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Page Background

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1688

EV704

The relationships of clinical,

socio-demographic and criminal

factors in a sample of forensic

psychiatric patients

A. Sileikaite

1 ,

, A. Germanaviˇcius

2

, I. ˇCesnien ˙e

3

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1689

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1690

EV706

Continuities and discontinuities

between psychopathy and narcissism

among male offenders

P. Velotti

1 ,

, C. Garofalo

2

, M. D’Aguanno

3

, G. Rogier

3

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.