BILL ANALYSIS Ó AB 2246 Page 1 CONCURRENCE IN SENATE AMENDMENTS AB 2246 (O'Donnell) As Amended June 9, 2016 Majority vote -------------------------------------------------------------------- |ASSEMBLY: |67-6 |(June 1, 2016) |SENATE: |38-0 |(August 23, | | | | | | |2016) | | | | | | | | | | | | | | | -------------------------------------------------------------------- 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 AB 2246 Page 2 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 AB 2246 Page 3 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 AB 2246 Page 4 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