OK, let me try again, maybe I'll get it right this time. I'll show (I hope) that $P$ is positive definite. This will imply the claim because if $(P+iQ)(x+iy)=0$ with $x,y\in\mathbb R^n$, then $Px=Qy$, $Py=-Qx$, and by taking scalar products with $x$ and $y$, respectively, we see that $\langle x, Px \rangle = -\langle y, Py\rangle$, which implies that $x=y=0$. Here I use that $Q$ is symmetric.
Let me firstnow show that $\det P>0$. I'll use row operations (but I never exchange rows, so the determinant stays the same throughout)$P>0$. By subtracting multiples of the first row from all other rows Following math110's suggestion, we get to the matrix $$ \begin{pmatrix} 2 & 1 & 1 & 1 & 1 & \ldots & 1& 1 \\ -3 & 2 & 0 & 0 & 0 & \ldots & 0 & 0\\ -5 & -1 & 3 & 0 & 0 & \ldots & 0 & 0 \\ -7 & -2 & -1 & 4 & 0 & \ldots & 0 & 0 \\ &&&\ldots &&&\\ -(2n-1) & -(n-2) & -(n-3) & -(n-4) & -(n-5) & \ldots & -1 & n \end{pmatrix} $$ In fact, the precise values don't mattercan simplify my original calculation as follows: The key feature is that all entries in the lower triangular part are negative, and those on the diagonal and in the first row are positiveLet $ B=B_n = P -\textrm{diag}(1,2,\ldots , n)$.
This means that if we now subtract For example, for $1/n$ times the last row from the first row$n=5$, then the remaining entries inthis is the first row stay positive. So wematrix $$ B_ 5= \begin{pmatrix} 1 & 1 & 1 & 1 & 1\\ 1 & 2 & 2 & 2 & 2\\ 1 & 2 & 3 & 3 & 3\\ 1 & 2 & 3 & 4 & 4\\ 1 & 2 & 3 & 4 & 5 \end{pmatrix} . $$ I can now have to subtract (a positive multiple ofin general) subtract the $(n-1)$st row to get rid offrom the $(1,n-1)$ element, and againlast row, this only makes the remaining entries inthen the first$(n-2)$nd row bigger.
We continue in this way, always subtracting rows from the first row. When we're done with this, we are still looking at a positive $(1,1)$ element$(n-1)$st row etc. Thus indeedThis confirms that $\det P>0$$\det B_n=1$.
Finally Moreover, I can run the same computation to see that the determinants of all upper left $k\times k$ submatrices of $B_n$ are also positive, and henceof the same type; they equal $P>0$$B_k$. This shows that $B>0$, by Sylvester's criterion, and thus $P>0$ as well.