European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348 S149
EW97
Protected children require
comprehensive mental health care.
These are results gathered from a
sample of children in care evaluated
in the UMERP (Madrid, Spain)
J. Vidal ∗, C. Pagés , K. Pérez , M.J. Ramos , M. de Matteis ,
E. Serrano-Drozdowskyj , D.M. Moreno
1 Gregorio Mara˜non Hospital, Psiquiatría del Ni˜no y Adolescente,
Madrid, Spain
2 Hospital Unversitario de la Princesa, Psiquiatría, Madrid, Spain
∗ Corresponding author.
Introduction The Community of Madrid protects more than
4000 children. These children have an elevated psychopathology
(Fisher, 2015). In Hospital General Universitario Gregorio Mara˜nón
(Madrid) in 2004, the UMERP (Unidad de Menores en Riesgo
Psíquico) was created to attend children in care throughout the
Community of Madrid (Spain). Its aim is to identify and treat their
Mental Health needs.
Objectives To carry out a descriptive analysis of the sample of
patients evaluated in the UMERP and a literature review in recent
years.
Methods SPSS was used for statistical analysis. Pubmed was
utilised for literature search.
Results Twenty-nine patients were evaluated from March to
September 2015. The age of contact was 13.41 years (SD 3.418).
In total, 58.6% were male and 41.4% female, 72.4% had psychiatric
history and 100% of the evaluated minors had at least one psychi-
atric diagnosis (ADHD n = 13, conduct disorder n = 12, depression
n = 7 and drugs disorders n = 7, were the most frequents diagnosis).
The school failure in the last year (51,7%) and absenteeism (27.6%)
were very high. The 34.5% had at least a medical disease and 31.03%
recognized drug consumption in the last month.
Conclusion All evaluated patients had psychopathology, so we
suppose that an indefinite number of minors does not have access
to treatment. We are beginning groups with children’s homes staff
to increase their knowledge of Mental Health so they can recognize
psychiatric symptoms earlier. We have to coordinate with schools
to strengthen access to interventions. We need to contact with
other medical specialties and drug addiction centres.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW98
Comparison of defence mechanisms
in adolescent patients with deliberate
self-harm behaviour and without it
A. Vuk ∗, A. Razic Pavicic , L. Santric , A. Tomac
1 Psychiatric Hospital Sveti Ivan, Adult Psychiatry, Zagreb, Croatia
2 Clinic for Psychological Medicine, University Hospital Center
Zagreb, Adult Psychiatry, Zagreb, Croatia
3 Clinic for Psychological Medicine, University Hospital Center
Zagreb, Child and Adolescent Psychiatry, Zagreb, Croatia
∗ Corresponding author.
Introduction Twenty percent of children and adolescent popula-
tion are suffering from psychiatric disorders, according to World
Health Organization. Above that, clinical work and previous pub-
lished reports point to increase of self-harm behaviour incidence
and prevalence in many countries, including Croatia.
Aims To compare defence mechanisms in adolescent patients
with deliberate self-harm behaviour and without it.
Objectives To explore differences in adaptive and maladap-
tive defence mechanisms in adolescent patients with self-harm
behaviour and without this behaviour; to gain better insight in
possible perception and functioning patterns in these two patient
subgroups. To assess the effect of possible differences on early diag-
nostic procedure and therapeutic plan.
Methods Defence Style Questionnaire (DSQ) was administered
to 150 patients aged between 14 and 18 years on their first visit to
child and adolescent psychiatrist. Sevety-nine patients had history
of self-harm behaviour and 81 patients had negative anamnestic
data on such behaviour.
Results Comparison of defence mechanisms in these two patient
subgroups showed a statistically relevant difference in using
defence mechanisms.
Conclusion Results of this study showed significant difference
between patients with self-harm behaviour and without such
behaviour regarding used defence mechanisms. Awareness of spe-
cific mental patterns in patients with self-harmbehaviour provides
better assessment of suicidal risk and optimal individual approach
planning.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW99
Pruritic urticarial papules and plaques
of gestation in perinatal depression
F. Hassan ∗, M. Azaaibi , S. Shahid , T.S. Saimwala , N. Kalar ,
M.T. Mughal , A. Wahab , G. Wahab , F. Haider , A. Azam ,
N. Shahid , E. Mujeeb , M.U. Kalar
1 Department of Psychiatry, Karachi Medical and Dental College,
Abbasi Shaheed Hospital, Karachi, Pakistan
2 Department of Dermatology Mafraq Hospital, Abu Dhabi, United
Arab Emirates
3 Department of Psychiatry, Karachi Medical and Dental College,
Abbasi Shaheed Hospital, Karachi, Pakistan
4 Department of Dermatology, Karachi Medical and Dental College,
Abbasi Shaheed Hospital, Karachi, Pakistan
5 Department of Obstetrics and Gynecology, Singleton Hospital, South
Wales, Sketty Swansea, UK
6 Department of Psychiatry, Dow University of Health Sciences,
Karachi, Pakistan
7 Department of Medicine, Karachi Medical and Dental College,
Abbasi Shaheed Hospital, Karachi, Pakistan
8 Qureshi Clinic of Family Medicine, Karachi, Pakistan
9 Department of Medicine, Karachi Medical and Dental College,
Karachi, Pakistan
10 Department of Gynaecology and Obstetrics, Abbasi Shaheed
Hospital, Karachi, Pakistan
11 Department of Medicine, Abbasi Shaheed Hospital, Karachi,
Pakistan
12 Department of Community Health Sciences, Karachi Medical and
Dental College, Karachi, Pakistan
13 Qureshi Clinic of Family Medicine, Karachi, Pakistan
∗ Corresponding author.
Introduction The cutaneous polymorphic eruption of pregnancy
(PEP) is presented by skin lesions usually in the third trimester
of gestation and about 13% of women also suffer from perinatal
depression.
Objective To determine the frequency of pruritic urticarial
papules of gestation with and without perinatal depression.
Aim To assess the maternal causes for polymorphic eruption of
pregnancy (PEP) in patients with and without perinatal depression.
Methods Cases and controls were matched on the grounds of
maternal weight gain in gestation, hormonal changes, deficit
in iron and zinc, dysregulation of hypothalamic pituitary
axis, pre-maturity, pre-eclampsia, pre-term labour. Univari-
ate and multivariate analysis, adjusting for important demo-
graphic factors and comorbodities was conducted to assess
the relationship of PEP with and without perinatal depression