European Psychiatry - Volume 33 - March 2016

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S550 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805
EV627
Evaluation of staff training in crisis
and home treatment team in
Merseyside
S. Natarajan
Warrington, United Kingdom
Introduction Home Treatment Accreditation Scheme (HTAS) is
a programme published by Royal College of Psychiatrists, which
reviews home treatment team with the aim of helping them to
improve quality and awarding accreditation to service. Standards
were focused on various domains including service provision and
structure, staff appraisal, training, assessment, care planning and
interventions.
Objective To evaluate whether staff received training that is
required to deliver services effectively without jeopardising the
needs and safety of the patients.
Methodology A tool was designed based on the recommenda-
tions from HTAS. Eighteen staffs from various backgrounds were
involved in this evaluation. Each standard were categorised into
type 1/2/3. In order to achieve accreditation team has to meet 100%
of type 1, 80% of type 2 and majority of type 3.
Results Only 65% staffs have been trained as opposed to 100% as
suggested by HTAS. Fifty-five percent of staffs have not had training
as opposed to 80% for a team to be accredited. Thirty-eight percent
staffs have had training compared to 50%, although they are not
directly responsible for HTT.
Conclusions Would suggest all the staff to be trained in the core
skills that are required to deliver good quality service. Training
should be focused and specific to their roles and the teams they
work, meeting the needs of the service users. Also, training should
be updated on regular basis. This should be re-evaluated in 1-year
time with the view of auditing across the trust in other home treat-
ment teams.
Disclosure of interest The author has not supplied his declaration
of competing interest.
EV628
The prevalence of the burnout
syndrome among population
examined at the psychiatric
emergency department for attempted
suicide
E. Perju ∗, E. Gallois
1 Reims, France
2 Psychiatry, 10, rue Corvisart, 75013 Paris, France
∗ Corresponding author.
Introduction The intention of this study is to show the frequency
of the burnout syndrome among the population seen at psychiatric
ER for the most severe complication of the burnout, the suicide
attempt.
Objective (a) To demonstrate the frequency of burnout among
the population examined at psychiatric ER for suicide attempt.
(b) To establish a correlation between the frequency of burnout
and:
– the socio-demographic characteristics;
– the psychiatric follow-up;
– the type of personality found.
Methods Descriptive study on a sample of 92 patients examined
at psychiatric ER between 01/02/2014 and 01/06/2014 after a sui-
cide attempt, seen by a single doctor. The patients received the
Maslach Burnout Inventory (MBI).
Results The frequency of burnout among the population con-
sulted for suicide attempts is 8.7%. The limitations of this study
were: the use of MBI questionnaire only by one doctor and a col-
lection of data carried on a certain period of time.
I managed to characterize the population seen after the sui-
cide attempt induced by the burnout: 88% women; 25% foreign
population working in a context with many responsibilities; the
predominance of obsessive personality – 50%, followed by anxious
personality type – 25%; the suicide attempt was done by a popula-
tion without psychiatric history and without psychiatric follow-up
– 75%; the studied population is divided between patients working
in a high responsibility environment – 36% and patients working
in the social or the public environment – 63%.
Eighty-eight percent of patients were brought in after their first
suicide attempt.
Conclusion Despite the fact that until now a unanimous defini-
tion has not been formulated on the CIM-10, the burnout syndrome
is one of the most popular disorders.
The problematic is real, considering that this syndrome, which
startswith a psychological distress, can escalade to a self-aggressive
behaviour.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV629
Case report of autointoxication with
nutmeg committed by a suicide
attempter
S. Petrykiv ∗, L. de Jonge , P. Michielsen , M. Arts
1 GGZ Friesland, Emergency Psychiatry, Leeuwarden, Netherlands
2 UMC Groningen, Epidemiology, Groningen, Netherlands
3 GGZ West Noord Braband, Psychiatry, Bergen op Zoom, Netherlands
4 UMC Groningen, Old Age Psychiatry, Groningen, Netherlands
∗ Corresponding author.
Introduction Autointoxicationwith nutmeg in an emergency set-
ting is a rare, but potentially a life-threatening event. Despite the
low incidence of ‘tentamen suicidii’ (TS) with nutmeg, this sub-
stance is cheap and readily available. Early recognition of a suicide
attempt with nutmeg poisoning can be extremely difficult, espe-
ciallywhen nobodywitnessed the nutmeg intake. Worldwide there
are only a few cases reporting TS with nutmeg.
Objectives To present a case of TS with nutmeg committed by a
suicide attempter.
Aims To review available literature on TS with nutmeg.
Methods A case report is presented and discussed, followed by a
literature review.
Results Five published cases of suicide attempts with nutmeg
were found while searching through PUBMED and Embase. Our
case describes a 57-year-old female, diagnosed with borderline
personality disorder, who has been admitted to the emergency
department in a state of agitation, diminished cognition, respira-
tory difficulties and hemodynamic instability. Electrocardiography
showed a fast sinus arrhythmia with no uschemic or hypertropic
changes. Blood sampling, serumand urine toxicology did not reveal
any abnormalities. In view of the complexity of her condition, she
admitted to have taken a large dose of nutmeg. The patient was
kept for observation, offered reassurance, and rehydratation.
Conclusion The presentation of inexplicable clinical state accom-
plished by disturbances of central nervous, respiratory and
hemodynamic systems in the population of patients with attempt-
ing suicide should alert the physician to the rare but probably
underreported possibility of nutmeg autointoxication.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.