BILL ANALYSIS Ó AB 2246 Page 1 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 Page 2 ------------------------------------------------------------------ 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 AB 2246 Page 3 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: AB 2246 Page 4 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. AB 2246 Page 5 "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 AB 2246 Page 6 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 AB 2246 Page 7 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