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S36

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S18–S55

formed the control group. The data was obtained from various

national registers.

Results

Diseases of the blood and blood forming organs (preva-

lence in SCZ was 17% versus 10% in controls,

P

< 0.001), endocrine,

nutritional and metabolic diseases (45% vs. 27%,

P

< 0.001), dia-

betes mellitus (7% vs. 3%,

P

< 0.001) and nervous diseases (33% vs.

25%,

P

= 0.018) were more common among individuals with SCZ

compared with controls. Diseases of musculoskeletal system and

connective tissue were less common in SCZ than among controls

(28% vs. 41%,

P

< 0.001).

People with other psychoses than SCZ had statistically signifi-

cant association with all the diagnostic groups classified in ICD-10

except with neoplasms. Infections and parasitic diseases (preva-

lence in other psychoses was 44% versus 32% in controls,

P

< 0.001),

diseases of the blood and blood forming organs (18% vs. 10%,

P

< 0.001), endocrine, nutritional and metabolic diseases (42% vs.

27%,

P

< 0.001) including diabetesmellitus (9%vs. 3%,

P

< 0.001), ner-

vous diseases (40%vs. 25%,

P

< 0.001), diseases of the eye and adnexa

(32% vs. 21%,

P

< 0.001), diseases of the ear andmastoid process (58%

vs. 44%,

P

< 0.001), diseases of circulatory (50% vs. 37%,

P

< 0.001),

respiratory (70% vs. 60%,

P

< 0.001) and digestive system (77% vs.

68%,

P

= 0.004), diseases of skin and subcutaneous tissue (23% vs.

16%,

P

= 0.006), diseases of musculoskeletal system and connective

tissue (51% vs. 40%,

P

= 0.004) and diseases of genitourinary system

(41% vs. 31%,

P

= 0.003) were more common among people with

other psychoses than SCZ compared with controls.

Discussion

A newfinding is that not only peoplewith schizophre-

nia but especially those with other psychoses show a greater

occurrence of somatic diseases compared with those without psy-

chosis. The increased occurrence of somatic comorbidity in other

psychoses should be noted by medical professional, and further

longitudinal studies are warranted to study its possible risk factors

during lifespan.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.870

Market economy and its consequences for mental

health

S55

Overview of the EPA guidance paper

M.M. Carrasco

Instituto de Investigaciones Psiquiátricas, Fundación M

a

Josefa Recio

Hermanas Hospitalarias, Bilbao, Spain

After several decades of Market Faith in Western societies and the

most severe financial crash several generations has known, there

has not really been a serious re-examination of the role of markets

and money in our society. A market economy may be a valuable

and effective tool for organizing productive activity. The problem

is whether we have become a “market society”. That is, if the eco-

nomic values have been transplanted to the whole of society –

not only economic life – and we have become a monetized soci-

ety: a society where just about everything is up for sale. That’s to

say, a way of life where market relations and market incentives

and market values come to dominate all aspects of life. Paradox-

ically, it is possible that the economic crisis has only increased

this trend. Administrations at different levels – European, States,

Local

. . .

– have demanded tremendous sacrifices from the popula-

tion intended to save the financial system, but on theway sacrificing

a Welfare state that took decades to build. In this presentation, we

will review the mental health consequences of the current eco-

nomic crisis. Also it examines how the change in social values and

sweeping assertion of economic values can affect the way we think

about Mental Health and Psychiatric Care.

Disclosure of interest

The author has not supplied his declaration

of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.871

S56

Discussant: Ethical challenges

M. Kastrup

Own firm, Copenhagen, Denmark

Europe has undergone considerable economic changes that have

an impact on mental health of its citizens; have consequences for

the organization of mental health services; and raise ethical issues,

such as the distribution of wealth, and equity in access to care.

Furthermore, Europe is current undergoing serious economic prob-

lems that will produce adverse effects on the mental health of its

citizens, among them increase in substance abuse related disorders

as well as an increase in suicide.

The consequences that economic changes have on mental health

relate to the conditions of the particular country, as countries

with better health security nets would be less likely to experience

adverse effects. Different policy measures may reduce the impact

onmental healthnot onlywithin the health sector, but other sectors

of society have to be engaged in the process.

The symposium will consider these problems from different

selected perspectives.

An overview of the impact of economic policies on health services

will be followed by a presentation of the important role of interna-

tional organizations like EPA in outlining the problem and finally

a presentation of the initiative Choosing Wisely that focuses on

communication between health professionals and patients with

recommendations of decisions about the most appropriate care

based on the patient’s individual situation.

Disclosure of interest

The author has not supplied his declaration

of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.872

S57

Mental health in context. Impact of

economic policies on health services

N. Sartorius (President)

Association for the Improvement of Mental Health Programs, Geneva,

Switzerland

The impact of economic policies on mental health services – and

with some differences also on general health services – will be

exemplified by an analysis of the current trend of governments’

withdrawal from funding the mental health services it provided

until now and the replacement of the government funded services

by privately owned services. The analysis will be made on the back-

ground of the current worldwide tendency of commoditification,

which posits that health care should be considered a commod-

ity and judged using indicators, which have proven their value in

commerce and handling of commodities. The analysis leads to the

conclusion that the both tendencies – of commoditification and

of increasing involvement of private capital in running health care

services are likely to lead to a deterioration of care for people with

mental illness.

Disclosure of interest

The author has not supplied his declaration

of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.873