European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805 S569
of toxic substances (16%) and motivated by delusions of persecu-
tion (51%). The acting out was recognized (68%). The majority was
indifferent (92%) and does nothing (68%).
Conclusion The first-episode psychosis have a high-risk of acting
out, early treatment may prevent some medicolegal acts. Prevent-
ing of acting out in the psychotic involves the identification of risk
factors and an early treatment of mental disease.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV686
Stalking and its forensic psychiatric
assessment
L. Izáková ∗, I. André
1 Comenius University Bratislava, Department of Psychiatry,
Bratislava, Slovakia
2 University Hospital Bratislava, Department of Psychiatry,
Bratislava, Slovakia
∗ Corresponding author.
Introduction Stalking, a dangerous persecution, gained attention
because of persecution of celebrities by fans suffering by men-
tal disorders. In psychiatry, there is no consensus about the exact
definition of stalking, because it can result from many different
motivations and constellations of psychopathological symptoms.
Objective The authors provide an overview of the current state
of stalking, i.e. dangerous persecution as a new crime in Slovakia.
They describe the characteristics of stalkers (persecutors), victims
and their interaction in their forensic psychiatric practice.
Method Search in author’s expert reports were conducted on
stalking. Analysis of motivations, mechanisms of persecutions and
analysis of psychopathological symptoms and mental disorders in
stalkers and their victims were made.
Results Stalkers and their victims are a heterogeneous groupwith
different psychopathology and mental disorders including per-
sonality disorders and psychosis. The authors document general
principles of forensic psychiatric assessment of stalkers as crime
offenders.
Conclusion Stalking is problem also in forensic psychiatric prac-
tice also in Slovakia. Stalkers who suffer from mental disorders
require adequate diagnostic and psychiatric treatment also in
forced setting.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV687
Forensic psychiatric aspect of battered
women syndrome: The cycle of
violence
M. Kachaeva
Serbsky National Research Centre for Social and Forensic Psychiatry,
Moscow, Russia
Introduction Domestic violence against women is a burning
problem in Russia. Forensic psychiatrists found out that domes-
tic abuse against women is often one of the main causes of crimes
of violence in women.
Aims To find out clinical and social factors contributing to aggres-
sive crimes committed by women who are victims of intrafamily
violence.
Methods Clinical, psychological, statistical. Details of back-
ground, psychiatric andoffending historywere extracted. Each item
was assessed with the help of descriptive statistics.
Results A cohort of 12 females was examined by forensic psychi-
atrists. All women were victims of violence by their husbands or
partners. Domestic abuse resulted in long-term mental problems
of women. Clinical assessment has revealed depression, anxiety,
fear, low self-esteem, PTSD, alcohol abuse. All women had com-
mitted murders. The research has revealed two types of homicides.
Women of the first subgroup displayed pathological altruisticmoti-
vation ofmurder of their children (4 females).Women of the second
subgroup (8 females) had committed homicides of their husbands
or partners.
Conclusion The research shows the necessity of domestic vio-
lence prevention by legal provisions andmultidisciplinary research
with the participation of psychiatrists, psychologists, social work-
ers.
Disclosure of interest The author has not supplied his declaration
of competing interest.
EV688
OST in forensic psychiatry – risk
management: Bosnia and Herzegovina
experience
S. Kasper∗, J. Softi´c , N. Mujcinovic
Cantonal Institute for Addictions, Hospital Department, Zenica,
Bosnia and Herzegovina
∗ Corresponding author.
This paper describes the experience of the Cantonal Institute
for addiction in the implementation of OST. In analysis included
patients who had been serving a prison sentence in Zenica and
Busovaca. The focus of the work has focused on the possible role
of the OST in preventing the commission of criminal acts and
social rehabilitation of opiate addicts. The study included 296 opi-
ate addicts (239 on methadone and 57 on buprenorfin/naloxone).
Medium age was 31.3 years and 10% of the respondents were
women. Criteria for inclusion in the study were clinically proven
opiate addiction and involvement in some of the aspects to treat-
ment at the Institute while the criteria for ikljuˇcenje the study were
non-opioid dependence and the presence of comorbid psychiatric
conditions that could affect the study results. Results of the study
showed that the OST, regardless of the applied modalities have a
significant effect in preventing the commission of criminal offenses,
and improves results, socio-rehabilitation treatment for convicted
persons who are serving a prison sentence, and those who are on
parole. Improving results has contributed to the use of other ther-
apeutic modalities (psychotherapy). Other studies with a larger
number of patients and monitoring of a large number of variables
could give better answers about the place and role of the OST in
forensic psychiatry.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV689
Poor quality of mental health
assessment reports in UK family
courts: A ‘call to action’
R. Kurz
Cubiks, IPT, Guildford, United Kingdom
Introduction Prof. Jane Ireland found that 65% of assessment
reports sampled from UK family courts were ‘poor’ or ‘very poor’.
Objective The presentation raises international awareness of the
problemand explains the contextual factors that contribute tomal-
practice.
Aims The paper highlights typical deficiencies in family court
assessments and forensic processes in order to reduce the risk of
unsafe custody rulings.