93RD GENERAL ASSEMBLY
State of Illinois
2003 and 2004
HB4558

 

Introduced 02/03/04, by Patricia Reid Lindner

 

SYNOPSIS AS INTRODUCED:
 
New Act

    Creates the Suicide Prevention, Education, and Treatment Act. Provides that all programs established under the Act must be at least 3 years in duration. Creates the Suicide Prevention Strategic Planning Committee and sets forth requirements for its membership and operation. Requires the Committee to create the Illinois Suicide Prevention Strategic Plan. Requires the Department of Public Health to establish, no later than September 2005, 5 pilot programs concerning suicide prevention. Sets forth the requirements for those programs. Requires the Committee and the Department to make annual reports to the Governor and the General Assembly. Effective July 1, 2004.


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FISCAL NOTE ACT MAY APPLY

 

 

A BILL FOR

 

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1     AN ACT concerning to public health.
 
2     Be it enacted by the People of the State of Illinois,
3 represented in the General Assembly:
 
4     Section 1. Short title. This Act may be cited as the
5 Suicide Prevention, Education, and Treatment Act.
 
6     Section 5. Legislative findings. The General Assembly
7 makes the following findings:
8         (1) The Surgeon General of the United States has
9     described suicide prevention as a serious public health
10     priority and has called upon each state to develop a
11     statewide comprehensive suicide prevention strategy using
12     a public health approach. Suicide now ranks 10th among
13     causes of death, nationally.
14         (2) In 1998, 1,064 Illinoisans lost their lives to
15     suicide, an average of 3 Illinois residents per day. It is
16     estimated that there are between 21,000 and 35,000 suicide
17     attempts in Illinois every year. Three and one-half percent
18     of all suicides in the nation take place in Illinois.
19         (3) Among older adults, suicide rates are increasing,
20     making suicide the leading fatal injury among the elderly
21     population in Illinois. As the proportion of Illinois'
22     population age 75 and older increases, the number of
23     suicides among persons in this age group will also
24     increase, unless an effective suicide prevention strategy
25     is implemented.
26         (4) Adolescents are far more likely to attempt suicide
27     than other age groups in Illinois. The data indicates that
28     there are 100 attempts for every adolescent suicide
29     completed. In 1998, 156 Illinois youths died by suicide,
30     between the ages of 15 through 24. Using this estimate,
31     there were likely more than 15,500 suicide attempts made by
32     Illinois adolescents or approximately 50% of all estimated

 

 

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1     suicide attempts that occurred in Illinois were made by
2     adolescents.
3         (5) Homicide and suicide rank as the second and third
4     leading causes of death in Illinois for youth,
5     respectively. Both are preventable. While the death rates
6     for unintentional injuries decreased by more than 35%
7     between 1979 and 1996, the death rates for homicide and
8     suicide increased for youth. Evidence is growing in terms
9     of the links between suicide and other forms of violence.
10     This provides compelling reasons for broadening the
11     State's scope in identifying risk factors for self-harmful
12     behavior. The number of estimated youth suicide attempts
13     and the growing concerns of youth violence can best be
14     addressed through the implementation of successful
15     gatekeeper-training programs to identify and refer youth
16     at risk for self-harmful behavior.
17         (6) The American Association of Sociology
18     conservatively estimates that the lives of at least 6
19     persons related to or connected to individuals who attempt
20     or complete suicide are impacted. Using these estimates, in
21     1998, more than 275 Illinoisans struggled to cope with the
22     impact of suicide.
23         (7) Decreases in alcohol and other drug abuse, as well
24     as decreases in access to lethal means, significantly
25     reduce the number of suicides.
26         (8) Suicide attempts are expected to be higher than
27     reported because attempts not requiring medical attention
28     are not required to be reported. The underreporting of
29     suicide completion is also likely because suicide
30     classification involves conclusions regarding the intent
31     of the deceased. The stigma associated with suicide is also
32     likely to contribute to underreporting. Without
33     interagency collaboration and support for proven,
34     community-based, culturally-competent suicide prevention
35     and intervention programs, suicides are likely to rise.
36         (9) Emerging data on rates of suicide based on gender,

