QPR Institute | Practical and Proven Suicide Prevention Training (2023)

Our Mission

To save lives and reduce suicidal behaviors by providing innovative, practical and proven suicide prevention training. We believe that quality education empowers all people, regardless of their background, to make a positive difference in the life of someone they know.

What does QPR mean?

  • Q


  • P


  • R


QPR stands for Question, Persuade, and Refer — the 3 simple steps anyone can learn to help save a life from suicide.

Just as people trained in CPR and the Heimlich Maneuver help save thousands of lives each year, people trained in QPR learn how to recognize the warning signs of a suicide crisis and how to question, persuade, and refer someone to help. Each year thousands of Americans, like you, are saying "Yes" to saving the life of a friend, colleague, sibling, or neighbor.

QPR can be learned in our Gatekeeper course in as little as one hour.

(Video) QPR (Question, Persuade, Refer) Suicide Prevention Training

What is a Gatekeeper?

According to the Surgeon General’s National Strategy for Suicide Prevention (2001), a gatekeeper is someone in a position to recognize a crisis and the warning signs that someone may be contemplating suicide.

Gatekeepers can be anyone, but include parents, friends, neighbors, teachers, ministers, doctors, nurses, office supervisors, squad leaders, foremen, police officers, advisors, caseworkers, firefighters, and many others who are strategically positioned to recognize and refer someone at risk of suicide.

As a QPR-trained Gatekeeper you will learn to:

  • Recognize the warning signs of suicide
  • Know how to offer hope
  • Know how to get help and save a life

How is QPR like CPR?

Much of the world is familiar with CPR — short for cardiopulmonary resuscitation — an emergency medical intervention created in 1957 by Peter Safar. The process is designed to stabilize people who aren’t breathing or breathing intermittently and who may be in cardiac arrest until the person can reach a hospital or other care.

Similarly, QPR is an an emergency mental health intervention for suicidal persons created in 1995 by Paul Quinnett. An abbreviation for Question, Persuade and Refer, the intent is also to identify and interrupt the crisis and direct that person to the proper care.

Both are part of a "Chain of Survival"

Both CPR and QPR are part of systems designed to increase the chance of survival in the event of a crisis.

(Video) ONE SENTENCE SPARK #1 - Mental Health Awareness & Suicide Prevention Training (QPR institute intro)

In the Chain of Survival model of emergency cardiac care, the likelihood that a victim will survive a cardiac arrest increases when each of the following four links is connected:

  • Early Recognition and Early access | The sooner 9-1-1 or your local emergency number is called the sooner early advanced life support arrives.
  • Early CPR | This helps maintain blood flow to the vital organs.
  • External Defibrillator | A device ready for use when advanced medical personnel arrive.
  • Early Advanced Life Support | Administered by trained medical personnel who provide further care and transport to hospital facilities.

Similarly, with QPR, the following Chain of Survival elements must also be in place:

  • Early Recognition of suicide | The sooner warning signs are detected and help sought, the better the outcome of a suicidal crisis will be.
  • Early QPR | Asking someone about the presence of suicidal thoughts and feelings opens up a conversation that may lead to a referral for help.
  • Early intervention and referral | Referral to local resources or calling 1-800-273-TALK for evaluation and possible referral is critical.
  • Early Advanced Life Support | As with any illness, early detection and treatment results in better outcomes.

Early Recognition

We cannot overemphasize the need for early recognition of suicide warning signs.

A well-executed, strong and positive response to the early warning signs of a pending suicide event may render subsequent links in the Chain of Survival unnecessary. Most people thinking about suicide are suffering from an undiagnosed and/or untreated mental illness or substance abuse disorder for which excellent treatments exist.

The prompt recognition of the scream of a smoke detector can eliminate the need to suppress a raging fire. In just that way, by recognizing early the warning signs of suicide, opening a supporting dialogue with a suicidal person and securing consultation a professional may prevent the need for an emergency room visit or psychiatric hospitalization.

(Video) Suicide Awareness - QPR Gatekeeper Training with the Survivors of Suicide Loss Support Group

Often times, the simple offering of hope and social and spiritual support can avert a suicide attempt entirely.

Different Crisis, Different Warning Signs

In CPR the general public is educated about the classic signs of a heart attack: pressure, fullness, squeezing and pain in the center of the chest, sweating, and other symptoms, and then taught how to respond.

In QPR the general public is educated about the known warning signs of a suicide crisis: expressions of hopelessness, depression, giving away prized possessions, talking of suicide, securing lethal means, and then taught how to respond.

Who needs training?

In short, the more people trained in QPR, the more lives saved.

The city of Seattle, Washington and surrounding King County has trained more citizens in CPR per capita than any other region in the country. As result, CPR-trained citizens are more likely to resond to perceived medical emergencies in Seattle than in any other city in the United States, which leads to more favorable survival rates.

