Skip to Content Facebook Feature Image

Accident or homicide? Medical rulings in arrest-related deaths can dictate what happens to police

News

Accident or homicide? Medical rulings in arrest-related deaths can dictate what happens to police
News

News

Accident or homicide? Medical rulings in arrest-related deaths can dictate what happens to police

2024-12-18 19:04 Last Updated At:19:11

Sitting alone in her car, Jen Dold was crying too hard to drive. She had just received a manila envelope with her brother’s autopsy report.

There it was, one devastating word: “accident.” The papers trembled in her hands.

More Images
Pages from a Broward County, Fla., medical examiner report and other documents related to the case of Derrick Blake, who died in a hospital on March 6, 2018, after being injured during an encounter with police in September 2012, are arranged for a photograph in New York on Nov. 12, 2024. (AP Photo/Patrick Sison)

Pages from a Broward County, Fla., medical examiner report and other documents related to the case of Derrick Blake, who died in a hospital on March 6, 2018, after being injured during an encounter with police in September 2012, are arranged for a photograph in New York on Nov. 12, 2024. (AP Photo/Patrick Sison)

FILE - A representative for Axon Enterprise Inc. demonstrates the company's TASER 7 in Washington on Thursday, May 12, 2022. (AP Photo/Jacquelyn Martin, File)

FILE - A representative for Axon Enterprise Inc. demonstrates the company's TASER 7 in Washington on Thursday, May 12, 2022. (AP Photo/Jacquelyn Martin, File)

The Snohomish County Medical Examiner building is pictured Wednesday, Sept. 18, 2024, in Everett, Wash. (AP Photo/Lindsey Wasson)

The Snohomish County Medical Examiner building is pictured Wednesday, Sept. 18, 2024, in Everett, Wash. (AP Photo/Lindsey Wasson)

In this image from video provided by the Burlington Police Department, officers confront Douglas Kilburn in Burlington, Vt., on March 11, 2019. (Burlington Police via AP)

In this image from video provided by the Burlington Police Department, officers confront Douglas Kilburn in Burlington, Vt., on March 11, 2019. (Burlington Police via AP)

In this image from video provided by the Bismarck Police Department, officers, one pointing a Taser, confront Ryan Pederson in Bismarck, N.D., on Aug. 7, 2021. (Bismarck Police Department via AP)

In this image from video provided by the Bismarck Police Department, officers, one pointing a Taser, confront Ryan Pederson in Bismarck, N.D., on Aug. 7, 2021. (Bismarck Police Department via AP)

This photo provided by the family shows Alex Dold of Washington state. Dold lived with schizophrenia and died after a 2017 encounter with sheriff’s deputies and police officers. (Jen Dold via AP)

This photo provided by the family shows Alex Dold of Washington state. Dold lived with schizophrenia and died after a 2017 encounter with sheriff’s deputies and police officers. (Jen Dold via AP)

Kathy Duncan, whose son, Alex Dold, lived with schizophrenia and died after a 2017 encounter with sheriff's deputies and police officers, walks down stairs past a piece of art made for her son at the house of her daughter, Jen Dold, Wednesday, Sept. 18, 2024, in Edmonds, Wash. (AP Photo/Lindsey Wasson)

Kathy Duncan, whose son, Alex Dold, lived with schizophrenia and died after a 2017 encounter with sheriff's deputies and police officers, walks down stairs past a piece of art made for her son at the house of her daughter, Jen Dold, Wednesday, Sept. 18, 2024, in Edmonds, Wash. (AP Photo/Lindsey Wasson)

Jen Dold, whose brother, Alex Dold, lived with schizophrenia and died after a 2017 encounter with sheriff's deputies and police officers, walks with her niece, Alena Alexandra Judy, 4, and her mother, Kathy Duncan, left, Wednesday, Sept. 18, 2024, on the waterfront in Edmonds, Wash. (AP Photo/Lindsey Wasson)

Jen Dold, whose brother, Alex Dold, lived with schizophrenia and died after a 2017 encounter with sheriff's deputies and police officers, walks with her niece, Alena Alexandra Judy, 4, and her mother, Kathy Duncan, left, Wednesday, Sept. 18, 2024, on the waterfront in Edmonds, Wash. (AP Photo/Lindsey Wasson)

Jen Dold, whose brother, Alex Dold, lived with schizophrenia and died after a 2017 encounter with sheriff's deputies and police officers, adjusts one of her favorite photos of her brother on her living room shelf at her home Wednesday, Sept. 18, 2024, in Edmonds, Wash. (AP Photo/Lindsey Wasson)

Jen Dold, whose brother, Alex Dold, lived with schizophrenia and died after a 2017 encounter with sheriff's deputies and police officers, adjusts one of her favorite photos of her brother on her living room shelf at her home Wednesday, Sept. 18, 2024, in Edmonds, Wash. (AP Photo/Lindsey Wasson)

Jen Dold, whose brother, Alex Dold, lived with schizophrenia and died after a 2017 encounter with sheriff's deputies and police officers, holds a dog tag with her brother's fingerprint she wears around her neck Wednesday, Sept. 18, 2024, at a favorite beach of his in Edmonds, Wash. (AP Photo/Lindsey Wasson)

Jen Dold, whose brother, Alex Dold, lived with schizophrenia and died after a 2017 encounter with sheriff's deputies and police officers, holds a dog tag with her brother's fingerprint she wears around her neck Wednesday, Sept. 18, 2024, at a favorite beach of his in Edmonds, Wash. (AP Photo/Lindsey Wasson)

Jen Dold, whose brother, Alex Dold, lived with schizophrenia and died after a 2017 encounter with sheriff's deputies and police officers, sits for a portrait at her home Wednesday, Sept. 18, 2024, in Edmonds, Wash. (AP Photo/Lindsey Wasson)

