Fall 2006

In this issue: APA approval, new faculty, a QPR-a-thon in Tennessee and more!

Good news! For those of you familiar with the award-winning QPRT Suicide Risk Management Inventory©, competency-based skills training program in suicide risk assessment and management, we are happy to announce that the online version of this web-based training program (DVD lectures, interactive online modules and quizzes, downloadable role-plays, etc.) has been approved for 6 CEUs by the American Psychological Association.

The approved learning objectives are:

  • State risk factors for suicide and what methods of suicide are
    utilized
  • List specific groups at high risk and factors that affect the choice
    of method used to attempt or complete suicide
  • Describe the relationship between untreated mental illness and
    substance use disorders with suicide
  • Identify suicide mortality rates by major psychiatric illness
    diagnoses
  • Identify practice errors and how to reduce exposure to accusations
    of suicide malpractice
  • Cite clinical risk information to assess suicidal persons and the
    current limitations in suicide risk assessment
  • Utilize QPRT suicide assessment protocol

This professional training program has been taught to thousands of clinical providers in America and Canada and more than 300,000 consumers of mental health and substance abuse treatment services have been assessed without a single adverse event reported to the Institute. Pediatric, adult and hospital versions are available, and we now offer a distance learning program to train qualified instructors, who may then be invited to join our teaching faculty. Click here for the online course description, here for a review of training outcomes.

Joint Commission on the Accreditation of Healthcare Organizations
For those of you working in medical facilities with behavioral health components or psychiatric services, please be aware that the Joint Commission has listed suicide as a patient safety issue for 2007. The Institute has addressed this issue for many years, mostly in the mental health and substance abuse fields. We are adding additional content for primary medical providers, both in the QPR online program from EWU and as teaching aids to those of you working in PCP settings. Click here for our summary response to the Joint Commission announcement.

NOTE: For new and approved teaching slides for QPR as a screening tool in PCP settings, visit the Instructor Resource area of the web site and download the new slides.

Hooha! Working with the Army

The Institute recently completed its first contract for the US Army. 194 QPR Instructors were trained on 6 Army bases including Germany and Korea. We welcome these new instructors and invite them into the QPR family. A second day of QPR Suicide Triage training was also provided in all settings. QPR is now being taught in both Afghanistan and Iraq.

NOTE: For any of you teaching QPR to Army personnel, please be aware that official, customized US Army booklets and cards are available on the website.


Our Ranks are Growing In addition to the new US Army instructors recently added to the team, please click here to see a listing of all new QPR Instructors since the last newsletter (click here)
New Booklet and Card Format!
When you receive your next shipment of QPR booklets and cards please check out the new and improved printing system that attaches the card to the back of the QPR booklet, thus avoiding problems with counting out each one and losing the cards in the shuffle (thanks to our smart friends in Kentucky for this idea!).
New Institute Faculty As you know, the Institute is adding advanced and master trainers to fill roles as subject matter experts and trainers throughout the nation and abroad. We are completing a major project with the State of Georgia to train up to 18 advanced clinical trainers to teach the QPRT Suicide Risk Management Inventory© program throughout the state. For a current listing of active faculty, click here.
Changing the World One Social Worker at a Time
Thanks to the work of Ben Camp (one of our faculty)and the support of Dean Mike Frumpkin, Ph.D., of School of Social Work and Human Services at Eastern Washington University QPR training is now required for all social work assessment students on three campuses statewide (some 500 students). Ben Camp is also preparing a “professor kit” to be made available to social work faculty whose students must complete the QPR Online program to earn a certificate. The “kit” includes role-plays, instructions for Q&A, discussion materials and a comprehensive resource listing of key websites. Our collective and ultimate goal is to infuse QPR and suicide prevention training into existing social work curricula nationwide.

Go Vols! The University of Tennessee launched a weeklong Mental Health Awareness, Wellness and Suicide Prevention project campus wide and, during it, conducted a QPR-a-thon, starting QPR classes every half hour for 24 hours around the clock. We shout, “What a concept!”
Keep Your Eyes and Ears Open! Be on the lookout for our next major step: the opening of a new public awareness campaign to link untreated depression with suicide and its prevention. We cannot reveal the full extent of this project at this time, but look for news releases around the middle of November. By your next newsletter, we will have the full story for you.

Not long ago a group of older men (friends and family) were sitting around a campfire after a wonderful day of trout fishing in North Idaho. My cousin, Steve, asked me to explain QPR. Steve is a senior psychoanalyst who practices in Seattle, Washington and has worked with suicidal people throughout his career. I tried to explain QPR and how I thought it worked interpersonally. Afterward, Steve said he had a thought or two and would jot them down in a short essay. We’d like to share Steve’s letter/essay with you.

The Question of Life:
The Morality of Suicide

Hi Paul,

I’ve done a little thinking about our campfire talk and about the intimate morality of suicide.

I guess the simple notion is that once you have cared enough to reach in and ask me as to my intentions about living, and my intended death, I owe you. Now I care how my killing myself will affect YOU.

The Questioner has responded to my mood (disorder). He has cared enough to Ask. He has taken responsibility for me. Now I am responsible for him and I am no longer free to kill what he loves.

My isolation has been broken into. I am no longer alone.

I think of it this way: We all live in two very different worlds, the inner world of passionate emotions and unconscious beliefs, and the outer world of passionate relations with others.

We get into trouble when we think the two worlds are the same.

The depressed, suicidal person is stuck inside a kind of claustrophobic space with set beliefs that reinforce feelings like, “I don’t care and no one cares about me anyway, so what does it matter what I do with my life?”

The Questioning person who breaks in to this private place momentarily destroys the unconscious fantasy of "no care."

If someone cares then the suicidal ideation is disrupted.

There is no longer merely the inner world with its destructive fantasies. The equation of inner and outer is blown. It can be surprising, even shocking, for the suicidal person to recognize that the dead world inside is not the same as the outside. There is life out there! For the moment, at least, I am touched by the living.

I think that is how it works, emotionally, ethically.

We all have an essential ethical nature, assuming we have been known by an Other, and have experienced care.

In suicidal ideation the inner world holds sway over the outer. One is lost "inside." The hatred in that inner world now runs cold and has made it unlivable. Asking the Question of Life restores, for a moment, the warmth of the world outside. I am warmed and linked up again. I am, once again a man or woman with others.

Alone I can do anything. But we are social creatures. We depend on each other and all pathology is a denial of that essential fact. My life is not my own. I have my life because of many others. If I am loved by you, I am beholden to you.

You Ask about me and, for the moment, we are in this together.

Any painful passion is made more bearable should it be shared. Even blame is not so hard to bear when there is plenty to go around. That is, when we are responsible for each other.

This is one reason that Family is so important. We belong to each other. That is why the question, "Who do you love?" defines us so.

This is not the morality of religion, or political correctness. It is the simple morality of human relations. Related to you, everything I do matters.

Stephen Shehorn, Fall 2006

Reminder! If you are still receiving this newsletter by US Mail – please send your email address to us at qinstitute@qwestoffice.net. We would appreciate it!
The QPR Institute wishes to acknowledge the U.S. Armed Forces and their families for their efforts in the Middle East.
Keep up the wonderful and life-saving work!
The QPR Institute
P.O. Box 2867
Spokane, WA 99220

e-mail: qinstitute@qwestoffice.net
www.qprinstitute.com
Phone: 888-726-7926