European Psychiatry - Volume 33 - March 2016

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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.
EV611
Educating to legality. A tool to prevent
crimes of psychiatric patients
A. Zangrando ∗ abici ascolo-Fabrici iolo
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.
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.
EV613
Gender differences and characteristics
of psychiatric patients assessed in the
emergency department of a regional
hospital in Canada
V. Agyapong ∗, M. Juhas , A. Ritchie , A. Kavanagh
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.