Jen Dold, whose brother, Alex Dold, lived with schizophrenia and died after a 2017 encounter with sheriff's deputies and police officers, sits for a portrait at her home Wednesday, Sept. 18, 2024, in Edmonds, Wash. (AP Photo/Lindsey Wasson)

Jen Dold, whose brother, Alex Dold, lived with schizophrenia and died after a 2017 encounter with sheriff's deputies and police officers, walks with her niece, Alena Alexandra Judy, 4, and Jen and Alex's mother, Kathy Duncan, right, Wednesday, Sept. 18, 2024, on the waterfront in Edmonds, Wash. (AP Photo/Lindsey Wasson)

Jen Dold, whose brother, Alex Dold, lived with schizophrenia and died after a 2017 encounter with sheriff's deputies and police officers, walks with her niece, Alena Alexandra Judy, 4, and Jen and Alex's mother, Kathy Duncan, right, Wednesday, Sept. 18, 2024, on the waterfront in Edmonds, Wash. (AP Photo/Lindsey Wasson)

Jen Dold, left, and her mother, Kathy Duncan, right, display tattoos they got in honor of their brother and son, Alex Dold, who lived with schizophrenia and died after a 2017 encounter with sheriff's deputies and police officers, Wednesday, Sept. 18, 2024, at a beach in Edmonds, Wash. (AP Photo/Lindsey Wasson)

Jen Dold, left, and her mother, Kathy Duncan, right, display tattoos they got in honor of their brother and son, Alex Dold, who lived with schizophrenia and died after a 2017 encounter with sheriff's deputies and police officers, Wednesday, Sept. 18, 2024, at a beach in Edmonds, Wash. (AP Photo/Lindsey Wasson)

Jen Dold, whose brother, Alex Dold, lived with schizophrenia and died after a 2017 encounter with sheriff's deputies and police officers, displays family photos of her brother Wednesday, Sept. 18, 2024, at her home in Edmonds, Wash. (AP Photo/Lindsey Wasson)

Jen Dold, whose brother, Alex Dold, lived with schizophrenia and died after a 2017 encounter with sheriff's deputies and police officers, displays family photos of her brother Wednesday, Sept. 18, 2024, at her home in Edmonds, Wash. (AP Photo/Lindsey Wasson)

Jen Dold, whose brother, Alex Dold, lived with schizophrenia and died after a 2017 encounter with sheriff's deputies and police officers, stands for a portrait with their mother, Kathy Duncan, left, as they visit a beach he enjoyed, Wednesday, Sept. 18, 2024, in Edmonds, Wash. (AP Photo/Lindsey Wasson)

Jen Dold, whose brother, Alex Dold, lived with schizophrenia and died after a 2017 encounter with sheriff's deputies and police officers, stands for a portrait with their mother, Kathy Duncan, left, as they visit a beach he enjoyed, Wednesday, Sept. 18, 2024, in Edmonds, Wash. (AP Photo/Lindsey Wasson)

Their mother had called 911 for help getting Dold’s 29-year-old brother, Alex, to the hospital because he was in a mental health crisis. Four sheriff’s deputies and two police officers shocked him with Tasers, wrapped an arm around his neck, punched and kicked him, then left him face down until they noticed he wasn’t breathing.

How could that be an accident? Dold was certain it was a homicide.

Angry and grieving in the parking lot outside the county medical examiner’s office 30 miles north of Seattle, Dold vowed to fight.

“No more silence or complacency,” she thought. “No sweeping it under the rug.”

In the United States, police rarely face criminal charges when civilians die after officers use physical force. Whether they do can depend on a system that operates after the initial attention passes: medical examiners and coroners who decide how and why someone died — what’s known as the manner and cause of death.

On TV dramas such as “CSI” or “Bones,” facts and established science determine whether a death was an accident or homicide. In reality, medical investigations involving police restraint deaths can be so riddled with inconsistencies, suspect science or conflicts of interest that even extensive force may matter little, an investigation led by The Associated Press has found.

That investigation identified 1,036 deaths over a decade after police used not their guns but physical blows, restraints or weapons such as Tasers that aren’t supposed to kill. Some people were causing little or no trouble, while others were committing violent crimes. Many died after officers broke widely known safety practices, or after medics injected them with powerful knock-out drugs, sometimes at the urging of police.

Accident was the most common conclusion of medical investigations in AP’s case database. Accidental rulings typically blamed preexisting conditions such as obesity or asthma, or drug use — even when in some cases blood testing did not detect lethal levels. Others faulted “excited delirium,” a controversial diagnosis discredited by major medical associations. Some medical officials based their decisions not on physical evidence, but instead on whether they believed police intended to kill.

Manner of death decisions are so pivotal that members of law enforcement and their allies push to shape them, with the multibillion-dollar company behind Tasers peppering medical officials with research it funded or wrote that downplays the dangers of its weapon.

The degree of physical and professional separation a medical official had from local law enforcement appeared to affect rulings. Deaths were ruled accidents more frequently when medical examiners or coroners were in the same community as the department under investigation, or when they fell under the control of law enforcement.

The mere location of a death has huge sway because each state designs its own system. Even within a state, county lines can matter. Death decisions are made in some places by doctors trained as forensic pathologists, in others by an elected coroner who may have no medical training and deep ties to local law enforcement.

“I call it a crazy quilt,” said Dr. Victor Weedn, the former chief medical examiner of Maryland who has written about failed attempts to bring national consistency. Concerned about medical examiners’ independence in police-involved deaths, he advocates for state health departments to take charge.

