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S330

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

2

Epilepsy Group, Atkinson Morley Regional Neuroscience Centre, St.

George’s University Hospitals NHS Foundation Trust, London, United

Kingdom

Corresponding author.

Introduction

The social and economic impact of mood disor-

ders and suicide is extremely high. In depression, suicide is

included among the cognitive disturbances, together with guilt,

paranoid and obsessive-compulsive symptoms, depersonaliza-

tion/derealization and agitation

[1,2] . T

he aim of this report is to

study a sample of depressed patients with bipolar disorder or major

depressive disorder, to evaluate the level of impulsivity and disso-

ciation in a context of a suicidal plan.

Method

Twenty inpatients with suicidal plan were assessed

with: the SCID-P for Axis I diagnosis, SCI-DER, DSS, HRSD, HAS,

YMRS, GSR. We conducted a systematic literature review (PubMed,

Embase, PsychInfo) using the key terms “depression”, “suicide”,

“suicidal plan”, “depersonalization”, “derealization” AND “dissoci-

ation”.

Results

An independent sample T-Test analysis suggested that

the patient with high sucidal plan present significant highter score

at SCI-DER TOT (

P

= 0.015), DSS TOT (

P

= 0.037), BIS-11 motor per-

severation factor (

P

= 0.023) and inversely significant HAS TOT

(

P

= .029).

Discussion and conclusion

It’s suggestive that when are lost the

boundaries of the self, the clarity of suicidal’s purpose reduces the

levels of anxiety and suicide appears the onlyway to achieve the lib-

eration of the suffering of depression. Methodological limitations,

clinical implications and suggestions for future research directions

are considered.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

References

[1] Castrogiovanni P et al., 1998.

[2] Miret M et al., 2013.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.729

EW612

Spousal abuse in married women with

suicidal attempt in Shiraz, Iran

A. Sahraian

, S. Bahreini , A. Mani

Research Center for Psychiatry and Behavioral Sciences, Shiraz

University of Medical Sciences, Shiraz, Iran

Corresponding author.

Introduction

Epidemiological studies revealed that 21 to 34 per-

cent of women around the world have been victim of physical

assault by their spouse and spouse abuse have beenmore prevalent

in developing countries.

Objectives

The most common form of violence against women

is spousal abuse which is a dangerous factor and leads to serious

psychological damages while it is one of the most important causes

of suicide in married women.

Aims

The study of factors related to spousal abuse in the popula-

tion where they attempt to suicide is important for recognizing it

and preventing spousal abuse, consequently, preventing suicide.

Methods

The study was conducted cross-sectional on 360 mar-

ried women who attempted suicide and referred to Shoshtari

Hospital in Shiraz. Instruments for data collection comprised of

about spousal abuse questionnaire and demographic cases ques-

tionnaire which were filled through interview.

Results

A total of 43.9% of domestic violence prevalence, 61.7%

of economic violence, 45.3% of psychological violence, 38.1% of

social violence, 38.1% physical violence, 35.9% of sexual violence

was reported. There was a relation between spousal abuse and

some factors such as: age difference between spouses, wife and

husband’s education, husband’s substance abuse, husband’s medi-

cal illness, wife’s psychiatry disorder, spouses’ obligatory marriage,

polygamy and husband’s job.

Conclusions

Considering relatively high prevalence of spousal

abuse in people who attempted suicide and the relation between

some demographic factorswith violence, besides regarding spousal

abuse as one causes of suicide, the women’s screening, particularly

thosewho attempt suicide in regard to spousal abuse and its related

factors seems necessary.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.730

EW613

Patient assessment following

substance overdose: Can we predict

memory of the psychiatric interview?

J. Salles

1 ,

, E. Very

1

, J. Pariente

2

, L. Schmitt

1

1

CHU Toulouse, psychiatry, Toulouse, France

2

CHU Toulouse, neurology, Toulouse, France

Corresponding author.

Suicide is a major public health issue, and a critical step in its

prevention is a psychiatric assessment of individuals following sui-

cide attempts (NICE 2008). In cases where patients attempt suicide

through substance overdose, the central nervous system and con-

sciousness are altered in significant ways. This is problematic, given

that patients must have recovered sufficient cognitive capacity if

a psychiatric assessment is to yield a meaningful and suitable care

plan that the patient will recall and follow (Lukens 2006). Currently,

there is no validated tool to assess whether sufficient cognitive

recovery has occurred in such patients to ensure their memory of

the assessment. Therefore, our goal was to identify indicators that

predict preservedmemory of undergoing a psychiatric assessment.

We carried out a prospective study with 41 patients recruited from

an emergency department. We collected data on cognitive tests

(including WAIS coding test), memory self-assessment, plasma

benzodiazepine levels, age, gender, and educational level at the

time of psychiatric

assessment.We

then assessed patients’ memory

for undergoing a psychiatric interview 24 hours post-assessment,

using an episodicmemory score.Whereasmemory self-assessment

did not predict the episodic memory score, age, plasma benzodi-

azepine level, and cognitive test scores significantly influenced it,

predicting 70% of memory score variation. Among these factors,

the WAIS coding test predicted 57% of the memory score variation.

To improve clinical practice, it may be useful to assess visual scan-

ning, processing speed, and attentional function prior to psychiatric

interview to ensure later patient recall.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.731

EW614

Suicidal ideation and organic diseases

in acute female psychiatric patients

P. Solano

1 ,

, M. Ustulin

1

, R. Vecchio

1

, A. Rreshketa

1

,

E. Pizzorno

2

, G. Serafini

1

, M. Amore

1

1

Clinica Psichiatrica, Psychiatry, Genoa, Italy

2

Legal Medicine, Health Sciences and Legal Medicine, Genova, Italy

Corresponding author.

Introduction

Physical illness has been recognized as a major risk

factor for suicidal behaviours, especially among females. A higher

number of physical comorbidities has been associated with higher

suicide- risk, thus having a greater burden among the elderly.

Objectives

investigate this evidence to be able to estimate the

load of physical illness on suicidality among psychiatric females of

different age.