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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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.381

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

1 ,

, R. Heun

2

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.382

EW265

The projected number and prevalence

of dementia in Japan: Results from the

Toyama Dementia Survey

M. Sekine

1 ,

, M .

Suzuki

2 , H.

Kido

3 , M.

Yamada

1 , T. T

atsuse

1

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.383

Forensic psychiatry

EW266

Duration of the compulsory

psychiatric forensic hospital

treatment compared to maximum

penalty sentences in the Republic of

Croatia

M. Curkovic

, K. R

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