The family of Samuel Lawrence, one of 10 people to die in Georgia's Fulton County Jail in 2023, is fighting for answers and accountability.
"I got to think about him every day of my life and I don't know when the pain stops," Lawrence's father, Frank Richardson, told a local TV station in October 2023. "I pray to God that he touches that jail and puts people in place to help the other ones that are left behind."
Shortly before his death, Lawrence, 34, had filed a complaint about jail conditions, alleging that he was brutally beaten and isolated, with insufficient food and water.
But Fulton County Sheriff Patrick Labat largely blamed the jail's "outbreak of violence" on "the long-standing, dangerous overcrowding and the crumbling walls of the facility."
In order to "save lives," Labat said, his county would be requesting a "replacement jail."
The Georgia sheriff is among many law enforcement officials to claim that people like Samuel Lawrence would be safer if communities reduced overcrowding by building new jails or enhancing existing ones.
But recent research my colleague Weiwei Chen and I published on escalating jail mortality rates nationwide calls into question that rationale.
In an article published in the June 2023 issue of Health Affairs, we examined relationships between jail conditions and jail deaths, analyzing factors such as percent of jail capacity occupied, admission and discharge rates and population demographics.
Among the variables that appeared to be most significantly related to jail mortality were turnover rate – the number of people admitted to and discharged from a facility relative to its average population – as well as the percentage of Black people in the jail population.
Jail mortality
Jails are sometimes referred to as the "front door" of the criminal justice system. Unlike prisons, which are run by federal and state governments and hold convicted people serving relatively long sentences, jails are locally managed, and the majority of their populations are being detained pretrial while unconvicted.
Data on how many people die while incarcerated is notoriously inaccessible and often unreliable. Still, available reports on jail deaths from the Bureau of Justice Statistics offer some perspective.
In 2019, overall jail death rates were below the adjusted national average of 339 per 100,000, but leading up to that year, they had steeply increased. Between 2000 and 2019, jail mortality rose by 11%, from 151 per 100,000 to 167 per 100,000.
To conduct what epidemiologist Homer Venters referred to as an "apples-to-apples comparison" of circumstances and deaths in multiple jails during a period of escalating mortality, we relied on a combination of datasets.
