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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805

S545

These results indicate that scientific research should be put at the

service of education, especially in developing countries where lack

of resources urges health and education policy makers to take into

account findings which may impact a child’s health and learning.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1595

EV611

Educating to legality. A tool to prevent

crimes of psychiatric patients

A. Zangrando

1 ,

, F. B

abici

2 , E. P

ascolo-Fabrici

1 , A. R

iolo

2

1

UCO Clinica Psichiatrica, Department of Mental Health, Trieste, Italy

2

CSM Domio, Department of Mental Health, Trieste, Italy

Corresponding author.

Introduction

Be a citizen means having rights but also duties and

be subject to laws. Educating to legality is essential for mutual

respect in the community, for the rules of social life and to exercise

own rights of citizenship. A psychiatric patient can commit crimes

because of mental disorders but also in absence of psycopatholog-

ical problem. When a patient commits an offence, it is correct to

know whether he was due and if he is actually a danger to soci-

ety. The law do not allow ignorance but what patients really know

about the law is not clear.

Objective

In this study, we want to investigate the legal knowl-

edge in citizens with mental disorders. Moreover, we want to build

pathways to increase compliance with the law.

Methods

We collected a cohort of 10 offenders and asked them

if they were interested in an educational course on legality. We

interviewed a sample of patients at risk of breaking the Penal code

to assess their basic knowledge.

Results

The reasons to undertake an educational program on

compliance with the law were higher for offenders, maybe for fear

of damaging sanctions. Those at risk of being sued for their behavior

seemed to have more background than other group.

Conclusions

It is essential to develop educational programs about

crime prevention within the psychiatric field through training

courses that increase the knowledge and awareness of effects of

the Penal code. Moreover, citizens with mental disorders at risk

of crimes should be supported by specific interventions aimed to

social ethics.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1596

Emergency psychiatry

EV612

Neuroleptic malignant syndrome

about 14 observations

C. Aarab (Psychiatrist)

, R. Aalouane (Psychiatrist) ,

I. Rammouz (Psychiatrist)

Hospital Ibn Alhassan, psychiatry, Fez, Morocco

Corresponding author.

Introduction

Neuroleptic malignant syndrome is potentially

deadly but a rare condition occurs when taking neuroleptics. It

is characterized by hyperthermia, severe extrapyramidal disorders

and neuro-vegetative disturbances.

Aims and methodology

We have studied retrospectively files of

14 patients hospitalized for NMS In the psychiatric department of

Hassan II University Hospital of Fez in the last six years, in order to

search for the causes its occurrence and planning its development.

Results

Eighty-six percent of our patients are male, and the aver-

age age is 29 years. This disease usually affects young males but the

risk of its development is increasing with certain factors.

According to our results, it seems that high potency neuroleptics

(73%), particularly haloperidol and parenteral administration (57%)

appear to be strongly associated with NMS especially in agitated

patients having a psychotic disorder (78%) or if antipsychotic treat-

ment is newly introduced (64%).

Combining several drugs is very common in our results, 50% with

other antipsychotics, 81% with benzodiazepines. Physical impacts

associated are somehow less frequent (42%) but also seem to have

a role in the occurrence known NMS. Mortality rate was 7% (only

1 patient). These data are consistent with the majority of interna-

tional works.

Conclusion

Our results emphasize the necessity for rational use

of antipsychotics among people at risk, the importance of early

diagnosis and immediate treatment in order to have a positive

development.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1597

EV613

Gender differences and characteristics

of psychiatric patients assessed in the

emergency department of a regional

hospital in Canada

V. Agyapong

1 ,

, M. Juhas

1

, A. Ritchie

2

, A. Kavanagh

3

1

University of Alberta, Department of Psychiatry, Edmonton, Canada

2

Northern Lights Regional Health Centre, Intensive Care Unit, Fort

McMurray, Canada

3

Northern Lights Regional Health Centre, Department of Psychiatry,

Fort McMurray, Canada

Corresponding author.

Background

Epidemiological studies of emergency room (ER)

psychiatric settings can help monitor unmet needs and improve

the quality of care.

Objectives

To characterize the patients presenting to emergency

department with psychiatric complaints in a medium sized health

centre in oil sands region of the Northern Alberta.

Methods

Information on a data assessment tool designed to

capture all relevant demographic and clinical characteristics of psy-

chiatric patients in the ER was compiled as part of a clinical audit

process.

Results

Overall, 477 patients were assessed by the psychiatric

team over the 12 month period, comprising 230 (48.2%) males and

247 (51.8%) females. Therewas a fairly balanced distribution by age,

ethnic background, and relationship status between the male and

female patients. Themajority of patients with a history of self-harm

or childhood sexual abuse were female while male patients were

significantly more likely to report medication non-compliance.

A higher proportion of the female patients had depressive dis-

orders and personality disorders while a higher proportion of

male patients had anxiety disorders, bipolar and related disorders,

schizophrenia spectrum disorders, and substance-related disor-

ders. Approximately half of all the patients had an impaired clinical

insight. Majority of the patients had a GAF score of 70 or less. Nearly

one in five patients were admitted for inpatient treatment with

a significantly higher proportion of male patients being admitted

involuntarily.

Conclusion

There are sex-specific differences in many of the

demographic and clinical measures collected in our ER psychiatric

sample.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1598