Bill Text: NY S09429 | 2023-2024 | General Assembly | Introduced


Bill Title: Enacts the college student suicide prevention act to provide for policies, guidelines and training opportunities to effectively and appropriately prevent student suicide, intervene in crisis situations, and support college communities in postvention.

Spectrum: Slight Partisan Bill (Democrat 8-3)

Status: (Introduced) 2024-05-15 - REFERRED TO HIGHER EDUCATION [S09429 Detail]

Download: New_York-2023-S09429-Introduced.html



                STATE OF NEW YORK
        ________________________________________________________________________

                                          9429

                    IN SENATE

                                      May 15, 2024
                                       ___________

        Introduced  by  Sen.  WEBB  --  read twice and ordered printed, and when
          printed to be committed to the Committee on Higher Education

        AN ACT to amend the education law, in relation to enacting  the  college
          student suicide prevention act

          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:

     1    Section 1. Short title. This act shall be known and may  be  cited  as
     2  the "college student suicide prevention act".
     3    §  2.  The  education law is amended by adding a new section 6438-d to
     4  read as follows:
     5    § 6438-d. College  student  suicide  prevention  act.  1.  Legislative
     6  intent. The legislature finds and declares the following:
     7    (a) According to data from the federal Centers for Disease Control and
     8  Prevention  as  reported in the year two thousand twenty-one, suicide is
     9  the second leading cause of death for youth  and  young  adults  ten  to
    10  twenty-four  years  of age, inclusive, across both the state of New York
    11  and the United States. Suicide rates nearly doubled among New York state
    12  youth in this age range from the year two thousand seven to the year two
    13  thousand eighteen. One in four surveyed young adults eighteen  to  twen-
    14  ty-four  years  of age, the largest age demographic on college campuses,
    15  reported having seriously considered suicide in the  prior  thirty  days
    16  nationally.
    17    (b)  In  the year two thousand twenty-three, separate reports from the
    18  Healthy Minds Network's national Healthy Minds Survey,  the  Gallup  and
    19  Lumina  Foundation's  national State of Higher Education Survey, and the
    20  American College Health Association's National College Health Assessment
    21  declared that United States college students were experiencing  historic
    22  levels  of  depression,  anxiety,  suicidal ideation, frequent emotional
    23  stress, overall moderate to severe psychological distress,  and  loneli-
    24  ness.
    25    (c)  According  to the American Foundation for Suicide Prevention, New
    26  York state is not among the twenty-one  states  that  uniformly  require
    27  institutions  of  higher  education  to  adopt  specific, evidence-based
    28  suicide prevention policies by law. Such policies  include  the  regular

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD14926-03-4

        S. 9429                             2

     1  dissemination  of  information  on available mental health resources and
     2  services to students, as well as the internal development of  guidelines
     3  and protocols to inform staff on how to respond to a student in suicidal
     4  crisis,  in  order to most effectively support those at risk and empower
     5  students to proactively seek help.
     6    (d) According to data from Healthy CUNY, as reported in the  year  two
     7  thousand  twenty-one,  more than half of all city university of New York
     8  students report experiencing depression or anxiety. While  nearly  every
     9  city  university  of  New  York  institution  houses  its own counseling
    10  center, data reported by the city university of New York board of  trus-
    11  tees  in  the  board's four-year financial plan released in the year two
    12  thousand nineteen stated that  the  average  student-to-counselor  ratio
    13  across  the  city university of New York system is at least two thousand
    14  four hundred-to-one. Until adequate staffing  levels  of  mental  health
    15  professionals  can  be  sustainably  funded,  uniformly requiring higher
    16  education institutions to develop partnerships with community  providers
    17  is  imperative  to  meet the needs of students at such institutions with
    18  large student-to-counselor ratios or whose student populations primarily
    19  live off-campus.
    20    (e) Establishing gatekeeper suicide prevention or  mental  health  aid
    21  training  requirements  and  opportunities for college residential staff
    22  and other student-facing positions has been  recommended  by  the  state
    23  university of New York Student Mental Health and Wellness Task Force and
    24  adopted by dozens of state university of New York institutions. However,
    25  these  requirements have not been modeled by many colleges and universi-
    26  ties outside of the state  university  of  New  York  system,  weakening
    27  preparedness  frameworks for students attending other public and private
    28  institutions of higher education alike.  As  students  most  often  seek
    29  emotional  support from peers and those in close proximity, institutions
    30  must compel residential assistants and staff to utilize the  free  Ques-
    31  tion,  Persuade,  and  Refer  suicide  prevention training already fully
    32  funded by state university of New York for all New  York  state  college
    33  students  in  order  to  bolster  their  preparedness for such emergency
    34  scenarios.
    35    (f) New York state colleges and universities are  facing  a  deepening
    36  mental  health  crisis among students, marked by increases in the preva-
    37  lence of thoughts of suicide and  attempts.  All  levels  of  collegiate
    38  staff  must  be  equipped  by  their  respective institutions' policies,
    39  guidelines and training opportunities to effectively  and  appropriately
    40  prevent  student  suicide,  intervene  in crisis situations, and support
    41  their college communities in postvention.
    42    2. Definitions. For the purposes of this section, the following  terms
    43  shall have the following meanings:
    44    (a)  "Crisis  situation"  means  a  situation where a teacher or other
    45  employee of an educational institution believes a student or other indi-
    46  vidual is in imminent danger of a suicide attempt.
    47    (b) "LGBTQ" means individuals who identify,  with  regards  to  gender
    48  identification  and sexual orientation, as being lesbian, gay, bisexual,
    49  transgender, queer or questioning.
    50    (c) "Higher education institution"  means  a  college  university,  or
    51  professional  or  technical  school, whether public or private, that has
    52  been incorporated by a special act of the legislature  or  chartered  by
    53  the regents of the university of the state of New York to confer academ-
    54  ic degrees in this state.
    55    (d)  "QPR"  means  suicide  prevention training based on the Question,
    56  Persuade, and Refer emergency response model.

