,,ii #aacth ,,congress #ast ,session ,s4 #haj ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,april #be1 #bjac ,mr4 ,donnelly introduced the following bill2 which was read twice and referred to the ,committee on ,armed ,services ,a ,,bill ,to require a pilot program on an online computerized assessment to enhance detection of behaviors indicating a risk of suicide and other mental health conditions in members of the ,armed ,forces1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,jacob ,sexton ,military ,suicide ,prevention ,act of #bjac4 #b4 ,pilot program on online computerized assessment to enhance detection of behaviors indicating a risk of suicide and other mental health conditions in members of the ,armed ,forces 7a7 ,findings ,congress makes the following findings3 7#a7 ,according to the ,department of ,veterans ,affairs and the ,centers for ,disease ,control and ,prevention1 at least #cj1acg members of the ,armed ,forces and veterans have committed suicide since the ,department of ,defense began closely tracking these incidents in #bjji4 7#b7 ,in #bjab alone1 approximately #cdi members of the ,armed ,forces1 including the ,national ,guard and ,reserve1 committed suicide1 which is more than the total number of members who died in combat operations in #bjab4 ,this number does not include the more than #f1jjj veterans who committed suicide in #bjab4 7#c7 ,during a ,march #ba1 #bjac1 hearing of the ,committee on ,armed ,services of the ,house of ,representatives1 ,jacqueline ,garrick1 acting director of the ,defense ,suicide ,prevention ,office of the ,department of ,defense 7,,dpso71 stated that less than half of the suicide victims had deployed1 and few were involved in combat4 ,this statement is consistent with current research1 which has shown other risk factors1 such as relationships1 legal or financial issues and alcohol or drug usage play a larger role than a member's deployment history4 ,garrick also told the ,committee that many of these suicidal victims did not communicate their intent1 nor did they have known behavioral health histories4 7b7 ,sense of ,congress ,it is the sense of ,congress that1 as the ,united ,states draws down combat operations in ,afghanistan1 the ,department of ,defense should continue to seek to identify tools to assist in the identification of behavior indicating a risk suicide in members of the ,armed ,forces4 7c7 ,pilot program required ,the ,secretary of ,defense shall carry out a pilot program to assess the feasibility and advisability of using an online computerized assessment to assist the ,department of ,defense in detecting behaviors in members of the ,armed ,force that indicate a risk of suicide or other mental health conditions4 7d7 ,participating members ,the ,secretary shall carry out the pilot program using the following1 as selected by the ,secretary at random for purposes of the pilot program3 7#a7 #a1jjj members of the regular component of the ,army4 7#b7 #a1jjj members of the regular component of the ,navy4 7#c7 #a1jjj members of the regular component of the ,air ,force4 7#d7 #a1jjj members of the regular component of the ,marine ,corps4 7#e7 #ejj members of the ,army ,reserve4 7#f7 #ejj members of the ,army ,national ,guard of the ,united ,states4 7#g7 #ejj members of the ,navy ,reserve4 7#h7 #ejj members of the ,air ,force ,reserve4 7#i7 #ejj members of the ,air ,national ,guard of the ,united ,states4 7#aj7 #ejj members of ,marine ,corps ,reserve4 7e7 ,online computerized assessments 7#a7 ,in general ,in carrying out the pilot program1 the ,secretary shall require each member of the ,armed ,forces selected to participate in the pilot program to undertake two online computerized assessments4 7#b7 ,elements ,the assessments under this subsection shall be designed to obtain such information on behaviors that indicate a risk of suicide or other mental health conditions as the ,secretary shall include in the assessments for purposes of the pilot program1 including1 but not limited to1 work performance1 use and abuse of alcohol and other substances1 financial matters1 and relationship and social matters4 7#c7 ,timing ,the assessments under this subsection shall be undertaken by a member at the same time the member undertakes each of the first two annual periodic health assessments 7,p,h,as7 in connection with service in the ,armed ,forces that are required of the member by the ,department after the selection of the member for participation in the pilot program4 7f7 ,command questionnaires 7#a7 ,in general ,at the same time a member of the ,armed ,forces undertakes an