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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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1778

EV794

Assertive community treatment in

mental health: Experience in Ibiza,

Balearic Islands

B.E. Pinilla Santos

1 ,

, I. Moreno Encabo

2

, M. Tur Roig

2

,

V. Gutiérrez Mellado

2

, N. Rodríguez Criado

1

, R. Martín Aragón

1

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1779

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

1 ,

, R. Heun

2

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.1780

EV796

Mental health staff: To promote

resilience, to reduce the risk of

burnout

N. Semenova

1 ,

, A . P

alin

2 , I. G

urovich

1

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.