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F I S C A L I M P A C T R E P O R T
SPONSOR Begaye
ORIGINAL DATE
LAST UPDATED
1/22/2007
HB 29
SHORT TITLE Native American Suicide Prevention Program
SB
ANALYST Geisler
APPROPRIATION (dollars in thousands)
Appropriation
Recurring
or Non-Rec
Fund
Affected
FY07
FY08
$100.0
Recurring
General
(Parenthesis ( ) Indicate Expenditure Decreases)
SOURCES OF INFORMATION
LFC Files
Responses Received From
Department of Health (DOH)
Public Education Department (PED)
SUMMARY
Synopsis of Bill
House Bill 29 would appropriate one hundred thousand dollars ($100,000) from the general fund
to the Department of Health for expenditure in fiscal year 2008 to implement a Native American
youth-led peer-to-peer suicide prevention program.
FISCAL IMPLICATIONS
DOH notes that this $100,000 appropriation was not included in the agency operating budget
request for FY08. It would represent an increase to the DOH Office of School and Adolescent
Health Youth Suicide FY 07 budget of $1,053,000.
SIGNIFICANT ISSUES
House Bill 29 would support the increased level of effort directed toward community-based
suicide prevention programs for Native American adolescents statewide. Suicide rates are high
among Native American and Hispanic youth. According to the 2003 Youth Risk and Resiliency
pg_0002
House Bill 29 – Page
2
Survey (YRRS), approximately 25% of all Native American youth in grades 9-12 attempted
suicide. Results from the 2005 Navajo Middle School Youth Risk Behavior Survey (YRBS)
indicate that 25% of students seriously thought about killing themselves, 15% of students
reported suicide ideation or a plan to kill themselves and 13% of students had actually attempted
suicide.
In New Mexico, suicide is the 2nd leading cause of death for teenagers and young adults (15-24)
and the 3rd leading cause of death for children between the ages of 10 and 14. Yet only 36% of
youth at risk for suicide receive treatment for their problems. Lack of access to culturally
appropriate and sensitive mental health services outside of the Albuquerque is a major problem
particularly affecting Native American youth and their families.
DOH notes that the results of a five-year comprehensive program evaluation in New Jersey
clearly indicate that Peer-to-Peer programming has demonstrated success. Students exposed to
peer-to-peer activities both as student leaders and as participants in peer led outreach activities
have repeatedly demonstrated lower mean rates of tobacco, alcohol, and marijuana use than
students with no exposure to the program. Regarding attitudes, consistent findings have emerged
indicating that targeted students are significantly more likely to have greater abilities to talk to
peers about substance use issues; have more appropriate perceptions of risks associated with
student use; and have stronger desires to talk to adults, peers and friends about substance use
issues. (Princeton Center for Leadership Training, www.princetonleadership.org)
Numerous studies have demonstrated that peers influence youth’s health behaviors. Peer
education draws on the credibility that youth people have with their peers, leverages the power of
role modeling, and provides flexibility in meeting the diverse needs of today’s youth.
(Advocates for Youth, Peer Education: Promoting Healthy Behaviors,
www.advocatesforyouth.org)
PERFORMANCE IMPLICATIONS
PED notes that House Bill 29 may positively impact the academic achievement of the youth in
New Mexico. If a Native American youth-led pep-to-peer suicide prevention program is funded
many behavioral health issues could be addressed. House Bill 29 could possibly lead to
increased attendance rates, improved reading and math scores and an increase in the graduation
rate of students in New Mexico, thereby closing the achievement gap.
GG/csd