online computerized assessment under subsection 7e71 the member of the ,armed ,forces first superior to such member in the chain of command shall undertake a questionnaire on the behavior of such member1 including1 but not limited to1 behavior that indicates a risk of suicide or other mental health conditions4 7#b7 ,elements ,the questionnaires under this subsection shall be designed to obtain information on the members covered by the questionnaires so as to verify the accuracy of the information provided by such members in undertaking assessments under subsection 7e74 7g7 ,referral ,as part of pilot program1 the ,secretary shall ensure that any member of the ,armed ,forces determined to have behavior indicating a risk of suicide or another mental health condition is referred to an appropriate mental health care provider for further assessment1 care1 and services in accordance with applicable procedures4 7h7 ,control groups ,in carrying out the pilot program1 the ,secretary shall establish one or more control groups whose behavior and experiences during the course of the pilot program permit comparison with the behavior and experiences of members participating in the pilot program4 ,each control group shall consist of such members of the ,armed ,forces as the ,secretary shall identify for purposes of the pilot program4 7i7 ,privacy matters 7#a7 ,in general ,the privacy of any medical or other information obtained on members of the ,armed ,forces under this section shall be protected in accordance with the laws on privacy applicable to such information4 7#b7 ,prohibition on certain uses ,no information obtained on a member under this section may be used in determining the promotion or advancement of the member or any other benefit for which the member may be eligible4 7#c7 ,exclusion of personally identifiable information from reports ,no personally identifiable information on members may be included in any report under subsection 7j74 7j7 ,report 7#a7 ,report required ,not later than #ahj days after the date on which all the members of the ,armed ,forces participating in the pilot program have completed both of the online computerized assessments required by subsection 7e7 for purposes of the pilot program1 the ,secretary shall submit to the appropriate committees of ,congress a report on the pilot program4 7#b7 ,elements ,the report under paragraph 7#a7 shall include the following3 7,a7 ,a description of the pilot program1 including a detailed description of the assessments used for purposes of subsection 7e7 and the questionnaires used for purposes of subsection 7f74 7,b7 ,a summary of the various behaviors detected through the assessments and questionnaires4 7,c7 ,a description of the number of members identified as being at risk of suicide or other mental health conditions1 and an assessment of the correlation between the risks identified and the various behaviors detected4 7,d7 ,if care and services were provided to members pursuant to subsection 7g71 a description of such care and services and an assessment of the effectiveness of such care and services4 7,e7 ,a description of the number of members participating in the pilot program who committed suicide4 7,f7 ,a description of the control groups established pursuant to subsection 7h71 and a comparative analysis of the behavior and experiences of members of such control groups during the pilot program with the behavior and experiences of members participating in the pilot program1 including on matters relating to suicidal ideations1 suicides attempted1 and suicides committed4 7,g7 ,a comparative analysis of the rate of suicide among members participating in the pilot program1 members of the control groups established pursuant to subsection 7h71 and the general population of each of the ,armed ,forces4 7,h7 ,such recommendations for extension or expansion of the pilot program as the ,secretary considers appropriate in light of the pilot program1 including recommendations on the feasibility and advisability of incorporating the online computerized assessments under the pilot program in the online questionnaire of the annual periodic health assessments 7,,pha7 in connection with service in the ,armed ,forces that are required by the ,department4 7k7 ,appropriate committees of ,congress defined ,in this section1 the term appropriate committees of ,congress means-- 7#a7 the ,committee on ,armed ,services and the ,committee on ,veterans' ,affairs of the ,senate2 and 7#b7 the ,committee on ,armed ,services and the ,committee on ,veterans' ,affairs of the ,house of ,representatives4