CAT/OP/CHL/1/Add.1 141. The annual suicide rate in the custodial system has fallen during 2016. The rate for 2015 was 16.58 per cent,46 as compared with 4.62 per cent for the period between January and September 2016. 47 Nevertheless, any achievements resulting from the guidelines on suicide prevention and timely mental health care will need to be the subject of a more rigorous analysis at a later date. 142. SENAME will continue to develop national training programmes and courses on suicide prevention, focusing on gender and in particular on the lesbian, gay, bisexual, transgender and intersex (LGBTI) community, for officials of the directly administered centres and regional offices in its network. In December 2016, he health unit of SENAME will develop a similar national training course for professionals and officials of the directly administered centres and regional offices in its network, focusing on gender and in particular, on the LGBTI community. 143. In addition, SENAME and the Ministry of Health will establish a joint committee on suicide prevention which will attempt to define a protocol on the issue for directly administered centres. SENAME will work to bring the protocol to fruition during the first half of 2017. 144. Paragraph 96: The Subcommittee recommends that the State party ensure that, in accordance with rule 12 of the Bangkok Rules, women prisoners with mental health-care needs have access to individualized healthcare and rehabilitation programmes which are both comprehensive and gender-sensitive. 145. Recognizing the need for mental health care and for comprehensive gender-sensitive health-care programmes for women, the Prison Service will work with the Ministry of Health to develop plans in response to the Subcommittee’s recommendation. It is expected that mental health care and gender-sensitive health-care programmes for women will be in place after the second half of 2017. 146. In conjunction with these efforts, the Prison Service has taken steps to ensure the health of women prisoners. Accordingly, women’s prisons operating under the concession system are contractually obliged to maintain sanitary conditions suitable for the provision of services to women, such as gynaecological care. Traditional prisons must also provide services for women through referral systems. 147. Under an agreement between the Ministry of Justice and Human Rights and the Ministry of Health, mental health care must be provided for persons remanded in custody, and if deemed necessary, a psychiatric evaluation must be carried out by a Ministry of Health technical team at the temporary forensic psychiatric unit of the place of detention. Once the expert report has been drafted, the court determines whether the accused is criminally responsible for the offence. 148. SENAME also intends to include in a planned agreement with the Ministry of Health a section on mental health treatment for children and adolescents in juvenile detention centres. SENAME considers that this type of measure requires long-term implementation, which is expected to be scheduled for the second half of 2017. 149. Paragraph 98: In line with the Bangkok Rules, the Subcommittee recommends that the State party ensure that nursing mothers and their children, including those in the Antofagasta prison, have adequate space, daily exposure to natural light and appropriate ventilation and heating for the weather conditions of the place of deprivation of liberty. 150. The Prison Service conducted a survey of the living conditions in all facilities provided for nursing mothers at the national level under the Programme of Assistance for Pregnant and Nursing Mothers. It was found that care facilities for pregnant and nursing 46 47 26 National suicide rate per 100,000 inmates in the custodial system. Data provided by the Statistical Unit of the Office of the Deputy Technical Director and the Operational Analysis Unit of the Office of the Operations Subdirectorate of the Prison Service, 2016. The projected annual rate at December 2016 should be no higher than 12.5. GE.17-07762