European Psychiatry - Volume 33 - March 2016

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S158 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348
Introduction Psychiatry has seen significant progress in recent
decades due to scientific advances. However, beyond genes, neu-
rotransmitters and neurocircuits, there is a truly human dimension
that escapes all the science. The choices each one makes, even
if biologically mediated, and the consequences, even if mediated
through individual vulnerabilities, dictate an outcome. That out-
comemay be a biopsychosocially ill individual. Healthprofessionals
trained and up-to-date on the latest research are confronted with
challenges that far outweigh what they expected and know what
to do with, defying the humanity of even the most humane.
Objective To reflect upon a clinical case of human misery.
Aims To promote growth at a professional and personal level
through the process of treating challenging patients.
Methods Presentation of a clinical case.
Results A homeless person with a history of and current drug
use, prostitution, untreated HIV-AIDS, hepatitis B and C, untreated
Mycobacterium lentiflavum pulmonary infection, bleeding rectal
prolapse, prolonged psychotic manic episode and a very difficult
personality has trouble finding and ultimately rejects help from
medical professionals and ends up involuntarily admitted to a psy-
chiatric inpatient unit.
Conclusions Many unsolvable or only partially solvable puzzles
end up under psychiatric care. The complexity of human nature
escapes all scientific advances. We can put many pieces together
but the whole often remains a challenge, a challenge of our values,
our motivation, creativity and resilience.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW124
The prevalence of aggressive
behaviors among patients with
psychiatric disorders: A case study
analysis from Jordan
A. Hamdan-Mansour
University of Jordan, Faculty of Nursing-community health Nursing,
Amman, Jordan
The study examined the prevalence behavior among patients
with psychiatric disorders in psychiatric hospitals in Jordan. Case
study analysis was employed through using a non-experimental
descriptive survey design. Data were collected through using a
modified overt aggression scale and additional information was
obtained through a self-designed questionnaire containing socio-
demographic and psychiatric illness variables. A total of 203
subjects satisfied the inclusion. The prevalence of aggression in this
study was 23.6%. This is inconsistent with previous studies done
elsewhere. The findings of this study showed that patients, prior
admission, had higher frequencies of aggression than after being
admitted and used the same forms of aggression prior to and after
admission while reports after admission were less. Also it showed
that beating and swearing were reported highly and a considerable
number of patients were still attempting to self-harm and commit-
ting suicide by hanging themselves. The results are useful in raising
the awareness of mental health nurses care providers and recom-
mended that mental health nurses care should be equipped with
necessary skills in managing aggressive behaviors among patients
with psychiatric disorders
Table 1 Aggression among patients admitted to psychiatric care
units in Jordan ( n = 203).
Variable Prior admission Post-admission
n % n %
Aggression against
Himself 34 16.7 12 5.9
Father 26 12.6 2 1.0
Mother 39 19.2 4 2.0
Wife 21 10.3 2 1.0
Children 16 7.9 1 0.5
Relatives 44 21.7 2 1.0
Others 84 41.4 5 2.5
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EW125
Agitation in the patient with dual
pathology
L. Hernández Plaza ∗, M. García Navarro , E. Delgado Parada ,
E. Ochoa Mangado , E. Salvador Vadillo , S. Molins Pascual
1 Hospital Ramon y Cajal, Psiquiatría, Madrid, Spain
2 Complejo hospitalario de Cáceres, Psiquiatría, Caceres, Spain
∗ Corresponding author.
Introduction The consumption of toxic substances often causes
agitation, which makes more difficult the pharmacological man-
agement of the symptoms.
Objective About one case, a searchwas performed of the different
therapeutic options in the agitation takes place in the context of
intoxication.
Methods Thirty-five-year-old male patient diagnosed of dual
pathology under treatment since 2003 in our outpatient. The
patient shows paranoid schizophrenia disorder due to alcohol,
cannabis and cocaine use disorder, summing up different pharma-
cological treatments with no remission. Whilst the examination
is taking place the patient is under alcohol and cannabis effects.
His physical and verbal behaviour are aggressive showing psy-
chotic instability. The therapeutic team administers loxapine to its
patient.
Results The inhaled loxapine turned out to be a good alternative
in the case given.
Conclusion Handling agitation when toxics are involved is com-
plex. The new formulation of inhaled loxapine helps to control
agitation quickly and it might be a feasible option for this kind of
patients.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW126
Comparing gaze related anxiety in
adult subjects with autism spectrum
disorder (ASD) or social anxiety
disorder (SAD)
A. Jouni ∗, A. Amestoy , M. Bouvard
1 Centre hospitalier Charles-Perrens, centre ressource autisme,
Bordeaux, France
2 CNRS, INCIA UMR 5287, Bordeaux, France
∗ Corresponding author.
Social anxiety is frequently reported by individuals with ASD. If
atypical eye gaze in ASD can not be fully explained by emotional