European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348 S327
Objective To explore the prevalence and risk factors of SI inBritish
Pakistani women.
Aim To identify risk factors associated with SI, in order to inform
future preventive strategies.
Method This is a secondary analysis of a larger study which
looked at depression during pregnancy and infant outcomes. Par-
ticipants who consented (women aged 18 or over, in their third
pregnancy trimester) were initially assessed for maternal depres-
sion using the Edinburgh Post-Natal Depression Scale (EPDS), with
one of the questions on the EPDS being on SI. Participants who
met the study criteria, were further assessed regarding socio-
demographic factors, perceived social support, social adversity and
isolation.
Results The rate of SI in this group of women was 8.1%, with
baseline interview results suggesting that women with SI being
significantly more likely to be aged 20 or less, have experience of
severe life events and being less likely to have social support.
Conclusion This area of research is key to understanding SI in
British Pakistani women, to better develop culturally sensitive
interventions for use within this group.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW603
Possible delayed effect of
unemployment on suicide
C. Iglesias García ∗, P.A. Saiz , M. Bouso˜no , P. Buron ,
F. Sanchez Lasheras , P. Corcoran , P. Garcia Portilla ,
J. Bobes
1 Servicio de Salud del Principado de Asturias, Mental health,
Langreo, Spain
2 University of Oviedo, CIBERSAM. INEUROPA, Psychiatry, Oviedo,
Spain
3 Servicio de Salud del Principado de Asturias, Mental health, Oviedo,
Spain
4 University of Oviedo, Psychiatry, Oviedo, Spain
5 University of Oviedo, 5Department of Construction and
Manufacturing Engineering, Oviedo, Spain
6 National Suicide Foundation, NSF, Cork, Ireland
∗ Corresponding author.
Introduction In the last few years, Spain has suffered from a
severe economic downturn which resulted in high unemployment
rates. Association between unemployment and suicide is contro-
versial.
Objectives To know the association between unemployment and
suicide and to investigate if there could be a lag between increased
of unemployment and increased of suicide.
Methods The authors collected the official data about completed
suicides and unemployment from the database of the National
Statistics Institute (INE) and the National Employment Institute of
Spain. We assessed annual variations in unemployment figures and
correlated these figures with the annual change in the number of
suicides. Pearson correlation coefficient between unemployment
and suicide was calculated both, for the same year and after 1–6
years.
Results The correlation of annual changes of unemployed and
suicides varies depending on the latency period that applies to
annual changes in suicide for comparison with index unemploy-
ment change, with a peak correlation in the fourth and fifth year
and a clear decline in the correlation in the sixth year
Conclusion The results suggest that unemployment might be
associated with suicide but mainly after 4–5 years.
Table 1 Pearson correlation coefficients between index unemploy-
ment change and suicidality change after 1–6 years (latency) for the
total men and women.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW604
Characteristics of individuals who use
alcohol at the time of attempting
suicide
D.U. Jung ∗, S.J. Kim , J.S. Lim , B.G. Kong , J.W. Kang , J.J. Moon ,
D.W. Jeon , Y.S. Kim , E.C. Kang
Inje University Busan Paik Hospital, Psychiatry, Busan, Republic of
Korea
∗ Corresponding author.
Objective The aimof this studywas to analyze the clinical charac-
teristics of individuals who used alcohol at the time of attempting
suicide.
Methods We divided 143 individuals who attempted suicide by
consuming drugs into two groups on the basis of their blood alcohol
concentration level: drinker group (n = 79) and non-drinker group
(n = 64). We compared epidemiological characteristics and suicidal
behavior between the groups by using the Suicidal Intent Scale (SIS)
and the Risk Rescue Rating Scale (RRRS). In addition, we adminis-
tered the Glasgow Coma Scale (GCS) and the Acute Physiology and
Chronic Health Evaluation–II (APACHE–II) to evaluate the medi-
cal lethality of the individuals who attempted suicide. We used
Student’s t-test, Pearson’s correlation analysis, and multiple linear
regression to analyze the data.
Results The drinker group scored lower on the SIS’s planning
subscale than the non-drinker group did (P = 0.022). The drinker
group’s blood alcohol concentration levels were negatively corre-
lated with the rescue potential of their suicidal attempt (P = 0.031)
and the APACHE-II score ( P = 0.003). Higher blood alcohol concen-
tration levels predicted poorer medical outcomes measured by the
APACHE-II (P = 0.004).
Conclusion Our findings support the notion that alcohol use
increases suicidal impulsivity, decreases rescue potential, and
worsens medical outcomes. Therefore, suicide prevention pro-
grams need to include education and counselling about the risks
associated with alcohol use.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.