “suit against Sheriff [Glanz] in

his official capacity as sheriff is the equivalent of a suit against [Tulsa] County,”

Lopez, 172 F.3d at 762.

On appeal, Sheriff Glanz contends that the district court “erred when it

denied [his] Motion for Summary Judgment because [his official] policies,

44
patterns or practices . . . were not the moving force behind any alleged

constitutional deprivation of Mr. Jernegan.” Aplt. Opening Br. at 4; see City of

Canton v. Harris, 489 U.S. 378, 389 (1989) (holding that a county “can be liable

under § 1983 only where its policies are the ‘moving force [behind] the

constitutional violation’” (alteration in original) (citations omitted)). The Sheriff

likewise argues that the court “erred when it denied [his] Motion for Summary

Judgment on . . . institutional liability in the absence of any underlying

[constitutional] violation.” Aplt. Opening Br. at 5; see City of Canton, 489 U.S.

at 395 (noting that imposing official-capacity § 1983 liability is not appropriate

“absent . . . a very close causal connection to [some] violation of constitutional

rights”). He consequently presents for our review arguments concerning the

overarching policymaking and policy-implementation procedures of the county,

which are typically focal points in an official-capacity-liability inquiry. As we

have specifically explained, this type of claim requires “the plaintiff [to] prove

(1) the entity executed a policy or custom (2) that caused the plaintiff to suffer

deprivation of constitutional or other federal rights.” Moss v. Kopp, 559 F.3d

1155, 1168 (10th Cir. 2009); see also Whitesel v. Sengenberger, 222 F.3d 861,

870 (10th Cir. 2000).

All of the foregoing considerations aside, however, Sheriff Glanz faces a

problem that necessarily precedes any inquiry concerning Tulsa County’s

policymaking apparatus or the commission vel non of a constitutional violation.

45
That problem stems from the fact that his appeal is interlocutory—and, although

(as discussed at some length supra) an interlocutory appeal is proper under

certain circumstances from a district court’s denial of qualified immunity, see

Fancher, 723 F.3d at 1198–99, “[n]o such right of appeal applies to [a county’s]

appeal” from the denial of summary judgment, Walter v. Morton, 33 F.3d 1240,

1242 (10th Cir. 1994). The reason for this distinction is that “[t]he denial of a

motion for summary judgment, unrelated to qualified immunity, is not a final

action.” Walter, 33 F.3d at 1242 (emphasis added); see also Lynch v. Barrett, 703

F.3d 1153, 1163 (10th Cir. 2013) (noting that a court’s denial of a local

governmental entity’s “standard motion for summary judgment[,]. . . . a motion

which raised a ‘mere defense to liability[,]’ . . . does not constitute a final

decision under § 1291 and is not appealable as such” (quoting Swint v. Chambers

Cty. Comm’n, 514 U.S. 35, 43 (1995))). Further, under well-settled precedent,

ordinarily an official-capacity defendant—who is not entitled to rely upon

qualified immunity, see Beedle v. Wilson, 422 F.3d 1059, 1069 (10th Cir.

2005)—cannot pursue an interlocutory appeal as a matter of right, because he

“cannot invoke the collateral order doctrine to justify appeal of an otherwise

nonappealable decision,” Moore v. City of Wynnewood, 57 F.3d 924, 929 (10th

Cir. 1995).

Nonetheless, “[w]e have previously recognized the doctrine of pendent

appellate jurisdiction, under which we exercise jurisdiction over an otherwise

46
nonfinal and nonappealable lower court decision that overlaps with an appealable

decision.” Moore, 57 F.3d at 929; accord Crowe & Dunlevy, P.C. v. Stidham, 640

F.3d 1140, 1148 (10th Cir. 2011). The doctrine is “discretionary, [and] the

exercise of pendent appellate jurisdiction ‘is generally disfavored.’” Armijo ex

rel. Chavez v. Wagon Mound Pub. Sch., 159 F.3d 1253, 1264 (10th Cir. 1998)

(quoting Moore, 57 F.3d at 929); accord Timpanogos Tribe v. Conway, 286 F.3d

1195, 1200 (10th Cir. 2002); see also Bryson v. Gonzales, 534 F.3d 1282,

1285–86 (10th Cir. 2008) (“Pendent appellate jurisdiction is . . . disfavored in the

qualified immunity context.”).

