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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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1612

EV628

The prevalence of the burnout

syndrome among population

examined at the psychiatric

emergency department for attempted

suicide

E. Perju

1 ,

, E. Gallois

2

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1613

EV629

Case report of autointoxication with

nutmeg committed by a suicide

attempter

S. Petrykiv

1 ,

, L. de Jonge

2

, P. Michielsen

3

, M. Arts

4

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1614