This two-certificate training program targets patient safety, teaches a suicide screening tool, a best practice rapid assessment protocol, and updates emerging practice standards.
This training program has been approved for 7 hours of continuing education for nurses by the Washington State University College of Nursing. When you have completed the course, the following source of approval will appear on your certificate: CEARP #9388.
The course also includes 1 hour of content on how to prevent veteran suicide.
QPR Gatekeeper Training for Suicide Prevention is the most researched, tested, and evaluated universal suicide intervention program available today. Taught to more than 2.5 million people by 15,000 instructors since 1998, the intervention has been adapted for a wide variety of settings. Supported by dozens of published studies, which include random clinical trials - the gold standard for evidence of effectiveness - please see the official listing and description at: http://www.nrepp.samhsa.gov/ViewIntervention.aspx?id=299 or just Google "QPR NREPP."
QPR for Nurses is listed as an approved adaptation of the QPR methodology.
Note: this is not a train-the-trainer program.
The QPR for Nurses program is intended to prevent suicide not just among patients, but among nurses, their co-workers and family members. To earn this certificate requires a minimum of 7 hours of training and passing a national clinical and content exam.
International students please note
Suicide rates for QPR courses are US-specific. To determine suicide rates in your country, please visit the World Health Organization or Google your country's name and "suicide rate."
Some countries do not keep good data on suicide morbidity and mortality, and not all report their data to WHO. Therefore, try Googling federal, state, or province name and "suicide rate." Remember that suicide rates need 5 to 10 year horizons to be of much value as to interpreting any changes in trend lines.
The QPR Institute worked with a number of nursing organizations to tailor this training to the needs of learners. With the assistance of the Colorado Emergency Nurses Association, specific attention was paid to the needs of nurses working in Emergency Departments. Later refinements were offered by faculty members of the Washington State University College of Nursing Education.
Why this training:
Nurses have a high degree of line-of-duty exposure to suicidal behaviors, both in the pre-attempt phase (when suicidal persons are communicating intent and desire to attempt suicide via suicide warning signs), and after a suicide attempt or completion.
Suicide is among the top five causes of death among nurses (Belanger,2000)
As health care professionals, nurses also have higher-than-expected exposures to secondary trauma resulting from suicidal behaviors, particularly in the ED.
While perceived comfort and competence in conducting suicide interventions or dealing with suicide events varies considerably, many nurses have not had specific suicide prevention training that would be beneficial to the health and safety of fellow employees or suicidal patients.
Reference:Belanger,D.(2000). Nurses and suicide: The risk is real. RN,63(10),61
The final exam is a national 25-item test that few health care or mental health professionals can pass without completing this course or one like it. In past studies, and before specific training in suicide prevention, nurses fail this national exam at roughly 95%.
Finally, the four primary goals of the QPR Institute are these:
Raise public awareness about suicide and its prevention.
Provide low-cost, evidence-based suicide prevention training.
Provide advanced clinical training to a wide range of professionals and for undergraduate, graduate and post-graduate students preparing for careers in the helping professions.
Reduce morbidity and mortality of suicidal patients, students, and employees through a systems approach to suicide risk reduction.
As of this writing in 2017, more than 2.5 million people have been trained in QPR.
If this sounds like an "army" of people helping to prevent suicide, it is. Now, with your help, we will create a new division in that army of educated, trained nursing professionals to help prevent suicide around the globe.
Program Background and Purpose
While expert opinion may differ as to what helper competencies are required to assist suicidal persons achieve the most beneficial outcomes, little controversy exists about the lack of qualified manpower to help the thousands of people who think about, attempt, and sometimes die by suicide.
Even among licensed professionals there is a serious lack of systematic training in how to a) detect suicide risk, b) assess immediate risk for suicidal behaviors and c) provide helpful crisis mitigation services to suicidal persons.
The primary mission of the QPR Institute has been to provide technology transfer of evidence-based knowledge into useful skills and helpful interventions for those wishing to assist suicidal persons. To this end, the Institute has developed comprehensive training programs to address the training deficits among clinical providers as outlined in the National Strategy for Suicide Prevention, and to provide customized suicide prevention training to match the service setting and the levels of duty professionals in those settings have for the health safety of those they serve.
The history and source of these training programs is derived from earlier research and development work in partnership with Washington State University, The Washington Institute for Mental Health Research, the Washington State Youth Suicide Prevention Program, Spokane Mental Health (now Frontier Behavioral Health), and Spokane County Regional Health District. Much of the content of this training program was evaluated and refined by the author as a guest lecturer at a school of nursing education.
