European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805 S573
EV697
The profile of the mentally
incompetent patient of the local
health unit of Guarda, Portugal
P. Batista ∗, J. Nunes , P. Da Costa
Hospital Sousa Martins, Department of Psychiatry and Mental Health
of Sousa Martins Hospital, ULS Guarda, Guarda, Portugal
∗ Corresponding author.
Forensic psychiatry, as a specific branch of psychiatry, is the med-
ical science that approaches mental illness and its relation with
law enforcement. In this regard, medicine and justice converge
in the contact with individuals that, due to the alleged assump-
tion of acting under the effects of a psychiatric disease, have a
disturbing behaviour and infringe the laws of Society. The objec-
tive of this research project, which has a retrospective nature, is
to delineate the profile of the mentally incompetent patients of
the Local Health Unit of Guarda, Portugal, resorting to the reports
of mental faculty’s examinations of, at least, 30 individuals. With
this methodology, we will be able to study the characteristics of
selected individuals who have committed some sort of criminal
offences but are not subject to prosecution, namely with regard
to the specific personal and family data, psychiatric background,
diagnostic formulations, applied legal concepts, among others. Sta-
tistical analysis was carried out using the Microsoft Excel tool. The
main goal of the study is to provide to the Psychiatry Department
of the Local Health Unit of Guarda an analytical instrument that
characterizes the respective mentally incompetent population and
may, essentially, contribute positively to the contextualization and
accomplishment of the future assessments on mental faculties of
the individuals who are involved in judicial proceedings.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV698
Matricide versus patricide in one
Croatian psychiatric forensic inpatient
unit
I. Pedisic ∗, K. Radic , N. Buzina , V. Jukic
1 General Hospital, Sibenik, Department of Psychiatry, Sibenik,
Croatia
2 University Psychiatric Hospital Vrapˇce, Department of Forensic
Psychiatry, Zagreb, Croatia
∗ Corresponding author.
Introduction Parricide (referring as parental homicide) is a rare
event among homicides, yet challenging and intriguing from psy-
chiatric point of view. Still, literature concerning parricide is sparse
and most studies concern small or heterogenous samples or anec-
dotal cases.
Objective To analyze differences in parricide offenders among
forensic psychiatric inpatients at the university psychiatric hospital
Vrapˇce’s centre for forensic psychiatry.
Aims To test some differences between parricide offenders with
regard to specific type of parricide.
Methods Available retrograde data of 50 years forensic inpatients
(n = 430). We identified parricide cases of matricide and patricide
included.
Results The analysis included a total of 22 parricide offenders. All
parricide offenders were male adults. Matricide was more preva-
lent then patricide (13 vs. 9). Matricide offenders were in average
younger when committed crime, had more prevalence of psychotic
disorders and earlier onset of symptoms in comparison with patri-
cide group.
Conclusion We identified differences and similarities between
these two parricide offenders groups. It is important to expand
research further including different types of motives and family
dynamics regarding the type of parricide victim.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV699
A neuro-psychological model of
violence propensity in schizophrenia
M. Picchioni ∗ arris eichenberg ahy
D. Murphy
1 Institute of Psychiatry, St Andrew’s Academic Department, London,
United Kingdom
2 Institute of Psychiatry, St Andrew’s Academic Department,
Northampton, United Kingdom
3 Mount Sinai Hospital, Icahn Medical Institute, New York, USA
4 Institute of Psychiatry, Department of Forensic and
Neurodevelopmental Science, London, United Kingdom
∗ Corresponding author.
Introduction Schizophrenia is associated with an increased risk
of violence. The identification of the illness specific factors that
contribute to that risk could lead to better risk assessment and
management strategies.
Objectives/aims To identify if cognitive and emotion processing
deficits are linked to violence risk in schizophrenia.
Methods Fifty male patients with DSM-IV schizophrenia and
thirty-nine healthy controls were assessed across a range of intel-
lectual, executive, emotion and social processing domains. Lifetime
propensity to violence was quantified.
Results General intellectual ability and memory were not sig-
nificantly associated with violence propensity. Violent patients
showed significantly poorer response inhibition, after accounting
for relevant clinical variables. A greater lifetime propensity to vio-
lence was associated with an attentional bias towards anger, a
heightened sensitivity to the recognition of fear, with poorer com-
plex theory of mind performance.
Conclusions Our results allowus to propose a hypothetical model
of the propensity to violence in schizophrenia. We suggest that
heightened sensitivity to environmental negative emotional cues
and poorer understanding of complex social situations, combined
with an inability both to quickly process but also inhibit responses,
results in a greater propensity to violence. We propose that this
model sits alongside other factors, such as drug use. These findings
need replication but could have direct implications for treatment
and management of our patients with schizophrenia.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV700
Psychiatric symptoms paraneoplastic
and legal obligation to combination
therapy
M.D. Piqueras Aceved ∗ artínez Pérez
M.R. Raposo Hernández: . González Galdámez
A. Belmar Simó il Sánchez E. Piqueras
C. Garcia Bri˜nol ello Pombo Busaileh Salas
A. Navarro Alsuhail Lopez Blanco . pe˜nalver
1 Hospital Santa Lucía, psychiatry, Cartagena, Spain
2 Residencia Psicogeriátrica Virgen del Valle, Residencia
Psicogeriátrica, Murcia, Spain
3 Centro de trabajo: CSM de Cartagena, Centro de trabajo: CSM de
Cartagena, Cartagena, Spain
4 Hospital General Universitario Santa Lucía, Hospital General
Universitario Santa Lucía, Cartagena, Spain
5 CSM de Cartagena, CSM de Cartagena, Cartagena, Spain