The world has moved online, and so have suicidal people….
Earn a QPR for Crisis Workers Certificate.
Training focus: Knowledge and skill sets for text and IM communications, but suitable for anyone working with suicidal people by telephone, Skype, or face-to-face.
This training program includes three registered best practice training programs as listed in the American Foundation for Suicide Prevention (AFSP) and Suicide Prevention Resource Center (SPRC) best practice registry: QPR Gatekeeper Training for Suicide Prevention, Counseling on Access to Lethal Means (CALM), and key modules from the QPRT Suicide Risk Assessment and Risk Management Training program.
See the official listing at: http://www.sprc.org/bpr/section-III/question-persuade-refer-qpr-gatekeeper-training-suicide-prevention. QPR training is also listed in the National Registry of Evidence-based Practices and Policies at: http://www.nrepp.samhsa.gov/ViewIntervention.aspx?id=299.
Studies show more text messages are sent than phone calls made
Suicidal people are texting their desire, intent and plans to die to others
Of our highest risk group, 90% of men use the internet to find health information
Only via web-based communications can confidentiality be fully protected
In some recent studies published in the NOVA Science Internet and Suicide (2009), several authors note:
Internet behavioral interventions appear safe and effective
A greater percentage of contacts by email voluntarily report suicidality compared telephone callers
A high degree of self-disclosure appears common
Many of those seeking text-only communications appear to need the extra confidentiality of Web based interactions
Hearing-impaired and speech-impaired helpers – and those in distress – find text-only communications highly useful
Persons in remote areas where no mental health services are available can benefit from online assistance
Young people whose telephone calls may be monitored by malevolent parents can get help online and when other avenues are blocked
Gender identity issues, even gender, and all other areas of bias and racial prejudice can be disclosed (or not) in cyberspace
For those who lack trust, or fear the loss of face, or need to feel they are still in control of at least some of their life, find the internet a safe place to venture out for help
Contact can be asynchronous (email) or synchronous (IM)
24/7 emergency access is possible
There is no need to wait for an appointment
Petrol and transportation is expensive, bandwidth is cheap
Agoraphobics, persons with mobility challenges, chronic disease or who are bed ridden can still get to a keyboard and a computer
Many clients prefer e-counseling
Underserved rural areas can be prioritized
Schedules can be flexible
On the downside:
There are no verbal clues, or behavioral clues to match words with expressed emotion
Addiction to internet use – including contact with helpers – is not unheard of and may present problems similar to those encountered with so-called “frequent callers.”
Security breaches of interactions may occur
The seriously mentally ill may not be appropriate candidates for online interventions
The person must be able to text and navigate the Web
Fluency in the use of the written word is necessary and not much researched
Bottom line: Those of us who care about suicidal people need to meet and help them where they are; in cyberspace.
According to Dr. Keith Harris of the University of Queensland, the problem of “suicide surfers” is global. Currently, multiple authors in the new Nova Science book, Internet and Suicide conclude that the Internet serves as a major information resource for suicidal people. Again, Dr. Harris, “Better online support services for suicidal people are more important than shutting down websites showing ways to die.”
Why it will work
When people are in a suicidal crisis they need help NOW! For online suicide crisis intervention to be effective it must be accessible, available 24/7, affordable at no or low cost, and anonymous. Convenience and privacy cannot be overemphasized for high risk groups, including males, youth, LGBT folks, and others. Helpers responding to those at-risk and untreated who cannot or will not access traditional services must be well trained. That is our aim!
Why this training program?
Sigmund Freud once said, “By words alone one person can make another person blissfully happy or drive him to despair.” In this unique course you will learn to use the power of the written word to save lives. The arc of human communications has been forever changed by the Internet, and this training program was created specifically to help suicidal people seeking assistance in cyberspace.
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 at http://www.who.int/mental_health/prevention/suicide_rates/en/ .
As you will see, many of these reports are quite dated. If your country keeps such data but does not necessarily report to WHO, try Googling federal, state, or province name and "suicide rate." If you are teaching suicide prevention courses you will need this data; the more local the data the better. But remember that suicide rates need 5 to 10 year horizons to be of much value as to interpreting any changes in trend lines.
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, by the end of your training experience you will have met or exceeded the educational standards currently in place for clinical psychologists, psychiatrists, and clinical social workers in terms of knowledge competencies in this area of practice.
Prerequisites include text messaging and web navigation skills. The course is SCORM compliant and approved for continuing education.
