Table of Contents Table of Contents
Previous Page  570 / 812 Next Page
Information
Show Menu
Previous Page 570 / 812 Next Page
Page Background

S566

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

Results

Research shows ambiguous views. Conservatives argue

that delay of any substantial, even enforced, and well documented

treatment, would result in delay of treatment and excess use of

other potentially more enforced methods. Using laws and legisla-

tion patients’ rights are guarded but we also have the obligation to

treat patients. On the other hand, liberals express totally opposite

views. Capacity (or incapacity) is not ‘all or nothing’ but specific to

decision and should be respected, with the exception to emergency

treatment need.

Conclusions

The capacity of decision-making of the mentally ill

patient, whether or not being compulsory admitted, should be

assessed in a more holistic and systematic approach and become

part of the standard practice, followed by dissemination of these

decisions to all relevant parties. Restore decisional autonomy

should be one of the main goals of any therapeutic intervention.

Disclosure of interest

The author has not supplied his declaration

of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1661

EV677

Moral obligation to acknowledge and

prevent suicide in life sentence

incarcerated inmates

C. Tsopelas

Psychiatric Hospital of Attica, 5th Dept of Acute Admissions, Athens,

Greece

Introduction

For an inmate incarcerated for life we could

acknowledge factors contributing to the desire to commit suicide,

as social isolation, insensitive discipline, lack of privacy, constant

threat of violence, fear, guilt, hopelessness, and depression are

prominent in the life imprisonment.

Aims

To discuss the ethical issues of prevention suicide in

inmates incarcerated for life.

Methods

We performed thorough research of the main medical

databases, and web search engines for relevant studies, articles and

opinions and reviewed them independently.

Results

Prevalence of mental illness is high among inmates and

several common stressors typically herald an inmate’s suicide. Sui-

cide is often the single most common cause of death in correctional

settings. Even though some suicide victims have consulted amental

health service-provider before their suicide, the majority of sui-

cide victims were not mentally ill. The paradox, particularly for life

sentence inmates is that we are trying to persuade an inmate to

live within a disciplinary environment, which has as side effect the

increase of suicidality of the inmates.

Conclusions

Prisons’ inability to protect the health and safety of

inmates could raise ethical issues. We have obligation to adequate

suicide prevention for all inmates, and we should be more broad

minded as the will to die in mentally healthy individuals is beside

an freewill expression, a sign of serious lack of support and humane

living conditions. We should be vigilant not to use the prevention

of suicide programs as another way to increase punishment of life

long imprisonment.

Disclosure of interest

The author has not supplied his declaration

of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1662

Forensic psychiatry

EV678

Critical analysis on legal capacity of

the mentally retarded: The Portuguese

reality in the European context

R. Cajão

1 ,

, C.A. Pereira

1

, J.R. Silva

1

, J.P. Lourenc¸ o

1

, N.P. Gil

1

,

M.F. Colón

2

1

Centro Hospitalar de Tondela-Viseu, EPE, Departamento de

Psiquiatria e Saúde Mental, Viseu, Portugal

2

Instituto Nacional de Medicina Legal e Ciências Forenses, IT,

Unidade Funcional de Clínica Forense da Delegac¸ ão do Centro,

Coimbra, Portugal

Corresponding author.

Introduction

Almost 50 years after the mental health reform in

Europe and the deinstitutionalization of the mentally ill, there

seems to be a slow change in the social concept of mental disorder.

However, in the case of mental retardation, little progress has been

made, since the social approach to these patients does not seem

to involve the promotion of their autonomy. This is a reality with

implications in medical, social and forensic psychiatry settings.

Objective

We will present a statistical analysis on interdic-

tion/inhabilitation processes in two districts of Portugal followed

by a comparative analysis between Portuguese and other European

countries’ civil law concerning the regulation of legal capacity.

Aims

Critical analysis of the means by which the concept of legal

incapacity has been applied in the Portuguese social setting.

Methods

Descriptive and retrospective analyses of 500 expert

reports in the districts of Coimbra and Viseu regarding inter-

diction/disqualification processes. Research on Pubmed and legal

databases; keywords used: mental disability, mental retardation,

civil law, mental incapacity, legal incapacity, legal capacity, inter-

diction, curator.

Results

The number of forensic psychiatric examinations has

suffered a significant increase in the last years. The majority of

these expertise concern interdiction/inhabilitation processes. Men-

tal retardation is the more prevalent diagnosis, and the great

majority of the cases were interdicted.

Conclusions

In Portugal, the lawhas been applied in order to safe-

guard the economic assets of mentally retarded individuals, but not

in order to promote their social integration and autonomy.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1663

EV679

Patterns of long acting injectable

antipsychotic prescription during

criminal acts in a Portuguese

psychiatric hospital

M.A. Duarte

1 ,

, F. Vieira

2

, A. Ponte

1

1

Centro Hospitalar Psiquiátrico de Lisboa, Clinica Psiquiátrica 6,

Lisbon, Portugal

2

Centro Hospitalar Psiquiátrico de Lisboa, Regional Forensic

Inpatient Unit, Lisbon, Portugal

Corresponding author.