European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348 S195
use disorder, suicidal ideation), and available mental health
resources to deal with these problems 4 months after the earth-
quakes.
Methods The study was conducted in three affected districts:
Kathmandu, Gorkha, and Sindhupalchowk. The study used a mixed
methods designwith both qualitative and quantitative approaches.
The outcome measures used in the study were locally validated
Hopkins Symptoms Checklists (HSCL), PTSD Checklist-Civilian ver-
sion (PCL-C), Alcohol Use Disorder Identification Test (AUDIT), and
a functioning impairment scale. We used a stratified multi-stage
cluster sampling method to select 513 adults (171 from each dis-
tricts).
Results 32.4% (26.7-38.7; 95% CI) of participants met threshold
criteria for depression, 30.8% (24.5-37.9) for anxiety, 5.2 (3.9-
6.8) for PTSD, and 20.4% (17.1 - 24.3) for alcohol use disorder.
Prevalence of suicidal ideation was 11%. Despite high rates of
mental health problems, few participants reported impaired daily
functioning.
Conclusion We found elevated prevalence estimates of men-
tal health problems but overall daily functioning was good. The
need for trauma-specific treatments for PTSD do not appear to
be widespread. However, support services to address anxiety,
depression, and substance abuse could benefit large numbers of
earthquake-affected communities.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW236
Survivors of gender-based violence
and role of official psychiatry in
recovery process
E. Molchanova
American Univercity in Central Asia, Psychology, Bishkek, Kyrgyz
Republic
Consequences of events in the Southern region of the Kyrgyz
Republic continue to have impact on communities to the present
day. One of themost significant is a number of undiagnosed cases of
rapes and other types of gender-based violence (GBV), which hap-
pened during the events of 2010. Accurate prevalence rates of GBV
cases is still unknown. According to official data of Ministry of Inter-
nal Affairs, there were only seven cases of rape, however, according
to the crisis center reports, there were 325. Even more alarming,
witnesses of the Osh events suggest one out of three women in
Osh and Jalal-Abad were either raped or suffered from other types
of GBV. Those acts included undressing and unveiling, and cutting
women’s hair to a shamelessly short length. Cultural stereotypes
dictate women hide their ‘shame’, which is why only a small per-
centage of victims with PTSD symptoms that developed after GBV
sought out services from professionals, such as from crisis centers,
psychologists and psychiatrists and, of course, police. Author ana-
lyzed several cases of women raped during the Osh massacre and
suffered from PTSD signs afterwards. The previous painful experi-
ence of GBV was uncovered during treatment. The problem is that
mental heath care specialists are the last stop for applying for help.
This paper analyses several ways of solving the problem, including
creating a number of normative documents in collaboration with
Ministry of Internal Affairs and Ministry of Health of the Kyrgyz
Republic.
Disclosure of interest
The author has not supplied his/her declaration of competing inter-
est.
EW237
Presence of 2,5-dimethoxy-4-
bromoamphetamine (DOB) among
samples brought for drug checking in
Spain
P. Quintana-Mathé , M. Grifell-Guardia ∗,
Á. Palma-Conesa , C. Gil-Lladanosa , I. Fornís-Espinosa ,
F. Caudevilla-Galligo , L. Gallindo-Guarin ,
M. Farre-Albaladeo , M. Ventura-Vilamala ,
M. Torrens-Melich
1 Institut Català de la Salut ICS, EAP Raval Sud, Barcelona, Spain
2 Associació Benestar i Desenvolupament ABD, Energy Control EC,
Barcelona, Spain
3 Parc de Salut Mar, Institut de Neuropsiquiatria i Addiccions INAD,
Barcelona, Spain
4 Hospital del Mar Medical Research Institute IMIM, Grup de recerca
en Addiccions, Barcelona, Spain
5 Universitat Autònoma de Barcelona UAB, Bellaterra, Spain
6 Hospital Universitari Germans Trías i Pujol, Farmacologia Clínica,
Barcelona, Spain
∗ Corresponding author.
Introduction New Psychoactive Substances (NPS) appear to be
increasing in popularity because theymimic the effect of traditional
drugs. DOB is a world-wide controlled phenethylamine, with ago-
nist activity in 5HT2A receptors. Its effects are comparable to those
of LSD, with dosage range 1.0–3.0mg and duration 18–30 h.
Objective To assess the presence of DOB in the substances sub-
mitted to, and analyzed by, energy control.
Materials and methods All samples presented to Energy Con-
trol (EC) from August 2009 to August 2015 were analyzed. EC
is a spanish harm-reduction non governmental organization that
offers to users the possibility of analyzing the substances they
intend to consume. Samples in which DOB was detected using gas
chromatography-mass spectrometry were selected for this study.
Results From a total of 20,062 samples, 13 contained DOB
(0,06%), with no clear variations among the years studied. The sam-
ples were mostly sold as DOC(8), DOB(2) and LSD(2). Nine out of
total 13 samples presented as blotter.
Conclusion Results suggest that availability of DOB in the Spanish
drug market is anecdotic. Nonetheless, a number of the samples
containing DOB were not sold as such, increasing the possibility of
side effects, as users may ignore which substance they are actually
using. When a patient presents at an Emergency Department with
persistent hallucinogenic symptomatology after ingesting a blotter,
psychiatrist should be aware of long-lasting psychedelics such as
DOB.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW238
Incidence and management of
agitation in emergency medical
services in Spain – “SOSEGA” Study
R. Rodriguez Calzada ∗, M.A. Suarez Fuentes ,
P. Roset Arisso , S.G.O.R. Sosega Group Of Researcher
1 Gerencia Emergencias Castilla Y Leon, Prehospital Emergency Ume
1 Valladolid, Valladolid, Spain
2 Ferrer, Medical Department, Barcelona, Spain
3 Ferrer, Department Of Medical Research, Barcelona, Spain
∗ Corresponding author.
Introduction Agitation is a frequent and complex emergency.
Its early detection and adequate treatment are crucial to ensure