European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348 S231
Kurdish origin migrants in Finland and to determine which socio-
demographic factors are associated with traumatic pre-migration
experiences.
Methods We used data from the Finnish Migrant Health and
Wellbeing Study (Maamu). The survey sample comprised of Rus-
sian, Somali and Kurdish origin migrants, aged 18–64 years
(n = 1000 per group). The data specified eight different traumatic
events common to those exposed to war and conflict. The age-
adjusted prevalence of traumatic pre-migration experiences were
calculated in the ethnic groups by gender using predicted margins.
Results Seventy-seven percent of Kurdish, 58% of Somali, and 21%
of Russian origin migrants had experienced at least one traumatic
event in the former host country. One third of the Kurdish men
had been subject to torture. Surprisingly, migrating as a refugee
or asylum seeker was not found to be associated with traumatic
pre-migration experiences.
Conclusion Results indicated an alarmingly high overall trauma
exposure among Kurdish and Somali migrants in Finland. This
should be taken into account in the planning of mental health ser-
vices in the new host country.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW338
Psychiatric evaluation Ezidi Iraqi
refugee children who settle in refugee
camp in Turkey
V. C¸ eri ∗, Ü. Özer , S. Nasıro˘glu
1 Kütahaya education and research hospital, Child and Adolescent
Psychiatry, Kütahya, Turkey
2 Mazhar Osman Training and Research Hospital for Psychiatry,
Neurology, Neurosurgery, Psychiatry, Istanbul, Turkey
3 Sakarya university, medical faculty, Child Psychiatry, Sakarya,
Turkey
∗ Corresponding author.
Objective We aimed to review the distribution of diagnoses
in children and adolescents evaluated by a child psychiatrist, in
refugee camps in Diyarbakır, Cizre and Silopi province of Turkey.
Methods Sociodemographic data, psychiatric complaints anddis-
tribution of psychiatric diagnoses of 38 children and adolescents
living in refugee camps in Diyarbakır, Cizre and Silopi were evalu-
ated. Psychiatric diagnoses were made according to DSM-5 criteria
but some diagnoses as conversion disorder were also mentioned
even tough they were not included in DSM-5.
Results The sample consisted of 22 female and 16 male chil-
dren and adolescents. The mean age was 12.1 ± 4.5 and the range
was 2–18 years. The mean duration of residency in the camp was
23.2 ±3.9 days. The most common symptom was sleep problems.
The most frequently seen psychiatric disorder was depressive dis-
order (36.8%) and at least two comorbidities were detected in 50%
of children and adolescents. This diagnosis was followed by con-
version disorder (28.9%), adjustment disorder (21.8%), acute stress
disorder (18.4%), enuresis nocturna (18.4%), post-traumatic stress
disorder (10.5%), separation anxiety disorder (10.5%), somatization
disorder (7.8%), selective mutism (2.5%) and night terror (2.5%)
respectively.
Conclusion The study revealed that in refugee children and ado-
lescents, starting from the early days of the migration period,
various psychiatric symptoms and disorders might be seen. There-
fore, it is essential to integrate psychosocial support units into
the aid and support programs for refugees and quite important to
observe and treat children in terms of psychiatric disorders, starting
from the early days of the migration period.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW339
Screening tool for Asylum-Seeker
Mental Health (STAMH): A pilot study
D. Hocking ∗, S. Sundram
1 Florey Institute of Neuroscience & Mental Health, Mental Health,
Parkville, Australia
2 Monash Medical Centre, Adult Psychiatry, Melbourne, Australia
∗ Corresponding author.
Aims and rationale The development of a brief, highly sensitive
screening tool (STAMH) easily administered by non-mental health
workers to screen formental disorders in adult asylum-seekers (AS)
aims to facilitate timely access to treatment.
Methods An initial version of the STAMH developed from
validated scales from a previous study was refined to 10 ques-
tions through an iterative piloting process. Adult AS without a
known current psychiatric diagnosis was recruited through two
Melbourne-based agencies (Asylum Seeker Resource Centre &
Monash Health Refugee Health Clinic), which meet AS health and
psychosocial needs. All participants were administered the STAMH
by non-mental health professionals and subsequently interviewed
by the researcher using the MINI 6.0, to determine psychiatric mor-
bidity. Data was analysed through CART and ROC curve analyses,
and sensitivity (SN)/specificity (SP) determined the most accurate
cut-off score to detect PTSD &/or major depressive disorder (MDD).
Findings Preliminary findings are based on 150 AS from 37
countries. The majority was male (71%) and required an English
language interpreter (62%). 36% met criteria for at least one clinical
diagnosis: 33% for MDD, 22% for PTSD. However, only 30% of these
participants had received mental health treatment in Australia. A
cut-off score of≥ 2 produced .94 (SN) and .65 (SP) for PTSD &/or
MDD with a ROC of .80 P < .0001 (95% CI = .73–.87).
Relevance to policy, research and/or practice needs The STAMH
shows promise in its aim to fill a service gap of detecting mental
disorders in AS, through its brevity and sensitivity.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW340
Clinical features of neurotic disorders
in internally displaced persons
V. Korostiy∗, H. Kozhyna , K. Melamud , O. Platyniuk
Kharkiv National Medical University, Psychyatry, Narcology and
Medical Psychology, Kharkov, Ukraine
∗ Corresponding author.
Introduction According to the Guiding Principles on Internal Dis-
placement, internally displaced persons are persons who have been
forced or obliged to leave their homes, in particular as a result of
extreme situations, and who have not crossed an state border. As
of May 21, 2015 UNHCR has information about 1,299,800 IDPs.
Aim To study clinical features of neurotic disorders in IDPs.
Methods We have a complex psychopathological and psychodi-
agnostic research 97 IDPs in volunteer center, located at the central
train station in Kharkiv.
Results In total, 75.9% of IDPs observed have violations of adap-
tation: long-term depressive reaction (F 43.21) and predominant
disturbance of other emotions (F 43.23). The men reactive alarm
indicators (average – 37.7± 3.0), were higher than trait anxiety
(average – 32.6± 2.9). On the contrary, women figures trait anxiety
(average – 38.6 ± 2.9) were higher than reactive anxiety (average
– 34.7 ±3.0). Severity of depressive symptoms also slightly pre-
vailed in women. The mean score on the Hamilton scale for men
was 17.0± 2.3 points, women – 18.0 ±2.3 points. Test results on
a scale of quality of life showed no significant differences between
men and women. We have developed a medical and psychological
support system to correct the neurotic disorders in IDPs.