European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805 S575
Results The duty of forensic psychiatrists in Iran is to determine
mental competence of two major groups of referrals. First, people
who are involved with a legal problem related to civil law, such as
financial managing problems and need a guardian, doubtful mental
ability for decision making, child custody, legal permission for sex
reassignment surgery in cases with gender dysphoria, etc. Second,
people who are involved with a criminal issue, such as criminal
responsibility and/or adjustment problems inprison. According to
Islamic penal code (article 149), if there is a kind of mental disor-
der, at the time of committing a crime, the person should be known
as insane and not criminally responsible. Also, to determine the
risk of dangerous behavior is one of the duties of forensic psychi-
atrists. Psychological evaluations, like personality inventories and
projective tests, may be necessary for making a suitable decision in
different cases.
Conclusion Although some facilities have been considered in the
new penal code, Iranian legal system should pay more attention to
the structure of forensic psychiatric services in order to improve
the situation.
Keywords Forensic psychiatry; Criminal patients; Civil law;
Penal code; Iran
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV704
The relationships of clinical,
socio-demographic and criminal
factors in a sample of forensic
psychiatric patients
A. Sileikaite ∗, A. Germanaviˇcius , I. ˇCesnien ˙e
1 Rokiskis Psychiatry Hospital, Forensic Psychiatry, Vilnius, Lithuania
2 Vilnius University, Psychiatry Clinic, Vilnius, Lithuania
3 Vilnius University, Department of General Psychology, Vilnius,
Lithuania
∗ Corresponding author.
Introduction The relationship between clinical factors and both
psychosocial and criminal history characteristics among forensic
psychiatric patients entering treatment in Lithuania has not been
well explored.
Aims The aims and objectives of this presentation are:
– to overview the clinical, socio-demographic and criminal factors
in a Lithuanian sample of forensic psychiatric patients;
– to demonstrate which factors were significant to violent criminal
behaviour;
– to address some main concerns and issues of risk assessment
processes.
Methods Data were collected from 325 forensic psychiatric
patients’ files in one forensic psychiatric hospital in Lithuania. A
sample consisted of 36 (11%) females and 289 (89%) males. The
average age of patients was 41.7 years (SD = 14.0).
Results Psychosis was the most common psychiatric diagnosis.
The substance abuse problem was common in this population as
well. The results of the logistic regression show that increase in
patients’ substance abuse and their agewas significantly associated
with violent offending.
Conclusions The study stressed an urgent need for further
research of forensic patients in Lithuania.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV705
Delirium, hallucinations and criminal
liability
M. Turki ∗, N. Halouani , R. Naoui , I. Gassara , N. Hamza ,
J. Aloulou , O. Amami
Hedi Chaker University Hospital, Psychiatry Department, Sfax,
Tunisia
∗ Corresponding author.
Introduction The relationship between psychotic motivation and
the genesis of medico-legal acts is well documented in the litera-
ture. Delirium and hallucinations, in particular, have been widely
reported in this context.
Objective The aim was to identify socio-demographic, clinical,
and criminological profile of patients hospitalized for forensic acts
committed in psychotic context.
Methods We conducted a descriptive retrospective study, includ-
ing 7 patients committing a forensic act in psychotic context,
selected among all patients hospitalized after a judgement of
dismissal (Tunisian law), in psychiatry department, Hedi Chaker
university hospital, Sfax, Tunisia. Socio-demographic and clinical
data were collected through patients’ observations.
Results The mean age was 37.7 years. Sex-ratio (M/F) was 6. The
criminological act was an attack in 57.1% and homicide in 42.9% of
cases. It was committed on the outside in 42.9% of cases. The tool
was a bladed weapon in all cases. The victim was a family mem-
ber in 71.4% of cases. The context was a delirium in 71.4% (theme:
80% persecution, 20% jealousy; mechanism: 40% hallucinatory, 60%
interpretative) and hallucinations in 42.9% of cases. Among our
patients, 57.1% were indifferent and 28.6% regretted the act. Psy-
chiatric diagnosis was: schizophrenia 57.1%; delusional disorder
28.5% and brief psychotic disorder 14.2%. Personality disorder was
reported in 28.6% of patients.
Conclusion The acting out in a psychotic moment in patients
with mental illness remains the most formidable event, causing
sometimes the problem of criminal liability. Control of attendance
at psychotherapy and psychotropic treatment are preventive and
curative necessary measures to avoid crossing the dangerous acts.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV706
Continuities and discontinuities
between psychopathy and narcissism
among male offenders
P. Velotti ∗, C. Garofalo , M. D’Aguanno , G. Rogier
1 University of Genoa, Educational Sciences, Psychology Unit, Genova,
Italy
2 Tilburg University, Psychology, Tilburg, Netherlands
3 University La Sapienza, Psychology, Rome, Italy
∗ Corresponding author.
Introduction A heated and longstanding debate exists as to
whether psychopathy and narcissism represent two distinct, albeit
overlapping, constructs, or two different labels for the same con-
cept. However, relatively scant attention has been dedicated to
this issue in offender populations, which are likely to present ele-
vated levels of both psychopathy and narcissism. Furthermore, the
picture is complicated by the multidimensional nature of both con-
structs.
Objective We sought to explore the associations among psy-
chopathy facets and pathological narcissism dimensions, compar-
ing an offender sample with community participants.
Aims To highlight similarities and differences in clinically rel-
evant and sub-clinical levels of psychopathy and narcissism
dimensions, as well as in pattern of associations between them.