Sudden custodial deaths in the wake of violent restraint encounters have emerged as a critical issue for police, correctional, and medical care workers around the world. In Sudden Deaths in Custody, leading researchers and experts review the medical, legal, psychological, and administrative aspects of violent restraint encounters and offer insights into controlling such incidents. The authors assess the medical considerations in such cases, including how the stress of an encounter may influence the physiological responses of the subject, how chemical substances may affect the behavior of and contribute to the death of the person in custody, and offer an explanation of the role of excited delirium. The authors also address the use of force involving neck holds, restraints, aerosols, tasers, and other physical restraints. Numerous examples illustrate the nature and problems associated with sudden in-custody restraint deaths, along with a survey of the issues involved in performing a custodial death investigation and the legal question of civil liability. The authors also discuss risk management strategies, policy and procedure concerns, training issues, subject monitoring, prisoner transportation, officer incident reporting, and investigating an incident from an agency perspective.Comprehensive and authoritative, Sudden Deaths in Custody illuminates the many facets of sudden in-custody deaths to better prepare police officers, administrators, investigators, and medical personnel for such events and the frequent civil lawsuits claiming wrongful death.

This book specifically addresses sudden in-custody restraint deaths that occur after a violent confrontation. The criteria include: death resulted after a violent confrontation with police or correction personnel; the death resulted after the use of force control measures or restraint that was used; the individual died on scene, during transport, or in a hospital within minutes or hours after the altercation; and the incident involved a person who exhibited behaviors induced by being under the influence of a chemical substance, or whose behaviors were caused by mental impairment.

The Nature of Sudden In-Custody Deaths.- Medical Overview of Sudden In-Custody Deaths.- Neck Holds.- Positional and Restraint Asphyxia.- Restraint Stress.- The Role of Illicit Drug Use in Sudden In-Custody Death.- Excited Delirium.- Riot Control Agents, Tasers, and Other Less Lethal Weapons.- Case Analysis of Restraint Deaths in Law Enforcement and Corrections.- Deaths in Custody Investigations.- Liability and Wrongful In-Custody Deaths.- Administrative Implications.