European Psychiatry - Volume 33 - March 2016

117 / 812

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.
FC101
Childhood trauma in suicide
attempters: Case-control study
L. Jimenez-Trevino ∗, L. Gonzalez-Blanco , M.P. Garcia-Portilla ,
H. Blasco Fontecilla , J. Lopez Castroman , P. Courtet , V. Carli ,
M. Sarchiapone , E. Baca-Garcia , P. Saiz Martinez ,
J. Bobes Garcia
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). Chi2 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) (Chi2 test:
120,108 P = 0.000); childhood sexual abuse: 18.2% (SA) vs. 2.4% (C)
(Chi2 test: 88,212 P = 0.000); parental neglect 25.3% (SA) vs. 1.1% (C)
(Chi2 test: 164,910 P= 0.000); childhood emotional abuse: 34.9%
(SA) vs. 5.6% (C) (Chi2 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.
TeleMental Health
FC102
Profile of users of a new E-Mental
Health ecological momentary
assessment web-based program:
MEmind
C. Bonal∗ . 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 . 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 Furthermore, patients with thoughts about death and
suicide were more likely to use MEmind
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.