BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                    AB 2246


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          ASSEMBLY THIRD READING


          AB  
          2246 (O'Donnell)


          As Amended  March 16, 2016


          Majority vote


           ------------------------------------------------------------------ 
          |Committee       |Votes|Ayes                  |Noes                |
          |                |     |                      |                    |
          |                |     |                      |                    |
          |                |     |                      |                    |
          |----------------+-----+----------------------+--------------------|
          |Education       |7-0  |O'Donnell, Olsen,     |                    |
          |                |     |Kim, McCarty,         |                    |
          |                |     |Santiago, Thurmond,   |                    |
          |                |     |Weber                 |                    |
          |                |     |                      |                    |
          |----------------+-----+----------------------+--------------------|
          |Appropriations  |16-0 |Gonzalez, Bigelow,    |                    |
          |                |     |Bloom, Bonilla,       |                    |
          |                |     |Bonta, Calderon,      |                    |
          |                |     |Chang, Daly, Eggman,  |                    |
          |                |     |                      |                    |
          |                |     |                      |                    |
          |                |     |Eduardo Garcia,       |                    |
          |                |     |                      |                    |
          |                |     |                      |                    |
          |                |     |Roger Hernández,      |                    |
          |                |     |Holden, Quirk,        |                    |
          |                |     |Santiago, Weber, Wood |                    |
          |                |     |                      |                    |
          |                |     |                      |                    |








                                                                    AB 2246


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          SUMMARY:  Requires local educational agencies (LEAs) to adopt  
          policies for the prevention of student suicides, and requires  
          the California Department of Education (CDE) to develop and  
          maintain a model suicide prevention policy.  Specifically, this  
          bill:  


          1)Requires the governing boards of school districts, county  
            offices of education, the state special schools, and charter  
            schools which serve students in grades 7 to 12 to adopt,  
            before the beginning of the 2017-18 school year, a policy on  
            student suicide prevention for students in those grades.


          2)Requires that these policies address, at a minimum, procedures  
            relating to suicide prevention, intervention, and postvention.


          3)Requires the policies to be developed in consultation with  
            school and community stakeholders, school-employed mental  
            health professionals, and suicide prevention experts.


          4)Requires that the policies specifically address the needs of  
            high-risk groups, including:


             a)   Youth bereaved by suicide


             b)   Youth with disabilities, mental illness, or substance  
               use disorders


             c)   Youth experiencing homelessness or in out-of-home  
               settings, including foster care








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             d)   Lesbian, gay, bisexual, transgender, or questioning  
               youth


          1)Requires that the policy address any training to be provided  
            to teachers of students in grades 7 to 12 on suicide awareness  
            and prevention.


          2)Requires that materials approved by an LEA for training  
            include how to identify appropriate mental health services,  
            both at the schoolsite and also within the larger community,  
            and when and how to refer youth and their families to those  
            services.


          3)States that materials approved for training may also include  
            programs that can be completed through self-review of suitable  
            suicide prevention materials.


          4)Requires the policy to be written to ensure that school  
            employees act only within the authorization or scope of their  
            credential or license.  States that nothing in act shall be  
            construed as authorizing or encouraging school employees to  
            diagnose or treat mental illness unless they are specifically  
            licensed and employed to do so.


          5)Requires the CDE, to assist LEAs in developing policies for  
            student suicide prevention, to develop and maintain a model  
            policy to serve as a guide for LEAs.


          FISCAL EFFECT:  According to the Assembly Appropriations  
          Committee:









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          1)Proposition 98/General Fund state reimbursable costs, likely  
            in the hundreds of thousands, for each school district, county  
            office of education (COE), charter school, and State Special  
            School, serving students in grades 7 to 12, inclusive, to  
            adopt a policy on suicide prevention.  There are approximately  
            1,600 LEAs that would be required to develop a policy.  Actual  
            costs will depend on how local education agencies choose to  
            implement the requirements of the bill.


          2)One-time General Fund administrative costs to the CDE of  
            approximately $46,000 to develop a model policy on suicide  
            prevention.  The department will collaborate with stakeholders  
            to create and disseminate the policy and provide technical  
            assistance to LEAs for adoption.


