European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348 S323
Suicidology and suicide prevention
EW591
Impact of dialectical behavior therapy
on incidence of suicidal attempts and
non-suicidal self injury among a
sample of Egyptian borderline
personality disorder patients
A. Abdelkarim ∗, D. Nagui Rizk , M. Esmaiel , H. Helal
1 Alexandria Faculty of Medicine, Neuropsychiatry, Alexandria, Egypt
2 Alexandria Faculty of Arts, Psychology, Alexandria, Egypt
∗ Corresponding author.
Introduction Dialectical behavior therapy (DBT) is a comprehen-
sive psycho-social treatment developed by Marsha Linehan and
originally designed for persons meeting criteria for borderline per-
sonality disorder (BPD). DBT is considered as a standard evidence
based treatment for suicidal BPD patients in most international
guidelines. Although its effectiveness has been proved in multi-
ple studies across different patient populations but almost all the
research was conducted in North American or European countries.
The current study was the first trial to apply DBT in Egypt with
a different language and culture than where the treatment was
originally developed.
Objectives Assessment of incidence of suicidal attempts and non-
suicidal self-injury (NSSI) among a sample of Egyptian BPD patients
enrolled in an outpatient DBT program.
Aim The aim of the current study was to estimate impact of com-
prehensive DBT on suicidal attempts and NSSI when applied to
Egyptian BPD patients.
Methods Twenty-five BPD patients, 4males and 21 females, were
included in a comprehensive outpatient DBT program for one year
and incidence of suicidal attempts and NSSI were calculated.
Results Five patients only attempted suicide again with an inci-
dence of 20% and a mean of one attempt/patient. Seven patients
attempted NSSI with an incidence of 28%, an overall 22 incidents
and a mean of 3 incidents/patient.
Conclusion Although this was the first time to apply DBT in
an Egyptian population, DBT proved to be an effective psycho-
therapeutic intervention for suicidal BPD patients across regardless
of different language or culture.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW592
Factors related to suicidal behavior in
korean patients with bipolar disorder:
The effect of mixed features on
suicidality
H.J. Seo , H.R. Wang , Y.S. Woo , H.C. Kim , W.M. Bahk ∗,
B.W. Nam , E. Lim , K.J. Min
1 Yeouido St. Mary’s Hospital, Psychiatry, Seoul, Republic of Korea
2 Kosin University-College of Medicine, psychiatry, Busan, Republic of
Korea
3 School of Medicine- Konkuk University-Chungju Hospital,
psychiatry, Chungju, Republic of Korea
4 Shinsegye hospital, psychiatry, Gimje, Republic of Korea
5 College of Medicine- Chung-Ang University, psychiatry, Seoul,
Republic of Korea
∗ Corresponding author.
Introduction The aim of the present study was to investigate var-
ious risk factors of suicidal behaviors, including the mixed features
specifier, in Korean patients with bipolar disorder.
Methods We retrospectively reviewed medical charts from 2005
to 2014. A total of 334 patients diagnosed with bipolar disorder
using the DSM-IV TR were enrolled. Subjects were categorized into
two groups according to their history of suicidal behavior and the
demographic and clinical characteristics of the groups were com-
pared, including the mixed features specifier. We re-evaluated the
index episode using DSM-5 criteria and classified subjects into an
index episode with mixed features group and an index episode
without mixed features group. Logistic regression was performed
to evaluate significant risk factors associated with suicidal behav-
ior.
Results Suicidal behavior had an independent relationship with
mixed features at the index episode usingDSM-5 criteria (OR = 3.39;
95% CI: 1.57–7.34) and number of previous depressive episodes
(OR = 1.62; 95% CI: 1.34–1.95) in Korean bipolar patients. Themixed
feature specifier was the strongest risk factor for suicidal behavior
in the present study. Limitations: this was a retrospective study and
structured psychiatric interviews were not conducted.
Conclusions This study may help clinicians understand potential
risk factors and manage bipolar disorders with suicidal behaviors.
Clinicians should carefully monitor patients with bipolar disorder
who exhibit numerous depressive episodes or mixed features for
suicidal behavior.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW593
Survivors of suicide: A research on the
consequences of a loss for suicide
S. Bellini∗, F. Ricci , M. Migliorati , G. Giordano , D. Erbuto ,
M. Milelli , M. Pompili
Sant’Andrea Hospital, Department of Neurosciences, Mental Health
and Sensory Organ, Suicide Prevention Centre, Sapienza University of
Rome, Rome, Italy
∗ Corresponding author.
Introduction Suicide loss requires more time to grieve than other
losses and it is often associated with suicidal thoughts and suicide
attempts in the survivors.
Objectives Survivors are often neglected and there is no real
understanding of the both psychological and psychopathological
consequences of loosing a dear one by suicide.
Aims To assess the relationship between hopelessness, depres-
sion, suicide risk, complicated grief, intrusive memories and
avoidance in a sample of suicide survivors. To define the perma-
nence of particular variables associated with a specific type of loss,
defined “complicated grief”, even after many years from the loss.
Methods We recruited 35 survivors of suicide, searching for help
to the Suicide Prevention Centre of Sant’Andrea Hospital in Rome.
Subjects were administered BDI II, BHS, ICG, BRFL, IES, SHS, SWLS
and an informative schedule.
Results A total of 62.8% of the survivors shows a higher scores
on Complicated Grief referred more intrusiveness of thoughts
and memories (rho = 0.6; P < 0.01) and the attempt to prevent the
thoughts and emotions related to the event (rho = 0:42; P <0.05),
more depressive symptoms (rho = 0:53; P <0.01) and increased
hopelessness (rho 0.54; P <0.01), a lower feeling of happiness
(rho = –0.60; P <0.01) and satisfaction with their life (rho = –0.57;
P < 0.01) than survivors that reported a lower scores in the compli-
cated grief.
Conclusions The permanence of the symptoms of complicated
grief suggests that in the case of suicide is harder to achieve a
degree of acceptance and emotional balance, which usually hap-
pens within six months from the loss.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.