When deaths are ruled accidental, prosecutions of officers are exceedingly rare — of the 443 cases the AP identified, just two resulted in criminal charges. A family’s chances of winning a wrongful death lawsuit also become much tougher.

“I had a belief that the justice system was fair, that if you were a victim you’d get justice, and the perpetrator would be convicted of their crime — police officer or not,” Jen Dold said. “Sadly, we realized this was not the case.”

Jen Dold — 11 years older than Alex — had been more like a doting mother to him growing up. When his schizophrenia began at 19, and he started to believe people were whispering and lurking outside his house, she became his primary caregiver, shuttling him around and helping him financially.

One night in 2017, Alex Dold had an argument with his mother. He was in his late-20s, unemployed, living with her and off his medication. She had refused to give him more than his daily $30 from federal disability payments. So he yanked a lanyard around her neck, flipped the living room recliner where she sat, and left.

The county mental health department wouldn’t send someone, saying Dold wasn’t violent enough.

When Dold returned and sat down to watch television like nothing had happened, his mother called 911. She told the dispatcher her son was calm, yet needed hospital treatment.

Two Snohomish County sheriff’s deputies arrived. Dold acknowledged getting physical, but insisted his mother was fine and tried to close the front door.

Many police are trained to calm people in mental crisis. Instead, Deputy Bryson McGee pushed inside. McGee would later say Dold punched his face, something Dold’s mother, Kathy Duncan, who witnessed the interaction, denied.

Four backup officers joined the fight. Over 12 minutes, the group punched, kicked and hit Dold with a baton, shocked him with Tasers, pressed a knee to his face and pushed his head down with a flashlight, according to a 990-page police report.

Dold said he was submitting and cried out for his mother, who screamed that her son was mentally ill.

“It was the worst yelling, shouting I’ve ever heard,” one neighbor told an investigator.

After handcuffing Dold in the driveway, deputies left him face down, a position the Justice Department and others have long warned carries a suffocation risk. No one started proper resuscitation for at least 10 minutes.

Jen Dold didn’t trust the investigation from the beginning. The detectives who interviewed her focused on her brother’s mental illness, she thought to protect officers.

Seeking an ally, she contacted Snohomish County’s chief medical examiner, and was relieved when Dr. Daniel Selove told her by phone that he’d weigh police force.

Yet when Selove met her at his office, he explained that Dold died from an irregular heartbeat. While the Taser shocks and struggle were significant factors, Selove said, he didn’t believe the officers intended to kill her brother, so his death was an accident.

Whether to consider intent is a philosophical divide among forensic pathologists. Dold’s death illustrates how unevenly intent can be applied — Selove used it even though under his own office’s policies intent “need not be present or proven” for a homicide ruling.

For coroners and medical examiners, homicide doesn’t carry the same meaning as murder does in criminal law. Guidelines from the National Association of Medical Examiners say intent is a valid consideration, but restraint deaths may be classified as homicide without it — and doing so has “some value” to reduce any appearance of a cover-up.

Dr. J. Keith Pinckard, the organization’s president, said manner of death is an opinion meant to be used for vital statistics and public health, not a legal determination. Nonetheless, it has influence in court.

The significance of an accidental ruling quickly became clear when the local prosecutor cited it in exonerating the deputies and officers. It was one example among dozens AP found in which prosecutors referenced autopsy outcomes to close investigations, including other cases involving severe force.

Jen Dold figured the last chance to hold the deputies in her brother’s death accountable was a lawsuit.

Looking for a lawyer, the family found a promising lead. Seven years before her brother’s death, Deputy McGee — the first one into Dold’s home — had fired his Taser in a fatal struggle with another man in mental distress. Dold was not his first death on duty.

The county had settled that family’s lawsuit. The Dolds contacted the lawyer, who took their case but cautioned litigation would be arduous. Officers get protections, including qualified immunity, which shield them from liability. The accidental manner of death would not help.

As the lawsuit ground on, the attorney discovered something intriguing. The day after Alex Dold’s autopsy, Selove fired the doctor who did it.

Now it was February 2022. Jen Dold huddled with her mother and sister around a laptop to watch their attorney question Dr. Stanley Adams, a forensic pathologist who worked for the U.S. military before Snohomish County.

Their lawyer asked Adams to review Dold’s autopsy report. For the first time, Adams learned that, after he was fired, Selove had changed his conclusion from homicide and labeled it an accident.

“I have a little bit of heartburn with that because he took my correct answer and he changed it to an incorrect answer,” Adams said.

“Why do you say it’s a homicide?” the lawyer asked.

“Because when one human being does an action or neglects to do an action that caused the death of another, it really doesn’t matter about the intent,” Adams replied.

The family hugged.

“We just kept saying, ‘Did he really just say that? Did he really just say ‘homicide'?” Jen Dold recalled.

Adams told AP that under the settlement he reached over his termination, he couldn’t discuss his employment. But in a complaint filed with Snohomish County, Adams wrote he was fired for documenting Selove’s violations of county policies and guidelines of the National Association of Medical Examiners. Without saying which policies, Adams called the violations a “danger to public health and safety.”

In an interview, Selove said Adams’ homicide finding was unrelated to his firing. They disagreed over other matters, he said, but couldn’t elaborate due to the settlement. His office's policy on intent was a relic of a predecessor that he didn't need to follow, he said. And he never felt pressure from law enforcement in any restraint death, including one in 2015 where a detective was publicly accused of improperly influencing him.

The county offered Dold’s family around $1.5 million to end their case in 2023. Jen Dold wanted the settlement to require a change to homicide, but said the county wouldn’t budge. She finally relented.

“The process beat us down and we were ready for it to be over,” she said.

