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S574

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

6

CSM MOlina, CSM MOlina, Murcia, Spain

7

CSM Alberca, Murcia, Spain

8

Hospital General Universitario Santa Lucia, Hospital General

Universitario Santa Lucia, Cartagena, Spain

9

CSM deCartagena, Cartagena, Spain

10

Hospital Universitario Santa Lucia, Hospital Universitario Santa

Lucia, Cartagena, Spain

11

Centro de trabajo: Hospital Universitario Santa Lucia, Centro de

trabajo: Hospital Universitario Santa Lucia, Murcia, Spain

12

Profesión: Médico no psiquiatraCentro de trabajo: Centro de Salud

Cartagena Oeste, Profesión: Médico no psiquiatraCentro de trabajo:

Centro de Salud Cartagena Oeste, Murcia, Spain

13

Hospital Universitaro Santa Lucía, Hospital Universitario Santa

Lucía, Cartagena, Spain

Corresponding author.

Women 49-year-oldwith a history of left mastectomy for breast Ca.

The patient is brought to the emergency by his family for disorderly

conduct compatible with manic phase and psychotic symptoms by

delirious speechmystical-religious content refusal of the patient to

be evaluated by any medical decision and abandoned chemother-

apy. Initial screening is performed from the emergency department

of organic pathology (TAC without findings and normalcy in other

PC). At the beginning of involuntary admission income that is

corroborated by the commission judicial, a request of the family

and given the history of abandonment IC Oncology treatment is

performed as a result of which it is found that the onset of the

psychiatric clinic communicates matches the decision to abandon

treatment; after reassessment of the clinical status of the patient

and recommendation by her oncologist to resume treatment with

RT to court new authorization for further diagnosis and initiation of

treatment after assessment by forensic and judge is granted a week

tests requested. After screening of limbic encephalitis but positive

AC. SD income it is maintained and combined treatment is per-

formed. At discharge, the patient is stable DP vs. psychopathology

with good controls over concomitant breast disease.

Results

The need for medical treatment in organic pathology is

justified even against the will of the patient in the context of rep-

resen

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1685

EV701

The biopsychosocial paradigm in the

assessment of mental health of older

persons

L. Pishchikova

Moscow, Russia

The vulnerability of patients of late age in psychiatry increases the

professional and ethical requirements to the quality of psychiatric

and forensic psychiatric help. It must account for the clinical and

dynamic features of mental disorders in old age, biopsychosocial

determinants of their formation, be based on a conceptual approach

and a comprehensive understanding of the involution processes. To

identify biopsychosocial determinants of mental disorders in old

age and (or) involving patients to the forensic psychiatric examina-

tion, we examined 235 late age patients in criminal and civil cases.

Revealed:

«

non-dement

»

mental disorders – with 45.5%, psychosis

– with 7.7%, dementia – with 46,8%. The results of biopsychosocial

determinants of involution are determined as follows: biological:

sensory and motor deprivation, multicomorbid somatic neuro-

logical pathology, specific syndromes and disorders if late age,

dementia; socio-psychological: termination of labor activity, liv-

ing alone and loneliness, problematic relationship with children

because of housing disputes and alcohol; legal: conclusion and con-

testation of legal civil acts, participation in criminal proceedings

as victims and defendants, legal illiteracy, legal controversy, lack

of legal protection; victimological: physical (assault, abuse), psy-

chological (threats of commitment into social security institutions,

involuntary commitment to a psychiatric hospital and examination

by a psychiatrist, hold in the psychiatric hospital), financial violence

(fraud with housing for older people and deception, manipulation

during conclusion of civil-legal acts), violation of rights of older

person (unlawful deprivation of legal capacity).

Disclosure of interest

The author has not supplied his/her decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1686

EV702

When a man loves a woman: A case of

erotomania in the 21st century

C. Rodrigues

, M. Andrade , V. Palma , C. Cardoso

Unidade Local de Saúde do Nordeste, Departamento de Psiquiatria e

Saúde Mental, Braganc¸ a, Portugal

Corresponding author.

Introduction

Erotomania, or De Clerambault’s Syndrome, was

first described in 1921. However, cases of Insane Love were long

known before. Presently, this condition is classified as a delusional

disorder typically affecting women. However, in forensic samples,

most of these reports relate to men with violent behaviour, associ-

ated to harassing or stalking of a woman.

Objective

To present the case of a man, diagnosed with Erotoma-

nia and literature review of similar cases.

Aim

To bring awareness to the infrequent diagnosis of this con-

dition in males and the legal implications this condition may have.

Methods

Consultation of the patient’s clinical process and pub-

lished articles focusing on Erotomania in men.

Results

A 50-year-old man was referred from Court for per-

sistently stalking a woman on the past few years. He revealed

erotomanic and persecutory delusions, believing these accusations

were all part of a scheme to restrain his alleged relationship.

There was a clinical improvement during hospitalization and treat-

ment with antipsychotics. Due to the legal process in court, a

forensic examination was also performed.

Conclusions

On the follow-up, the patient remained stabilized.

He would not verbalize any delusional content, and calmly deny

any inadequate behaviour. However, some of his stalking attitude

remains. As many of these patients, we believe his delusion is still

present, although his behaviour is more controlled with treatment.

Recognizing the characteristics and course of this disorder in our

patients, grants a better chance of intervention and attentiveness

towards the legal implications that may arise.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1687

EV703

Structure of forensic psychiatric

services in Iran, duties and limitations

S.M. Saberi

1 ,

, A. Ahmadi

1

, G. Mirsepassi (Associate professor)

2

1

Legal Medicine Research Center, Legal Medicine Organization,

Tehran, Iran

2

Iranian Psychiatric Association, Tehran, Iran

Corresponding author.

Introduction

In Iran, unlike most European countries, there is

not any forensic mental hospital specialized for criminal patients.

Therefore, a special department of legal medicine organization is

charged with the duty of clinical evaluations of patients who have

legal problems.

Aim

To review the structure and duties of forensic psychiatric

services in Iran.

Method

By analyzing activities of 15 forensic psychiatric centers

in the country.