BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                    AB 2246


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          CONCURRENCE IN SENATE AMENDMENTS


          AB  
          2246 (O'Donnell)


          As Amended  June 9, 2016


          Majority vote


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          |ASSEMBLY:  |67-6  |(June 1, 2016) |SENATE: |38-0  |(August 23,      |
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          Original Committee Reference:  ED.


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


          The Senate amendments are technical and clarifying.


          FISCAL EFFECT:  According to the Senate Appropriations  
          Committee:


          1)This bill imposes a likely significant reimbursable state  
            mandate on LEAs to create suicide prevention plans, as  
            specified.  Costs will vary by LEA but could be in the mid to  
            high hundreds of thousands statewide, one-time, to develop the  








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            plan.  See staff comments.  (Proposition 98)


          2)The CDE estimates one-time costs of $55,000 to develop and  
            maintain a model policy to serve as a guide for LEAs.   
            (General Fund)


          COMMENTS:  


          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 two to four 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  
            sclerosis, for example, are more than twice as likely as the  








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            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 (lesbian, gay,  
            bisexual, transgender, and queer) 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.  
             In August of this year the Centers for Disease Control and  
            Prevention released the first nationally representative study  
            on the health risks of United States lesbian, gay, and  
            bisexual high school students, which found that more than 40%  
            had seriously considered suicide, and 29% reported having  
            attempted suicide, during the past 12 months.


          National suicide rate increasing.  In an April, 2016 report, the  








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          Centers on Disease Control and Prevention reported an increase  
          in the national suicide rate of 24% between 1999 and 2014, from  
          10.5 to 13.0 per 100,000, with the rate of increase greater  
          after 2006.  The largest increase for females occurred among  
          those aged 10-14.   


          Suicide policy 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:  
          0004203