When a reporter reached Deputy McGee, who resigned within three months of Alex Dold’s death, he said never to call again and hung up. The deputy who responded with McGee resigned in 2019 after being accused of having sex on duty, according to police disciplinary records.

In the seven years since her brother’s death, the extent of the force troubles Jen Dold, as does the pain and fear he must have felt as he struggled to breathe.

A simple question haunts her: What if the medical examiner’s report was different by just one word — homicide?

While loved ones like Jen Dold want a homicide ruling, powerful institutions may not. The AP found attempts at influencing medical officials in other cases by elected and appointed officials — the police chief or sheriff, the mayor — as well as outside sources, such as Axon Enterprise Inc., the maker of Tasers.

In November 2021, the chief medical examiner in North Dakota was deciding how to rule the death of a 43-year-old man police encountered in a Bismarck neighborhood who was on methamphetamine, drenched in sweat and agitated because he believed his daughter was in danger.

Police video that has never been reported before shows Ryan Pederson, a local hockey club coach and single father, resisted when officers tried to handcuff him. Three of them fired their Tasers at nearly the same time, with one connecting.

Awakened by the commotion, a neighbor recorded police holding Pederson face down under a streetlight, remarking, “I think they George Floyded him.”

The autopsy was done by Dr. Barrie Miller, the state’s chief medical examiner.

Emails AP obtained show Miller spoke with Michael Brave, then a longtime Axon attorney, who late into a Friday night and over one weekend emailed her more than a dozen documents, including research papers and book chapters co-authored by company officials that downplayed the risks of Tasers.

“Great day!!” Brave wrote in one. “After our conversation I thought of a couple more documents you might want to have.”

He attached a checklist that tells forensic pathologists what evidence to collect during death investigations involving Tasers. Other materials described how the device works or discussed purported symptoms of excited delirium syndrome, such as “superhuman strength” and high pain tolerance.

Brave also sent a chart from a study he contributed to which argued that people rarely, if ever, die when police restrain them face down in what’s known as prone position — the way officers restrained Pederson. While police do use prone restraint every day without harm, AP’s investigation, done with the Howard Centers for Investigative Journalism and FRONTLINE (PBS), identified 44 deaths from 2012-2021 where a medical examiner or coroner ruled that prone restraint caused or contributed. In another 17 cases involving prone restraint, positional asphyxia or asphyxia due to restraint was cited as a cause or contributing factor.

Four days later, Miller ruled Pederson’s death was due to methamphetamine-induced “psychomotor agitation” and “physical exertion with physical restraint.” The cause mentioned neither Tasers nor officers. The manner was undetermined — one of five choices along with accident, homicide, natural and suicide.

Miller didn’t respond to multiple calls and emails seeking comment. She was fired this spring after police went to her office. Brave, now a partner in a Phoenix law firm, said Miller contacted him wanting information about how Tasers work. He said he wasn’t trying to influence her — he wanted her to have the correct information. An Axon official did not respond to messages.

Checklists like the one Brave sent Miller have long been an Axon strategy.

In a 2018 “Managing Your Medical Examiner” web presentation, a longtime member of the company’s board of directors, Mark Kroll, urged law enforcement officials and prosecutors to use a company-created checklist. The essence: Influence the manner of death ruling. “Control the narrative” by getting the deceased’s criminal and medical history. Drop in on the forensic pathologist and talk about cases. And if they are “hostile,” line up police-friendly experts to counter them.

Kroll left Axon this year. In an email to AP, he questioned how medical examiners arrive at a manner of death, saying their opinion is not “infallible truth” but rather “driven by personal biases, local politics, sex of the medical examiner, religion, and years on the job.” Noting the role drugs and preexisting conditions can play, he called some who die “walking time bombs.”

Axon has exerted influence in other ways. In autopsy reports, some medical officials shift culpability by citing company-funded research. And in the early 2000s, the company sent a chill through forensic pathology when, faced with product liability lawsuits, it launched a campaign to undermine rulings that Tasers caused or even contributed to deaths.

One important victory came after the company sued a medical examiner in Ohio who had partially blamed the device in three fatal encounters. A judge required the medical examiner to change the manner of death from homicide and remove Taser references in the cause.

“Dangerously close to intimidation,” the president of the National Association of Medical Examiners said at the time.

Pressure is a reality of forensic pathology. In a 2011 survey not specific to Taser or arrest-related deaths, 22% of the association’s members said elected or appointed officials had leaned on them to change cause or manner of death. And 25% of those who resisted said they “suffered consequences,” including being fired.

In a follow-up paper, the association said death investigations and decisions must be “independent from law enforcement and prosecutors,” and based on scientific evidence and research.

Cases in North Carolina and Vermont show what can happen behind the scenes.

Marcus Smith was having a mental health breakdown at a music festival in 2018 and approached Greensboro, North Carolina, police for help. When he panicked and tried to flee, officers pinned Smith, 38, face down to the ground, records show.

After an associate chief medical examiner for North Carolina ruled it a homicide, a police lawyer emailed the state’s chief medical examiner in correspondence marked highly confidential and said Smith’s death should have been undetermined because health problems, cocaine and alcohol could be to blame. He called the homicide classification “wrong and it is being used by those with ulterior motives and visions of monetary payouts … to baselessly vilify police officers.”

The police lawyer, Amiel Rossabi, told AP in an email that he “was not pressuring anyone” but was instead pointing out that, based on his research, the medical examiner was wrong. The chief medical examiner and the pathologist who performed the autopsy did not respond to emails and phone messages.

In March 2019, an officer’s punch fractured a 54-year-old man’s skull in Burlington, Vermont. Douglas Kilburn died days later. After a Vermont Health Department doctor called it a homicide, Burlington’s police chief questioned the finding in an email to the state health commissioner, saying he had conferred with the mayor.

