Patients with borderline personality disorder and individuals with repetitive suicidal behaviors.

• Comprehensive DBT treatment for recurrent suicidal cases.

• Translation and publication of DBT books in Mandarin, organization of multiple conferences, and training opportunities for therapists from other institutions to learn DBT at our facility.

Group therapy，Individual therapy，Telephone consultations，Consultation team meetings

• From 2018 to May 2023, 149 cases underwent standardized DBT assessments (including 19 referrals from other hospitals), with 69 entering treatment and 38 completing therapy.

• Over the past five years, DBT training included:

• Training of 10 R3 residents in DBT at our facility.

• Training 16 master’s level clinical and counseling psychology interns to lead DBT groups.

• Training 2 external professionals in a six-month DBT group leadership program.

• Hosting a conference with the Taiwan Association for Mental Health Concern, attended by 2,849 participants.

• Social media outreach from May 2018 to May 2023: (1)Facebook Page: Reached 85,380 people, 25,859 views, with international followers accounting for 7% (358 followers) from Canada, Singapore, Australia, the U.S., U.K., China, Macau, Hong Kong, and Malaysia.

• Blog: Total views reached 165,302.

• Published research on adapting DBT for Mandarin-speaking patients in Taiwan, demonstrating significant reductions in symptoms of borderline personality disorder, depression, and suicidal ideation.

• Presented two posters highlighting the mental health of family members of high-risk suicidal patients and the effectiveness of DBT skills training groups in Taiwan.

• Collaborated with Zhang Teacher Cultural Publishing on DBT training manuals, selling over 4,575 copies as of May 2023.

• Published a textbook, Dialectical Behavior Therapy: Strategies and Techniques for Chinese Populations, detailing local experiences.

Safety

(I) A magnetic lock is installed on the rooftop security door for access control. The central control room monitors the surveillance footage of public areas. There were zero cases of suicide attempts within the facility in 2024-2025.

(II) Group sessions are concurrently with evening psychiatric outpatient clinics. If group members experience significant mood swings or strong suicidal ideation during group sessions, they can go to the psychiatric outpatient clinic or directly to the emergency. There were zero cases of strong suicidal ideation requiring emergency treatment in 2024-2025.

(III) The consultation room is equipped with surveillance equipment. Therapists pressing a mobile alarm will connect to emergency security for assistance. If a client experiences significant mood swings or strong suicidal ideation during a consultation, they can go to the psychiatric outpatient clinic or directly to the emergency. There were zero cases of strong suicidal ideation requiring emergency treatment in individual therapy in 2024-2025.

Quality

There is a verification system for DBT therapists (adherence Coding), Our team's Dr. Wu Shu-I and psychologist Chen Shu-Chin became the certified reviewers. For the team's treatments from 2016 to 2018, they evaluated 60 treatments selected by the therapist from 492 treatment recordings (with the consent of the clients) (the selection standard is 1/10 higher than that of foreign countries), which meets international standards."

Whether in standardized DBT groups or family groups of high-risk suicide cases, overall satisfaction with the treatment was high. Individuals were most satisfied with their therapeutic relationship with the therapist, while their satisfaction with the application of techniques and the care from other members was relatively low. Family members were almost universally quite satisfied, with only one group exhibiting the same reaction as the individual. They offered relatively less support to each other (3.73) and felt the techniques were difficult to apply in daily life (3.76).

• Collaborating with the Behavioral Tech team founded by Dr. Marsha Linehan in the U.S. and participating in DBT Asia meetings since 2022.

• Regularly attending the U.S.-based annual DBT research conference (ISITDBT).

• Conducting DBT-related exchanges with Hong Kong's Correctional Services Department and New Life Psychiatric Rehabilitation Association.

• Delivering workshops in Malaysia on DBT skills and strategies.

• Weekly consultation team meetings.

• Conduct a suicide mortality case review within one month of receiving notification.

• Adherence coding evaluations to ensure compliance with DBT protocols, conducted by certified coders.