BILL ANALYSIS                                                                                                                                                                                                    Ó



          SENATE COMMITTEE ON EDUCATION
                              Senator Carol Liu, Chair
                                2015 - 2016  Regular 

          Bill No:             AB 2246            
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          |Author:    |O'Donnell                                            |
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          |Version:   |June 9, 2016                                Hearing  |
          |           |Date:    June 15, 2016                               |
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          |Urgency:   |No                     |Fiscal:     |Yes             |
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          |Consultant:|Lenin DelCastillo                                    |
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          Subject:  Pupil suicide prevention policies


            SUMMARY
          
          This bill requires local educational agencies that serve  
          students in grades 7 to 12 to adopt policies on the prevention  
          of student suicides and also requires the California Department  
          of Education (CDE) to develop and maintain a model suicide  
          prevention policy.   

            BACKGROUND
          
          Existing law requires the Superintendent of Public Instruction  
          (SPI) to send a notice to each middle school, junior high  
          school, and high school that encourages each school to provide  
          suicide prevention training to each school counselor at least  
          one time while employed as a counselor, provides information on  
          the availability of the suicide prevention training curriculum  
          developed by the CDE, and informs schools about the suicide  
          prevention training provided by the department and describes how  
          a school might retain those services. 

            ANALYSIS
          
          This bill:

          1)   Makes various findings and declarations regarding student  
               suicides, as specified.








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          2)   Requires local educational agencies that serve students in  
               grades 7 to 12 to adopt, before the beginning of the  
               2017-18 school year, at a regularly scheduled meeting, a  
               policy on student suicide prevention for students in those  
               grades.

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

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

          5)   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.

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

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

          7)   Requires that materials approved by a local educational  
               agency (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.

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

          9)   Requires the policy to be written to ensure that school  
               employees act only within the authorization or scope of  








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               their credential or license.  Provides that nothing in this  
               section 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.

          10)  Requires the California Department of Education to assist  
               LEAs in developing policies for student suicide prevention,  
               to develop and maintain a model policy to serve as a guide  
               for LEAs.

          11)  Defines LEA as a county office of education, school  
               district, state special school, or charter school.

          STAFF COMMENTS
          
          1)   Need for the bill.  The author's office indicates that  
               "according to the Centers for Disease Control and  
               Prevention (CDC), 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.  Certain students are at higher risk of  
               suicide, including those with disabilities, with mental  
               health or substance abuse disorders, in foster care, and  
               those who are lesbian, gay, bisexual, transgender, or  
               questioning.  Students who are bereaved by suicide are also  
               at greater risk.  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."

               This bill is intended to address 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.  
          2)   Youth suicide.  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.  Additionally,  
               according to the Lucile Packard Foundation for Children's  








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               Health, which compiles and reports data from state agency  
               sources: 

                           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.



                           Reported suicidal ideation is higher among  
                    female students and among students from multiracial  
                    and Native Hawaiian/Pacific Islander backgrounds.  



                           In 2013, 481 California youth ages 5-24 were  
                    known to have committed suicide. 



                           The state's youth suicide rate in 2011-13 was  
                    7.7 per 100,000 youth ages 15-24, slightly higher than  
                    previous years, but substantially lower than the rate  
                    in 1995-97 (9.4 per 100,000). 



                           In 2013, males accounted for almost 80% of  
                    youth suicides in California (354 of 452). Statewide  
                    and nationally, many more male youth (ages 15-24) than  
                    female youth commit suicide.





                           In 2013, there were 3,322 hospitalizations for  
                    non-fatal self-inflicted injuries among children and  
                    youth ages 5-20 in California. 



                           In 2013, 62% of hospitalizations for  








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                    self-inflicted injuries in California involved youth  
                    ages 16-20.



          1)   Fiscal impact.  According to the Assembly Appropriations  
               Committee, this bill would result in Proposition 98/GF  
               state reimbursable costs, likely in the hundreds of  
               thousands, for each school district, county office of  
               education, 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 local educational agencies (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.  There would also be one-time  
               General Fund administrative costs to the California  
               Department of Education (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.

            SUPPORT
          
          Alameda County Office of Education
          American Academy of Pediatrics
          American Foundation for Suicide Prevention 
          California Association of Marriage and Family Therapists
          California Council of Community Behavioral Health Agencies 
          California Federation of Teachers
          California School Employees Association 
          California State PTA 
          California Teachers Association
          California Youth Empowerment Network
          Child Abuse Prevention Center
          Disability Rights California 
          Equality California
          GSA Network of California
          Los Angeles LGBT Center
          Mental Health America in California 
          National Association of Social Workers - California Chapter
          Trevor Project
          Letters from individuals








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            OPPOSITION
           
           None received.

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