The former chief, Brandon del Pozo, now an assistant professor of medicine at Brown University, told AP he sent the email after getting unsatisfying answers from the medical examiner about the degree of certainty that it was homicide. It could have been undetermined, del Pozo said. Former Mayor Miro Weinberger told AP that Kilburn’s death was tragic but the medical examiner’s report had “confusing and contradictory findings.”

Neither state office budged from its homicide ruling. No officer was charged, but lawsuits resulted in payouts of $2.5 million in North Carolina and $45,000 in Vermont.

An analysis by AP showed that death rulings can vary according to how close the medical examiner or coroner is to local law enforcement.

State offices such as in Vermont and North Carolina labeled as accidents about 30% of deaths. Local agencies investigating deaths in their own communities classified nearly 50% of deaths as accidents. That number was higher still when the local agency was part of law enforcement, such as Texas’ justice of the peace system or the sheriff-coroners in many California counties.

In one notable California restraint death, a forensic pathologist resigned after learning the sheriff changed the manner from homicide to accident. The ensuing controversy led San Joaquin County to create an independent medical examiner’s office.

The death of Kyle Briones in the sprawl east of Los Angeles shows how important the coincidence of where someone dies can be.

The 28-year-old was driving in the pre-dawn hours when a tire blew out. His car swerved and hit a street sign before stopping in a San Bernardino County farm field.

Briones survived the wreck — but not the night.

Ontario Police Department officers responding to a 911 call for an injured motorist pulled him from the car. Although there were no drugs or alcohol in his system, Briones was disoriented and wobbled as he walked. Police ordered him to sit. When Briones didn’t respond, officers shocked him with a Taser, threw him to the ground and placed him face down for more than six minutes, according to court records. The department did not respond to requests for comment.

By the time paramedics got to him, it was too late.

Had Briones crashed a mile down the road, across the line dividing San Bernardino and Riverside counties, what happened next might have gone far differently.

The two counties, known together as the Inland Empire, each have more than 2 million people and saw similar patterns in their arrest-related deaths — typically, people in mental health or drug emergencies died after a struggle. Each has a sheriff-coroner death investigation system.

Yet in these cases, they arrived at opposite conclusions. Among the 13 deaths AP identified from 2012-2021 in Riverside County, the coroner’s office classified 11 as homicides. The coroner’s division of the San Bernardino County Sheriff’s Department ruled on 12 deaths, labeling none a homicide.

In the Briones death, the chief forensic pathologist working for the San Bernardino County coroner blamed preexisting heart and lung conditions. Dr. Frank Sheridan said that — at 317 pounds and 5 feet, 11 inches — Briones was “morbidly obese.” He ruled the death natural.

The Briones family couldn’t understand. Their attorney hired as an expert witness a former medical examiner who had worked for Ventura County, on the other side of Los Angeles. He said Briones died because officers held him down with pressure on his back so he couldn’t breathe, and that it should be a homicide. The lawsuit settled for $2.75 million. Sheridan did not respond to requests for comment.

San Bernardino was one of 19 agencies in the United States that had four or more deaths in AP’s database and ruled none a homicide.

In Miami-Dade County, for instance, all deaths in AP’s data involving Tasers were ruled accidents. The one man who was shocked in Miami-Dade but whose death was not an accident died six years later — in neighboring Broward County, where a medical examiner called Derrick Blake’s death a homicide attributable to tasing.

All 16 deaths in Miami-Dade over the 10 years AP analyzed were accidents. Just one of Broward County’s four deaths was. Miami’s chief medical examiner declined to comment.

The 19 agencies with four or more deaths but no homicides cover at least 17 million people. One was the medical examiner’s office in Snohomish County, Washington. The same place where Jen Dold fought, to no avail, to reclassify her brother’s death.

Weiss reported from Greenville, South Carolina; Mohr reported from Jackson, Mississippi; Dunklin reported from Dallas; Pritchard reported from Los Angeles and Kirkland, Washington. Contributing were Ryan J. Foley in Iowa City, Iowa; Martha Bellisle in Seattle; Rhonda Shafner in New York; Sean Mussenden in College Park, Maryland; Roxana Hegeman in Belle Plaine, Kansas; Jeff Martin in Atlanta; and Jennifer McDermott in Providence, Rhode Island.

This story is part of the investigation “Lethal Restraint” led by The Associated Press in collaboration with the Howard Center for Investigative Journalism programs and FRONTLINE (PBS). The investigation includes an interactive story, database and the film “Documenting Police Use Of Force.”

The Associated Press receives support from the Public Welfare Foundation for reporting focused on criminal justice. This story also was supported by Columbia University’s Ira A. Lipman Center for Journalism and Civil and Human Rights in conjunction with Arnold Ventures. The AP is solely responsible for all content.

