European Psychiatry - Volume 33 - March 2016

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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 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.
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.
EW613
Patient assessment following
substance overdose: Can we predict
memory of the psychiatric interview?
J. Salles ∗, E. Very , J. Pariente , L. Schmitt
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 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.
EW614
Suicidal ideation and organic diseases
in acute female psychiatric patients
P. Solano ∗, M. Ustulin , R. Vecchio , A. Rreshketa ,
E. Pizzorno , G. Serafini , M. Amore
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.