But because the United States has no clear idea how many people die like this and why, holding police accountable and making meaningful reforms will remain difficult, said Dr. Roger Mitchell Jr., a leader in the push to improve tracking and one of the nation’s few Black chief medical examiners when he held the office in Washington, D.C., from 2014 to 2021.“Any time anyone dies before their day in court, or dies in an environment where the federal government or the local government’s job is to take care of you,” he said, “it needs transparency. It cannot be in the dark of night.”“This,” he added, “is an American problem we need to solve.”Those who diedCarl Grant didn’t care much for football. So on Super Bowl Sunday in 2020, family members said, he eased into his black Kia Optima, intending to shop for groceries near his suburban Atlanta home. The 68-year-old wound up 2½ hours away, where he came face to face with police in an encounter that underscores several findings central to AP’s investigation: He was Black, he was not threatening physical harm, and a seemingly routine matter rapidly escalated.The former Marine and trucking business owner had dementia and qualified as a disabled veteran. As he drove that evening, he became disoriented and took an interstate west to Birmingham, Alabama. There, Grant twice tried to go inside houses he thought were his.Both times, residents phoned 911. And both times, responding officers opted to use force.At the first house, Grant was taken to the ground and cuffed after an officer said he’d stepped toward a partner. Even though one officer sensed he was impaired, police released Grant without asking medics to examine him — a decision a superior later faulted.At a second house about a half-mile away, police found him sitting in a porch chair. When he didn’t follow an order to get off the porch, a different officer pushed him down the stairs, according to previously unreleased body-camera video. Grant gashed his forehead in the fall.Officer Vincent Larry, who pushed Grant, went with him to the hospital. When Grant wouldn’t return to his exam room, Larry used an unapproved “hip toss” to lift and slam him, hospital surveillance video showed. The back of Grant’s head bounced four inches off the floor, a nurse estimated, wrecking his spinal cord in his neck.After Grant awoke from emergency surgery, he thought his paralysis was a combat injury from the Vietnam War. “I’m so sorry this happened,” he told family, his sister recalled. He died almost six months later from the injury.An internal investigation concluded Larry’s force at the hospital was excessive, and in a departure from many other cases AP found, his department acted: he received a 15-day suspension. He is no longer a city employee, a Birmingham spokesperson told AP. Neither Larry nor the department would comment. A judge recently cited a procedural error in dismissing a lawsuit filed by Grant’s estate, which is appealing the ruling.“He’s almost 70 and confused,” Grant’s partner, Ronda Hernandez, said. “That’s what I don’t get. You just don’t do that to old people.”Grant was one of 1,036 deaths from 2012 through 2021 that AP logged. That is certainly an undercount, because many departments blocked access to information. Files that others released were blacked out and video blurred, while officers routinely used vague language in their reports that glossed over force.All but 3% of the dead were men. They tended to be in their 30s and 40s, when police might consider them more of a physical threat. The youngest was just 15, the oldest 95.In sheer numbers, white people of non-Hispanic descent were the largest group, making up more than 40% of cases. Hispanics were just under 20% of those killed. But Black Americans were hit especially hard.The disproportionate representation of Black people tracks research findings that they face higher rates and severity of force, and even deaths. The Department of Justice has found after multiple investigations that Black people accounted for more unjustified stops for minor offenses, illegal searches that produced no contraband, unnecessary force, or arrests without probable cause.Researchers caution that proving — or disproving — discrimination can be hard because of a lack of information. But in some cases AP identified, officers were accused of profiling and stopping Black people based on suspicions, as happened to Donald “Dontay” Ivy Jr.Ivy was a 39-year-old resident of Albany, New York, who excelled in basketball during high school, served in the U.S. Navy and graduated college with a business degree. On a freezing night in 2015, he went to an ATM to check whether a delayed disability deposit had posted. Officers thought he seemed suspicious because he was walking with a lean and only one hand in the pocket of his “puffer” coat — indications, they thought, he might have a gun or drugs.Ivy was