European Psychiatry - Volume 33 - March 2016

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S338 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348
Table 1
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW634
Impact on personal growth and
environment conservation
self-perception in a volunteering
program with adults with severe
mental illness (SMI)
D. Cabezas Sánchez ∗, A. Ramírez Macías , J. Sáiz Galdós
1 Grupo 5, Centro de Día Aranjuez 2, Aranjuez, Spain
2 UCM, Social Psychology, Madrid, Spain
∗ Corresponding author.
Introduction “Viaje del Parnaso” is a volunteering project devel-
oped at the Day Center Aranjuez2 (CD2) for helping adults with
SMI to get a satisfactory and responsible occupation through
their implication in a volunteering work in the community, while
involved in the maintenance of a green area in the city of Aranjuez.
Objectives/aims The aim of this study was to evaluate the impact
of the project on the volunteers’ lives in terms of personal growth
and environment conservation and compare its results with non-
volunteers also attended at the CD2.
Methods The project was carried once a week during 45 weeks.
11 volunteers participated on the project, plus 5 non-volunteers
were considered as cuasi-control group. The instruments applied
were an item on “environment conservation” and 2 subscale items
of “Personal Growth” from the Ryff Scales of psychological well-
being. Measures were applied at baseline, 6 and 12 months after.
Results Significant differences were found on the environment
conservation item between volunteers at baseline and 6 months
after (P < 0.05). Results also revealed a significant difference
(P < 0.05) between volunteers and non-volunteers at both variables
(“environment conservation” and “Personal Growth”) in baseline
and 6 months after treatment.
Conclusions The data from this study suggest that a volunteer-
ing program seems to be an effective intervention for bringing
about improvements in well-being of people with SMI, and also for
increasing their environmental awareness. These improvements
may also help to change the stigma of SMI reinforcingmental health
patient’s contributions to society.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW635
Cardiovascular risk assessment in
psychiatric inpatient setting
E. Dahmer ∗, N.C. Lokunarangoda , K. Romain ,
M. Kumar
1 Health Education West Midlands, The Shrewsbury and Telford
Hospital NHS Trust, Telford, United Kingdom
2 South Staffordshire and Shropshire Healthcare, Former F1 Dr in
General acute inpatient Psychiatry-St George’s Hospital, Stafford,
United Kingdom
3 Health Education West Midlands, Former FY1-University Hospitals
of North Midlands, Stafford, United Kingdom
4 The Shrewsbury and Telford Hospital NHS Trust, Cardiology, Telford
and Shrewsbury, United Kingdom
5 Teaching Hospital Anuradhapura, Former Acting
Cardiologist-University Medical Unit, Anuradhapura, Sri Lanka
6 Rajarata university of Sri Lanka, Senior Lecturer in Medicine,
Mihintale, Sri Lanka
7 Health Education West Midlands, University Hospitals of North
Midlands, Stafford-Stoke, United Kingdom
8 South Staffordshire and Shropshire Healthcare, F1 Dr in General
acute inpatient Psychiatry-St George’s Hospital, Stafford, United
Kingdom
9 South Staffordshire and Shropshire Healthcare, Consultant
Psychiatrist- General acute inpatient Psychiatry-St George’s Hospital,
Stafford, United Kingdom
∗ Corresponding author.
Objectives To assess the general cardiac health of inpatients in
acute psychiatric units and to evaluate the practice of ECG use in
this setting.
Aims Overall cardiac risk is assessed using QRISK2. Clinically
significant ECG abnormality detection by psychiatric teams are
compared with same by cardiologist.
Methods Ten percent of patients (n = 113) admitted to five acute
psychiatric wards during a period of 13 months across three hos-
pital sites, covering a population of 1.1 million, were randomly
selected. Electronic health care records were used to collect all data,
in the form of typed entries and scanned notes. An experienced
cardiologist, blind to the psychiatrist assessments, performed ECG
analysis. TheQRISK2 online calculatorwas used to calculate 10-year
cardiovascular risk as recommended by NIHR, UK.
Results A score of 10% or more indicates a need for further inter-
vention to lower risk.13.5% of patients had a QRISK2 score of
10–20%, 5.2% had a score of 20–30%, and 1 patient had a QRISK2
score > 30%. In total, 19.7% had a QRISK2 of 10% or greater. A total
of 2.9% had prolonged QTC interval (> 440ms), with 2.9% having a
borderline QTC (421–440). A total of 34.3% of ECGs were identified
by the ward doctors as abnormal, with action being taken on 41.6%
of these abnormal ECGs. Cardiologist analysis identified 57.1% of
ECGs with abnormalities of potential clinical significance.
Conclusions One in five patients admitted to psychiatry wards
have poor cardiac health requiring interventions. Though QTC
interval prolongation is rare, half of patients may have abnormal
ECGs that require further analysis.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW636
The agitated patient; need for
mechanical restraint and prevention
measures in relation to psychiatric
diagnosis
F. Dinamarca ∗ alindo , M. Grifell , E. Perez , V. Chavarria ,
P. Salgado , S. Perez