Death of an individual suffering from psychiatric disorders who was the victim of ill-treatment during a police operation (ECHR)
In the European Court of Human Rights' judgment of 16.11.2017 in the case of Boukrourou and
Others v. France (application no. 30059/15) the European Court of Human Rights
held, unanimously, that there had been: no violation of Article 2 (right to
life) of the European Convention on Human Rights, and a violation of Article 3
(prohibition of inhuman or degrading treatment).
Facts: The applicants, Abdelkader
Boukrourou, Samira Boukrourou, Fatiha Boukrourou, Karim Boukrourou, Lahoucin
Boukrourou and Yamina Hassioui, are French nationals who were born in 1970,
1977, 1973, 1972, 1938 and 1951 respectively and live in Mouroux, Massy,
Valentigney and Thaulay (France) respectively. On 12 November 2009 M.B. went to
a pharmacy in Valentigney where he habitually collected his medication for
psychiatric disorders. The pharmacists refused to exchange medication with
which M.B. was dissatisfied, and he became angry, raising his voice and making
incoherent statements; he told them that he was going to file a complaint and
refused to leave the premises. Four police officers arrived on the scene at
4.53 p.m. and asked him several times to exit the pharmacy. Since he continued
to refuse, they decided to force him out. They seized him by the arm and leg,
but he fell on to the ground at the doorstep to the pharmacy.
The police officers then attempted to
handcuff him, one of them punching M.B. twice on the solar plexus. He was
finally handcuffed and then pushed into the police van, where he continued to
struggle before falling face down. The police officers applied pressure to his
shoulders, legs and buttocks, continuing in that position even after he had
been fastened to a fixed point on the back seat of the van. At 4.58 p.m. the
police officers requested the assistance of the fire brigade and the emergency
medical service. M.B., who had stopped breathing for a time, was taken charge
of by the fire brigade, who had arrived at 5.07 p.m., and who eventually
transported him inside the pharmacy. Noting the absence of blood circulation,
the fire brigade carried out cardiac massage.
An emergency doctor administered specialist
cardiopulmonary reanimation, but recorded M.B.’s death at 6.02 p.m. An
investigation was initiated immediately. Hearings were conducted and an autopsy
carried out on 13 November 2009. The forensic doctor concluded that the death
had clearly been caused by heart failure brought on by M.B.’s state of stress
and agitation. Witnesses were heard and further expert assessments carried out.
On 25 November 2011 the Ombudsperson, to whom a member of parliament had
submitted the case, submitted his report.
In March 2012 the four police officers who
had arrested M.B were formally charged with manslaughter consequent upon the
manifestly deliberate violation of the legal or statutory duty of caution and
security. In December 2012 the investigating judges issued a discontinuance
decision, finding, in particular, that the force used by the police officers
had been necessary and proportionate. In October 2013 the Investigations
Division of the Court of Appeal upheld that decision, and in November 2014 the
applicants’ appeal on points of law was dismissed.
Relying on Article 2 (right to life) and
Article 3 (prohibition of inhuman treatment), the applicants alleged a
violation of M.B.’s right to life and complained of the inhuman and degrading
treatment inflicted on the latter. The application was lodged with the European
Court of Human Rights on 18 May 2015.
Decision of the Court: Article 2 (right to
life): As regards the causal link between the force used and M.B.’s death:
having regard to the information at its disposal, the Court noted that the
police officers had not used intrinsically lethal force against M.B. All the
forensic reports ruled out death by chest compression, while noting that M.B.
had unwittingly been suffering from atherosclerotic coronary heart disease with
approximately 70 % stenosis. According to the experts, M.B. had died suddenly
of cardiac rhythm disorders owing to a coronary spasm triggered by a context of
intense and prolonged emotional and physical stress, in a subject suffering from
an atheromatous attack on an artery of the heart. Furthermore, even though the
police operation had created additional tension, M.B. had already been highly
overwrought on his arrival at the pharmacy, long before the police had
intervened. Finally, he had suffered from a serious psychiatric pathology, that
is to say a delusional psychosis, which had explained both the initial
altercation with the pharmacist and his state of extreme agitation when the
police officers had attempted to induce him to leave the pharmacy, as their
intervention could have been interpreted “in a delusional manner”, to quote the
psychiatric expert.
The Court noted that although there was
some causal link between the force used by the police officers and M.B.’s
death, that consequence had not been foreseeable. Even though the police
officers had known that M.B. was undergoing psychiatric treatment, they were
unaware of his heart disease. They therefore could not have envisaged the
existence of any danger incurred by the combination of those two factors –
stress and heart disease – liable to present a risk to the victim. As regards
the obligation to protect M.B.’s life: owing to his psychiatric illness, M.B.
had been in a vulnerable situation and the police officers had had a duty to
ensure his state of health, as he had been forcibly placed under their
responsibility.
In that connection, in the light of the
facts which were noted by the domestic courts and not contested by the parties,
the Court considered that the police officers’ swift request for assistance and
the rapid arrival of the emergency services on the scene enabled any failure by
the authorities in their obligation to protect M.B.’s life to be ruled out.
Consequently, the Court held that there had been no violation of Article 2 of
the Convention.
Article 3 (prohibition of inhuman and
degrading treatment): The Court noted that internal investigations had
established that the injuries to M.B.’s body as noted by the medical experts
had indeed been caused by the police officers during his arrest. In response to
M.B.’s refusal to leave the pharmacy, the police officers had moved directly to
coercion mode, attempting to drag him out by force, even though that had been
unnecessary.
Subsequently, he had been punched twice on
the solar plexus: in fact, the violence of the punches, as attested by the
autopsy report, only intensified M.B.’s agitation and resistance, reinforcing
his feeling of exasperation and incomprehension as to the course of events.
Such treatment inflicted on a vulnerable person who had clearly not understood
what the police officers were doing had been neither justified nor strictly
necessary. Lastly, once inside the police van, M.B. had been kept face
downwards, handcuffed to a fixed point and with three police officers standing
with their full weight on various parts of his body. Despite M.B.’s vulnerable
situation owing both to his psychiatric illness and to his status as a person
deprived of his liberty, he had been literally trampled underfoot by the police
inside the van.
The Court did, however, note that there was
nothing to suggest that the violence inflicted on M.B had stemmed from any
intention on the police officers’ part to humiliate him or make him suffer, but
could be explained by a lack of preparedness, appropriate training and/or
equipment. The Court considered that the repeated and inefficacious violent
acts against a vulnerable person constituted an infringement of human dignity
and attained a severity threshold rendering them incompatible with Article 3 of
the Convention. It therefore found a violation.
Just satisfaction (Article 41): The Court
held that France was to pay, in respect of non-pecuniary damage, the applicants
Fatiha Boukrourou, Yamina Hassioui and Lahoucin Boukrourou 6,000 euros (EUR) each,
and EUR 4,000 to each of the applicants Samira Boukrourou, Abdelkader
Boukrourou and Karim Boukrourou. It was also to pay EUR 18,576 jointly to the
applicants in respect of costs and expenses.
Σχόλια