 

 

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1     ethnicity, age, and geographic areas demand a new strategy
2     that responds to the needs of a diverse population.
3         (10) According to Children's Safety Network Economics
4     Insurance, the cost of youth suicide acts by persons in
5     Illinois who are under 21 years of age totals $539,000,000,
6     including medical costs, future earnings lost, and a
7     measure of quality of life.
8         (11) Suicide is the second leading cause of death in
9     Illinois for persons between the ages of 15 and 24.
10         (12) In 1998, there were 1,116 homicides in Illinois,
11     which outnumbered suicides by only 52. Yet, so far, only
12     homicide has received funding, programs, and media
13     attention.
14         (13) According to the 1999 national report on
15     statistics for suicide of the American Association of
16     Suicidology, categories of unintentional injury, motor
17     vehicle deaths, and all other deaths include many reported
18     and unsubstantiated suicides that are not identified
19     correctly because of poor investigatory techniques,
20     unsophisticated inquest jurors, and stigmas that cause
21     families to cover up evidence.
22         (14) Programs for HIV infectious diseases are very well
23     funded even though, in Illinois, HIV deaths number 30% less
24     than suicide deaths.
 
25     Section 10. Definitions. For the purpose of this Act,
26 unless the context otherwise requires:
27     "Committee" means the Illinois Suicide Prevention
28 Strategic Planning Committee.
29     "Department" means the Department of Public Health.
30     "Plan" means the Illinois Suicide Prevention Strategic
31 Plan set forth in Section 15.
 
32     Section 13. Duration; report. All projects set forth in
33 this Act must be at least 3 years in duration, and the
34 Department and related contracts as well as the Suicide

 

 

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1 Prevention Strategic Planning Committee must report annually
2 to the Governor and General Assembly on the effectiveness of
3 these activities and programs.
 
4     Section 15. Suicide Prevention Strategic Planning
5 Committee.
6     (a) The Committee is created as the official grassroots
7 creator, planner, monitor, and advocate for the Illinois
8 Suicide Prevention Strategic Plan. No later than one year after
9 the effective date of this Act, the Committee shall review,
10 finalize, and submit to the Governor and the General Assembly
11 the Illinois Suicide Prevention Strategic Plan and appropriate
12 processes and outcome objectives for 10 overriding
13 recommendations and a timeline for reaching these objectives.
14     (b) The Committee shall use the United States Surgeon
15 General's National Suicide Prevention Strategy as a model for
16 the Plan. The Committee shall review the statutorily prescribed
17 missions of major State mental health, health, aging, and
18 school metal health programs and recommend, as necessary and
19 appropriate, statutory changes to include suicide prevention
20 in the missions and procedures of those programs. The Committee
21 shall prepare a report of that review, including its
22 recommendations, and shall submit the report to the Governor
23 and the General Assembly by December 31, 2004.
24     (c) The Director of Public Health shall appoint the members
25 of the Committee. The membership of the Committee shall
26 include, without limitation, representatives of statewide
27 organizations and other agencies that focus on the prevention
28 of suicide and the improvement of mental health treatment or
29 that provide suicide prevention or survivor support services.
30 Other disciplines that shall be considered for membership on
31 the committee include law enforcement, first responders,
32 faith-based community leaders, universities, and survivors of
33 suicide (families and friends who have lost persons to suicide)
34 as well as consumers of services of these agencies and
35 organizations.

 

 

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1     (d) The committee shall meet at least 4 times a year, and
2 more as deemed necessary, in various sites statewide in order
3 to foster as much participation as possible. The Committee, a
4 steering committee, and core members of the full committee
5 shall monitor and guide the definition and direction of the
6 goals of the full Committee, shall review and approve
7 productions of the plan, and shall meet before the full
8 Committee meetings.
 