Contact AP’s global investigative team at Investigative@ap.org or https://www.ap.org/tips

Pages from a Broward County, Fla., medical examiner report and other documents related to the case of Derrick Blake, who died in a hospital on March 6, 2018, after being injured during an encounter with police in September 2012, are arranged for a photograph in New York on Nov. 12, 2024. (AP Photo/Patrick Sison)

Pages from a Broward County, Fla., medical examiner report and other documents related to the case of Derrick Blake, who died in a hospital on March 6, 2018, after being injured during an encounter with police in September 2012, are arranged for a photograph in New York on Nov. 12, 2024. (AP Photo/Patrick Sison)

FILE - A representative for Axon Enterprise Inc. demonstrates the company's TASER 7 in Washington on Thursday, May 12, 2022. (AP Photo/Jacquelyn Martin, File)

FILE - A representative for Axon Enterprise Inc. demonstrates the company's TASER 7 in Washington on Thursday, May 12, 2022. (AP Photo/Jacquelyn Martin, File)

The Snohomish County Medical Examiner building is pictured Wednesday, Sept. 18, 2024, in Everett, Wash. (AP Photo/Lindsey Wasson)

The Snohomish County Medical Examiner building is pictured Wednesday, Sept. 18, 2024, in Everett, Wash. (AP Photo/Lindsey Wasson)

In this image from video provided by the Burlington Police Department, officers confront Douglas Kilburn in Burlington, Vt., on March 11, 2019. (Burlington Police via AP)

In this image from video provided by the Burlington Police Department, officers confront Douglas Kilburn in Burlington, Vt., on March 11, 2019. (Burlington Police via AP)

In this image from video provided by the Bismarck Police Department, officers, one pointing a Taser, confront Ryan Pederson in Bismarck, N.D., on Aug. 7, 2021. (Bismarck Police Department via AP)

In this image from video provided by the Bismarck Police Department, officers, one pointing a Taser, confront Ryan Pederson in Bismarck, N.D., on Aug. 7, 2021. (Bismarck Police Department via AP)

This photo provided by the family shows Alex Dold of Washington state. Dold lived with schizophrenia and died after a 2017 encounter with sheriff’s deputies and police officers. (Jen Dold via AP)

This photo provided by the family shows Alex Dold of Washington state. Dold lived with schizophrenia and died after a 2017 encounter with sheriff’s deputies and police officers. (Jen Dold via AP)

Kathy Duncan, whose son, Alex Dold, lived with schizophrenia and died after a 2017 encounter with sheriff's deputies and police officers, walks down stairs past a piece of art made for her son at the house of her daughter, Jen Dold, Wednesday, Sept. 18, 2024, in Edmonds, Wash. (AP Photo/Lindsey Wasson)

Kathy Duncan, whose son, Alex Dold, lived with schizophrenia and died after a 2017 encounter with sheriff's deputies and police officers, walks down stairs past a piece of art made for her son at the house of her daughter, Jen Dold, Wednesday, Sept. 18, 2024, in Edmonds, Wash. (AP Photo/Lindsey Wasson)

Jen Dold, whose brother, Alex Dold, lived with schizophrenia and died after a 2017 encounter with sheriff's deputies and police officers, walks with her niece, Alena Alexandra Judy, 4, and her mother, Kathy Duncan, left, Wednesday, Sept. 18, 2024, on the waterfront in Edmonds, Wash. (AP Photo/Lindsey Wasson)

Jen Dold, whose brother, Alex Dold, lived with schizophrenia and died after a 2017 encounter with sheriff's deputies and police officers, walks with her niece, Alena Alexandra Judy, 4, and her mother, Kathy Duncan, left, Wednesday, Sept. 18, 2024, on the waterfront in Edmonds, Wash. (AP Photo/Lindsey Wasson)

Jen Dold, whose brother, Alex Dold, lived with schizophrenia and died after a 2017 encounter with sheriff's deputies and police officers, adjusts one of her favorite photos of her brother on her living room shelf at her home Wednesday, Sept. 18, 2024, in Edmonds, Wash. (AP Photo/Lindsey Wasson)

Jen Dold, whose brother, Alex Dold, lived with schizophrenia and died after a 2017 encounter with sheriff's deputies and police officers, adjusts one of her favorite photos of her brother on her living room shelf at her home Wednesday, Sept. 18, 2024, in Edmonds, Wash. (AP Photo/Lindsey Wasson)

Jen Dold, whose brother, Alex Dold, lived with schizophrenia and died after a 2017 encounter with sheriff's deputies and police officers, holds a dog tag with her brother's fingerprint she wears around her neck Wednesday, Sept. 18, 2024, at a favorite beach of his in Edmonds, Wash. (AP Photo/Lindsey Wasson)

Jen Dold, whose brother, Alex Dold, lived with schizophrenia and died after a 2017 encounter with sheriff's deputies and police officers, holds a dog tag with her brother's fingerprint she wears around her neck Wednesday, Sept. 18, 2024, at a favorite beach of his in Edmonds, Wash. (AP Photo/Lindsey Wasson)

Jen Dold, whose brother, Alex Dold, lived with schizophrenia and died after a 2017 encounter with sheriff's deputies and police officers, sits for a portrait at her home Wednesday, Sept. 18, 2024, in Edmonds, Wash. (AP Photo/Lindsey Wasson)

Jen Dold, whose brother, Alex Dold, lived with schizophrenia and died after a 2017 encounter with sheriff's deputies and police officers, sits for a portrait at her home Wednesday, Sept. 18, 2024, in Edmonds, Wash. (AP Photo/Lindsey Wasson)

Jen Dold, whose brother, Alex Dold, lived with schizophrenia and died after a 2017 encounter with sheriff's deputies and police officers, walks with her niece, Alena Alexandra Judy, 4, and Jen and Alex's mother, Kathy Duncan, right, Wednesday, Sept. 18, 2024, on the waterfront in Edmonds, Wash. (AP Photo/Lindsey Wasson)

Jen Dold, whose brother, Alex Dold, lived with schizophrenia and died after a 2017 encounter with sheriff's deputies and police officers, walks with her niece, Alena Alexandra Judy, 4, and Jen and Alex's mother, Kathy Duncan, right, Wednesday, Sept. 18, 2024, on the waterfront in Edmonds, Wash. (AP Photo/Lindsey Wasson)