As the Supreme Court has suggested, our discretionary exercise of pendent

jurisdiction over an otherwise unappealable (i.e., pendent) claim “may be

appropriate where a district court’s decision on a pendent claim was ‘inextricably

intertwined’ with the district court’s decision on a non-pendent claim, or ‘where

[appellate] review of the former [is] necessary to ensure meaningful review of the

latter.’” Crowe & Dunlevy, 640 F.3d at 1148 (alterations in original) (quoting

Swint, 514 U.S. at 51). We exercise this discretionary authority sparingly, see

Moore, 57 F.3d at 930 (characterizing Swint as a “narrow avenue for the

continued use of pendent appellate jurisdiction left open by” the Supreme Court),

and “[w]e have interpreted Swint to mean that the exercise of our pendent

appellate jurisdiction is only appropriate [1] when ‘the otherwise nonappealable

decision is inextricably intertwined with the appealable decision, or [2] where

47
review of the nonappealable decision is necessary to ensure meaningful review of

the appealable one,’” Crowe & Dunlevy, 640 F.3d at 1148 (quoting Tarrant Reg’l

Water Dist. v. Sevenoaks, 545 F.3d 906, 915 (10th Cir. 2008)). Further, “[t]o be

inextricably intertwined, . . . the pendent claim must be ‘coterminous with, or

subsumed in,’ the claim properly before the court.” Lee v. Nicholl, 197 F.3d

1291, 1297 (10th Cir. 1999) (quoting Moore, 57 F.3d at 929).

Sheriff Glanz has not asked us to exercise our discretion to assume pendent

jurisdiction over the official-capacity claim in this interlocutory appeal, and we

“will not make arguments for [him] that [he] did not make in [his appellate]

briefs.” O’Neal v. Ferguson Constr. Co., 237 F.3d 1248, 1257 n.1 (10th Cir.

2001). But quite apart from that failing, we harbor grave doubt as to the propriety

of exercising pendent jurisdiction over this claim. In other words, we question

whether either of the two accepted rationales for exercising pendent appellate

jurisdiction could be established here—i.e., interrelatedness of claims or the need

to ensure meaningful review of a properly appealable claim.

First, we strongly doubt that Ms. Cox’s pendent (i.e., official-capacity) and

non-pendent (i.e., individual-capacity) claims are interrelated. We generally will

allow “a suit [against the county] to proceed when immunity [based on a lack of

clearly established law] shields the individual defendants.” Lynch, 703 F.3d at

1164 (second alteration in original) (quoting Watson v. City of Kan. City, 857

F.2d 690, 697 (10th Cir. 1988)). This is because, as we suggested in Moore,

48
when we resolve an individual-capacity § 1983 claim on the clearly-established-

law prong of qualified immunity, our analysis often, as a matter of law, does not

turn on issues inextricably intertwined with those implicated by an official-

capacity claim arising out of the same facts. See 57 F.3d at 930 (“[T]he

[governmental entity’s] appeal might present different issues than [the individual

defendant’s] appeal if we conclude[] that . . . [the individual defendant] was

protected by qualified immunity because th[e plaintiff’s constitutional] rights

were not clearly established.”); see also Lynch, 703 F.3d at 1163–64 (“Moore

tells us that if we had held in this case that Defendant Officers’ conduct did not

violate Plaintiff’s constitutional right . . . , that holding would have resolved any

issue presented by Defendant City’s appeal. . . . But because we assumed

Defendant Officers violated Plaintiff’s right . . . and held they were entitled to

qualified immunity based on the lack of clearly established law, Defendant City’s

appeal i[s] not ‘inextricably intertwined’ with Defendant Officer’s appeal.”

(citations omitted)). Stated otherwise, even if the Sheriff had sought pendent

appellate jurisdiction, we would be inclined to reject his request on the ground

that determining his entitlement vel non to qualified immunity here implicates an

issue distinguishable from the official-capacity inquiry. And that specific

qualified-immunity issue, as discussed supra, is whether the challenged conduct

constituted an Eighth Amendment violation under clearly established law existing

in July 2009.

