California bans controversial ‘excited delirium’ diagnosis; is first state to do so

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A human rights activist hailed the decision as a “watershed moment” that could make it harder for police to justify excessive force.

Jonathan Salcido, 27, of Whittier, died in police custody on May 4, 2017 during a psychotic episode. The Los Angeles County Office of Medical Examiner-Coroner listed the cause of death as excited delirium as a result of schizophrenia. Attorneys representing the family said police killed Salcido by piling atop him, cutting off his ability to breathe.

Even though the new law makes California the first state to no longer recognize excited delirium as a medical diagnosis, several national medical associations already discredited it. Since 2020, thehave rejected excited delirium as a medical condition, noting the term has disproportionately applied to Black men in law enforcement custody. This year, the National Association of Medical Examinerssupporting excited delirium as a diagnosis.

The Contra Costa County coroner’s office, part of the sheriff’s department, blamed Quinto’s death on excited delirium. The Quinto family has filed a wrongful death lawsuit against the county and is seeking to change the cause of death on his death certificate. “There’s a lot more work to be done, but it is a unique window into some of the corruption, some of the things that we’ve allowed to happen under our noses,” said Robert Collins, Quinto’s stepfather. “I think it’s really telling that California is ending it.”

 

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