European Psychiatry - Volume 33 - March 2016

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S326 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348
committed by the married males and females with completed high
school, pensioners. The suicide rate has been increasing with the
age of the suicide committers and it is the highest in subjects of both
genders aged over 75 years. The most common suicide method in
males and in females is hanging and strangling. The second most
common method in males is by firearm and in females poisoning.
Conclusions Suicide Prevention Programme in Serbia should be
primarily oriented toward the male population because they were
more exposed to stress in the period of social transition in recent
years. But the problem is that males are still less ready to ask psy-
chiatrists for help when having some problems withmental health.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EW600
The spatial pattern of suicides in
Russia: Does alcohol matter?
Y. Razvodovsky ∗, S. Kandrychyn
1 Grodno State Medical University, Pathological Physiology, Grodno,
Belarus
2 Minsk regional clinical hospital, Cardiology, Minsk, Belarus
∗ Corresponding author.
Introduction Russia retains one of the highest suicides rate in the
world, despite a gradual decline over the past decade. Epidemi-
ological evidence suggests that suicide mortality vary noticeably
between the regions in Russia with the regular spatial pattern in
suicides distribution.
Objectives The aim of this study was to consider the role of
alcohol as a factor responsible for the spatial pattern of suicides
mortality in Russia.
Methods The cross-sectional time series analysis of suicides and
fatal alcohol poisonings (as a proxy for alcohol consumption) rates
in 73 regions of European Russia over the period 1980–2013 was
performed. This analysis was followed by a more detail examina-
tion of the mortality distribution across the north-south axis by
using latitudinal approach.
Results The stable south-north gradient in suicides and alcohol
poisonings mortality rates is manifested on the European territory
of Russia. The analysis indicates that the regional variations of sui-
cides and alcohol poisonings mortality rates have a similar spatial
regularity, which means that the regions with a high suicides rate
also have a high alcohol poisonings mortality rates. The results also
suggest the long-term similarity and continuality in the suicides
and alcohol poisonings mortality geographical pattern.
Conclusions The findings on spatial relationship between sui-
cides and alcohol poisonings mortality rates seem to support the
hypothesis that considers regional pattern of alcohol-related prob-
lems as a factor responsible for the spatial pattern of suicides
mortality in Russia.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW601
Suicide mortality in Spain and its
relationship with economic indicators
in a region with high suicide rates
P. Fernández Navarro ∗, T. López-Cuadrado , M.L. Barrigón ,
J. López-Castroman , M. Sanchez-Alonso , M. Arrojo ,
E. Baca-García , R. Fernández-Cuenca
1 National Center for Epidemiology- Carlos III Institute of Health,
Cancer and Environmental Epidemiology Unit, Madrid, Spain
2 Consortium for Biomedical Research in Epidemiology and Public
Health CIBER en Epidemiología y Salud Pública – CIBERESP, Madrid,
Spain
3 National Center for Epidemiology, Carlos III Institute of Health, Area
of epidemiological analysis and health situation, Madrid, Spain
4 IIS-Jimenez Diaz Foundation, Autonoma University, CIBERSAM,
Department of Psychiatry, Madrid, Spain
5 CHRU Montpellier and INSERM U1061, Department of Emergency
Psychiatry and Post-Acute Care, Montpellier, France
6 Dirección General de Asistencia Sanitaria, Servicio Gallego de Salud,
Servicio de Salud Mental y Asistencia a Drogodependencias, Santiago
de Compostela, Spain
7 New York State Psychiatric Institute, Department of Psychiatry,
New York, USA
∗ Corresponding author.
Introduction Spatial patterns of mortality could help us to focus
research to achieve prevention. On the other hand, recent research
has shown an association between unemployment and suicide, but
the mediating factors in this relationship are still unknown.
Objectives We investigated the provincial spatial patterns of
suicidemortality in Spain, and the effect of unemployment and eco-
nomic recession on suicide mortality rates in the Spanish region of
Galicia that has high suicide rates.
Method To describe regional suicide mortality in Spain and to
assess its association with recession and unemployment in Galicia,
we calculated age-standardized suicide rates in men and women
throughout 1975–2012 by region and performed a time-trend Gen-
eralized Additive Model using mortality data provided by National
Statistics Institute and employment data collected from Statistics
Institute of Galicia.
Results In Spain, during the study period, there were 105,134
suicides with an age-adjusted rate of 10.2 and 3.02 per 100,000
population in men and women, respectively. There is a high vari-
ability in mortality rates across Spanish provinces. Madrid had the
lower rates and Asturias and Galicia the higher ones. In Galicia, sui-
cide rates were 13.7 in men and 4.3 in women per 100,000 and we
found that economic recession and unemployment interacted with
regards to suicide rates (P = 9.80E-4) and after stratifying by sex, the
effect was confirmed only among men (P = 8.70E-3).
Conclusions In Spain, suicide mortality varies greatly by region
and in Galicia that is one of Spanish regions with higher suicide
rates, unemployment was related with suicide during economic
recession periods.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW602
Suicidal ideation during pregnancy in
British Pakistani women
A. Sharif ∗ Husain Gire omenson Chaudhry
M. Husain
1 Royal Shrewsbury Hospital, Foundation Year Doctor FY1 UK,
Shrewsbury, United Kingdom
2 South London & Maudsley N H S Trust, Psychiatry, London, United
Kingdom
3 The University of Central Lancashire, School of Health, Preston,
United Kingdom
4 The University of Manchester, Institute of Population Health,
Manchester, United Kingdom
5 The University of Manchester, Institute of Brain Behaviour and
Mental Health, Manchester, United Kingdom
6 Harvey House Social Enterprise, Psychiatry, Lancaster, United
Kingdom
∗ Corresponding author.
Introduction Suicide is a major public health problem and one
of the common causes of maternal mortality. Rates of suicide and
self-harm are higher in British South Asian women compared to
the majority white population. Suicidal Ideation (SI) is a significant
risk factor associated with self-harm and suicide.