(For those providing treatment, also see the Counseling Suicidal People course)
This registered Best Practice interactive course is for professionals responsible for the care and safety of consumers at elevated risk for suicidal behaviors in all settings and across the age span. The following text is from the official description of the QPRT training program from the SPRC/AFSP Best Practice (BPR)Registry for Suicide Prevention available at: http://www2.sprc.org/sites/sprc.org/files/QPRT.pdf
The QPRT Suicide Risk Assessment and Management Training Program is an 8-10 hour course (depending on practice sessions competed) for health professionals that is designed to reduce mental health consumer morbidity and mortality by standardizing the detection, assessment, and management of patients at elevated risk for self-directed violence in all settings and across the age span. Training is conducted online or face-to-face by a qualified QPRT instructor.
The QPRT suicide risk assessment protocols are guided clinical interviews developed through expert opinion and anchored in the scientific literature on suicide risk assessment. Protocol questions produce a standardized suicide risk assessment that includes documentation of risk and protective factors, current suicidal ideation, desire, intent, planning, past attempts and other self-report of suicide capability. Third-party input to the final risk assessment is encouraged, and the pediatric version of the program includes a family-centric interview protocol.A collaborative crisis management, monitoring, and safety plan (based on data gathered from the QPRT protocol by a trained practitioner) is integrated into the medical record and treatment and/or referral plan.
"The QPRT Suicide Risk Assessment and Management Training Program was developed by a multidisciplinary team of psychiatrists, psychologists, nurses, and mental health therapists at Spokane Mental Health, Spokane, Washington, in response to fatality review reports indicating that a lack of standardized suicide risk assessment may have contributed to preventable patient deaths. Beta testing of expert opinion protocol questions were solicited from members of the American Association of Suicidology and vetted by external records review.
At the end of the training, QPRT participants will have increased:
Please refer to the official registry for the full PDF
National surveys have found that very few practicing clinicians use formal suicide-specific assessment methods or psychological tests to assess suicide risk, but do rely on the clinical interview. The QPRT model was developed by clinicians for clinicians to fill this need for a brief, structured risk assessment clinical interview. QPRT has been successfully employed with more than 400,000 patients of all ages in all settings over the past ten years.
Our overarching goal with this training is patient safety.
While expert opinion may differ as to what helper competencies are required to assist suicidal consumers of healthcare services, little controversy exists about the lack of specific training needed to improve on patient safety. The competencies taught in this course directly address how to a) detect suicide risk, b) assess immediate risk for suicidal behaviors and c) provide helpful crisis mitigation services to suicidal consumers of your services. Specific treatments known to be effective in reducing the risk for suicidal behaviors are only mentioned and not specifically taught in this course.
Clear documentation of your suicide risk assessments will greatly reduce your exposure to claims of suicide malpractice. The Institute offers a specific, 3-lecture and text course in this series entitled, "Ethics and Suicide" which qualifies for ethics training where required.
This training is not a substitute for an advanced degree in the helping professions, nor can it provide the face-to-face supervised experience professionals may need to successfully demonstrate the skills taught in this course.
Due to rapid developments in the delivery of clinical services in non-traditional settings, this course is designed for those who work face-to-face as well as those who may be delivering behavioral health services online, by telephone, or SKYPE. Thus, practice challenges, terminology, and interactive examples cover all channels of communication. Also, given the rapid adoption of electronic medical records, the QPRT interview protocol (for inclusion in medical records) is available in flexible electronic and hard-copy formats.
Competencies taught in this course are based on emerging recommendations and descriptions of the knowledge and skills required for working with suicidal people as described by the National Suicide Prevention Lifeline, the American Psychological Association competency movement, and as adapted from the Substance abuse and Mental Health Services Administration, Center for Substance Abuse Treatment’s Addiction Counseling Competencies: The Knowledge, Skills, and Attitudes of Professional Practice, Technical Assistance Publication series #21 and #50.
This training program includes knowledge-based competencies (knowledge of) and application-based competencies (able to), following the "cube model" of the professional psychology competency development movement, and in which both "foundational" and "functional" competencies are addressed (Rodolfa, et al., 2005).
Participants earning a certificate should will have knowledge of and be able to:
Participants earning a certificate should be able to:
Competencies taught in QPR Institute courses are based upon recommendations from the US Department of Education, National Center for Education Statistics and follow recommendations found in "Defining and Assessing Learning: Exploring Competency-Based Initiatives," NCES 2002-159R, prepared by Elizabeth A. Jones and Richard A. Voorhees, with Karen Paulson, for the Council of the National Postsecondary Education Cooperative Working Group on Competency-Based Initiatives. Washington, DC: 2002.
Practice Definition Reference: Quinnett, P. (2010). Suicide risk assessment competency certification examination. Retrieved from:
Competency Movement: Rodolfa, E., Bent, R., Eisman, E., Nelson, P., Rehm, L. Ritchie, P.(2005). A cube model for competency development: Implications for psychology educators and regulators. Professional Psychology: Research and Practice, 36, 347‐354.
The following course description may be copied and embedded in digital or print media to market this training program within one’s organization or externally:
"This Registered Best Practice training program teaches the core competencies required of professionals responsible for the care and safety of consumers detected to be at elevated risk for suicidal self-directed violence. Following foundational lectures on epidemiology, clinical risk patterns, and the current status of suicide risk assessment, clinicians learn how to conduct a standardized, evidence-based, seven-step interview designed to elicit perceived burdensomeness, suicidal desire, intent, capability and buffers against suicide. .
Data collected is then contextualized within the consumer’s current personal crisis to better understand, anticipate, and implement risk mitigation strategies, including evidence-based treatments. Based on the quality of the relationship, the difficulty of the interview, and the reliability of the data collected, participants learn to make informed risk stratification decisions to determine level of care recommended or required. Training includes modules on means restriction counseling, collaborative crisis safety planning, managing/monitoring risk over time, documentation, and a skills practice session."
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.
To the question, "What was most beneficial and unique about this training?" here are comments from some of those who have completed the course:
Modularized in a rich mix of text, video, voice-over PowerPoint™ lectures, interactive practice sessions, and other state-of-the-art e-learning technologies, this course is self-paced to suit the learner's schedule. The option of expert instructor time for consultation may be purchased at the time of registration. Role-play and practice sessions are downloadable and strongly recommended.
To earn the QPRT Suicide Risk Assessment and Management Certificate of Course Completion, the learner must complete all modules and pass all quizzes.
The final exam is a national 25-item test validated on thousands of licensed mental health professionals. There are 36 items in the exam, with items rotated at random intervals to produce the 25 on which you will be tested.
After taking this course, and if you are interested, the QPR Institute trains and licenses qualified instructors to teach this course in a classroom setting. Time required is roughly 40 hours of advanced self-directed training. Licensed trainers may issue certificates to those they train, earn fees, and may be invited to join our training faculty.
|Certificate of Course Completion (7 hours)||Pricing|
Large employers may be interested in our Suicide Risk Reduction Program institutional unlimited use package pricing. Please inquire or see our we pages.
Thank you for helping to prevent suicide.