Core competencies taught
The suicide crisis intervention and risk assessment competencies taught in this course are derived from nationally defined standards and recommendations as published by the American Association of Suicidology and the National Suicide Prevention Lifeline. Further, these competencies are framed within the 2009 Practice Guidelines: Core Elements in Responding to Mental Health Crises as published by the U.S. Health and Human Services Substance Abuse and Mental Health Services Administration.
This course is not a comprehensive or substitute training program in counselor education, but rather a value-added skill set for those serving persons at-risk for suicidal behaviors. Also, this training program focuses almost entirely on suicide crisis intervention and strategies for risk reduction and risk management. It is not a general crisis intervention course which would typically include the following subjects: crisis theory, components of a crisis, general crisis intervention principles and approaches, crisis counseling, mental health diagnostics, or involuntary treatment laws in your state, province or country. Rather, this is a highly condensed training for the detection, assessment, and short term management of acute suicidal crises.
The key knowledge competencies taught to all participants to earn a Certificate of Course Completion are listed below.
Describe the size and scope of the problem of suicide in America and/or in the learner's own country
Identify key elements of one National Strategy for Suicide Prevention (US)
Immediately reduce the acute distress, despair, and hopelessness of suicidal people through an empathic, understanding screening and assessment interview in which protective factors can be brought into play to create a safety and referral plan to reduce the risk of a suicide attempt
Recognize someone at risk for suicide
Demonstrate increased knowledge of intervention skills
Describe knowledge of referral resources and how to refer someone to help
Understand the common myths and facts surrounding suicidal behavior
Recognize and identify at least three suicide warning signs
Describe the relationship of untreated clinical depression and other mental illnesses and substance abuse to increased suicide risk
Understand means restriction and how to immediately reduce risk
Recognize and identify three risk factors for suicide
Recognize and identify three protective factors against suicide
Demonstrate how to ask about potential suicidal intent (in role-play)
Demonstrate how to listen and persuade someone to get help (in role-play)
Demonstrate how to make a referral for professional assistance (in optional downloadable role-play)
Explain why reducing access to lethal means is an effective way of saving lives
Describe the role of impulsivity, ambivalence, and differing lethality of methods in contributing to suicide deaths and attempts
Describe how counseling on access to lethal means fits into suicide prevention counseling
Ask suicidal people about their access to lethal means and work to reduce access
Understands the ethical principles for online crisis and counseling
Demonstrates knowledge of suicide risk and protective factors
Understands the relationship psychiatric illness to suicide
Identifies high risk groups, especially in cyberspace
Understands involuntary treatment laws/need to rescue
Interview potentially suicidal people and determine immediate risk of a suicide attempt
Reduce the risk of a suicide attempt through a collaborative crisis and safety planning process
Know what to say, what questions to ask, what the answers to your questions mean, and how these answers will determine what needs to be done to prevent a suicide attempt
Estimate the level of acute suicide risk using a "best practice" methodology used by thousands of mental health professionals
Understand common terms and communicate effectively about suicide risk with other professionals
Document precise and accurate suicide risk information in a concise and competent manner
The Certificate of Course Completion means that the learner completed all modules and successfully passed all required quizzes, exams, and practice challenges, thus demonstrating having mastered the knowledge competencies listed above. This includes earning the basic QPR Gatekeeper Training for Suicide Prevention certificate.
This particular course targets volunteers and students hoping to train in, and gain experience working with, people in crisis accessing any crisis service in any setting. The course is priced accordingly. Paid professionals may be interested in the QPR Suicide Triage training or the OCSIS training program.
Individual Certificate Pricing:
NBCC Continuing Education Credits
Certificate of Course Completion (20 hours)
10+ @ $69 each
Thank you for helping to prevent suicide.
What volunteers and professionals say about the elements of this training program.
Benefits and recommendations
“I liked how the didactic aspects of this training were interspersed with videos, actual cases and personal stories.” -Karen Varano
“I think the most beneficial part of the training was having the ability to do practice exercises with real cases and responses. Simulating an actual setting you might come across later is vital to fully understanding it.” -Danielle Cantarella
“I really liked how I was able to complete this training at my own pace. As a college student, I am often very busy with classes and other activities, but I was able to complete the training on time because I was allowed to do it whenever I had free time.” -Kayla Michelle Imrisek
“I would say that this program takes a lot of very important and helpful information and delivers it in an easy to read, easy to understand manner. Though I would not consider the course easy, I would say that after completion it is rewarding, and very encouraging.” – crisis line volunteer
“I already posted Dr. Quinnett's free e-book on my facebook page and to the online facebook community I joined after 3 Cornell University Students jumped to their deaths in one month recently.” – a college student
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.
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.