Suicide Prevention

Question 1

Define Gatekeeper

Answer 1

Keeper to keep the gate of suicide closed

Question 2

What is QPR?

Answer 2

Question
Persuade
Refer

Question 3

What is QPR intended for?

Answer 3

Offer hope through positive action

Question 4

What are the different types of clues provided by a suicidal patient?

Answer 4

Verbal clues
Behavioral clues
Situational clues

Question 5

Examples of Behavioral Clues

Answer 5

Previous suicide attempt
Acquiring a gun or stockpiling pills
Co-occuring depression, moodiness, hopelessness
Putting personal affairs in order
Giving away prized possessions
Sudden interest or disinterest in religion
Drug/alcohol abuse or relapse after a recovery period
Unexplained anger, aggression, irritability

Question 6

Examples of Situational Clues

Answer 6

Being fired or expelled from school
Recent unwanted move
Loss of a major relationship
Death of a spouse, child, or best friend
Diagnosis of serious or terminal illness
Sudden unexpected loss of freedom/fear of punishment
Anticipated loss of financial security
Loss of a cherished therapist, counselor or teacher
Fear of becoming a burden to others

Question 7

Asking the Suicide Question

Answer 7

Don't wait, ask the question
If person reluctant, be persistent
Talk to personal alone in private
Allow person to talk freely
Give yourself plenty of time
Have resources available

Question 8

How to Persuade Effectively

Answer 8

Listen to the problem
Remember suicide is a solution not a problem
Do not rush to judgement
Offer hope in any way

Question 9

What is the best way of referral?

Answer 9

Taking the person directly to someone who can help

Question 10

2nd Best Referral

Answer 10

Commitment to get help

Arranging that help

Question 11

3rd Beset Referral

Answer 11

Give referral information

Good faith commitment to not complete or attempt suicide

Question 12

How to follow up with patient?

Answer 12

Visit
Phone call
Card
Email

Question 13

Resources for PCP

Answer 13

Suicide Prevention Toolkit
Suicide Prevention Posters
PHQ-9: screen for depression

Question 14

What Can PCP’s do to help prevent suicide?

Answer 14

Access suicide prevention toolkit
Acces PHQ-9
Implement universal screening for depression
Aware of resources
Advocate for training of PCPs on QPR
Advocate for legislation requiring mandatory suicide prevention training for health professionals
Advocate for volunteer calling tree to check in on high risk patients once a week
Find advocates in small communities to stay with a suicidal person for up to 72 hours until a PCP can initiate involuntary commitment
Advocate QPR training for teachers & staff
Good behavior game
Sighs of suicide prevention programs
Refer survivors to a support group