        S. 9429                             3

     1    (e) "Suicide intervention" means  specific  actions  higher  education
     2  institutions  can  take  in  response to suicidal behavior by a student,
     3  including, but not limited to:
     4    (i) student supervision;
     5    (ii) notification of designated emergency contacts;
     6    (iii) crisis situation response protocols;
     7    (iv)  when and how to request an immediate mental health assessment or
     8  emergency services; and
     9    (v) higher  education  institution  re-entry  procedures  following  a
    10  student mental health crisis.
    11    (f)  "Suicide  postvention"  means  planned  support and interventions
    12  higher education institutions can implement after a suicide  attempt  or
    13  suicide  death of a member of the higher education institution community
    14  that are designed to:
    15    (i) reduce the risk of suicide contagion, or the  spread  of  suicidal
    16  thoughts or intentions;
    17    (ii) provide support for affected students and higher education insti-
    18  tution-based personnel;
    19    (iii) address the social stigma associated with suicide; and
    20    (iv) disseminate factual information about suicide and its prevention.
    21    (g)  "Suicide  prevention"  means  specific  actions  higher education
    22  institutions can take to recognize and reduce suicidal behavior, includ-
    23  ing, but not limited to:
    24    (i) identifying risk and protective factors for  suicide  and  suicide
    25  warning signs;
    26    (ii) establishing a process by which students are referred to a mental
    27  and behavioral health provider for help;
    28    (iii) making available higher education institution-based and communi-
    29  ty-based mental health supports;
    30    (iv)  providing the location of available online and community suicide
    31  prevention resources, including the 988 suicide and crisis lifeline  and
    32  other local crisis centers and hotlines;
    33    (v)  adopting  policies  and  protocols  regarding suicide prevention,
    34  intervention, and postvention, campus safety,  and  response  to  crisis
    35  situations;
    36    (vi)  training for higher education institution personnel who interact
    37  directly with students in recognizing suicide risk factors  and  warning
    38  signs  and  how to refer students for further assessment and evaluation;
    39  and
    40    (vii) instruction to students in problem-solving and coping skills  to
    41  promote  students'  mental, emotional, and social health and well-being,
    42  and instruction in recognizing and appropriately responding to signs  of
    43  suicidal intent in others.
    44    3.  Policies,  procedures,  and guidelines for higher education insti-
    45  tutions. (a) The governing board  or  body  of  every  higher  education
    46  institution  shall, before the first day of August, two thousand twenty-
    47  four, adopt policies, procedures,  and  guidelines  on  student  suicide
    48  prevention,  intervention, and postvention for said students. Such poli-
    49  cies, procedures, and guidelines shall be developed in consultation with
    50  collegiate and community  stakeholders,  campus-employed  mental  health
    51  professionals,  and  suicide  prevention experts, and shall include, but
    52  not be limited to:
    53    (i) methods to increase awareness of the relationship between  suicide
    54  and  suicide warning signs, risk factors and protective factors, includ-
    55  ing but not limited to:
    56    (1) mental health and substance use conditions;

