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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

1 ,

, D. Nagui Rizk

1

, M. Esmaiel

2

, H. Helal

2

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.709

EW592

Factors related to suicidal behavior in

korean patients with bipolar disorder:

The effect of mixed features on

suicidality

H.J. Seo

1

, H.R. Wang

1

, Y.S. Woo

1

, H.C. Kim

2

, W.M. Bahk

1 ,

,

B.W. Nam

3

, E. Lim

4

, K.J. Min

5

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.710

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.711