European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348 S339
Hospital Del Mar, Psychiatry service – INAD, Barcelona, Spain
∗ Corresponding author.
Introduction Psychomotor agitation is a common psychiatric
emergency in our environment that can occur in a wide clinical
spectrum. Both the agitation itself as the procedures for their con-
trol, carry an implicit risk to patient safety and health workers.
Objective To describe the prevention measures used in patients
requiring mechanical restraint in relation to diagnosis of psychi-
atric disorders.
Material and methods This is a naturalistic descriptive study.
Mechanical restraints made in brief psychiatric hospitalization
units of “Hospital del Mar” between January of 2013 to March
of 2015, were analyzed by diagnosis. Proportions of the pre-
vention intervention performed by nurses in each episode were
compared. The groups of prevention interventions done were:
“verbal approach”, “environmental measures”, “psychopharma-
cological intervention”, “observation increase” and “inability for
applying any measure because unpredictability”.
Results A total of 2986 mechanical restraints were done in
brief hospitalization units. Among the results, we find that verbal
approach measure was use in 77.23% of patient with personality
disorders. Environmental measures were used in 40% of the total
of restraints. The most of psychopharmacological intervention was
done in alcohol intoxication (50%) and then in psychotic spectrum
(42.01%). The inability for applyingmeasures was greater in alcohol
intoxication (45.4%).
Conclusion Some of the results of this study are interesting and
consistent with clinical practice (for example, effectivity of phar-
macological intervention in psychosis and bipolar disorders, as
well verbal approach in anxiety, etc.), we can predict the useful-
ness of measures applied to prevent a mechanical restraint. Further
research is needed in this topic.
Disclosure of interest L. Galindo is a Rio-Hortega-fellowship –
(ISC-III; CM14/00111).
EW637
Interim results of remotely provided,
one-on-one, tailored
psycho-education and skills training
to caregivers of patients with mental
health difficulties
K. Ashcroft (BA MPhil D ClinPsy) (Consultant Clinical
Psychologist) ∗
B. Insua-Summerhays (BSc) (Research Assistant – MyHealios)
1 London, UK
2 Southampton, UK
∗ Corresponding author.
In the past several decades, considerable evidence has emerged
on the efficacy of caregiver and family interventions in the treat-
ment of severe and enduring mental health disorders, particularly
schizophrenia. Studies have demonstrated benefits of these inter-
ventions with regard to both reduced rates of burden in caregivers,
and a reduction in relapse and improvement in symptoms of the
personwith psychosis. However, many caregivers whomay benefit
from such interventions are unable to access them, due to limited
resources and geographical factors. Additionally, concerns about
stigma and time constraints may deter caregivers from accessing
support. The following study is among the first to address these
barriers using a remotely delivered, one-on-one caregiver inter-
vention. Caregivers (n = 93) of patients with severe and enduring
mental health difficulties took part in a tailored psychoeducation
and skills training intervention, consisting of weekly 40minute
videoconference or telephone sessions with a trained clinician.
Caregivers completed the Involvement Evaluation Questionnaire
(IEQ) and General Health Questionnaire (GHQ-12) at baseline, and
eight sessions (mid treatment). It was hypothesized that caregivers
would show a reduction of distress and burden in response to the
intervention. Interim comparison of pre- versus 8th session meas-
ures demonstrated a highly significant reduction in GHQ scores
(P < 001), as well as a highly significant reduction in IEQ scores
(P < 001). Results suggest that remotely provided, one-on-one, tail-
ored psycho-education and skills training may be an effective and
accessible intervention to improve the well-being of, and decrease
burden in, caregivers of mental health patients.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW638
Evaluation of suicide risk in
psychiatric patients after discharge. A
follow-up study
G. Giordano ∗, R. Federica , E. Denise , M. Monica , I. Marco ,
P. Maurizio
1 Mental Health and Sensory Organs Sant’Andrea Hospital Sapienza
University of Roma- Rome- Italy., Department of Neurosciences,
Rome, Italy
2 Mental Health and Sensory Organs Sant’Andrea Hospital Sapienza
University of Roma- Rome- Italy, Department of Neurosciences,
Rome, Italy
∗ Corresponding author.
Résumé
Introduction Several studies show that the first period after dis-
charge has an higher suicide risk.
Objectives Following up psychiatric inpatients after discharge
may be important in order to better understand the risk and the
protective factors of suicide.
Aim The aim of our follow-up study is to evaluate the predic-
tive factors of suicide in a sample of psychiatric inpatients after
discharge.
Methods We analyzed the temperament and the levels of hope-
lessness, depression, suicide risk in a sample of 87 (54% males)
inpatients at time T0 (during the hospitalization), T1 (12 months
after discharge) and T2 (8 months after T1). We administered the
following scales: BHS, MINI, TEMPS, GMDS, CGI.
Results A statistically significant difference on the risk of sui-
cide with substance abuse was found among patients who were
followed up and who refused to participate, respectively at T1
( 24 = 2.61; P < 0.05) and T2 ( 24 = 1.57; P = 0.05). At T1, 4 patients
attempted suicide and 18 showed suicidal ideation. In the sec-
ond follow-up, 1 patient successful committed suicide, 1 subject
attempted suicide and 10 patients showed suicidal ideation.
Patients with suicidal ideation at T1 showed higher levels of hope-
lessness and a diagnosis of bipolar disorder type I ( 24 = 10.28;
P = 0.05). Sixty-seven percent of subjects with suicidal ideation
showed higher scores in the BHS at T1. Significant differences were
found on the anxious temperament at T2 between two groups.
Conclusions The follow-up could represent a significant strategy
to prevent suicide in psychiatric patients.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW639
Tendency to stigmatization of
mentally ill people by university
students in the Czech Republic
M. Holubova ∗, J. Prasko , H. Klimusova
1 Faculty of Medicine and Dentistry-Palacky University
Olomouc-University Hospital Olomouc, Department of Psychiatry,
Olomouc, Czech Republic