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S194

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348

1

Hospital Clínic, Department of Psychiatry- Barcelona Clinic

Schizophrenia Unit and Bipolar Disorder Programme, Barcelona,

Spain

2

Hospital Clínic, Department of Psychiatry- Bipolar Disorder

Programme, Barcelona, Spain

3

Hospital Clínic, Department of Psychiatry- Barcelona Clinic

Schizophrenia Unit, Barcelona, Spain

Corresponding author.

Introduction

The assessment and management of psychomotor

agitation may result in the use of coercive or sedative treatments.

In the absence of conclusive evidence, the consensus of experts can

guide clinical decisions.

Objectives

To seek consensus recommendations on the assess-

ment and management of psychomotor agitation.

Methods

An international expert task force in this field developed

consensus using the Delphi method. Twenty-seven experts were

invited to participate and 91% of them agreed. Initial survey items

were gathered from the content of literature search (systematic

review). This included open-ended questions inviting participants

to add suggestions by e-mail correspondence. After this initial first

round, the Delphi study was conducted online using Google Forms.

Survey items were rated on a 5-point scale. Items rated by at least

80% of experts as essential or important were included. Items rated

as essential or important by 65–79% of experts were included in the

next survey for re-rating. Items with consensus below to 65% were

rejected and excluded.

Results

The initial survey included 52 items. The second web-

based survey included 33 items. The briefer third survey consisted

of 6 items that needed rerating. Twenty-two of the initial 33 items

were endorsed and formed the clinical recommendations on the

assessment and management of the psychomotor agitation. The

endorsed items were categorized into 5 domains forming the clin-

ical recommendations.

Conclusions

The panel expert generated 22 recommendations on

the assessment and management of agitation. The Delphi method

is a suitable formal iterative process for reaching consensus on

relevant and controversial issues.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.350

EW233

Suicide attempts in emergency

department

K. Hajji

, I. Marrag , R. Ben soussia , L. Zarrouk , S. Younes ,

M. Nasr

Universitary Hospital of Mahdia - Tunisia, Department of Psychiatry,

Mahdia, Tunisia

Corresponding author.

Introduction

The suicide attempt is a real challenge for the clini-

cian who works at the emergency department in order to identify

and propose an adequate care.

Aims

To estimate the prevalence of the suicide attempts, to

describe the sociodemographic and clinical characteristics and to

identify the predictors of recurrence.

Methods

Our cross-sectional study was conducted at the medical

emergency department of the university hospital of Mahdia and

lasted for 12 months. Data were collected using a questionnaire

of 51 items exploring the general and clinical characteristics and

providing information of the treatment.

Results

Among the 513 consultants, 90 had attempted suicide

(17,5%). We found an average age of 26 years old, a sex-ratio (M/F)

of 0,3, a secondary education level (53,3%), an unemployment and

a single status (38,9% and 75,6%). The presence of psychiatric per-

sonal history and/or suicide attempts was found in 31,1% and 33,3%

of cases. Suicide attempts were taken place in all cases at home,

between 18 and midnight (43,3%), without premeditation (82,2%),

in the presence of triggering factor (95,6%), during the last 3 months

of the year (34,4%). In 70,2% of cases, the type of the suicide attempts

was a drug intoxication. 67,8% of the suicide attempters regretted

and criticized their acts.

Conclusion

A good assessment of the suicide risk determines the

type of intervention that should be established and allows an ade-

quate care.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.351

EW234

Ensuring patient safety: Physical

health monitoring in rapid

tranquillisation for aggression and

violence of adult acute inpatients

R. Talukdar , M. Ludlam , L. Pout , N.P. Lekka

Sheffield Health and Social Care Foundation Trust, Acute Inpatient

Services, Sheffield, United Kingdom

Corresponding author.

Introduction

Intramuscular (IM) medications used in rapid tran-

quillisation (RT) to manage violent/aggressive behaviour can cause

serious physical side effects including suddendeath, therefore com-

prehensive physical health monitoring is advised.

Objectives

To assess whether physical health monitoring of

patients who received IM medication for RT was completed as per

the Aggression/Violence NICE-guideline based local Policy.

Methods

All patients that received IM benzodiazepines or

antipsychotics for RT were identified amongst 822 discharges

from February 2014 to February 2015. Demographics, diagnoses,

non-pharmacological interventions, types/doses of medication,

and associated seclusion/restraint episodes were recorded. Notes

were examined to determine whether physical health monitoring

protocols involving blood pressure, pulse, temperature, oxygen sat-

uration, respiratory rate and level of consciousness were followed.

Results

There were a total of 218 episodes where these med-

ications were used, in which only 19 (8.8%) had any physical

observations completed; only one case (0.5%) was completed fully

as per the protocol. Of the cases that did not have observations

taken, in 12 (5.5%) cases observations were attempted but the

patient was too agitated/aggressive. A doctor was contacted in only

53 (24.3%) cases and an ECG was completed in 120 (55%) cases, of

which only 11 were completed within 24 hours.

Conclusions

The results show poor compliance (or at least

recording) with the guidance, demonstrating the need for further

education of nursing and medical staff on the potential dangers of

RT and for better physical health monitoring of patients on RT. To

improve patient safety, staff training and well-timed recording of

physical observations on electronic tablets will commence.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.352

EW235

Mental health problems in the

aftermath of earthquakes in Nepal

N.P. Luitel

, J. K

ene , M. Jordans , B. Kohrt , W. Tol

Transcultural Psychosocial Organization TPO Nepal, Research,

Kathmandu, Nepal

Corresponding author.

Introduction

Mental health problems may increase in popula-

tions affected by humanitarian emergencies, such as the 2015

earthquakes in Nepal.

Objectives

We assessed mental health and psychosocial prob-

lems (depression, anxiety, post-traumatic stress disorder, alcohol