Jen Dold, left, and her mother, Kathy Duncan, right, display tattoos they got in honor of their brother and son, Alex Dold, who lived with schizophrenia and died after a 2017 encounter with sheriff's deputies and police officers, Wednesday, Sept. 18, 2024, at a beach in Edmonds, Wash. (AP Photo/Lindsey Wasson)

Jen Dold, left, and her mother, Kathy Duncan, right, display tattoos they got in honor of their brother and son, Alex Dold, who lived with schizophrenia and died after a 2017 encounter with sheriff's deputies and police officers, Wednesday, Sept. 18, 2024, at a beach in Edmonds, Wash. (AP Photo/Lindsey Wasson)

Jen Dold, whose brother, Alex Dold, lived with schizophrenia and died after a 2017 encounter with sheriff's deputies and police officers, displays family photos of her brother Wednesday, Sept. 18, 2024, at her home in Edmonds, Wash. (AP Photo/Lindsey Wasson)

Jen Dold, whose brother, Alex Dold, lived with schizophrenia and died after a 2017 encounter with sheriff's deputies and police officers, displays family photos of her brother Wednesday, Sept. 18, 2024, at her home in Edmonds, Wash. (AP Photo/Lindsey Wasson)

Jen Dold, whose brother, Alex Dold, lived with schizophrenia and died after a 2017 encounter with sheriff's deputies and police officers, stands for a portrait with their mother, Kathy Duncan, left, as they visit a beach he enjoyed, Wednesday, Sept. 18, 2024, in Edmonds, Wash. (AP Photo/Lindsey Wasson)

Jen Dold, whose brother, Alex Dold, lived with schizophrenia and died after a 2017 encounter with sheriff's deputies and police officers, stands for a portrait with their mother, Kathy Duncan, left, as they visit a beach he enjoyed, Wednesday, Sept. 18, 2024, in Edmonds, Wash. (AP Photo/Lindsey Wasson)

The Israeli military on Wednesday ordered another evacuation in central Gaza ahead of an offensive in the area, even as Israel and the militant group Hamas appeared to inch closer to a ceasefire in the 14-month war.

“This is an advance warning ahead of an offensive,” Israeli military spokesman Avichay Adraee posted on X. The order included four residential block areas in the urban refugee camp of Bureij, where Adraee claimed that Palestinian militants fired rockets toward Israel.

He asked the residents to move to a “humanitarian zone” in the Muwasi area. The Israeli media have issued frequent evacuation orders for different parts of Gaza throughout the war, displacing more than 90% of the population, most of them multiple times.

Israeli President Isaac Herzog said he will meet Wednesday with U.S. President-elect Donald Trump's Mideast envoy, Adam Boehler, at his home in Jerusalem. Boehler, a former aid to Jared Kushner, met with Prime Minister Benjamin Netanyahu earlier this week.

Talks to broker the ceasefire and hostage release deal have restarted after a monthslong pause. The deal on the table includes a six week pause in fighting in which Hamas would release 30 hostages, including three of four dual Israeli-U.S. citizens, in exchange for Israel releasing hundreds of Palestinian prisoners. Trump has said he wants a quick end to the war.

Israeli bombardment and offensives in Gaza have killed more than 45,000 Palestinians over the past 14 months, according to the Gaza Health Ministry. The ministry’s tally does not distinguish between combatants and civilians, but it says more than of half the dead were women and children.

Israel launched its campaign in retaliation for Hamas’ October 2023 attack on southern Israel in which militants killed some 1,200 people and abducted 250 others, around 100 of whom remain in captivity.

Here’s the latest:

JERUSALEM — Hundreds of Israeli students walked out of school Wednesday to call for an immediate deal to release the remaining hostages held by Hamas in the Gaza strip as there appears to be progress in ceasefire talks.

From Tel Aviv to Jerusalem, students headed for central junctions, blocking roads and holding signs with the faces of the captives remaining in Gaza after 14 months of war.

There are 100 hostages in Gaza, a third of whom Israel’s government says are dead. Hamas militants dragged them to Gaza in their Oct. 7, 2023, attack on Israel that triggered the war.

At the high school in central Israel attended by hostages Naama Levy and Guy Illouz, who Israel’s military says was killed in the Oct. 7 attack, students crammed the auditorium with signs reading “Bring them Home Now.”

In Tel Aviv, high school students chanted “Their time is up. There’s a deal on the table.”

TEL AVIV, Israel — Prime Minister Benjamin Netanyahu took the stand on the fourth day of testimony in his corruption trials Wednesday, saying the accusations against him are “idiotic.”

Netanyahu, the first sitting Israeli leader to take the stand as a criminal defendant, is on trial on charges of fraud, breach of trust and accepting bribes in three separate cases.

Netanyahu was supposed to testify on Tuesday, but it was canceled after he requested a postponement due to “security reasons.”

Netanyahu toured the summit of Mount Hermon, part of the Syrian buffer zone that Israeli forces seized after President Bashar Assad was ousted by rebels last week. It appeared to be the first time an Israeli leader had set foot that far into Syria.

The testimony, set to take place six hours a day, three days a week for several weeks, will take up a significant chunk of Netanyahu’s working hours, prompting critics to ask if he can capably manage a country embroiled in a war on one front, containing the fallout from a second, and keeping tabs on other potential regional threats, including from Iran.

DAMASCUS, Syria — The Damascus airport reopened Wednesday for the first time since the fall of the government of Bashar Assad, and the first civilian plane took off from Damascus and landed in the northern city of Aleppo.

The airport is currently open only to domestic flights, but Syrian airspace is open to international traffic.

Airport officials have not yet specified when international flights will resume at the Damascus airport, but Saad Khair Bec, technical supervisor, called Wednesday’s reopening “an important day in the life of the Syrian people ... after the fall of the former shabby regime.”

