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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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1670

EV686

Stalking and its forensic psychiatric

assessment

L. Izáková

1 ,

, I. André

2

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1671

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1672

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1673

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.