European Psychiatry - Volume 33 - March 2016

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S206 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW264
Suicidal events due to overdose and
medical comorbidities in psychiatric
disorders of ICD-10 classes F1–F4: A
comparative overview of five studies
in general hospital admissions
D. Schoepf ∗, R. Heun
1 University Hospital of Bonn, Psychiatry, Bonn, Germany
2 Royal Derby Hospital, Radbourne Unit, Derby, United Kingdom
∗ Corresponding author.
Introduction General hospital-based studies may help towards
improving the treatment of psychiatric disorders.
Objectives and aims Based on five representative studies in gen-
eral hospital admissions, we will represent a comparative overview
of suicidal events due to overdose and of themost commonmedical
comorbidities in psychiatric disorders of ICD-10 classes F1–F4.
Methods In secondary analysis one-way Anova and Tukey HSD
test were used for comparisons of interval variables. Suicidal events
and medical comorbidities with prevalences > 10% were compared
between studies using the OR and the 95% CI.
Results Individuals with psychiatric disorders of ICD-10 classes
F1–F4 were young (44.7–50.0 years), had an extended length of
hospital stay at initial hospitalization (3.8–8.1 vs. 2.9–3.4 days),
and significantly more likely suffered of suicidal events due to
overdose than controls, contributing from 4.1% (OR = 4,1) to 11,6%
(OR = 25.2) to general hospital admissions. Additionally, individuals
with schizophrenia (SCH) significantlymore likely suffered of type-
2 diabetes mellitus (OR = 2.3, 95% CI 1.5–3.6) than individuals with
major depressive disorder (MDD), anxiety disorder (ANX), and alco-
hol dependence (AD), but equal likely as individuals with bipolar
disorder (BD). Asthma and hypertension contributed significantly
more to hospitalizations in the MDD and ANX samples compared
to the SCH, BD, and AD samples. In the AD sample, alcoholic liver
disease was more prevalent than in all other samples.
Conclusions In psychiatric disorders, the frequency of suicidal
events due to overdose in general hospitals is significantly deter-
mined by the diagnostic class. Additionally, different medical
comorbidities contribute more than other medical comorbidities
to general hospital admissions in various psychiatric disorders.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW265
The projected number and prevalence
of dementia in Japan: Results from the
Toyama Dementia Survey
M. Sekine ∗ Suzuki Kido Yamada atsuse
1 University of Toyama, Department of Epidemiology and Health
Policy, Toyama, Japan
2 University of Toyama, Department of Neuropsychiatry, Toyama,
Japan
3 Kido Clinic, Department of Psychiatry, Imizu, Japan
∗ Corresponding author.
Purposes The increasing number of dementia is of major public
health concern. This study aims to calculate the projected number
and prevalence of dementia in Japan, using data from the Toyama
Dementia Survey.
Methods The Toyama Dementia Survey was conducted 6 times
in 1983, 1985, 1990, 1996, 2001, and 2014. In the 2014 survey, the
subjects were randomly chosen from residents aged 65 or more in
Toyama prefecture, with a sampling rate of 0.5%. Of those, 1303men
and women agreed to participate (participation rate: 84.8%). An
interview with a screening questionnaire was conducted by public
health nurses. Psychiatrists and public health nurses further inves-
tigated for the suspected cases of dementia and diagnosed whether
the cases had dementia. The 1985–2001 surveys were conducted
in a similar way, and, therefore, data from the 1985–2014 surveys
were used in the analysis.
Results The prevalence of dementia in Toyama prefecture
increased from4.7% in 1985 to 15.7% in 2014. Using the age and sex-
specific prevalence of dementia in the 2014 survey, the projected
number of dementia is approximately 4.8 million (prevalence rate:
14.1%) in 2015, 6.1 million (16.7%) in 2025, and 7.2 million (19.2%)
in 2035. Using the age and sex-specific prevalence of dementia as
estimated by linear regression models, the projected number of
dementia is approximately 4.7 million (13.9%) in 2015, 7.1 million
(19.5%) in 2025, and 9.7 million (25.8%) in 2035.
Conclusions The number of dementia in Japan could double in the
next 20 years, which corresponds to 1 in 4 elderly people.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
Forensic psychiatry
EW266
Duration of the compulsory
psychiatric forensic hospital
treatment compared to maximum
penalty sentences in the Republic of
Croatia
M. Curkovic ∗ adic , N. Buzina , G. Arbanas , V. Jukic
University Psychitric Hospital Vrapce, Centre for Forensic Psychiatry,
Zagreb, Croatia
∗ Corresponding author.
Introduction Legal system, by the nature of its involvement,
has the tendency to create boundaries of forensic psychiatric
(in)patient care. In 2014, after the introduction of the new Law of
the Protection of Persons with Mental Disorder in the Croatia new
boundaries were created within the article: “compulsory hospital-
ized treatment of insane person cannot be longer that maximum
penalty sentence prescribed for that offense”.
Objectives To analyze the duration of hospitalization of foren-
sic psychiatric inpatients at the University Psychiatric Hospital
Vrapˇce’s Centre for Forensic Psychiatry and compare these findings
to a prescribed maximum penalty sentence.
Aims To test appropriateness of the new regulative introduced
with the new Law.
Methods Available data from all forensic psychiatric inpatients
that committed crimes of murder, attempted murder, grave
murder, threat, personal injury or domestic violence that were dis-
missedwithin 10 years before the introduction of the newLawwere
analyzed.
Results The analysis included a total of 168 inpatients. The mean
durations of hospitalizations for all six categories of crimes did
not exceed maximum penalty sentences prescribed by the lat-
est corresponding law, although in some rare individual cases
they did. This was present within the categories of crimes of
domestic violence (mean duration: 20.6 months with maximum
duration: 68 months), and threat (mean duration: 24, maximum
duration: 89).
Conclusion Although arguably with the best intentions (“unac-
ceptability of negative discrimination”), legal system created