State institutions have been gradually returning to work in recent days, including the main port in the coastal city of Latakia.

GENEVA — The head of the U.N. migration agency said she was reassured by commitments she heard from Syria’s new caretaker government in meetings in Damascus, as the country seeks to rebuild after more than a half-century of rule under the Assad family.

Amy Pope, director-general of the International Organization for Migration, said in a phone interview Wednesday that Syria’s new leaders “recognize the job they have ahead of them is enormous and that they need the support of the international community.”

IOM estimates about 100,000 people — many looking to return to their former homes — have entered Syria from neighboring countries since Dec. 8, the day former President Bashar Assad fled the country as opposition fighters swarmed into the capital.

“We are also seeing about 85,000 people come out” into Lebanon through established border crossing points, she said. “It’s a rough figure: There’s certainly people who cross informally and so they’re not counted.”

Most of those found to be leaving are Shiite Muslims, she said. The armed groups who took control of Syria are primarily from the country’s majority Sunni Muslim community, including Hayat Tahrir al-Sham, the terrorist-designated group that led the coalition of armed opposition groups that drove Assad from power and into asylum in Russia.

“There’s no question to me that at this moment in time, they are looking for ways to make this work, to be more inclusive, to build partnerships across the international community, to build partnerships with other governments,” Pope said of the caretaker government. “It’s just going to be a question of whether they can deliver.”

IOM said Pope was one of the first heads of a U.N. agency to visit Syria since Assad’s ouster, and she met with unspecified members of the caretaker government on Tuesday, as well as U.N. officials and advocacy groups.

She reaffirmed the IOM's commitment to Syria. The organization has been providing assistance to people in the country since 2014 and is seeking $30 million in urgent aid funding for the next four months to try to help nearly 685,000 people in the northwest of the country.

A Syrian Air airplane is seen parked at the terminal as the airport reopens for internal flights in Damascus, Syria, Wednesday, Dec. 18, 2024. (AP Photo/Omar Sanadiki)

A Syrian Air airplane is seen parked at the terminal as the airport reopens for internal flights in Damascus, Syria, Wednesday, Dec. 18, 2024. (AP Photo/Omar Sanadiki)

A man with a Syrian "revolutionary" flag sits inside a Syrian Air airplane ahead of take-off as the airport reopens for internal flights in Damascus, Syria, Wednesday, Dec. 18, 2024. (AP Photo/Omar Sanadiki)

A man with a Syrian "revolutionary" flag sits inside a Syrian Air airplane ahead of take-off as the airport reopens for internal flights in Damascus, Syria, Wednesday, Dec. 18, 2024. (AP Photo/Omar Sanadiki)

Employees stand at check-in counters as the airport reopens for domestic flights in Damascus, Syria, Wednesday, Dec. 18, 2024. (AP Photo/Omar Sanadiki)

Employees stand at check-in counters as the airport reopens for domestic flights in Damascus, Syria, Wednesday, Dec. 18, 2024. (AP Photo/Omar Sanadiki)

General Security personnel stand next to a Syrian Air airplane ahead of take-off as the airport reopens for internal flights in Damascus, Syria, Wednesday, Dec. 18, 2024. (AP Photo/Omar Sanadiki)

General Security personnel stand next to a Syrian Air airplane ahead of take-off as the airport reopens for internal flights in Damascus, Syria, Wednesday, Dec. 18, 2024. (AP Photo/Omar Sanadiki)

An Israeli soldier sits on an armoured vehicle next to security fence near the so-called Alpha Line that separates the Israeli-controlled Golan Heights from Syria, in the town of Majdal Shams, Wednesday, Dec. 18, 2024. (AP Photo/Matias Delacroix)

An Israeli soldier sits on an armoured vehicle next to security fence near the so-called Alpha Line that separates the Israeli-controlled Golan Heights from Syria, in the town of Majdal Shams, Wednesday, Dec. 18, 2024. (AP Photo/Matias Delacroix)

Palestinian mourners carry the body of Mohammed Abu Kishk, who was killed in clashes with Israeli forces during his funeral at the Askar refugee camp in the Israeli-occupied West Bank, Dec. 17, 2024 (AP Photo/Majdi Mohammed).

Palestinian mourners carry the body of Mohammed Abu Kishk, who was killed in clashes with Israeli forces during his funeral at the Askar refugee camp in the Israeli-occupied West Bank, Dec. 17, 2024 (AP Photo/Majdi Mohammed).

Palestinians gather to get donated food at a distribution center in Deir al-Balah, Gaza Strip, Tuesday, Dec. 17, 2024. (AP Photo/Abdel Kareem Hana)

Palestinians gather to get donated food at a distribution center in Deir al-Balah, Gaza Strip, Tuesday, Dec. 17, 2024. (AP Photo/Abdel Kareem Hana)

Palestinian women wait to receive food at a distribution center in Deir al-Balah, Gaza Strip, Tuesday, Dec. 17, 2024. (AP Photo/Abdel Kareem Hana)

Palestinian women wait to receive food at a distribution center in Deir al-Balah, Gaza Strip, Tuesday, Dec. 17, 2024. (AP Photo/Abdel Kareem Hana)

A torn picture of ousted Syrian President Bashar Assad, right, and his late father, President Hafez Assad, is seen attached at the Duty Free of the Damascus airport, Syria, Wednesday, Dec. 18, 2024. (AP Photo/Omar Sanadiki)

A torn picture of ousted Syrian President Bashar Assad, right, and his late father, President Hafez Assad, is seen attached at the Duty Free of the Damascus airport, Syria, Wednesday, Dec. 18, 2024. (AP Photo/Omar Sanadiki)

Recommended Articles