        S. 9429                             4

     1    (2) childhood abuse, neglect, or trauma;
     2    (3)  prolonged stress, including individual experiences such as bully-
     3  ing, harassment, family or relationship stress, or other stressful  life
     4  events  as  well  as  collective  stressors  such  as  systemic bias and
     5  discrimination;
     6    (4) exposure to another person's suicide, or sensationalized or graph-
     7  ic accounts of suicide; and
     8    (5) previous suicide attempts or history of suicide within a student's
     9  family;
    10    (ii) adoption of a requirement for residential assistants and staff of
    11  student housing facilities, students' academic  and  professional  advi-
    12  sors,  and  campus  security  personnel  to  participate in either a QPR
    13  gatekeeper suicide prevention training  course,  or  a  similar  program
    14  prior to the commencement of their duties or before the beginning of the
    15  next full academic year.  Such training shall include, but not be limit-
    16  ed to:
    17    (1)  methods  for  early  identification  of  suicide risk factors and
    18  inclusion of expertise from higher education institution  employees  who
    19  have previously been trained in recognizing suicide risks;
    20    (2)  information  on how higher education institution employees should
    21  respond to suspicion, concerns, or warning signs of suicide in students,
    22  and the appropriate referral and reporting procedures available to high-
    23  er education institution employees;
    24    (3) information on how higher education institution  employees  should
    25  respond  within  their means to a crisis situation where a student is in
    26  imminent danger to such student;
    27    (4) policies and protocols to respond to a student or staff suicide or
    28  suicide attempt and provide support to survivors and affected peers  and
    29  families;
    30    (iii) counseling services available within the higher education insti-
    31  tution  for  students  and  their  families  that are related to suicide
    32  prevention;
    33    (iv) availability of information about  depression  and  other  mental
    34  health  conditions associated with an increased risk of suicide, includ-
    35  ing development of an annual live orientation session for newly matricu-
    36  lated students aimed at raising awareness of said conditions;
    37    (v) implementation of specialized mental  health  awareness  curricula
    38  into  existing  courses  and  seminars  if opportunities for integration
    39  exist;
    40    (vi) availability of information concerning  crisis  situation  inter-
    41  vention, suicide prevention, and mental health services in the community
    42  for students and their families and higher education institution employ-
    43  ees, and inclusion of said information on dedicated pages of the student
    44  handbook  and  higher  education  institution  website or primary mobile
    45  application;
    46    (vii) revision of emergency contact notification protocols to  include
    47  a student's expression of thoughts of suicide as among the circumstances
    48  in which notification of said student's designated emergency contact may
    49  take  place by a campus-employed mental health professional, after noti-
    50  fying said student of the protocol's activation and  following  case-by-
    51  case  consideration  and  documentation  of any objections raised by the
    52  student, any concerns that disclosure of such information  may  threaten
    53  the  student's safety or unreasonably compromise their right to privacy,
    54  and the process by which the final determination that such disclosure is
    55  in the student's best interest is made;

