Promulgated by Tainan City Government on December 21, 2012
Article 1 This Self-Government Ordinance is formulated by Tainan City (hereafter "Tainan") in order to create an effective suicide reporting and care system and to reduce the rate of death by suicide in Tainan.
Article 2 The "competent authority" as used in this Self-Government Ordinance refers to the Public Health Bureau, Tainan City Government.
Article 3 The following terms used in this Ordinance are defined as follows:
1. Individual having suicidal ideation means a person who exhibits verbal, mental, behavioral and situational signs of thinking about taking his or her own life.
2. Individual at high-risk of suicide means a person who is found, with a suicide risk assessment tool approved by the competent authority, to meet designated criteria of being in severe distress and with suicidal ideation.
3. Individual having attempted suicide means a person who, intending to take his or her own life, has taken an action to harm him or herself that resulted in non-fatal injuries.
4. A suicidal individual means a person who, intending to take his or her own life, died as a result of self harm.
5. Surviving family member of suicide loss means a person who lost the spouse, a parent, a child, a grandchild, a grandparent or a sibling to suicide.
6. Gatekeeper means a person who is willing and has the opportunity to prevent suicidal events by supporting and offering care to others.
7. Officially Reporting means to report an individual, found through the care and support system described in this Self-Government Ordinance, at high-risk of suicide or having attempted suicide to the competent authority.
8. Reporting out of humanitarian motives means to report, out of social responsibility and humanitarian motives, an individual found at high-risk of suicide or having attempted suicide to the competent authority.
Article 4 Agencies and schools of Tainan City Government (hereafter "the City Government"), upon admitting an application for unemployment services or receiving a report of high-risk families, patients with catastrophic illnesses, elderly persons living alone, victims of sexual assault, victims of domestic violence or illicit drug users, shall conduct suicide risk assessments on individuals appearing to be in severe distress and provide adequate mental health care and support to individuals found to have suicidal ideation.
Agencies and schools of the City Government shall establish suicide crisis management system; conduct suicide risk assessments on employees of the agencies or teachers, employees and students of the schools; and provide necessary care and support.
The competent authority shall, in order to ensure follow-up care, be officially notified of any individual evaluated at high-risk of suicide.
Article 5 Healthcare institutions within the jurisdiction of Tainan City shall provide care services to any individuals found to have attempted suicide and complete reporting the case officially through Suicide Prevention Reporting System on the National Public Health Portal of Ministry of Health and Welfare within twenty four hours.
In the healthcare institutions mentioned in the preceding paragraph, persons having a mandatory duty to report suicide include doctors, nurses, psychologists and social workers.
The competent authority shall include the performance of the reporting mentioned in the first paragraph as an indicator in annual healthcare institution evaluation and social services assessment.
Agencies and schools of the City Government as well as social welfare organizations, health care institutions, clinics and pharmacies located in Tainan City shall provide care services to any individual found to have attempted suicide and officially report the case to the competent authority within twenty four hours in accordance with procedural requirements.
In order to expand the suicide reporting network, the City Government shall encourage organizations, agencies, schools, groups, associations, communities, companies and business entities other than those mentioned in the preceding paragraph to report out of humanitarian motives.
Regulations to encourage reporting out of humanitarian motives shall be developed by the City Government.
Article 7 When assisting statutory postmortem examination of an individual dying by suicide, police administration of the City Government shall report, with prior consent of surviving family members of the individual dying by suicide, evidence of cause of death and contact information of the surviving family members to the competent authority for the performance of care services to surviving family member of suicide loss.
Article 8 The competent authority shall establish a database of suicidal death files and suicide case management.
Rules and regulations of the creation, use and management of the database mentioned in the preceding paragraph shall be developed by the City Government.
Article 9 Any content of information acquired or possessed by agencies, schools and persons through activities related to this Self-Government Ordinance shall be kept confidential.
Article 10 The competent authority shall, in order to create an effective suicide reporting and care system, provide training and certification program for gatekeeper instructors.
The gatekeeper instructors mentioned in the preceding paragraph shall train people to become gatekeepers by giving outreach lectures on life education in agencies and schools of the City Government, organizations, communities and villages.
Article 11 Failure to perform the mandatory duty to report as provided in Article 5 Paragraph 1 is subject to a fine between 600 to 3000 New Taiwan Dollars on the healthcare institution.
Article 12 Failure to perform the mandatory duty to assess as provided in Article 4 Paragraph 1 and 2 or the mandatory duty to report as provided in Article 6 Paragraph 1 by a government employee is subject to punishment specified in regulations applicable to government employees.
Article 13 This Self-Government Ordinance shall take effect on the date of promulgation.