cooperative when they stopped him, but, they said, he wouldn’t answer how much money he had withdrawn and denied a prior arrest. Police interpreted Ivy’s behavior as deceptive without grasping that Ivy suffered from paranoid schizophrenia. A witness recounted that Ivy seemed “slow” when he spoke.When an officer touched Ivy to detain him — a known trigger for some with severe mental illness — police say Ivy began to resist. An officer fired a Taser, then Ivy fled. Officers caught up and beat him with batons, shocked him several more times with a Taser, put him facedown and got on top of him. By the time they rolled Ivy over, he’d stopped breathing.The department quickly ruled that the officers acted appropriately and blamed a “medical crisis” for his death, even though it was classified a homicide. A grand jury declined to indict. However, the local prosecutor urged police to review policies for Tasers, batons and dealing with people with mental illness.The local chapter of the New York Civil Liberties Union continued to question the stop, saying there was “strong reason to suspect” Ivy was racially profiled. After years in court, the city paid $625,000 to settle with Ivy’s estate. His cousin and close friend Chamberlain Guthrie said the way Ivy’s life ended was one of the most painful things his family had endured.“It’d be one thing if Dontay was out here being a ruffian and he was a thug,” Guthrie said. “But he was none of that.”When force goes wrongWhen people died after police subdued them, it was often because officers went too fast, too hard or for too long — many times, all of the above.The United States has no national rules for how exactly to apply force. Instead, Supreme Court decisions set broad guard rails that weigh force as either “objectively reasonable” or “excessive,” based in part on the severity of the situation, any immediate safety threat and active resistance.That frequently leaves states and local law enforcement to sort out the particulars in training and policies. Best practices from the government and private law enforcement organizations have tried to fill gaps, but aren’t mandatory and sometimes go ignored, as happened in hundreds of cases reviewed by AP and its partners.In 2019, the mother of Taylor Ware, the former Marine with college plans, called 911 when he wouldn’t get back in their SUV during a manic episode caused by bipolar disorder. She told the dispatcher Ware would need space and urged police to wait for backup because he was a former wrestler and might be a handful — advice that tracked best practices, yet wasn’t followed.The first officer to encounter Ware at a highway rest stop in Indiana saw the 24-year-old extending him a hand in greeting. Ware then calmly walked through a grassy field and sat down with folded legs.The officer, an unpaid reserve marshal, assured Ware’s mother he’d had calls like this before. As she and a family friend watched, he stopped about 10 feet in front of Ware, according to video filmed by the friend and obtained by AP. His police dog barked and lunged several times — a provocation officers are told to avoid with the emotionally distressed. Ware remained seated.After a few minutes, Ware walked toward the parking lot. There, the officer said, Ware pushed him away, a split-second act disputed by the friend. Her video shows Ware running and the officer commanding the dog to attack, setting off a cascade of force that ended with Ware in a coma. He died three days later.A police news release said Ware had a “medical event,” an explanation that echoes how police first described George Floyd ’s death. The prosecutor in Indiana declined to bring charges and praised officers for “incredible patience and restraint.” His office’s letter brushed past or left out key details: multiple dog bites, multiple stun-gun shocks, prone restraint and an injection of the powerful sedative ketamine.In dozens of other cases identified by AP, people who died were given sedatives without consent, sometimes after officers urged paramedics to use them — a recommendation law enforcement is unqualified to make.A coroner ruled Ware’s death was due to natural causes, specifically “excited delirium” — a term for a condition that police say causes potentially life-threatening agitation, rapid heart rate and other symptoms. Major medical groups oppose it as a diagnosis, however, and say it is frequently an attempt to justify excessive force.“It was like that was his body’s own fault, that it wasn’t the police’s fault,” Ware’s sister, Briana Garton, said of the autopsy ruling.Two experts who reviewed the case for the AP said police actions — such as the order for the dog to attack, the use of a Taser in the sternum and restraint facedown with handcuffs and back pressure — contributed to Ware’s death.