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S196

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

the best outcomes. Pre-hospital management of agitation requires

appropriate measures to preserve patients’ safety, stabilize the

patient and alleviate suffering, and transfer to the hospital psychi-

atric services, including involuntary admission if needed.

Objectives

To describe themanagement of agitation by the Emer-

gency Medical Services (EMS) in Spain.

Methods

Observational retrospective survey on the protocols and

procedures used, the number of in-calls received and the resources

dedicated to attend emergencies in 2013.

Results

Seven out of the seventeen EMS in Spain provided infor-

mation. All of them registered in a database in-calls and actions

taken. Four of them had a specific protocol to attend psychiatric

emergencies and agitation in-calls, and five coded the initial diag-

nostic with ICD-9. Paramedics attending emergencies register the

diagnostic in 3/7 EMS. Nursing andMedical staff code the final diag-

nostic with ICD-9 in all. Emergency Coordination Centres received

4,437,388 in-calls (209/1000 inhabitants); 2.6% classified as psy-

chiatric (6.2/1000 inhab.). Healthcare teams attended 2,028,467

emergencies, 84,933 (4.2%) were psychiatric (4.0/1000 inhab.) and

37,951 (1.9%) were patients with agitation (2.0/1000 inhab.). Gen-

eral practitioners attended 17% of all psychiatric emergencies,

while ambulances attended 61%.

Conclusions

The incidence of acute agitation accounts for almost

half of the total psychiatric emergencies in the pre-hospital setting.

Since there are different healthcare providers in charge, specific

protocols aswell as treatment procedures are needed to provide the

most adequatemanagement, in order to ensure the best Psychiatric

Emergency Chain.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.356

EW239

Recognizing high-risk behavioural

patterns in emergency psychiatry:

From surveillance to technical

assistance, insights into an innovative

project* from the point of view of

potential users

B.S. Voigtlaender

1 ,

, D. Schölzel

1

, A. Schönherr

2

, J. Schloßhauer

3

,

T. Barth

1

1

Klinikum Chemnitz gGmbH, Psychiatry- Behavioural Medicine and

Psychosomatics, Chemnitz, Germany

2

Klinikum Chemnitz gGmbH, Klinikum Chemnitz gGmbH, Chemnitz,

Germany

3

Intenta GmbH, Intenta GmbH, Chemnitz, Germany

Corresponding author.

Introduction

After legal restrictions regarding coerced medica-

tion in Saxony, we monitored significant increases in aggressive

behaviour and regarding the use of physical restraints at our closed

psychiatric ward. Alternative measures for managing dangerous

behaviour were discussed.

Objectives

There are limitations regarding the use of treatment

interventions in emergency psychiatry, e.g. the use of constant

observation is limited in its efficiency generally and video surveil-

lance is prohibited by law in high-risk areas (e.g. bathroom).

Aims

To find appropriate solutions for patient safety improve-

ment in emergency psychiatry including high-risk areas, prospects

of the field of “technical assistance” entered the limelight of inter-

est.

Methods

In 2014, a cooperation of Chemnitz University of Tech-

nology, Intenta GmbH, Eckstein Design and the affiliated partner

Klinikum Chemnitz started a project*, which focuses on the

development of a technical assistance system for recognizing high-

risk behavioural patterns (e.g. suicide attempt) in risk areas in

emergency psychiatry. The system is based on a smart-sensor tech-

nology and waives a recording and storing of sound and vision.

Results

In the 1st half of the project technical development

and the design of the system were the focus of attention. Special

requirements regarding use cases, user acceptance, data protection

and ethical concerns were processed by our psychiatric depart-

ment. Testing and further development of the system in clinical

settings are planned.

Conclusions

The development of the systemmust be seen as a big

challenge in many regards. Further research is indispensable.

*Sponsored by the Central Innovation Program Mittelstand of the

Federal Ministry for Economic Affairs and Energy.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.357

EW240

Does psyche pain manifest as

agitation in the emergency setting?

L. Zun

1 ,

, L. Downey

2

1

Mount Sinai Hospital, Emergency Medicine, Chicago, USA

2

Roosevelt University, Health Care Policy, Chicago, USA

Corresponding author.

Objectives

The objective was to determine a patient’s level of

psyche pain when they present to an emergency department (ED)

andwhether therewas a relationship between this psyche pain and

the patient’s level of agitation.

Methods

This was a prospective study using a convenience

sample of 300 patients presenting to an EDwith a psychiatric com-

plaint. This study was conducted in an urban, inner-city trauma

center with 60,000 ED visits a year. After obtaining consent, a

research fellow administered validated tools for assessing agita-

tion, BAM, PANSS-EC, ACES, assessment of psyche pain, MBPPAS

and a self-assessment of agitation at admission. SPSS version 22

was used for statistical analysis and the study was IRB approved.

Results

A total of 74 patients were enrolled at this time. Themost

common ED diagnoses were depression, schizophrenia, or bipolar

disorder. Majority of patients were African-American (59%), falling

in the 25–44-year-old age range (56%). Fifty-two percent male and

48% female. Psyche painwas rated byMBPPAS as marked (18.9%) or

moderate (67.6%). The self-reported tool demonstrated 20% none,

16%mild, 21%moderate and 42%marked level of agitation. The agi-

tation rating varied by the tool with self-reported level of agitation

having the highest correlation with level of psyche pain (

P

< 0.05).

Conclusions

Psychiatric patients frequently present to the emer-

gency department with a high level of psyche pain and high level

of self-reported agitation. This correlation may signal the need to

address a patients’ level of agitation early in evaluation process.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.358

Epidemiology and social psychiatry

EW241

Health related quality of life in adults

with ADHD symptoms: A population

survey using 15D and AAQoL

L. Alaheino

1 ,

, S. Leppämäki

2

, T. Partonen

1

, M. Sainio

2

1

National Institute for Health and Welfare, Mental Health Unit,

Helsinki, Finland