Table of Contents Table of Contents
Previous Page  199 / 812 Next Page
Information
Show Menu
Previous Page 199 / 812 Next Page
Page Background

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.353

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.354

EW237

Presence of 2,5-dimethoxy-4-

bromoamphetamine (DOB) among

samples brought for drug checking in

Spain

P. Quintana-Mathé

1 , 2

, M. Grifell-Guardia

2 , 3 , 4 ,

,

Á. Palma-Conesa

3 , 4

, C. Gil-Lladanosa

2

, I. Fornís-Espinosa

2

,

F. Caudevilla-Galligo

2

, L. Gallindo-Guarin

3 , 4 , 5

,

M. Farre-Albaladeo

5 , 6

, M. Ventura-Vilamala

2 , 4

,

M. Torrens-Melich

3 , 4 , 5

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.355

EW238

Incidence and management of

agitation in emergency medical

services in Spain – “SOSEGA” Study

R. Rodriguez Calzada

1 ,

, M.A. Suarez Fuentes

2

,

P. Roset Arisso

2

, S.G.O.R. Sosega Group Of Researcher

s 3

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