European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348 S201
Objectives This study examines whether there is an independent
associationbetweennon-consensual sex and current risk of depres-
sion after controlling for related factors.
Aims To better inform university health services about the psy-
chological sequelae of non-consensual sex.
Methods Cross-sectional data collected online from female stu-
dents younger than age 30 at eight universities in Maritime Canada
were analyzed. Non-consensual sex while at university was mea-
sured using one dichotomous item and risk of depression was
measured using the Center for Epidemiologic Studies Depression
(CES-D) Scale. All analyses were weighted and data were imputed
using the Sequential Regression Multivariate Imputation (SRMI)
Method. Analyses involved basic descriptive statistics, a series of
unadjusted logistic regressions, and an adjusted multiple logistic
regression.
Results In total, 36.7% of students were at risk of depression and
6.8% had been victims of non-consensual sex while attending uni-
versity. After adjusting for covariates and confounders, females
who had been victimized were 2.11 times more likely to be at risk
of depression than females who had not been victimized (P<.0001).
Conclusions This study points to the need for more mental health
support for victims of sexual victimization and more efforts to pre-
vent sexual violence. These findings can be used to help inform
university mental health services and health promotion activities.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW253
Type A personality and its association
with mortality: Considering different
analysis approaches of the Bortner
Scale
T. Lohse ∗ aeh Bopp ohrmann
1 Epidemiology, Biostatistics and Prevention Institute EBPI, Zurich,
Switzerland
2 Epidemiology, Biostatistics and Prevention Institute EBPI, Chronic
Disease Epidemiology, Zurich, Switzerland
∗ Corresponding author.
Introduction Type A behaviour pattern (TABP) is defined as the
combination of competitive need for achievement, sense of time
urgency, aggressiveness, and hostility. Studies raised evidence for
an association between TABP and cardiovascular disease. Recent
studies on its association with mortality showed contradicting
results and used different methods to measure TABP.
Objectives/aims Investigating the association between TABP and
all-cause, CVD, and all-cancer mortality.
Methods We used data of the MONICA and the NRP1A studies
that were linked with the Swiss National Cohort (SNC) (n = 7997).
Essentially, the SNC is an anonymous record linkage of census,
migration and mortality data. TABP was measured by the Bortner
Scale. To determine the all-cause, CVD, and cancer mortality risk a
Cox regression was performed. Following Edwards et al. (1990), we
analysed the Bortner Scale in two different ways: all items and its
two dimensions (speed and competitiveness) separately.
Results We found a significant association of the Bortner Scale
with all-cause mortality in women (adjusted for sociodemo-
graphic factors HR 1.02, 95% CI 1.00–1.03, additionally adjusted
for lifestyle factors–smoking, alcohol intake, physical activity, BMI
category–1.01, 1.00–1.03). The subscale of competitiveness was
associated with all-cause and CVD mortality in women. Interest-
ingly, stratifying for lifestyle variables revealed that the association
was only present in those having a healthy lifestyle, e.g. non-
smoking or non-hazardous alcohol intake.
Conclusions The Bortner Scale and its subscale of competitive-
ness were associated with mortality in women. In those having
great health awareness, this might offer potential for further reduc-
tion of mortality risk.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW254
Social withdrawal and suicide risk:
A descriptive study
A. Malagon ∗ Córcoles érez ollà
D. Bergé González Bellsolà . Martín
A. Bulbena Pérez
1 Institute of Neuropsychiatry and Addictions, Parc de Salut Mar,
Barcelona, Spain
2 Universitat Autónoma Barcelona, Psychiatry and Forensic Medicine,
Barcelona, Spain
3 Centro de Investigación Biomédica En Red de Salud Mental
CIBERSAM, Centro de Investigación Biomédica En Red de Salud
Mental CIBERSAM, Barcelona, Spain
∗ Corresponding author.
Introduction Social withdrawal is a major health problem that
has been related with higher morbidity and mortality rates. There
are few studies about the relationship between suicidal behavior
and social isolation.
Aim To describe the existence of suicidal risk in subjects with
social isolation.
Method Participants were 187 subjects referred to a Crisis Res-
olution Home Treatment because of social isolation. The inclusion
criteria were: home isolation, avoiding of social situations and rela-
tionships, for at least 6 months. Suicide risk was assessed by the
item of the Severity of Psychiatric Illness, dividing in four groups
(from absence to high suicide risk). Socio-demographic and clinical
data were also analysed.
Results Most cases (n = 132, 70.5%) had absence of suicide risk.
They were predominantly youngmales in all groups. There were no
statistically significant differences in sociodemographic or clinical
variables. The mean age at onset of social isolation was lower in the
high suicide risk group, having lower socially withdrawn period.
This group had also lower rates of child abuse and suicide attempt
history. The more frequent diagnosis in all groups was psychotic,
affective and anxiety disorders. Those cases with mild and high
suicide risk needed more frequently hospitalization.
Conclusions Social isolated people attended by CRHT do not have
high frequency of suicide risk. Cases with higher suicide risk are
younger and have a shorter period of isolation. The absence of child
abuse history or previous suicide attempts contrasts with previ-
ous suicidal behavior research. These data can be influenced by
the characteristics of functioning of CRHT and the small sample
size.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW255
Diagnosed depression and utilization
of healthcare and preventive services
in the general adult population in
Germany
U. Maske ∗, J. Maren , U. Hapke , D. Kleiber , M.A. Busch
1 Robert Koch Institute, Department of Epidemiology and Health
Monitoring, Berlin, Germany
2 Freie Universität Berlin, Department of Education and Psychology,
Division Public Health: Prevention and Psychosocial Health Research,
Berlin, Germany
∗ Corresponding author.