          COMMENTS:  


          Need for the bill.  The author states:  "According to the  
          Centers for Disease Control and Prevention, suicide is the  
          second leading cause of death among young people aged 10-24.   
          The CDC also reports that 17% of high school students have  
          seriously considered attempting suicide - and 8% had attempted  
          suicide - in the prior 12 months.   


          "School personnel who interact with students on a daily basis  
          are in a prime position to recognize warning signs of suicide  
          and make appropriate referrals for help.  A national study  
          conducted by the Jason Foundation found that the number one  
          person a student would contact to help a friend who might be  
          suicidal was a teacher.  When a young person comes to a teacher  
          for help, it is vital that she has the knowledge, skills, and  
          resources to respond appropriately.










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          "AB 2246 addresses youth suicide prevention by requiring school  
          districts to adopt suicide prevention policies.  These policies  
          would be developed in consultation with school and community  
          stakeholders and experts in the field of suicide prevention,  
          and address the needs of high-risk groups of students.  AB 2246  
          also requires the California Department of Education to develop  
          and maintain a model policy as a guide for school districts."  


          Youth suicide in California.  According to the Lucile Packard  
          Foundation for Children's Health, in 2011-13, nearly 20% of  
          California public school students in grades 9, 11, and  
          nontraditional classes reported seriously considering attempting  
          suicide in the past year.  The Foundation reports that in 2013,  
          481 California youth ages 5-24 were known to have committed  
          suicide, and that the state's youth suicide rate was 7.7 per  
          100,000 youth ages 15-24.  


          High risk groups.  This bill requires that the suicide policies  
          required by the bill address the needs of specific groups of  
          students who are at higher risk of suicide.  Research cited in  
          materials provided by the sponsor indicate the following about  
          risk factors for the specific groups named in this bill:


          1)Youth bereaved by suicide:  Young people appear to be  
            particularly affected by others' suicides.  Research has found  
            that the relative risk of suicide following exposure to  
            another individual's suicide was 2 to 4 times higher among 15-  
            to 19-year-olds than among other age groups, and that between  
            1% and 5% of teen suicides occur in "suicide clusters."  A  
            phenomenon known as "suicide contagion" refers to the  
            increased risk of suicide for individuals bereaved by the  
            suicide of others.  
          2)Youth with disabilities:  Research shows that adolescents with  
            particular disabilities, such as chronic pain, loss of  
            mobility, disfigurement, multiple sclerosis, and spinal cord  
            injuries are at higher risk of suicide.  People with multiple  








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            sclerosis, for example, are more than twice as likely as the  
            general population to attempt suicide and almost twice as  
            likely to actually complete suicide.


          3)Youth with mental illness and substance abuse disorders:   
            Nearly 90% of all suicides are associated with a diagnosable  
            mental health or substance-abuse disorder.  People  
            experiencing depression, manic-depressive disorder, anxiety  
            disorders, borderline personality disorder, schizophrenia, and  
            conduct disorders are at elevated risk for suicide. 


          4)Youth experiencing homelessness:  Limited research suggests  
            that more than half of homeless and runaway youth have  
            attempted suicide.


          5)Youth in foster care:  Limited research suggests that youth in  
            foster care are more than twice as likely to commit suicide  
            and nearly four times as likely to attempt suicide as their  
            peers.


          6)Youth in juvenile detention:  Youth involved with the juvenile  
            justice system are four times more likely to commit suicide  
            than their peers.


          7)Lesbian, gay and bisexual youth:  LGBTQ youth are four times  
            more likely to attempt suicide than their straight peers.   
            Nearly half of young transgender people have seriously  
            considered suicide, and one-quarter report having made a  
            suicide attempt.


          National suicide rate increasing.  In an April, 2016 report, the  
          Centers on Disease Control and Prevention reported an increase  
          in the national suicide rate of 24% between 1999 and 2014, from  








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          10.5 to 13.0 per 100,000, with the pace of increase greater  
          after 2006.  The largest increase for females occurred among  
          those aged 10-14.   


          Suicide policies legislation in other states.  Six other states  
          (Pennsylvania, Georgia, Maine, Connecticut, Utah, and  
          Washington) have enacted legislation requiring school districts  
          to adopt suicide prevention policies.  Many other states  
          provide model suicide prevention policies for their school  
          districts, as this bill requires.




          Analysis Prepared by:                                             
                          Tanya Lieberman / ED. / (916) 319-2087  FN:  
          0003190