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

S563

Objectives

To conduct a systematic review to determine the

prevalence and incidence of neuropsychiatric conditions inpatients

with traumatic brain injury.

Aims

To determine the association between traumatic brain

injury and psychiatric illness.

Methods

A systematic search was made of Medline, PsycINFO,

EMBASE and article bibliographies. Search terms for rates of psy-

chosis, mood disorders, anxiety conditions, organic personality

disorder, neuropsychiatric disorders, neuro-behavioural disorders,

aggression, dementia and frontal lobe disorder were utilised. We

followed MOOSE criteria and did not apply temporal limits.

Results

There were 845 relevant searches in total. After exclu-

sion of duplicates, case reports, case series reports, letters, reviews,

commentaries, systematic reviews, and editorials there were 143

relevant abstracts identified. This was further reduced to a review

of 48 full text papers. We identified prevalence rates of depression

between 6.9–62.5%, mania of 9–12.5%, PTSD 1.9–50%, aggression

28.4–57%, anxiety disorders 6–63% (includingGAD8–9%, agorapho-

bia 2–6%, panic disorder 9%, social phobia 1%) insomnia 11–29%,

personality change of 33.3%, dementia 8.16% and substance use

3–8%.

Conclusions

We have identified significant rates of neuropsy-

chiatric morbidity in patients with traumatic brain injury. We

have particularly identified limited research studies into psychosis,

mania, dementia and personality disorders in this patient group.

The review further emphasises the importance of identifying neu-

ropsychiatric comorbidities in post-traumatic brain injury and the

importance of addressing these comorbidities.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1652

EV668

One risk factor of depression disorder

in Chinese women

Y. Zhang

1 ,

, L . F

eihu

2 , D.

Zunxiao

1 , S. J

ianguo

1 , W.

Qiangju

1

1

Xi’an mental health center, pharmacy lab, Xi’an, China

2

Xi’an mental health center, science and education department,

Xi’an, China

Corresponding author.

Background

The prevalence of major depressive disorder (MDD)

is higher in those with the unemployed and those with low social

status. Most of the available data comes from studies in developed

countries, and these findings may not extrapolate to developing

countries. However, the extent of unemployed status cause MDD is

unclear. This study seeks to determinewhether depressive disorder

is associated with unemployment and to further investigate the

relationship between occupation, and social class in Han Chinese

women with MDD.

Method

Data came from Oxford and VCU Experimental Research

on Genetic Epidemiology (CONVERGE) study of MDD (6017 cases,

age between 30 and 60; 5983 controls, age between 40 and

60). DSM-IV depressive and anxiety disorders were assessed

using the World Mental Health Composite International Diagnos-

tic Interview. All subjects were interviewed using a computerized

assessment system. All interviewers were trained by the CON-

VERGE team for a minimum of one week. The interview includes

assessment of psychopathology, demographic and personal char-

acteristics, and psychosocial functioning.

Results

The odds ratio (OR) between employment and MDD is

0.69. An OR of less than one is protective. Lower social class is

not associated with an increase in the number of episodes, or with

increased rates of comorbidity with anxiety disorders.

Conclusion

This study suggests that in Han Chinese women,

employment is positive protect factor to MDD. Lower social sta-

tus and unemployment increases the risk and severity of MDD. In

China, lower socioeconomic position is associated with increased

rates of MDD, as it is elsewhere in the world.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1653

Ethics and psychiatry

EV669

Involuntary hospitalization in a

mental health unit in 2014

A.M. Alvarez Montoya

1 ,

, C. Diago Labrador

2

,

T. Ruano Hernandez

3

1

Algeciras, Spain

2

Clinica Privada, Psiquiatria, Algeciras, Spain

3

Clinica Privada, Psicologia Clinica, Malaga, Spain

Corresponding author.

Objectives

Deliver a detailed analysis of the mental distortions,

which led to involuntary hospitalization in a mental health unit in

2014 and their gender distribution.

Method

We analyze the total number of hospitalizations in our

mental health hospital unit. From the patient registry, we extract

the type of hospitalizations (voluntary or involuntary), the diagno-

sis and the gender.

Results

In our analysis, we find a total of 315 hospitalizations.

One hundred and fifty-nine (50.48%) of them are voluntary, 150

(47.62%) are involuntary and 6 (1.90%) are a result of a judicial order.

From the total involuntary hospitalizations, 81 patients were diag-

nosed as psychotics disorders (60%), 34 (25.18%) affective disorders,

11 (8.14%) personality disorders, 3 (2.22%) adaptative disorders, 2

(1.48%) mental retardation and 2 (1.48%) autism spectrum disor-

ders.

Conclusions

According to article 763 of Spanish Procedural Law

(Ley 1/2000 de Enjuiciamiento Civil) from the 7th of January: “The

hospitalization of a person due to mental disorders who is not in

a condition to decide for himself/herself, even should he/she be a

subject to parental authority or guardianship, shall require court

authorization, which shall be obtained from the court of the place

of residence of the person affected by such hospitalization.” For this

reason the involuntary admission is considered as an exceptional

and necessary measure, which is limited in time.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1654

EV670

Ethical aspects of involuntary

outpatient treatment

S. Galiano Rus

1 ,

, A. Soler Iborte

2

, Á. López Díaz

1

1

Servicio Andaluz de Salud, UGC Jaén Norte, Unidad de Salud Mental

Hospitalaria, Úbeda, Jaén, Spain

2

Servicio Andaluz de Salud, UGC Jaén Norte, Unidad de Salud Mental

Comunitaria, Linares, Jaén, Spain

Corresponding author.

Introduction

Involuntary outpatient treatment (IOT) is a type of

non-voluntary treatment applied in the community, which tries to

ensure the therapeutic compliance of patients that have a severe

mental illness.

In Spain, a specific legal regulation about this matter does not exist;

however, it is a fact in clinical practice. The application of IOT is

not without controversy, with advocates, who consider it a way of