In the QPR framework for suicidality, which action is the first step?

• A. Call for emergency services immediately.
• B. Persuade the person to get help.
• C. Refer the person to appropriate resources.
• D. Question the person about suicide.

Answer: (D)

Questioning the person about suicide is the first step because it starts the crucial conversation that lets you assess risk and establish safety. Asking directly about thoughts, intent, and any plan helps you understand how immediate the danger is and what kind of help is needed. It also signals that you care and that talking about these feelings is okay, which can reduce isolation and encourage the person to open up. Once you’ve opened that line of communication, you guide them toward help by persuading them to use support resources, and then you connect them to appropriate services or referrals. If there’s an imminent danger, you should contact emergency services immediately while continuing to support the person.