49
 Additionally, we can undertake—indeed we have undertaken in Part III.A,

supra—a meaningful analysis of Sheriff Glanz’s appeal from the denial of

qualified immunity (i.e., the non-pendent claim) without exercising pendent

jurisdiction over the official-capacity claim. Our determination that Sheriff Glanz

is entitled to qualified immunity on the individual-capacity § 1983 claim, as we

have discussed at length, turns on whether Sheriff Glanz’s conduct and that of his

identified subordinates with respect to Mr. Jernegan constituted an Eighth

Amendment deliberate-indifference violation under then-extant clearly

established law. We were not required to decide the core issues implicated in the

official-capacity § 1983 claim, which include whether, under our current law,

that challenged conduct as regards Mr. Jernegan gave rise to an Eighth

Amendment violation. Therefore, as shown from our analysis supra, we have

grave doubt that there would be any appropriate basis for our exercise of pendent

jurisdiction over the official-capacity claim.

Ultimately, under our controlling circuit precedent, “[t]here is nothing

anomalous about allowing . . . a suit [against an official defendant] to proceed

when immunity [based on a lack of clearly established law] shields the individual

defendants.” Lynch, 703 F.3d at 1164 (third alteration in original) (omission in

original) (quoting Watson, 857 F.2d at 697). The foregoing applies with equal

force to this appeal: Sheriff Glanz does not ask us to exercise pendent appellate

jurisdiction over the official-capacity claim, and we perceive no reasoned basis to

50
do so sua sponte. As a result, “[n]othing at this point prevents [Ms. Cox’s] claim

against [the Sheriff in his official capacity] from proceeding.” Id. We thus

decline to exercise pendent jurisdiction over Ms. Cox’s official-capacity claim.

And, because the pendent-jurisdiction doctrine is the only legally cognizable

jurisdictional foothold for this claim, we are constrained to dismiss this aspect of

the Sheriff’s appeal for lack of appellate jurisdiction. 13

13
In our view, Sheriff Glanz is not situated to claim any unfairness
associated with our determination that we lack jurisdiction to review the district
court’s resolution of Ms. Cox’s official-capacity claim. As discussed supra, the
Sheriff confined his appellate briefing to the issue of whether any alleged
constitutional right would have been clearly established at the time Mr. Jernegan
committed suicide, and we have honored his strategic choice in assessing the
merits of this appeal. One consequence of this choice, however, is the creation of
a disconnect between the individual-capacity and official-capacity claims that
renders these claims’ core issues distinguishable. And this disconnect,
occasioned by the Sheriff’s own presentation of his appellate arguments, sounds
the death knell for the official-capacity aspect of his appeal, which we ultimately
dismiss.

Morever, although Ms. Cox does not contend that Sheriff Glanz cannot
properly avail himself of the pendent-jurisdiction doctrine to interlocutorily
appeal from the district court’s denial of summary judgment on her official-
capacity claim, it is clear that her silence on the matter is of no moment. See,
e.g., United States v. Battles, 745 F.3d 436, 447 (10th Cir.) (“It is axiomatic that
we are obliged to independently inquire into the propriety of our jurisdiction.”
(emphasis added)), cert. denied, --- U.S. ----, 135 S. Ct. 355 (2014); United States
v. Torres, 372 F.3d 1159, 1161 (10th Cir. 2004) (“Although the government has
not challenged our jurisdiction to hear this appeal, ‘it is the duty of the federal
court to determine the matter sua sponte.’” (quoting Basso v. Utah Power & Light
Co., 495 F.2d 906, 909 (10th Cir. 1974))).

51
 IV

For the foregoing reasons, we REVERSE the district court’s denial of

summary judgment to Sheriff Glanz on Ms. Cox’s individual-capacity Eighth

Amendment claim and REMAND with instructions to the court to enter judgment

in favor of Sheriff Glanz on this claim (that is, to grant him qualified immunity).

We DISMISS the portion of the appeal relating to the district court’s denial of

summary judgment to Sheriff Glanz on Ms. Cox’s official-capacity claim for lack

of appellate jurisdiction and REMAND for further proceedings consistent with

this opinion.

52