        S. 9429                             5

     1    (viii) revision of emergency contact notification protocols to include
     2  language specifically outlining the higher education institution's  role
     3  following  notification,  the  institution's expectation of an emergency
     4  contact following notification, and the contact employee at the institu-
     5  tion  who  may  answer  questions  regarding the protocol, with all said
     6  information being  routinely  communicated  to  students  and  emergency
     7  contacts  and  published  on dedicated pages of the student handbook and
     8  higher education institution website or primary mobile application;
     9    (ix) periodic assessments of elements of the campus  environment  that
    10  may be used in a suicide attempt, including but not limited to access to
    11  building  rooftops, balconies, windows, and bridges, or access to drugs,
    12  alcohol, and toxic or  controlled  dangerous  substances,  and  ways  to
    13  secure  these  locations  and  substances  to  minimize threats posed to
    14  students' health and safety;
    15    (x) assessments of new and proposed campus buildings  and  infrastruc-
    16  ture,  as well as revisions and updates to existing campus buildings and
    17  infrastructure, during the design process,  for  the  implementation  of
    18  suicide  deterrent  barriers  and  other  measures to minimize access to
    19  areas of significant height, reducing suicide risk;
    20    (xi) revision of medical leave and withdrawal policies  to  no  longer
    21  compel a student to involuntarily withdraw from enrollment solely on the
    22  grounds  of having considered or attempted suicide, without first allow-
    23  ing said student to take a temporary leave of absence  to  seek  support
    24  for  their  mental  health  and  providing a guarantee of readmission or
    25  reinstatement following completion of such a leave of absence;
    26    (xii)  identification  and  development  of  off-campus  peer  support
    27  programs  and  partnerships with community providers, organizations, and
    28  agencies for referral of commuter students and other  students  who  may
    29  not  substantially  benefit  from  on-campus  services to mental health,
    30  substance use, and social support services, including the development of
    31  at least one memorandum of understanding between  the  higher  education
    32  institution  and  a  supporting  provider, organization or agency in the
    33  community or region;
    34    (xiii) development of a culturally competent plan to promote sensitiv-
    35  ity in outreach to diverse and traditionally underserved populations, to
    36  assist survivors of attempted suicide, and to assist students and higher
    37  education institution employees in coping with an attempted  suicide  or
    38  suicide death within the higher education institution community; and
    39    (xiv)  development  of  any  other  related  program  or  activity for
    40  students or higher education institution employees.
    41    (b) The policies, procedures, and guidelines adopted pursuant to para-
    42  graph (a) of this subdivision shall specifically outline  sensitive  and
    43  competent  responses to address the needs of high-risk groups, including
    44  but not limited to the following:
    45    (i) youth who have lost a friend or family member to suicide;
    46    (ii) youth  with  disabilities  or  with  chronic  health  conditions,
    47  including mental health and substance use conditions;
    48    (iii) youth experiencing homelessness or in out-of-home settings, such
    49  as foster care;
    50    (iv) youth belonging to racial and ethnic minority groups and interna-
    51  tional students;
    52    (v) LGBTQ youth;
    53    (vi) first-year, transfer, or otherwise newly matriculated students;
    54    (vii)  youth  participating in demanding or high-performance programs,
    55  including student athletes and academic honors or accelerated  students;
    56  and

        S. 9429                             6

     1    (viii) youth reporting significant financial or academic challenges as
     2  barriers  to  their  ability  to  fully  participate in higher education
     3  institution activities.
     4    (c) The policies, procedures, and guidelines adopted pursuant to para-
     5  graph  (a)  of this subdivision shall be written to ensure that a higher
     6  education institution employee acts only within  the  authorization  and
     7  scope  of such employee's credential or license. Nothing in this section
     8  shall be construed as authorizing  or  encouraging  a  higher  education
     9  institution  employee  to  diagnose  or  treat  mental health conditions
    10  unless such employee is specifically licensed and employed to do so.
    11    (d) Notwithstanding any other provision of law  to  the  contrary,  no
    12  cause  of action may be brought for any loss or damage caused by any act
    13  or omission resulting from the implementation of the provisions of  this
    14  section,  or  resulting from any training, or lack of training, required
    15  by this section. Nothing in this section shall be  construed  to  impose
    16  any specific duty of care.
    17    (e) To assist higher education institutions in developing policies for
    18  student  suicide prevention, intervention, and postvention, the board of
    19  regents of the university of the state of New  York  shall  develop  and
    20  maintain  model  policies, procedures, and guidelines in accordance with
    21  this section to serve as a guide for higher education institutions. Such
    22  model policies, procedures, and guidelines shall be posted within thirty
    23  days of their completion on the  university's  internet  website,  along
    24  with  relevant  resources  and  information  to support higher education
    25  institutions in developing and implementing  the  policies,  procedures,
    26  and guidelines required under paragraph (a) of this subdivision.
    27    (f)  The  trustees or other governing board or body of a higher educa-
    28  tion institution shall review, at minimum every fifth year following the
    29  effective date of this section, its policies, procedures, and guidelines
    30  on student suicide prevention and, if necessary, update  such  policies,
    31  procedures, and guidelines.
    32    4. Severability and construction. The provisions of this section shall
    33  be  severable,  and  if any court of competent jurisdiction declares any
    34  phrase, clause, sentence or provision of this section to be invalid,  or
    35  its  applicability  to  any government agency, person or circumstance is
    36  declared invalid, the remainder of this section and its relevant  appli-
    37  cability  shall not be affected. The provisions of this section shall be
    38  liberally construed to give effect to the purposes thereof.
    39    § 3. This act shall take effect immediately.
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