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S328

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348

EW605

Ethnic Immigrant suicide in a

Canadian psychiatric service: A case

series from 1966–1997

N. Husain

1 ,

, B. Martin

2

, M. Husain

3

, V. Duddu

4

, I. Sakinofsky

5

,

M. Beiser

6

1

University of Manchester, Psychiatry, Manchester, United Kingdom

2

Centre for Addiction & Mental Health CAMH, Centre for Addiction &

Mental Health CAMH, Toronto, United Kingdom

3

Harvey House Social Enterprise, Harvey House Social Enterprise,

Manchester, United Kingdom

4

The Lancashire Care NHS Trust, The Lancashire Care NHS Trust,

Manchester, United Kingdom

5

University of Toronto, psychiatry, Toronto, Canada

6

Ryerson University, Psychology, Toronto, Canada

Corresponding author.

Introduction

Suicide is a major public-health problem in Canada.

Data from ‘Statistics Canada’ suggests that there was a 10%

increase in suicide rate between the years 1997 and 1999. Studies

have found substantial differences in suicide rates (and patterns)

amongst ethnic immigrants compared to Canadian-born individ-

uals.

Aim

The aim of the study was to investigate whether ethnic-

immigrant patients differed from Canadian-born patients in their

social, demographic, psychiatric and historical associations.

Methods

All registered patients (

n

= 276) known to have com-

pleted suicide from 1966–1997 constituted the study sample. Data

were extracted from the written case audits, autopsy and toxico-

logy reports, and medical records.

Results

Of the 276 known cases of suicide, 11 were Afro-

Caribbean, 24 were Eastern European, 14 were Asian and 215

were Canadian-born patients. The ethnic-immigrant groups were

broadly comparable to the Canadian-born group in terms of the

social, demographic, psychiatric and background historical factors

(except that the latter had a higher prevalence of alcohol and

substance misuse). There were no significant differences between

different ethnic immigrant groups themselves.

Conclusions

The most salient implication of the findings are that

social, psychiatric and historical associations ofmentally ill patients

who complete suicide are common across different ethnic immi-

grant groups, and as such a universal approach to mental health

promotion, early identification and treatment would be similarly

applicable to patients belonging to all groups.

Keywords

Suicide; Ethnicity; Immigrants; Canada

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.723

EW606

Empathy in adolescent suicidal

behaviors: Perspectives from the

adolescents, their parents and their

healthcare professionals

J. Lachal

1 ,

, M. Orri

2

, A. Revah-Levy

3

, M.R. Moro

1

1

Hôpital Cochin- Maison de Solenn, Université Paris Descartes,

Sorbonne Paris Cité, Paris, France

2

Inserm, U1178, Paris, France

3

Centre de soins psychothérapeutiques de transition pour

adolescents, Argenteuil, Université Paris Diderot, Sorbonne Paris Cité,

U1153 CRESS, Paris, France

Corresponding author.

Introduction

Suicide is the second leading cause of death among

15–25years, and the rate of suicide attempts is 10–20 times

higher than that of completed suicides. Past research improved the

knowledge on risk and protective factors, and resulted in large-

scale campaigns of prevention and reduction of deaths by suicide.

However, their effect seems to decline, and the prevalence rates of

suicidal attempts have stopped decreasing (either becoming stable

or increasing again).

Method

Qualitative synthesis on adolescents’ suicidal behav-

iors, from the perspectives of 900 participants (adolescents

presenting suicidal behaviors, their parents, and their healthcare

professionals), including 44 studies (1990–2014, having good qual-

ity according to CASP evaluation) systematically found on five

databases (Medline, PsycINFO, EMBASE, CINAHL, SSCI).

Results

The suicidal experience is organized around three super-

ordinate themes: the individual experience (the individual burden

and suffering related to suicide attempts); the relational experience

(the importance of relationships with others at all stages of the pro-

cess of suicidal behavior); and the social and cultural experience

(how cultural groups and society accept/reject youths in distress

and their families, and how this affects the suicidal process and its

management).

Conclusions

The violence of the message of a suicidal act and the

fears associated with death lead to incomprehension and interfere

with the capacity for empathy of both family and professionals.

How canwe treat someone when our capacity of empathy is dumb-

founded? Exploring the concept of intersubjectivity, we found a

possible viable answer. Especially, the need of a “third place” in the

suicidal patient care is discussed.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.724

EW607

Association between immigration

status and inpatient psychiatric

admission after attempted suicide:

Results from a hospital-based

observational study

G. Martinez-Ales

1 , 2 ,

, E . J

imenez

1 , E. R

oman

1 ,

P. Sanchez-Castro

1 , A.

Suarez

3 , B. R

odriguez-Vega

1 , C. D

e Dios

1 ,

M.F. Bravo

1

1

Hospital Universitario La Paz, Psychiatry, Madrid, Spain

2

UAM-ASISA Chair, Universidad Autonoma de Madrid, Madrid, Spain

3

School of Medicine, Universidad Autonoma de Madrid, Madrid,

Spain

Corresponding author.

Introduction

Acute suicidality or a condition after attempted

suicide frequently leads patients to both voluntary or involun-

tary inpatient admission. Emergency room psychiatrists decide

whether such patients can be treated on an outpatient basis.

Objectives

To identify if immigration status is associatedwith the

decision whether a patient needs a hospital admission.

Aims

To detect social determinants of hospital-based health

resource uses.

Methods

A cross-sectional study including data from 323

patients treated in a general hospital’s emergency room after a

suicidal attempt during year 2014.

Results

Seventy-six patients were admitted to the hospital

(23.5%). Hospitalization frequencies for immigrant and non-

immigrant individuals were 6.3% and 26.5% (

P

= 0.002). No

significant association was found between psychiatric admission

and history of a diagnosed psychiatric disorder, previous suicidal

attempts, previous emergency room care use, family support or

current drug use. A subgroup of patients (

n

= 37; 9%) answered

Beck’s suicidal intent scale (SIS), a measure of risk in suicidal

attempters. Mean SIS was found to be higher among hospital-

ized than discharged patients (8.5 vs. 16.5;

P

= 0.01). No significant

difference was found in mean SIS between immigrant and non-

immigrant patients (9.3 vs. 9.1;

P

= 0.3).

Conclusions

These preliminary results call for consideration.

The highly significant lower rate of psychiatric admission among