European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348 S207
unnecessary tension as it imposes legal principles over clinical and
moral ones. Deeper analysis of possible mediators of the duration
of hospitalization are identified and presented.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW267
Long-stay in high and medium secure
forensic psychiatric care – Prevalence,
patient characteristics and pathways
in England
R. Edworthy ∗, B. Vollm
University of Nottingham, School of Medicine Division of Psychiatry
and Applied Psychology, Nottingham, United Kingdom
∗ Corresponding author.
Introduction Forensic psychiatric services are costly and highly
restrictive for patients. Clinical experience and the limited research
available indicate some patients stay for too long in these settings.
A proportion of patients may, however, require long-term (poten-
tially life-long) secure forensic psychiatric care but their needs
may not be met by existing service provision designed for faster
throughput.
Objectives We conducted a national, multi-centre, cross sectional
study exploring the prevalence of long-stay and characteristics of
long-stayers in high and medium secure forensic psychiatric care
in England.
Aims (1) Estimate the prevalence of long-stay in secure settings
in England (length of stay over 5 years in medium secure care or 10
years in high secure care); (2) describe the characteristics, needs
and care pathways of long-stay patients. Develop recommenda-
tions following the exploration of international models for this
patient group.
Methods We employed amixed-methods approach including the
analysis of administrative data, case file reviews, patient inter-
views, consultant questionnaires, interviews with clinicians and
commissioners and a Delphi survey.
Results Twenty-five percent (n = 401) of our sample were expe-
riencing long-stay. This patient group has a heterogeneous set of
characteristics and needs relating to their diagnosis, offending his-
tory, risk and therapeutic need and have experienced a variety of
care pathways through secure care.
Conclusions We found a greater number of long-stay patients
than originally estimated with a set of characteristics and needs
that are arguably different to that of the general forensic popu-
lation, therefore calling for a specific care pathway and service
provision for this patient group with a greater focus on autonomy
and quality of life.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW268
Legal problems and substance use
among HIV-infected patients
C. Parro Torres ∗ ernández Huerta choa Mangado
A. Madoz Gúrpide . Moreno Zamora
1 Hospital Gregorio Mara˜nón, Psiquiatria, Madrid, Spain
2 Hospital Provincial de Toledo, Psiquiatría, Toledo, Spain
3 Hospital Ramón y Cajal, Psiquiatría, Madrid, Spain
4 Hospital Ramón y Cajal, Enfermedades Infecciosas, Madrid, Spain
∗ Corresponding author.
Introduction There are many studies of HIV-infected patients
where have found higher prevalence of substance use disorders
than in general population. Moreover some factors, like presence of
legal problems, substance abuse and HIV are also frequently related
with poorer clinical results.
Objectives/aims The aim of this study is to analyze the rela-
tionship between substance consumption and presence of legal
problems among HIV-infected patients.
Methods Our study is a cross-sectional case-control survey. Cases
were defined as HIV-infected patients who referred presence of
legal problems in a sociodemographic questionnaire. Controls were
defined as HIV-infected patients who denied presence of legal
problems. Both groups were interrogated about illegal substance
use (cocaine, heroin, cannabis, stimulants or benzodiazepines) and
alcohol problematic use during previous year. Logistic regression
was employed as statistical analysis. Results were adjusted for age,
gender and race.
Results Our sample was compound by 63 patients: 44 controls
and 19 cases. A statistical signification was found between illegal
substance use variable and presence of legal problems (P = 0.003)
but not with alcohol problematic use. The condition of illegal sub-
stance use during previous year increased the risk to have legal
problems 5.353 times. Another important result was found in gen-
der, the condition of male increased the risk to have legal problems
2.32 times than female condition.
Conclusions In our sample, substance use (cocaine, heroin,
cannabis, stimulants or benzodiazepines) during previous year was
related to have more legal problems. Gender, specifically male con-
dition, also was linked with more risk to have legal problems.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW269
When residents are assaulted
N. Nuria ∗, A. San Román , N. Gómez-Coronado ,
I. Sevillano , P. Hervias , V. Prieto , C. Llanes , S. Puertas ,
A. González-Pinto
1 Hospital Universitario de Alava, Psychiatry, Vitoria-Gasteiz, Spain
2 Complejo Hospitalario de Zamora, Psychiatry, Zamora, Spain
3 Hospital Universitario Virgen del Rocío, Psychiatry, Sevilla, Spain
4 Hospital Clínico de Valladolid, Psychiatry, Valladolid, Spain
5 Hospital Dr R. Lafora, Psychiatry, Madrid, Spain
6 Complejo Hospitalario de Zamora, General Medicine, Zamora, Spain
7 Complejo Asistencial de Zamora, Psychiatry, Zamora, Spain
8 Hospital 12 de Octubre, Psychiatry, Madrid, Spain
∗ Corresponding author.
Introduction and objective Description through a survey of phys-
ical aggressions suffered by Spanish Medical Trainees of all
specialties.
Methods We developed a survey through an online platform that
was distributed to all Spanish trainees of all medical specialties.
In that survey, we ask residents if they ever have been physi-
cally assaulted, for how many times, the year of residence when
it occurred, if they have in their hospital an aggression protocol,
and if it included a specific topic for trainees. We also asked them
about their feelings after they have been assaulted.
Results We collected 282 answers from the survey. We could
observe that 12.9% of respondent trainees had been assaulted as
least once. Fifty-one percent of times, it occurs during the first
year of residency. Among assaulted residents, 25.5% were psychi-
atric trainees, and 44.4% were medical trainees, but no psychiatrist.
Twenty-three percent were psychiatric trainees, and the 35% of
themhad been assaulted once. Only 25.2% of the residents knew the
aggression protocol of their work center, but the majority (65.5%)
did not know it. About how do they feel after being assaulted, most
of them responded that they felt anxiety, helplessness, fear and
they had even thought of leaving de residency or change it.
Conclusions Aggressions during the trainee period seems to be
prevalent (12,9%). Most trainees don’t even know if there is a