9     Section 20. General awareness and screening program.
10     (a) The Department shall provide technical assistance for
11 the work of the Committee and the production of the Plan and
12 shall distribute general information and screening tools for
13 suicide prevention to the general public through local public
14 health departments throughout the State. These materials shall
15 be distributed to agencies, schools, hospitals, churches,
16 places of employment, and all related professional caregivers
17 to educate all citizens about warning signs and interventions
18 that all persons can do to stop the suicidal cycle.
19     (b) This program shall include, without limitation, all of
20 the following:
21         (1) Educational programs about warning signs and how to
22     help suicidal individuals.
23         (2) Educational presentations about suicide risk and
24     how to help at-risk people in special populations and with
25     bi-lingual support to special cultures.
26         (3) The designation of an annual suicide awareness week
27     or month to include a major public awareness media campaign
28     on suicide.
29         (4) An annual statewide suicide prevention conference.
30         (5) An Illinois Suicide Prevention Speaker's Bureau.
31         (6) A program to educate the media regarding the
32     guidelines developed by the American Association for
33     Suicidology for coverage of suicides and to encourage media
34     cooperation in adopting these guidelines in reporting
35     suicides.

 

 

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1         (7) A depression and suicide screening system that is
2     available to the public daily in all communities by
3     increasing training opportunities for volunteers and
4     care-givers to administer these screenings and
5     facilitating all schools, hospitals, medical clinics,
6     first responders, faith-based communities, nursing homes,
7     places of employment, and other social service agencies to
8     do these screenings.
 
9     Section 25. Additional duties of the Committee. The
10 Committee shall:
11         (1) Act as an advisor and lead consultant on the
12     design, implementation, and evaluation of all programs
13     outlined in this Act.
14         (2) Establish interagency policy and procedures among
15     appropriate agencies for the collaboration and
16     coordination needed to implement the programs outlined in
17     this Act.
18         (3) Design, review, select, and monitor proposals for
19     the implementation of these activities in agencies
20     throughout the State.
 
21     Section 30. Suicide prevention pilot programs.
22     (a) The Department shall establish, no later than September
23 2005, 5 pilot programs that provide training and direct service
24 programs relating to youth, elderly, special populations,
25 high-risk populations, and professional caregivers. The
26 purpose of these pilot programs is to demonstrate and evaluate
27 the effectiveness of the projects set forth in this Act in the
28 communities in which they are offered. The pilot programs shall
29 be operational for at least 2 years of the 3-year requirement
30 set forth in Section 13.
31     (b) The Director of Public Health is encouraged to ensure
32 that the pilot programs include the following prevention
33 strategies:
34         (1) school gatekeeper and faculty training;

 

 

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1         (2) community gatekeeper training;
2         (3) general community suicide prevention education;
3         (4) health providers and physician training and
4     consultation about high-risk cases;
5         (5) depression, anxiety, and suicide screening
6     programs;
7         (6) peer support youth and older adult programs;
8         (7) the enhancement of 24-hour crisis centers,
9     hotlines, and person-to-person calling trees;
10         (8) means restriction advocacy and collaboration; and
11         (9) intervening and supporting after a suicide.
12     (c) The funds appropriated for purposes of this Section
13     shall be allocated by the Department on a competitive,
14     grant-submission basis, which shall include consideration of
15     different rates of risk of suicide based on age, ethnicity,
16     gender, prevalence of mental health disorders, different rates
17     of suicide based on geographic areas in Illinois, and the
18     services and curriculum offered to fit these needs by the
19     applying agency.
20     (d) The Department and Committee shall prepare a report as
21     to the effectiveness of the demonstration projects established
22     pursuant to this Section and submit that report no later than 6
23     months after the projects are completed to the Governor and
24     General Assembly.
 
25     Section 99. Effective date. This Act takes effect July 1,
26 2004.