European Psychiatry - Volume 33 - March 2016

328 / 812

S324 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348
EW594
Evaluation of dissociative experience
and suicide risk in a clinical sample
with early traumatic life events
D. Erbuto , F. Ricci , M. Innamorati , M. Migliorati , S. Bellini ∗,
G. Giordano , M. Pompili
1 Sant’Andrea Hospital, Department of Neurosciences, Mental Health
and Sensory Organs, Sapienza University of Rome, Rome, Italy
2 Sapienza University of Rome, Department of Dynamic and Clinical
Psychology, Sapienza University of Rome, Rome, Italy
∗ Corresponding author.
Introduction Dissociative experiences are related with an higher
suicide risk in subjects with specific early traumatic life events.
Objectives To evaluate the relation between trauma, hopeless-
ness, dissociative experiences and suicide risk in hospitalized
patients.
Aim To evaluate the predictive value of early traumatic experi-
ences on the onset of dissociative experiences and suicide risk.
Methods The sample consisted of 342 subjects consecutive psy-
chiatric inpatients, 163 males (47,5%) and 179 females (52,5%) with
an average age was 40.28 years ± 13.25. Hopelessness levels, disso-
ciation, trauma and suicide risk have been evaluated. We assessed
the following variables: hopelessness BHS, suicide risk (MINI, C
module), dissociation (DES), child abuse (CTQ).
Results Patients with early traumatic experiences reported
higher scores on dissociative experiences and suicide risk, espe-
cially in female patients (M= 2.06; DS = 1.21), P = 0.005 (t: 1.927),
who referred sexual abuse. Statistically significant correlation
between hopelessness and suicide risk (0.427< 0.01), physical
abuse and dissociative experiences (0.431 < 0.01) were found.
Conclusions Suicidal behavior and traumatic life-events are com-
mon among psychiatric patients.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW595
Outpatient treatment engagement
after suicidal attempt: A multicentre
prospective study
B. Boniface ∗, E. Castaigne , E. Balaguer , T. Ghanem ,
A. Bouhlal , E.B. Ivascu , A. Youssouf Abdou , P. Hardy
1 Dispositif Territorial de Recherche et de Formation Paris-Sud,
Psychiatry, Le Kremlin-Bicêtre, France
2 Hôpital de Bicetre, Psychiatry, Le Kremlin Bîcêtre, France
3 Établissement Public de Santé Erasme, Psychiatry, Antony, France
4 Groupe Hospitalier Nord Essonne, Psychiatry, Orsay, France
5 Établissement Public de Santé, Psychiatry, Etampes, France
∗ Corresponding author.
Introduction Most suicide attempters are referred to community
health professionals (CHP) after discharge from emergency depart-
ment (ED). Thereafter, outpatient treatment engagement (OTE) is
often poor. Strengthening it seems likely to reduce the risk of repeat
suicidal behaviour.
Objectives To identify the predictive factors of OTE.
Methods Multicentre prospective study in true life conducted in
adult patients (≥ 18) in 4 EDs of the Southern Paris region. Patients
were referred to CHP. OTE was assessed by telephone calls at 1
and 3 months. OTE at 1 month was defined as having booked 1
appointment; OTE at 3 months as having attended 2 appointments
and booked another one.
Results One hundred and fifty-five patients were assessed at 1
month and 144 at 3 months. OTE at 1 and 3 months was observed
in 58% and 51% respectively. Amultivariate analysis showed factors
significantly predictive of OTE at 1 month: a psychiatric follow-up
before the suicide attempt (SA), ≥2 psychiatric interviews during
the stay at ED, appointmentwith CHP booked before discharge from
the ED; and at 3 months: college or university education, absence
of alcohol intake during the SA, psychiatric follow-up before the SA,
appointment with CHP booked before discharge from the ED.
Conclusions This multicentre prospective study highlights the
benefit of booking outpatient appointment before discharge from
ED; of allowing patient to benefit from at least two psychiatric
interviews; of being particularly cautious with patients who took
alcohol concomitantly to their SA, patients with low level of aca-
demic achievement and patients without psychiatric follow-up.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW596
Psychiatric follow up after a suicide
attempt
D. de la Vega Sánchez ∗, M. Reina Domínguez ,
S. Fernández León
1 Hospital Virgen Macarena, Psiquiatría, Sevilla, Spain
2 Hospital Juan Ramón Jiménez, Psiquiatría, Huelva, Spain
∗ Corresponding author.
Introduction Suicide is a global public health problem. More than
800,000 people die due to suicide every year according to the
WHOM. In Spain, about 9 people die due to suicide every day,
and the rates increase every year. The presence of previous suicide
attempts is one of the strongest risk factors for suicide consump-
tion. Nevertheless, patients sometimes do not receive a correct
assistance after a suicide attempt.
Objective To study the follow-up of patients, without previous
psychiatrichistory, who commit a first suicide attempt in the area
of Huelva (Spain).
Method Retrospective review of the electronic clinical histories
of patients attended in the Emergency service of Juan Ramón
Jiménez Hospital after a first suicide attempt during the first six
months of 2015.
Results From January to June of 2015 we collected a total of 159
patients who committed a firs suicide attempt in our area. A total of
69.18% were women and 30.82 were men. In both sex the mean age
was 39 years. Out of the 159 attended after a first suicide attempt,
only 54% were referred to the Psychiatry service to be followed up.
Out of those referred, only 62% actually attended and only half of
them really staying treatment.
Conclusions An adequate psychiatric follow up after a suicide
attempt is needed to reduce the risk of more suicide attempts or
consumption. A minority (30.8%) of the patients attended in our
area after a first suicide attempt received an adequate attention.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW597
Suicide and body mass index
E.M. Barranco , D. de la Vega ∗, Á. Arcenegui ,
A. Rico Blanco artín . Guija iner
1 Distrito Aljarafe, Atención Primaria, Sevilla, Spain
2 Hospital Virgen Macarena, Psiquiatría, Sevilla, Spain
3 Instituto de Medicina Legal de Sevilla, Servicio de Patología, Sevilla,
Spain
4 Instituto de Medicina Legal de Sevilla, Servicio de Psiquiatría,
Sevilla, Spain
5 Universidad de Sevilla, Psiquiatría, Sevilla, Spain
∗ Corresponding author.
Introduction It has been suggested that there is a relationship
betweenBMI and suicide. Thus, BMI of subjectswho commit suicide
would be lower than the BMI of other unnatural deaths (Flaig 2013).