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Post online training small group practice session and role-plays

QPR. Post online training small group practice session and role-plays. QPR. Q uestion, P ersuade, R efer. QPR Suicide Clues And Warning Signs The more clues and signs observed, the greater the risk. Take all signs seriously. Small Group Questions.

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Post online training small group practice session and role-plays

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  1. QPR Post online training small group practice session and role-plays

  2. QPR Question, Persuade, Refer

  3. QPRSuicide Clues And Warning SignsThe more clues and signs observed, the greater the risk. Take all signs seriously.

  4. Small Group Questions • What do you know, or think you know, about suicide? • Who completes suicide? • What are some of the risk factors? • What are some of the protective factors?

  5. Your experience with the training? • Comments? • Observations? • Things you would like to discuss? • Action steps, if any, you have taken since completing training? • Did you talk with others about the training? • Personal impact on you?

  6. Suicide Risk and Protective Factors This list and discussion of Suicide Risk and Protective Factors was taken from: U.S. Public Health Service, The Surgeon General’s Call To Action To Prevent Suicide. Washington, DC: 1999

  7. Risk Factors • Previous suicide attempts • Mental disorders – particularly mood disorders such as depression and bipolar disorder • Co-occurring mental and alcohol and substance abuse disorders • Family history of suicide • Hopelessness

  8. More Risk Factors • Impulsive and/or aggressive tendencies • Barriers to accessing mental health and/or substance abuse treatment • Relational, social, work, or financial loss • Physical illness • Easy access to lethal methods, especially guns

  9. More Risk Factors • Unwillingness to seek help because of stigma attached to mental and substance abuse disorders and/or suicidal thoughts • Influence of significant people – family members, celebrities, peers who have died by suicide – both through direct personal contact or inappropriate media representations • Cultural and religious beliefs – for instance, the belief that suicide is a noble resolution of a personal dilemma • Local epidemics of suicide that have a contagious influence • Isolation, a feeling of being cut off from other people

  10. Protective Factors • Effective and appropriate clinical care for mental, physical, and substance abuse disorders • Easy access to a variety of clinical interventions and support for help seeking • Restricted access to highly lethal methods of suicide • Family and community support • Support from ongoing medical, mental health and substance abuse care relationships • Learned skills in problem solving, conflict resolution, and nonviolent handling of disputes • Cultural and religious beliefs that discourage suicide and support self-preservation instincts

  11. QPR Tips for Asking the Suicide Question • If in doubt, don’t wait, ask the question • If the person is reluctant, be persistent • Talk to the person alone in a private setting • Allow the person to talk freely • Give yourself plenty of time • Have your resources handy; QPR Card, phone numbers, counselor’s name and any other information that might help Remember: How you ask the question is less important than that you ask it

  12. Q QUESTION Less Direct Approach: • “Have you been unhappy lately? Have you been very unhappy lately? Have you been so very unhappy lately that you’ve been thinking about ending your life?” • “Do you ever wish you could go to sleep and never wake up?”

  13. Q QUESTION Direct Approach: • “You know, when people are as upset as you seem to be, they sometimes wish they were dead. I’m wondering if you’re feeling that way, too?” • “You look pretty miserable, I wonder if you’re thinking about suicide?” • “Are you thinking about killing yourself?” NOTE: If you cannot ask the question, find someone who can.

  14. How NOT to ask the suicide question Q QUESTION • “You’re not thinking of killing yourself, are you?” • “You wouldn’t do anything stupid would you?” • “Suicide is a dumb idea. Surely you’re not thinking about suicide?”

  15. P PERSUADE • Listen to the problem and give them your full attention • Remember, suicide is not the problem, only the solution to a perceived insoluble problem • Do not rush to judgment • Offer hope in any form HOW TO PERSUADE SOMEONE TO STAY ALIVE

  16. P PERSUADE Then Ask: • Will you go with me to get help?” • “Will you let me help you get help?” • “Will you promise me not to kill yourself until we’ve found some help?” YOUR WILLINGNESS TO LISTEN AND TO HELP CAN REKINDLE HOPE, AND MAKE ALL THE DIFFERENCE.

  17. R REFER • Suicidal people often believe they cannot be helped, so you may have to do more. • The best referral involves taking the person directly to someone who can help. • The next best referral is getting a commitment from them to accept help, then making the arrangements to get that help. • The third best referral is to give referral information and try to get a good faith commitment not to complete or attempt suicide. Any willingness to accept help at some time, even if in the future, is a good outcome.

  18. Wrap up REMEMBER Since almost all efforts to persuade someone to live instead of attempt suicide will be met with agreement and relief, don’t hesitate to get involved or take the lead.

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