“This was not proper service,” said police practices expert Stan Kephart, himself a former chief. “This person should be alive today.”As with Ware, officers resorted to force in roughly 25% of the cases even though the circumstances weren’t imminently dangerous. Many began as routine calls that other officers have, time and again, resolved safely. Those included medical emergencies phoned in by families, friends or the person who died.By launching prematurely into force, police introduced violence and volatility, and in turn needed to use more weapons, holds or restraints to regain control — a phenomenon known as “officer-created jeopardy.” Sometimes it starts when police misread as defiance someone’s confusion, intoxication or inability to communicate due to a medical issue.What led up to the force was sometimes unclear. In more than 100 cases, police either withheld key details or witnesses disputed the officer’s account — and body-camera footage didn’t exist to add clarity. But in about 45% of cases, officers became physical after they said someone tried to evade them or resist arrest for nonviolent circumstances. Some sprinted away with drugs, for example, or simply flailed their arms to resist handcuffs or wiggled around while held down.Many times the way officers subdued people broke policing best practices, especially when using the go-to tools of restraining people facedown and shocking them with Tasers.When done properly, placing someone on their stomach or shocking them is not inherently life-threatening. But there are risks: Prone restraint can compress the lungs and put stress on the heart, and Taser’s maker has issued warnings against repeated shocks or targeting the body near the heart. These risks intensify when safety protocols aren’t followed or when people with mental illness, the elderly or those on stimulant drugs are involved.Some officers involved in fatalities testified they had been assured that prone position was never deadly, AP found, while many others were trained to roll people onto their sides to aid breathing and simply failed to do so.“If you’re talking, you’re breathing, bro,” an officer, repeating a common myth about prone restraint, told a Florida man following 12 shocks from stun guns.“Stomach is (an) ideal place for them to be. It’s harder for them to punch me,” testified an officer in the death of a Minnesota man found sleeping at a grocery store and restrained for more than 30 minutes.In dozens of police or witness videos, those who died began to fade on screen, their breathing becoming shallow, as happened in suburban San Diego to 56-year-old Oral Nunis.Nunis was having a mental break at his daughter’s apartment in 2020. He had calmed down, but then the first arriving officer grabbed his arm, a mere four seconds after making eye contact. Nunis begged to go without being handcuffed. The officer persisted. Nunis became agitated and ran outside.At 5 feet, 5 inches tall and 146 pounds, Nunis quickly found himself pinned by several officers — each at least 80 pounds heavier than him. Although his body turned still, they kept pressing, wrapped him in a full-body restraint device and put a spit mask on him. From just 10 feet away, his daughter tried to console him in his final minutes: “Daddy, just breathe.”The district attorney’s office later cleared the police, calling their force reasonable because Nunis had posed “unnaturally strong resistance” for his size.As part of the family’s lawsuit, two pathologists concluded that the restraint officers used led to his death. One officer was asked under oath if pressure on someone’s back could impair breathing. “I have had several bodies on top of me during different training scenarios,” the 6-foot, 265-pound officer said, “and I never had difficulty breathing.”The use of Tasers can be similarly misinformed. An officer shocked Stanley Downen, 77, a former ironworker with Alzheimer’s disease who served during the Korean War, as he wandered the grounds of his veterans’ home in Columbia Falls, Montana. The electricity locked up his body and made him fall without control of his limbs. He hit his head on the pavement and later died.The officer said under oath that he hadn’t read any warnings, including those from Taser manufacturer Axon Enterprise Inc., about the risks of shocking the elderly or people who could be injured if they fell. He testified that Downen was “armed with rocks,” but a witness told police Downen never raised his hands to throw them. The police chief cleared the officer, though a police expert hired by the family found he failed to follow accepted practices.In about 30% of deaths that AP logged, civilians and officers faced potential or clear danger, extenuating circumstances that meant police didn’t always follow best practices. In about 170 of those cases, officers said a person charged, swung or lunged at them, or police arrived to find people holding someone down after a fight. In the other roughly 110 cases, police were trying