We know that nurses are in frequent contact with at-risk populations and need to know as much about suicidal behaviors and how to intervene to reduce risk and enhance safety as do trained mental health professionals. To this end, the online program you are about to take is intended to train you in the knowledge and skills you will need to provide competent services in suicide risk detection, initial assessment, and how to immediately mitigate the risk of a suicide attempt.
Consider that according a May 2012 article in Psychiatric Times that ... "of the more than 35,000 or more suicides per year in the United States, about 1800 (6%) are inpatient suicides. It is estimated that a psychiatric nurse will experience a completed suicide every 2½ years on average.” Source: J. Knoll,”Inpatient Suicide: Identifying Vulnerability in the Hospital Setting,” Psychiatric Times, May 22, 2012.
As you will learn in this course, exposure to suicidal patients "goes with the territory" of the nursing profession whether you are a psychiatric nurse practitioner or working in a school or health clinic setting.
What this training program is not
This training is not a substitute for a college degree in counseling or other helping profession, nor can it provide the face-to-face supervised experience those in the helping professions are provided in the course of their professional career development.
Participants must be at least 18 years of age
If employed by, or volunteering for, an organization, participants agree to accept all expectations and employment rules of their parent organization. The QPR Institute does not vet or otherwise qualify students for this course.
The Training Program
Modularized in a rich mix of text, video, voice-over PowerPoint™ lectures, interactive practice sessions, and other state-of-the-art interactive and e-learning technologies, the QPR for Nurses training program provides two certificates, one for completing the Level I QPR Gatekeeper Training for Suicide Prevention requires, and the second QPR for Nurses Certificate in Suicide Prevention. Passing the national exam demonstrates that the learner has acquired more knowledge about suicide and its prevention than a large majority of mental health professionals.
From this training program, participants should be able to:
Understand suicide as a major public health problem
Understand the common myths and facts surrounding suicide
Identify unique verbal, behavioral, and situational suicide warning signs
Recognize and screen someone at risk of suicide, with a focus on Emergency Department patients
Know how to inquire about suicidal intent and desire
Know how to inquire about capacity for suicide and self injurious behavior
Recognize at least three suicide warning signs
Recognize at least three risk factors for suicide
Recognize at least three protective factors against suicide
Demonstrate increased knowledge, skills, self-efficacy and intent to act to intervene with suicidal people and patients
Know how to engage and assist a suicidal colleague or co-worker
Know the difference between "known at risk" patients and "unknown at risk" patients
Know how to conduct a brief triage assessment of acute suicide risk
Describe "means restriction" and identify individual characteristics and hospital environmental features that may increase or decrease the risk for suicide
Address immediate patient safety needs and determine most appropriate setting for care
Know materials, phone numbers, and patient/family information to provide at discharge or point of care site
Be familiar with "hand off" procedures for patients at risk for suicide
Describe the US National Strategy for Suicide Prevention
Understand the nature of suicide and describe at least one theory of suicidal behavior
Describe and locate major suicide prevention web sites and online resources
Demonstrate increased knowledge about suicide and its causes
Engage in an interactive and helpful conversation with someone who has attempted suicide
Engage in an interactive and helpful conversation with the loved ones or family members of someone who has died by suicide
Describe clinical groups at high risk for suicide
Describe how and why "suicide proofing" an inpatient room and ward may prevent adverse events.
Describe the relationship of mental illness and substance abuse to suicide and understand the fundamentals of our current knowledge about suicide and its prevention
Pass a nationally standardized exam demonstrating fundamental knowledge about suicide, its causes, and the current status of suicide prevention in America
Individual certificate pricing:
Certificate of Course Completion (6 hours)
Our courses should qualify for continuing education for most professions.
Counselors: The QPR Institute is an NBCC-Approved Continuing Education Provider (ACEP) and may offer NBCC-approved clock hours for events that meet NBCC requirements. The ACEP solely is
responsible for all aspects of the program.
Nurses: Varies with state or organizational membership.
Physicians: Application for CME pending.
Note: Since many professions have their own continuing education credentialing and certification processes, please submit the course description and required hours to complete to your own accrediting body for approval. Or, we are happy to provide reviewer access to any of these courses to make their own determinations.
Reviewer Access and for questions about CEs: Please contact Brian Quinnett, National Training Coordinator at firstname.lastname@example.org for complimentary review access.