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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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1682

EV698

Matricide versus patricide in one

Croatian psychiatric forensic inpatient

unit

I. Pedisic

1 ,

, K. Radic

2

, N. Buzina

2

, V. Jukic

2

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1683

EV699

A neuro-psychological model of

violence propensity in schizophrenia

M. Picchioni

1 ,

, S . H

arris

2 , A. R

eichenberg

3 , T. F

ahy

4 ,

D. Murphy

4

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1684

EV700

Psychiatric symptoms paraneoplastic

and legal obligation to combination

therapy

M.D. Piqueras Aceved

o 1 ,

, I. M

artínez Pérez

2 ,

M.R. Raposo Hernández:

3 , A.L

. González Galdámez

4 ,

A. Belmar Simó

5 , A. G

il Sánchez

6 , M.

E. Piqueras

7 ,

C. Garcia Bri˜nol

8 , I. B

ello Pombo

9 , A.

Busaileh Salas

10 ,

A. Navarro

11 , C.

Alsuhail Lopez Blanco

12 , J.M

. pe˜nalver

13

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