to stop violent attacks against others, including officers.There was a Kansas man who used his elderly mother as a shield when deputies arrived. And there was a 41-year-old concrete mason in Minnesota who choked and punched his adult daughter before grabbing an officer by the throat and pushing her into a window.In one of the most violent encounters, three officers in Cohasset, Massachusetts, confronted Erich Stelzer, a 6-foot-6-inch bodybuilder who was stabbing his date so viciously that the walls were red with her blood.Rather than fire their pistols that night in 2018, two of the officers used their Tasers and managed to handcuff Stelzer, 25, as he thrashed on the floor. Stelzer stopped breathing, and the officers could not revive him. The local prosecutor determined they had handled the situation appropriately and would have been justified in shooting Stelzer because he presented a lethal threat.While the officers were relieved to have saved the woman’s life, they also wrestled with killing a man despite doing their best to avoid it.“As the time went by after the incident, you know, it wasn’t lost on me that he was someone’s son, someone’s brother,” Detective Lt. Gregory Lennon said. “And I’m sorry that he died. You know, it wasn’t our intention.”Lack of accountabilityUnderstanding how and why people die after force can be difficult. Information is often scarce or government at all levels won’t share what it has.In 2000, Congress started trying to get the Justice Department to track deaths involving law enforcement. The department has acknowledged its data is incomplete, blames spotty reporting from police departments, and does not make whatever information exists publicly available.Mortality data maintained by the Centers for Disease Control and Prevention also has gaps. The AP found that when a death certificate does not list words like “police” and “law enforcement,” the CDC’s language-reading software doesn’t label the death as involving “legal intervention.” This means the death data flagged police involvement in, at most, 34% of the more than 1,000 deaths the investigation identified.Among the mislabeled deaths is that of Daniel Prude, a 41-year-old Black man. He died in 2020 while restrained and covered with a spit hood in Rochester, New York. The high-profile incident was caught on video, but while his death certificate noted “physical restraint,” it made no direct mention of police.The CDC recognizes the data undercounts police-involved deaths, but says it wasn’t primarily intended to flag them. Staff lack the time or resources to corroborate death certificate details, officials said.In 2017, leading pathologists recommended adding a checkbox to the U.S. standard death certificate to identify deaths involving law enforcement — as is already done with tobacco use and pregnancy. They argued better data could help inform better practices and prevent deaths. However, the proposal hasn’t gained traction.“This is a long-standing, not-very-secret secret about the problem here: We know very little,” said Georgetown University law professor Christy Lopez, who until 2017 led the Justice Department office that investigates law enforcement agencies over excessive force.Meanwhile, laws in states like Pennsylvania, Alabama and Delaware block the release of most, if not all, information. And in other places, such as Iowa, departments can choose what they wish to release, even to family members like Sandra Jones.Jones’ husband, Brian Hays, 56, had battled an addiction to painkillers since injuring his shoulder at a factory job. She last saw him alive one September night in 2015 after he called 911 because his mental health and methamphetamine use was making him delusional. Officers who arrived at their home in Muscatine, Iowa, ordered her to leave.The next morning, a hospital contacted Jones to say Hays was there. As Hays was on life support, doctors told her that he had several Taser marks on his body and scrapes on his face and knees, she recalled. Neighbors also said they had seen Hays run out of the house, clad only in boxer shorts, and make it around the corner before officers caught him.When Jones set out to unravel what happened, she said, police wouldn’t hand over their reports. A detective later told her officers had shocked Hays and tied his feet before he went into cardiac arrest. She couldn’t glean why that much force was necessary.In time, Jones managed to get the autopsy report from the medical examiner’s office, confirming the force and a struggle. But an attorney told her winning a lawsuit to pry out more information was unlikely. Hays’ death didn’t even make the local news.“All I know is, something terrible happened that night,” she said. “I have pictured him laying on that cement road more times than I can tell you. I picture him there, struggling to breathe.”
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