Table of Contents Table of Contents
Previous Page  117 / 812 Next Page
Information
Show Menu
Previous Page 117 / 812 Next Page
Page Background

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S72–S115

S113

Objective and aims

The objective of this study is to analyze the

consequences of last global economic crisis on mortality by suicide

in the EU countries in period 2007–2012.

Material and method

We extracted data on mortality from the

WHO database and unemployment trends from the EUROSTAT

database. We had used this data to calculate the effect of unem-

ployment on suicide rate, in pre-2004 and post-2004 EU countries.

Results

If the number of suicides from 2007 was maintained in

2008–2012 period, EU 27 countries would have registered with

16,572 fewer suicides. The increase of suicides is based on the

increasing number of suicides in men. The small increase in the

suicide rate was recorded in Austria, France, Hungary and Slovenia.

Luxembourg was the only country where the number of suicides

was lower compared to 2007. In 2008, we can notice a slight

decrease in the unemployment rate compared to 2007 and an

increase in suicide by 3% in both groups of countries, followed

by increasing suicide only in the post-2004 EU, where reach 10%

in 2010, followed by a slight decrease in the coming years, while

the unemployment rate gradually increases to 46% compared with

2007.

Conclusions

In European Union countries, suicides have

increased both before and during the crisis, in periods in which

unemployment rose. States that joined the EU after 2004 are more

vulnerable in times of crisis.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.104

FC101

Childhood trauma in suicide

attempters: Case-control study

L. Jimenez-Trevino

1 ,

, L. Gonzalez-Blanco

2

, M.P. Garcia-Portilla

1

,

H. Blasco Fontecilla

3

, J. Lopez Castroman

4

, P. Courtet

4

, V. Carli

5

,

M. Sarchiapone

6

, E. Baca-Garcia

7

, P. Saiz Martinez

1

,

J. Bobes Garcia

1

1

Universidad de Oviedo, Department of Psychiatry, CIBERSAM,

Oviedo, Spain

2

Universidad de Oviedo, Department of Psychiatry, Oviedo, Spain

3

Hospital Universitario Puerta de Hierro, Department of Psychiatry,

Madrid, Spain

4

University of Montpellier, Department of Psychiatry, Montpellier,

France

5

Karolinska Institute, Department of Psychiatry, Solna, Sweden

6

University of Molise, Department of Psychiatry, Molise, Italy

7

Fundacion Jimenez Diaz, Department of Psychiatry, Madrid, Spain

Corresponding author.

Introduction

An expanding body of research suggests that child-

hood trauma and adverse experiences can lead to a variety of

negative health outcomes, including substance abuse, depressive

disorders, and attempted suicide among adolescents and adults.

Alcoholism, depressed affect, and illicit drug use, which are strongly

associated with such experiences, appear to partially mediate this

relationship as observed in population studies.

Objectives

We have tested the association between early trauma

and suicide attempts in a sample of suicide attempters from the

Eureca International Project and amatched healthy control sample.

Methods

We have studied the prevalence of childhood stressful

events compared with healthy controls in a multicentre sample of

791 suicide attempters (SA) and 630 healthy controls (C), we have

measured childhood parental neglect, physical abuse, sexual abuse,

and emotional abuse, using the Childhood Trauma Questionnaire

(CTQ). Chi

2

tests were performed using SPSS v15.0.

Results

A significant increase in prevalence of childhood trauma

was found in the suicide attempters sample for all types of trauma:

childhood physical abuse: 25.3% (SA) vs. 11.1% (C) (Chi

2

test:

120,108

P

= 0.000); childhood sexual abuse: 18.2% (SA) vs. 2.4% (C)

(Chi

2

test: 88,212

P

= 0.000); parental neglect 25.3% (SA) vs. 1.1% (C)

(Chi

2

test: 164,910

P

= 0.000); childhood emotional abuse: 34.9%

(SA) vs. 5.6% (C) (Chi

2

test: 176,546

P

= 0.000).

Suicide attempters were increasingly overrepresented compared

with controls if experiencing more than 1 trauma: represented 77%

of the sample who suffered 1 type of childhood trauma vs. more

than 90% of the sample with 2 or more types of trauma.

Conclusions

A powerful graded relationship exists between

adverse childhood experiences and risk of attempted suicide.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.105

TeleMental Health

FC102

Profile of users of a new E-Mental

Health ecological momentary

assessment web-based program:

MEmind

C. Bonal

, M.L

. Barrigon , J.J. Carballo ,

E. Baca-Garcia , MEmind studygroup

IIS-Fundación Jiménez Díaz, Psychiatry, Madrid, Spain

Corresponding author.

Background

e-Mental Health is an emergent area within e-

Health. In the evaluation area, ecological momentary assessment

(EMA) has been used to investigate separately on different psy-

chiatric disorders while a comprehensive tool to cover the entire

spectrum of mental health has not yet been developed. In this

study, we aimed to present the MEmind wellness tracker and to

characterize the group of patients who use it.

Methods

We developed an EMA web application: MEmind,

accessed through the web page

http://www.memind.net

. Since

20th May 2014 on, adult outpatients (

n

= 13,883) attended in all

psychiatric serviceswithin the PsychiatryDepartment of Fundación

Jimenez Diaz in Madrid were proposed to use MEmind and then

registered. Data collected from first year of implementation of

the tool were transferred to an SPSS sheet and then analysed. A

comparison between patients using and not using MEmind were

performed.

Results

MEmind users (

n

= 2842) were significantly younger

than MEmind non-users (

n

= 11,041) (42.2

±

13.5 vs. 48.5

±

16.3;

P

= 0.000) and mostly women (65% vs. 61.4%;

P

= 0.001). Also,

patients with neurotic disorders were the main users of MEmind

(see

Table 1 ).

Furthermore, patients with thoughts about death and

suicide were more likely to use MEmind

( Table 2 ).

Conclusions

Women, young people and patients with neurotic

disorder were themain users of MEmind. Furthermore, peoplewith

suicidal thoughts were willing to use MEmind. Novel interventions

for suicide prevention could be developedwith the use of EMAweb-

based tools. Further studies are warranted.