Publication Date

Spring 2023

Degree Type

Doctoral Project

Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Ruth K. Rosenblum

Second Advisor

Lisa Walker-Vischer

Third Advisor

Fang-yu Chou


QPR, suicide prevention, college, university(ies)


Background: One of the leading causes of death in the college age population is suicide. While colleges provide opportunities in the acquisition of knowledge and skills for future careers; those same opportunities can also bring about challenges that put students at risk for suicide such as: dealing with their mental health issues, finding and maintaining support system, financial costs, and the pressure from ensuring academic success. One of the ways to help student at risk for suicide is by early intervention by connecting them with mental health support system such as crisis counselors. Question, Persuade, and Refer (QPR) is a suicide prevention training that raises awareness of suicide and teach participants fundamental suicide intervention skills. Purpose: This quality improvement project aimed to determine the impact of an online QPR training program intended to increase prevention on campus. Method: This project implemented a 90 minute training using powerpoint, handouts and question and answer period with undergraduate and graduate students. Result: A total of 70 students completed the prequestionnaire, training and post questionnaire. The paired t-tests on four QPR scales (self-knowledge, attitude, self-efficacy, and skills) and the number of students who had the number 988 saved on their phones were all highly significant. Conclusion: QPR demonstrates that it is effective in the short term in making students more open to asking someone if they were suicidal, more confident in their abilities to prevent suicide, and more likely to offer assistance.


To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.