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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).

http://dx.doi.org/10.1016/j.eurpsy.2016.01.754

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)

1 ,

,

B. Insua-Summerhays (BSc) (Research Assistant – MyHealios)

2

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.755

EW638

Evaluation of suicide risk in

psychiatric patients after discharge. A

follow-up study

G. Giordano

1 ,

, R. Federica

2

, E. Denise

1

, M. Monica

1

, I. Marco

1

,

P. Maurizio

1

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.756

EW639

Tendency to stigmatization of

mentally ill people by university

students in the Czech Republic

M. Holubova

1 , 2 ,

, J. Prasko

1

, H. Klimusova

3

1

Faculty of Medicine and Dentistry-Palacky University

Olomouc-University Hospital Olomouc, Department of Psychiatry,

Olomouc, Czech Republic