According to Sanddal and his colleagues (Sanddal, 2003), "In the Seattle cardiac care system it is estimated that one in four persons has been exposed to CPR training. One can conjecture that the recognition of, and survival from, an acute suicide event would be more likely if one in four persons were trained as a suicide lay gatekeeper."

At the end of 2009, an estimated one million American citizens have been trained in QPR by Certified QPR Instructors. Because of the nature of suicidal warning signs, and who is most likely to recognize and respond to them, we at the QPR Institute strongly concur with the goal of one in four persons trained a basic gatekeeper role for suicide prevention in the United States and in other countries. Because suicides happen in families – where emergency interventions are more likely to take place — we believe that at least one person per family unit should be trained in QPR.

How did QPR Institute begin?

Following a productive, three-year joint effort between Spokane Mental Health and the founder to launch a national suicide prevention training program, the Institute became an independent organization in July of 1999. In the early and developmental years, the QPR concept and associated training program that eventually lead to the founding of the Institute enjoyed considerable support and input from a wide variety of organizations and professional colleagues.

(Video) March Business X-Change - QPR (Question, Persuade, Refer) Training for Suicide Prevention

We wish to acknowledge Spokane Mental Health for their participation, funding and support, and also:

  • The Washington Institute for Mental Illness Research and Training
  • The State of Washington Department of Health
  • The Spokane County Health Department
  • The Intercollegiate School for Nursing Education
  • Sacred Heart Medical Center
  • Eastern Washington University School of Social Work

and many other fine organizations who have contributed ideas, staff time, research consultation and data collection services to our shared mission of suicide prevention.

For moral support in the early going, we especially wish to honor, thank and recognize two groups of very special people who share our vision and mission. Both grassroots survivor of suicide organizations, Suicide Awareness\Voices of Education (SA\VE) and the Suicide Prevention Advocacy Network (SPAN USA) provided that all essential spark of encouragement that keeps hope alive and all of us working even harder to bring about the reality of preventing suicide.

We also wish to thank members of the American Association of Suicidology for their contributions to the ideas, research and development of our suicide risk reduction tools and protocols.

Back to top

(Video) Suicide Awareness - QPR Gatekeeper Training with the Survivors of Suicide Loss Support Group


What are the QPR questions? ›

QPR Gatekeepers learn the signs of suicidal thought, and they learn to Question, Persuade and Refer the suicidal individual to get help. The simple act of asking the question, "Are you thinking of killing yourself?" can lead to saving a life.

How long does QPR training take? ›

The QPR Institute, Inc. QPR (Question, Persuade, and Refer) Gatekeeper Training for Suicide Prevention is a 1-2 hour educational program designed to teach lay and professional "gatekeepers" the warning signs of a suicide crisis and how to respond.

How many people have been trained in QPR? ›

With a special focus on veterans, warrior psychology, and how to apply social network theory to prevent suicide, the QPR for Vets Gatekeeper Training for Suicide Prevention is an expanded version of the QPR program that has been taught to more than two million people by 15,000 instructors since 1998.

What are the basics of QPR? ›

QPR is a Suicidal Thinking, Behavior, Attempts prevention training for participants to be able to recognize the warning signs of Suicidal Thinking, Behavior, Attempts and question, persuade, and refer people at risk for Suicidal Thinking, Behavior, Attempts for help.

How long is QPR certification good for? ›

After completing this instruction, the instructor is certified for 3 years, although annual booster sessions are recommended.

What are the benefits of QPR training? ›

QPR training, also known as gatekeeper training, teaches people without professional mental health backgrounds to recognize the signs that someone may be considering suicide, establish a dialogue, and guide the person to seek professional help.


1. SOOAR QPR Gatekeeper Training
(The Real Black Coffee-No Sugar, No Cream)
2. Suicide Intervention Training - Dr. Michael Marx
(Church Office)
3. QPR Training
(Upper Valley Child Advocacy Center)
4. Suicide Prevention, Intervention, and Post-vention Helpful Tips and Resources
5. Suicide Risk Assessment and Intervention Tactics
6. Suicide Prevention Workshop: Means Restriction and Means Safety
(L.A. County Department of Mental Health / LACDMH)
Top Articles
Latest Posts
Article information

Author: Nathanael Baumbach

Last Updated: 02/12/2023

Views: 6109

Rating: 4.4 / 5 (55 voted)

Reviews: 86% of readers found this page helpful

Author information

Name: Nathanael Baumbach

Birthday: 1998-12-02

Address: Apt. 829 751 Glover View, West Orlando, IN 22436

Phone: +901025288581

Job: Internal IT Coordinator

Hobby: Gunsmithing, Motor sports, Flying, Skiing, Hooping, Lego building, Ice skating

Introduction: My name is Nathanael Baumbach, I am a fantastic, nice, victorious, brave, healthy, cute, glorious person who loves writing and wants to share my knowledge and understanding with you.