European Psychiatry - Volume 33 - March 2016

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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 ∗, B. Martin , M. Husain , V. Duddu , I. Sakinofsky ,
M. Beiser
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.
EW606
Empathy in adolescent suicidal
behaviors: Perspectives from the
adolescents, their parents and their
healthcare professionals
J. Lachal ∗, M. Orri , A. Revah-Levy , M.R. Moro
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.
EW607
Association between immigration
status and inpatient psychiatric
admission after attempted suicide:
Results from a hospital-based
observational study
G. Martinez-Ales ∗ imenez oman
P. Sanchez-Castro Suarez odriguez-Vega e Dios
M.F. Bravo
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