QPR gatekeeper training for suicide prevention: the model, rationale and theory.
Suicide and self-inflicted injuries represent a significant public health problem. For community-based suicide prevention programs, theory-driven research on Gatekeeper training and its effectiveness remains limited. This paper describes the QPR Gatekeeper Training program for Suicide Prevention, its theoretical basis, the three-step CPR-like intervention and implications for the detection of new, untreated at-risk cases in defined communities. QPR stands for how to Question, Persuade and Refer someone emitting suicide warning signs. The QPR intervention is contextualized within the published literature on brief but beneficial public health and clinical interventions. The program is available face-to-face or on-line or via a blended learning approach combining interactive online knowledge mastery with interpersonal Q&A and role-plays for community Gatekeepers. As a promising psychological and behavioral public health tool, QPR may prove a useful recognition-and-referral educational intervention in the prevention of suicide and suicide attempts and is currently being evaluated in a number of venues.
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