European Psychiatry - Volume 33 - March 2016

597 / 812

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805 S593
years, was conducted. Results of the study are in line with inter-
national research findings concerning the psychosocial factors that
contribute to frequent rehospitalization of patients with psychotic
disorders, such as: unemployment (97%), lack of support system
(76,5%), non-compliance with treatment (91.2%), emotional reac-
tivity to stressful life events, etc. However, according to the study,
family atmosphere turned out to be the central problem which
influences the index of conflict and expressed aggression in the
family, has impact on the size of patient’s support system, on
substance abuse, on patient’s relapse and on their emergency
rehospitalization. According to the results of the study, family
atmosphere is one of the most active and multifaceted factors
that contribute to patient’s relapse and frequent rehospitalization
in Georgia. Therefore, implementing and developing interventions
discussed in the research paper that will target this factor is essen-
tial.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV760
Social representations about the
“mad” and the “madness”: Primary
care professionals concepts and
practices
E. Scherer ∗, N. Sartory , Z. Scherer
1 Ribeirão Preto Medical School Hospital of the University of São
Paulo, Neurosciences and Behavioral Sciences, Ribeirão Preto, Brazil
2 University of São Paulo at Ribeirão Preto College of Nursing,
Psychiatric Nursing and Human Sciences Department, Ribeirão Preto,
São Paulo, Brazil
∗ Corresponding author.
Introduction In Brazil, mental health care is based in asylum per-
spective and centered in the illness fragmenting the individual and
their needs.
Objectives The goal of this studywas to know the social represen-
tations of primary care health professionals about mental disorder
and also the assistance provided to the mentally ill.
Methods This is an exploratory-descriptive field study, whose
theoretical background of investigation was the Social Represen-
tation Theory. Twelve health professionals took part on this study.
Results We identified that social representations about the “mad”
are based on discerning incapability, dangerousness, aggressive-
ness, incapability of interpersonal relationships. The stigmatizing
and excluding view were direct and indirectly present through-
out the speeches. Some professionals manage to be able to live
with mental disorder patients in social environments but not pri-
vate ones. Lack of autonomy has been related with the mentally
disordered patient, because of their dependency, incapability of
choosing and possibility of overcoming. “Madness” was repre-
sented as having a psychological, biological, spiritual, social or
multiple cause background. The therapeutic approach conceived
by most professionals as efficient and possible at the health cen-
ters was drug prescription. The doctors presence, medicalization,
alienation of the subject, stigma and lack of capability were the
weaknesses presented by the study.
Conclusion We conclude that stigma is the biggest barrier for
patients to acquire autonomy and citizenship, that professional
practices are grounded in our social representations being only
possible to transform social process and practices when we admit
that our representations recognize these people as different and
marginalized.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV761
A three-month follow-up study
evaluating changes in clinical profile
and attitudes towards involuntary
admission
E. Bainbridge ∗, B. Hallahan , D. McGuinness , A. Higgins ,
K. Murphy , P. Gunning , J. Newell , C. McDonald
1 Galway, Ireland
2 National University of Ireland, Department of psychiatry, Galway,
Ireland
3 National University of Ireland, Psychiatry, Galway, Ireland
4 Trinity College Dublin, School of nursing and midwifery, Dublin,
Ireland
5 National University of Ireland, Nursing and midwifery, Galway,
Ireland
6 National University of Ireland, Biostatistics Department, Galway,
Ireland
∗ Corresponding author.
Introduction Involuntary admission and treatment is often a
traumatic experience for patients and there is a wide variation in
attitudes towards care even when patients are recovered.
Objectives/aims The purpose of this large prospective study was
to identify clinical predictors of attitudes towards care during invol-
untary admission.
Methods Three hundred and ninety-one consecutively admitted
involuntarily patients to three psychiatric inpatient units over a
30-month period were invited to participate in the study. Compre-
hensive assessments at admission and 3 months after discharge
were attained including measures of symptoms, insight, func-
tioning, attitudes towards involuntary admission and coercive
experiences. Multiple linear regression modelling was used to
determine the optimal explanatory variables for attitudes towards
care.
Results Two hundred and sixty-three individuals participated at
baseline and 156 (59%) successfully completed follow-up assess-
ments. Individuals improved significantly over time clinically and
in their attitudes towards their care. At baseline greater insight
(P < 0.001) and less symptoms (P = 0.02) were associated with more
positive attitudes towards care as was older age (P = 0.001). At
follow-up, greater insight (P < 0.001), less symptoms (P = 0.02) and
being older (P= 0.04) were associated with more positive attitudes
towards care. More positive attitudes towards care at follow-
up were associated with greater improvements in insight over
time (P< 0.001) and having a diagnosis of an affective psychosis
(P = 0.0009).
Conclusions The best predictors of positive attitudes towards care
during and after involuntary admission are illness related factors,
such as levels of insight and improvement in insight, rather than
service or legislation related factors, such as the use of coercive
measures, seclusion and restraint.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV762
Academic burnout and hope as
predictors of mental health
A.A. Bayani
Azadshahr Branch, Islamic Azad University, Psychology, Azadshahr,
Iran
Introduction and objectives With increasing understanding of
health concept, the importance of mental health becomes more
apparent, because mental health provides effective functionality of