European Psychiatry - Volume 33 - March 2016

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S204 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348
Aims Early identification of prenatal depressionwill decrease the
risk of pregnancy complications and postnatal depression.
Methods A prospective study enrolled pregnant women admit-
ted at 324 gestational weeks due to threatened preterm labour
in a university hospital HRPU, between 9/2014 and 11/2015. The
Edinburgh Postnatal Depression Scale (EPDS) was used to assess
depressive symptoms and a cut-off score 313 was considered as
indicative of depression. Test results were then correlated with the
indication for admission, demographic and socio-economic param-
eters.
Results Overall, 80 of the women admitted in the HRPU were eli-
gible for the study and agreed to complete the questionnaire. The
mean age was 29.4 ± 6.23 years and the mean gestational week
at the admission was 31.6 ± 3.33 weeks. The prevalence of prena-
tal depression (score 313) was 25% (20/80). In the multivariable
model, depression was significantly correlated with the existence
of thoughts for pregnancy termination [ P = .03 OR = 4.560 95% CI:
(1.162–17.892)].
Conclusions One quarter of pregnant women admitted in the
HRPU with the indication of threatened preterm labour may suf-
fer from clinically significant depression. An unwanted pregnancy
was found to be independently associatedwith prenatal depression
whereas no association was found with any obstetric parameters.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW261
Descriptive epidemiology of
depressive and anxiety disorders,
cognitive impairment and dementia
in a sample of elderly patients in the
geriatric unity of a general hospital
A. Pater ∗ spolio Desbaillet Peris
1 Hôpital Neuchâtelois, Gériatrie, Neuchâtel, Switzerland
2 Centre Neuchâtelois, Gériatrie, Neuchâtel, Switzerland
3 Centre Neuchâtelois de Psychiatrie, Hôpital de Préfargier,
Neuchâtel, Switzerland
∗ Corresponding author.
Introduction Studies have demonstrated the high prevalence of
depressive disorders amongst elderly people and their underesti-
mation and mistreatment.
Objective The aim of this study is to describe epidemiological
issues in a sample of elderly hospitalized patients, giving special
attention on the prevalence of depressive and anxiety disorders
and the detection of potential risk factors.
Material and methods The sample included 168 elderly patients
referred for the geriatric unit of a general hospital. Epidemiolog-
ical and clinical data were collected. Geriatric Depression Scale
(GDS),MiniMental State Examination (MMSE) and Functional Inde-
pendence Measure (FIMTM) were used. Data were analyzed with
XLSTAT program.
Results The 39% of the sample were men and the 61% women,
with an age range between 65 and 95 years. Nine percent of patients
aged 65–84 had a diagnosis of depressive or anxious-depressive
disorder, compared to 13% within the age range 85–95. However,
14% of patients aged 65–85 had a GDS higher than 5 and 19% for
the patients aged 85–95, which could confirm the underestimated
rate of depression diagnosed in elderly patients. Item “feeling lone-
liness” was pointed out in 75% and item “feeling bored” in 64% of
all GDS higher than 5. Prevalence of dementia was 8% in the whole
sample.
Conclusions High prevalence of depressive and anxious disor-
ders amongst the elderly is to be taken in account. Potential risk
factors could be loneliness and lack of daily activity. The devel-
opment of social primary prevention interventions in order to
decrease the prevalence of these pathologies amongst elderly is
needed.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW262
Making sense of economic deprivation
as a predictor of suicide and homicide:
A nationwide register-study
M. Pompili ∗ Vichi
1 Rome, Italy
2 National Institute of Health, National Centre for Epidemiology,
Surveillance and Health Promotion, Rome, Italy
∗ Corresponding author.
Introduction Classical work on lethal aggression often viewed
suicide and homicide as sharing a common source.
Objective The present investigation explores the association
between measures of social deprivation on the relative incidence
of suicide over homicide in Italian provinces.
Methods Data refer to official government sources on lethal
violence rates and measures of social deprivation. The central
dependent variable is termed SHR or the suicide rate expressed
as a proportion of the sum of the suicide and homicide rates Data
were available for the 103 Italian provinces.
Results The SHR had three significant predictors. The greater the
percentage of the population with low education, the lesser the
tendency towards suicide. The tendency towards suicide was also
predicted by rental housing, the greater the percentage of the popu-
lation living in rental housing the less the tendency towards suicide.
The inverse of the unemployment rate also predicted the SHR.
Given that the measure follows an inverse function, the greater the
unemployment rate the lesser the tendency towards suicide rela-
tive to homicide (SHR). We can interpret the results relative to a
homicidal tendency in the SHR: the greater the low education per-
centage of the population, the greater the homicidal tendency, and
the greater the rental housing percentage, the greater the homicidal
tendency in the SHR.
Conclusion The results are consistent with a stream of previous
research that connects deprivation with a relatively high probabil-
ity for disadvantaged populations to direct aggression outwardly
in the form of homicide rather than inwardly in the form of suicide.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW263
Structure and function of social
networks, loneliness, and their
association with mental disorders
among older men and women in
Ireland: A prospective
community-based study
Z. Santini ∗ . Fiori yrovolas . Haro eeney
A. Koyanagi
1 Parc Sanitari Sant Joan de Deu, Recerca, Barcelona, Spain
2 Adelphi University, Garden City, N.Y., USA
3 Gordon F. Derner Institute of Advanced Psychological Studies, NY,
USA
4 Queen’s University Belfast, School of Medicine, Dentistry and
Biomedical Sciences, Belfast, United Kingdom
∗ Corresponding author.
Introduction Interpersonal stressors and social isolation are
detrimental for emotional health, but how these factors are related