European Psychiatry - Volume 33 - March 2016

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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.
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.
Forensic psychiatry
EV678
Critical analysis on legal capacity of
the mentally retarded: The Portuguese
reality in the European context
R. Cajão ∗, C.A. Pereira , J.R. Silva , J.P. Lourenc¸ o , N.P. Gil ,
M.F. Colón
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.
EV679
Patterns of long acting injectable
antipsychotic prescription during
criminal acts in a Portuguese
psychiatric hospital
M.A. Duarte ∗, F. Vieira , A. Ponte
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.