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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

1

, F. Ricci

2

, M. Innamorati

1

, M. Migliorati

1

, S. Bellini

1 ,

,

G. Giordano

1

, M. Pompili

1

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.712

EW595

Outpatient treatment engagement

after suicidal attempt: A multicentre

prospective study

B. Boniface

1 ,

, E. Castaigne

2

, E. Balaguer

3

, T. Ghanem

4

,

A. Bouhlal

5

, E.B. Ivascu

5

, A. Youssouf Abdou

1

, P. Hardy

2

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.713

EW596

Psychiatric follow up after a suicide

attempt

D. de la Vega Sánchez

1 ,

, M. Reina Domínguez

2

,

S. Fernández León

2

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.714

EW597

Suicide and body mass index

E.M. Barranco

1

, D. de la Vega

2 ,

, Á. Arcenegui

1

,

A. Rico

3 , M.

Blanco

3 , R. M

artín

3 , J.A

. Guija

4 , L. G

iner

5

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).