European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805 S557
Methods The design is a community-based prospective cohort
study using data from the Swedish Lundby Study. Loneliness is
measured in 1997 with a singleton question during interview of a
psychiatrist. The outcome is deathbetween1997 and2011. Survival
analysis is used to estimate the relative risk of mortality. Stratifi-
cation of potential explanatory covariates examines if any of the
health indicators mediate the relationship.
Results Significant more females, unmarried, unemployed, and
childless people feel lonely. Moreover, feeling lonely correlates to
being smoker or alcoholic when adjusting for age and gender. The
statistical work on the survival analysis is still in progress. However,
we expect to find a positive correlation between loneliness and
mortality corresponding to previous studies, and perhaps to reveal
some of the health indicators to cause the association.
Conclusions With increasing prevalence, potential health con-
sequences, and a neglected role in the society, loneliness is an
important research area.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV649
More women are medicated while
more men are talked out: Persistent
gender disparities in mental health
care
P. Joseph ∗, A. Kazanjian
UBC School of Population & Public Health, Faculty of Medicine,
Vancouver, Canada
∗ Corresponding author.
Introduction Physician incentives have been shown in previous
studies to help reduce socioeconomic disparities in health care.
Its impact on gender disparities, however, has rarely been inves-
tigated.
Aim The impact of physician incentives on gender disparities in
mental health care was investigated in this retrospective study.
Method De-identified health administrative data from physician
claims, hospital separations, vital statistics, prescription database,
and insurance plan registries were linked and examined. Monthly
cohorts of individuals with depression who were residing in British
Columbia, Canada were identified and their use of mental health
services tracked for 12 months following receipt of initial diag-
nosis. Indicators that assess receipt of the following services were
created:
– counseling/psychotherapy (CP);
– minimally adequate counseling/psychotherapy (MACP);
– antidepressant therapy (AT);
– minimally adequate antidepressant therapy (MAAT).
Interrupted time series analysis was used to estimate changes
in these indicators before (01/2005–12/2007) and after
(01/2008–12/2012) physician incentives were introduced.
Results At the beginning of the study period, the percentage
of individuals diagnosed with depression who received counsel-
ing/psychotherapy was higher, on average, among men (CP: 58.4%,
MACP: 13.6%) than women (CP: 57.1%, MACP: 10.9%). In con-
trast, the percentage who received antidepressant therapy was
higher among women (AT: 57.7%, MAAT: 47.4%) than men (AT:
53.6%, MAAT: 41.9%). Levels for these indicators have changed over
time but the statistically significant differences between men and
women were virtually the same before and after incentives were
introduced.
Conclusions Gender disparities in mental health care persist
despite the introduction of physician incentives designed to
enhance access to mental health services in primary care.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV650
Chemtrails: An overview of the
phenomenon
C. Llanes Álvarez ∗, A. San Roman Uría , P. Nunes Nancabu ,
M. Ruiz Gippini , P. López Landeiro , M.Á. Franco Martín
1 Complejo Asistencial de Zamora, Psiquiatría, Zamora, Spain
2 Complejo Asistencial de Zamora, Medicina familiar y comunitaria,
Zamora, Spain
∗ Corresponding author.
Introduction The term contrail is a contraction of condensation
and trail, as chemtrail is of chemical and trail. The first one is used
to name trails left in the sky by aircrafts under certain atmospheric
conditions. Some people argue that when contrails do not dissipate
quickly is because contain substances added and sprayed for sinis-
ter purposes undisclosed to the population (weather modification
and biological and/or chemical war are the most common).
Objective Exist various versions of the chemtrail theory, most of
them propagated via the Internet in discussions forums or web-
sites, and to a lesser degree by the mass media such as TV and radio
programs. The outspread popularity and diffusion of the theory
has already become a reality. Scientific community has repeatedly
rejected that chemtrails exist, insisting that are just contrails. We
analyze this phenomenon.
Methods We made a exhaustive literature review in Journals of
Meteorology and Aviation, about the formation of condensation
trails, in Social Pychology Journals about the genesis and dissem-
ination of the chemtrails theory. Finally, we will make a brief
presentation of documentation built around the theory of chem-
trails in the province of Zamora (Spain), where is one of the most
active spots in southern Europe.
Conclusions Official statements on the non-existence of chem-
trails have not discouraged the proponents of the theory of
chemtrails.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV651
Prevalence of adverse childhood
experiences and socioeconomic
disadvantage among Portuguese
prison inmates and its relationship
with current psychopathology
A. Machado∗, D. Loureiro , T. Silva , J. Cerejeira
Centro Hospitalar e Universitário de Coimbra, Psychiatry, Coimbra,
Portugal
∗ Corresponding author.
Introduction Adverse childhood experiences such as emo-
tional/verbal abuse, sexual abuse, physical abuse, household
dysfunction and parental psychopathology play a role in the devel-
opment of chronic mental and physical diseases as well as in the
development of aggressive and criminal behavior.
Objectives/aims Our aim was to explore the prevalence of child-
hood adversity and social disadvantage among prison inmates in
Portugal and its relationship with current psychopathology.
Methods We conducted a cross-sectional study among crimi-
nal offenders in a high-security prison in Portugal. Socioeconomic
status was evaluated using the Graffar scale. Additionally, we
inquired our sample about topics concerning education level, work
experience and present social and economic situation. Childhood
adversity was measured using yes or no questions evaluating sex-
ual, physical, emotional and verbal abuse, neglect, family integrity
and household dysfunction, parental psychopathology and/or drug