European Psychiatry - Volume 33 - March 2016

608 / 812

S604 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805
EV793
The comparison of the quality of life
and determination of
Multidimensional Health Locus of
Control (MHLC) in the healthy people
and the people with hypertension
H. Sabbaghpour
Islamic Azad UniversityBranch Amol, Clinical Psychology, Babol, Iran
The main purpose of this research is the comparison of the qual-
ity of life and determination of multidimensional health locus of
control (MHLC) in the healthy people and the people with hyper-
tension. The statistical population of this research includes of all
healthy people (the fellows of patients) and patients with hyper-
tension that have referred to Babol Cilinic and Mehregan hospitals
during the first threemonths of 92. The volume of samples based on
the Gerjci and Morgan tables including of 240 people were selected
by the method of non-random sampling. The research methodol-
ogy is comparative causative for data collection, the questionnaire
of the quality of life (short form) andmultidimensional health locus
of control questionnaire were used. For data analysis and the gen-
eralization of results, T-test of independent samples was used. The
achieved results are indicative of this matter that the quality of life
in the physical and social dimension and psychological dimension
and multidimensional health locus of control in the healthy people
and the patients with hypertension are different but the quality of
life in and the health of environment, any meaningful difference
has not been observed.
Keywords Quality of life; Multidimensional health locus of
control; Hypertension
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EV794
Assertive community treatment in
mental health: Experience in Ibiza,
Balearic Islands
B.E. Pinilla Santos ∗, I. Moreno Encabo , M. Tur Roig ,
V. Gutiérrez Mellado , N. Rodríguez Criado , R. Martín Aragón
1 Hospital Universitario de Móstoles, Psiquiatría, Madrid, Spain
2 Área de Salud Mental de Ibiza y Formentera, Hospital Can Misses,
Ibiza, Spain
∗ Corresponding author.
Introduction In the 1970s emerges in Madison (United States)
the assertive community treatment (ACT) and since then it has
emerged as the standard model of comprehensive, intensive com-
munity treatment for patients with severe mental illness. Multiple
studies support its effectiveness and efficiency reducing hospital
stay and phenomena revolving door.
In 2007, it begins in Ibiza the ATC, as a formof treatment for patients
who, due to a problem of geographical isolation or mental disorder,
remain detached from the mental health services.
Objectives Evaluate and share the experience of the ATC in Ibiza’s
population as a way to improve the linkage of patients to the
resources of health, their community integration and avoid aban-
donment of treatment and hospitalizations.
Method We compiled records fromATC activity in Ibiza since cre-
ation. This paper describes and analyzes a sample of 35 patients
followed for 2014, and hospitalizations compared before and after
start the ATC.
Results In the sample studied, the leading diagnoses are para-
noid schizophrenia and delusional disorder. A significant decline
is detected in the number and duration of hospitalizations after
initiation of treatment in the ATC.
Conclusion The results observed in the sample match those
reported in the literature, showing the ATC as an effective recourse
for the care of patients with severe mental disorder.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV795
Medical comorbidity related risk
factors for hospital-based mortality in
psychiatric disorders of ICD-10 classes
F1–F4: A comparative overview of five
studies in general hospital admissions
D. Schoepf ∗, R. Heun
1 University Hospital of Bonn, Psychiatry, Bonn, Germany
2 Royal Derby Hospital, Radbourne Unit, Derby, United Kingdom
∗ Corresponding author.
Introduction Up to 60% of the non-suicide related premature
mortality of individuals with major psychiatric disorders is said to
be mainly due to medical diseases.
Objectives and aims Based on five representative studies in
general hospital admissions over 12.5-year observation, we will
represent a comparative overview of medical comorbidity related
risk factors for general hospital-based mortality in prevalent psy-
chiatric disorders of ICD-10 major classes F1–F4.
Methods In the original studies, medical comorbidities that
increased the risk for hospital-based mortality were identi-
fied using multivariate forward logistic regression analysis. In
secondary analysis, independent risk factors for general hospital-
based mortality were compared between studies using the OR and
the 95% CI.
Results A total of fifteenmedical comorbidities represented inde-
pendent risk factors for general hospital-based mortality in more
than one psychiatric disorder of ICD-10 major classes F1–F4. Infec-
tious lung diseases and chronic obstructive pulmonary disease
were mortality risk factors in all diagnostic classes. Type 2 dia-
betes mellitus represented a risk factor for general hospital-based
mortality in individuals with schizophrenia (SCH), bipolar disor-
der (BD), and major depressive disorder (MDD). Atrial fibrillation
was a mortality risk factor in individuals with MDD, anxiety dis-
order (ANX), and alcohol dependence (AD). In addition, nineteen
medical comorbidities represented independent mortality risk fac-
tors in only one of the diagnostic classes, i.e. two in individuals
with SCH, three in individuals with MDD, three in ANX, and eleven
in AD.
Conclusions In general hospitals, the pattern of medical comor-
bidities that explain the outcome of in-hospital deaths differs
considerably between psychiatric disorders of ICD-10major classes
F1–F4.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV796
Mental health staff: To promote
resilience, to reduce the risk of
burnout
N. Semenova ∗ alin urovich
1 Moscow Research Institute of Psychiatry MoH RF, Outpatient
Psychiatry, Moscow, Russia
2 Psychiatric hospital No. 4 named after P.B. Gannushkin,
Medico-rehabilitation Unit, Moscow, Russia
∗ Corresponding author.