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S568

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

article 38 of Tunisian Criminal Code. Only patients who committed

patricide or matricide were included.

Results

Our sample included 26 patients (13 patricides; 13

matricides). There was non-significant differences between two

groups concerning: instructional level (

P

= 0.277), professional

status (

P

= 0.387) and marital status (

P

= 0.790). Committers of

patricide and matricide did not differ in terms of psychiatric

diagnosis (

P

= 0.242) and substance abuse (

P

= 0.550). A signifi-

cant difference was found between the two groups in terms of

schizophrenia subtypes, patricide patients suffered from a disor-

ganized schizophrenia whereas matricide patients suffered from

paranoid subtype (

P

= 0.05). Patricide was more frequently associ-

ated to a conflictual relationship between son and father (

P

= 0.05).

We did not record a significant difference in the crime weapon or

its motivations.

Conclusion

Our results helps draw a profile for parricide patients

in order to help identify the ones at risk.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1667

EV683

Causes of institutionalization of

children and adolescents in a shelter

in Brazil

E. Guilherme

1 ,

, S. Duarte

2

, R. Farias

3

, M. Steidel

4

1

Psychosocial Care Center, Rio Negro-PR, Prefeitura municipal de Rio

Negro-PR, Mafra, Brazil

2

Contestado University, Psychology, Mafra, Brazil

3

Psychosocial Care Center-Rio Negro-PR, Prefeitura municipal de Rio

Negro-PR, Rio Negro, Brazil

4

Abrigo Institucional Mafra, Prefeitura municipal, Mafra, Brazil

Corresponding author.

Introduction

Shelters or orphanages are institutions responsible

for ensuring the physical and mental integrity of children and ado-

lescents who had their rights violated or neglected, whether from a

social-levers, is at personal risk to which they were exposed or the

negligence of its parents; in Brazil about 20,000 children and ado-

lescents living in about 500 registered shelters that receive funds

from the federal government.

Objectives

Assess causes of institutionalization of children and

adolescents in a shelter in Mafra/Santa Catarina State, Brazil.

Aims

Demonstrating the causes of shelter, it is easier to point

out the solutions and try to charge the responsible authorities to

comply with the child and adolescent statute.

Methods

We evaluated the records of institutionalized children

and adolescents from themunicipal shelter inMafra/Santa Catarina

State, Brazil since January/2011 to July/2015.

Results

Institutionalization of the causes cited were: lack

of family/guardian material resources, abandonment by par-

ents/guardians, domestic violence, substance abuse of par-

ents/guardians, street experience, orphans and others.

Conclusions

In Brazil, poverty and extreme poverty are closely

related to the institutionalization of causes of children and adoles-

cents. Census data in 2010, the Brazilian Institute of Geography and

Statistics (IBGE) indicate that 40% of Brazilians living in poverty are

girls and boys up to 14 years in a total of approximately 23 million

individuals. Poverty denies children and adolescents their rights,

representing a vulnerability, which predisposes to some causes of

shelter.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1668

EV684

Mentally ill patients who committed

sexual and physical assaults: A study

about 37 cases of expertise reports

K. Hajji

, I. Marrag , R. Ben Soussia , S. Fathallah , M. Nasr

University Hospital of Mahdia, Department of Psychiatry, Mahdia,

Tunisia

Corresponding author.

Introduction

Several studies suggest the existence of a relation-

ship between major mental disorders and crime. However, it is

important to emphasize that violent behaviors do not affect all

patients and that issues of criminality among mentally ill persons

only represents a small proportion.

Aims

The objective of this study is to establish the general and

clinical profile of perpetrators of sexual and physical assaults.

Methods

This is a retrospective study of the records of forensic

psychiatric expertise, conducted in the psychiatry department of

the University Hospital of Mahdia during the period from May 1st

2000 to May 31st 2013.

Results

The general profile of the population the study was

characterized by a mean age of 39 years, a sex ratio of 8.25,

unemployment in 73% of cases and by the presence of a psychi-

atric personal history 54% of cases. Sexual and physical assaults

accounted for 54.5% of cases. It was essentially in descending order:

assault and battery (65%), rape (16.2%) and incest (5.4%). As for the

clinical profile, schizophrenia and epilepsy were recorded each in

13.5% of cases, major depressive disorder in 8.1% of cases, bipolar

disorder in 5.4% and substance abuse in 5.4% of cases. A personality

disorder was observed in 48.6% cases, essentially antisocial person-

ality (55%). Comorbidity with addictive behavior was observed in

56.7% of cases.

Conclusion

It is necessary to characterize a subgroup of patients

with mental disorders, likely to commit violent crimes, in order to

prevent acting out behaviors and adapt their management.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1669

EV685

Acute psychotic disorder and forensic

acts: About 25 cases

S. Younes , R. Ben Soussia , K. Hajji

, I. Marrag , L. Zarrouk ,

M. Nasr

Universitary Hospital of Mahdia, Department of psychiatry, Mahdia,

Tunisia

Corresponding author.

Background

The aim of this study was to identify the socio-

demographic status and clinical features of patients with acute

psychotic disorder and who committed a medicolegal act, seek

acute psychosis implicated and raise the characteristics of this

medicolegal acts.

Methods

We performed a retrospective study of 25male patients

with acute psychotic disorder. They were involuntary hospitalized

in the medicolegal department of Razi, according to Article 29 of

Lawafter committing amedicolegal act because of dementiawithin

the meaning of article 38 of the Tunisian Penal Code.

Results

It was about a young person, average age of 27.32 years,

family cohesion was often present (80%), with forensic history

(20%), violence history (20%) and substance abuse (40%), having

a personality disorder (25%), having a precipitating factor (32%),

having an acute psychotic episode (72%), repetitive acute psychotic

episode (16%), a firstmanic episode (8%) and drug-related psychotic

disorder (4%). They had committed by order of frequency serious

physical assault (43.5%), attempted murder, assault and injury fol-

lowed by attacks against property (40%). The victim was mostly a

family member (40%), without determination, under the influence