Special Investigation: In Ohio's jails 220 inmates have died in 4 years

More than a year ago, we set out to find out who is dying in custody of Ohio's local jails and why these deaths are happening.

The Cincinnati Enquirer, Columbus Dispatch and USA TODAY Network Ohio reviewed lawsuits, inspection reports, autopsies, obituaries, investigative documents, surveillance videos and other records related to what's happening inside Ohio's jails.

We interviewed more than 40 sheriffs, state officials, lawmakers, criminal justice experts, incarcerated people and family members. We toured multiple jails and filed more than 135 records requests.

No one locked up in a county jail is sentenced to death. Yet at least 219 Ohioans didn’t make it out alive, leaving their loved ones to question what happened.
No one locked up in a county jail is sentenced to death. Yet at least 219 Ohioans didn’t make it out alive, leaving their loved ones to question what happened.

The Ohio Department of Rehabilitation and Correction provided copies of inspection reports, jail standards and a spreadsheet of reported deaths. We tracked down coroner reports for nearly all 219 deaths that were reported to the state between January 2020 and December 2023.

The investigation took more than a year, largely due to delays in receiving public records. Some counties produced jail surveillance footage several months after they received our requests and only after prompting from our legal team.

It also took time to earn the trust of those who lost their loved ones behind bars. Many spoke up because they want changes in how jails operate so that other families don't experience the pain they're suffering.

[ Reporters with USA TODAY's network of Ohio newspapers spent a year investigating deaths in the county jails. Consider supporting their work with a subscription. ]

Dying Behind Bars: At least 220 people died in Ohio jails over 4 years

Jul 14, 2023; Mansfield, OH, United States; Lacee Bowersox blames the Richland County Jail for her brother Zachery Marshall's death in December 2021. He had difficulty breathing and called for an ambulance but ended up arrested on an outstanding bench warrant. In jail, he didn't get the medical care he needed, she said. He died less than two weeks later of endocarditis and sepsis.

Across Ohio people are dying in local jails. Suicides, drug overdoses, detox and medical issues, on average, claim a life each week.

Why is this happening so frequently?

Read the full story.

Who is dying behind bars in Ohio jails?

Maggie J. Copeland, 29, of Mansfield, is seen unresponsive as she is taken on a gurney from the Richland County Jail on May 11, 2022 in this jail security footage. She was pronounced dead less than a half hour later at OhioHealth Mansfield Hospital.
Maggie J. Copeland, 29, of Mansfield, is seen unresponsive as she is taken on a gurney from the Richland County Jail on May 11, 2022 in this jail security footage. She was pronounced dead less than a half hour later at OhioHealth Mansfield Hospital.

Every year, dozens of Ohioans die in the custody of local jails. They lose their lives to suicide, drug overdoses, medical neglect, violence, accidents or other causes.

One man choked to death on a peanut butter and jelly sandwich. Another was strangled to death. Two inmates sucker punched a man, rendering him unconscious. In other cases, inmates or jailers provided opioids, which triggered fatal overdoses.

Read the full story.

Ohio jails house about 300,000 people a year. How does the system work?

July 13, 2022; Columbus, Ohio, USA; The new James A. Karnes Corrections Center serving Franklin County was dedicated on Wednesday, but the $360 million facility won't open until this fall. Mandatory Credit: Barbara J. Perenic/Columbus Dispatch
July 13, 2022; Columbus, Ohio, USA; The new James A. Karnes Corrections Center serving Franklin County was dedicated on Wednesday, but the $360 million facility won't open until this fall. Mandatory Credit: Barbara J. Perenic/Columbus Dispatch

On any given night, about 16,500 people are held in Ohio's 89 jails and jailers book about 300,000 people each year - though some of them may be booked in multiple times.

Jails are not the same as prisons. They are temporary holding facilities for people who are just arrested, awaiting court appearances, held pretrial on bonds or serving short-term sentences.

Elected county sheriffs run most of the 89 full-service jails in Ohio. A handful are operated by a regional board or by a city police department.

Read the full story.

2 people were sent to Ohio jails just miles apart. One received treatment. The other died

Hamilton County Sheriff Charmaine McGuffey stands inside the addiction treatment section of the the Hamilton County Jail in Cincinnati while giving a tour on Tuesday, Sept. 19, 2023.
Hamilton County Sheriff Charmaine McGuffey stands inside the addiction treatment section of the the Hamilton County Jail in Cincinnati while giving a tour on Tuesday, Sept. 19, 2023.

The difference between life and death for people arrested and sent to jail can be a matter of miles and county lines.

Ohio has 181 standards for full-service jails meant to ensure a minimum of care for inmates across the state. But a lack of enforcement and deference to local control mean conditions and treatment in a county jail ultimately come down to the priorities of the county sheriff.

For example, there is a stark divide between the approaches of the Butler County Corrections Center and Hamilton County Justice Center though the counties neighbor each other.

Read the full story.

Ohio's jails have long been de facto mental health hospitals. Now they look like them

Jails are overrun with people on drugs, struggling with mental illness and poor health. How are sheriffs handling the challenges?

Read the full story.

Ohio Politics Explained

Check back on Monday for a special podcast on our Death Behind Bars series.

Our team

USA TODAY Network Ohio bureau reporters Laura Bischoff and Erin Glynn anchored the reporting and writing. Bureau Chief Anthony Shoemaker, Cincinnati Enquirer reporter Dan Horn and Cincinnati Enquirer Senior News Director Jackie Borchardt edited the stories.

Cincinnati Enquirer Director of Photography Cara Owsley, Columbus Dispatch photographers Courtney Hergesheimer, Doral Chenoweth and Brooke LaValley and Enquirer photographers Albert Cesear, Phil Didion, Liz Dufour, and Kareem Elgazzar took photos and videos. Enquirer visual journalist Mike Nygeres produced graphics and an animated video. Dan Kadar and Keely Brown managed the digital presentation. Jason Bredehoeft designed the pages in today's newspaper.

This article originally appeared on Cincinnati Enquirer: Inside Ohio's jails, why have 220 inmates died in 4 years?