European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805 S605
Introduction Stress and burnout are clearly problems for mental
health workers. In this paper, we present data from research study
on moderators of burnout in mental health staff.
Objectives/aims The purpose of this studywas to explore the phe-
nomenon of resilience as experienced by Russian mental health
clinicians working in a highly demanding, specialized and stress-
ful environment (e.g., staff shortages, health service shortages, not
being notified of changes before they occurred).
Methods The study used a range of self report questionnaires.
Measures included a demographic checklist, the Hardiness Survey
(Maddi 1984), and the GCOS – The General Causality Orientation
Scale (Deci &Ryan1985). The participants for this studywere drawn
from Medico-rehabilitation Unit, Psychiatric hospital, – the disci-
plines of psychiatry, clinical psychology and nursing. In all, 10 ward
based mental health professionals were surveyed.
Results This paper outlines the results of these measures. This in
turn allows us to develop intervention strategy to ensure an effec-
tive provision, which depends on satisfied professionals, who have
a sense of ownership over what they do and an ability to shape the
direction of their endeavours.
Conclusions The study’s findings have the potential to inform
organizations in mental health to promote resilience in clinicians,
to deliver stress management interventions for staff with the
potential to reduce the risk of burnout and hence staff attrition,
staff retention and mental health.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV797
Depressive and anxiety symptoms in
youth mental health outpatients: An
observational study
J. Silva Ribeiro ∗ orais endes Botelho
G. Helena uísa ida Madeira
1 Coimbra Hospital and University Centre, Psychiatry Department,
Coimbra, Portugal
2 University of Coimbra, Faculty of Medicine, Coimbra, Portugal
∗ Corresponding author.
Introduction There is an increased risk to develop mental
disorder during adolescence and early adulthood. Given this vul-
nerability, and in order to facilitate the transition from child and
adolescent to adult mental health services, specific services for this
age group have been developed in the last years, focusing on acces-
sibility and early referral of young mental patients. Our Psychiatry
Department (Coimbra Hospital and University Centre, Portugal)
created a specific unit for young adults in order to provide bet-
ter care, in accordance with the specificities of this subpopulation.
The team consists of psychiatrists, psychiatry residents, nurses and
a clinical psychologist. Referred patients are under 20 years old,
presenting clinically relevant psychopathology or behavior distur-
bances.
Objectives/aims We aimed to characterize help-seeking outpa-
tients regarding socio-demographic variables and its relation to
depressive and anxiety symptoms.
Methods Socio-demographic characterization was undertaken
with young adult psychiatric outpatients observed during eleven
months (1st January to 30th November 2015). Multivariate
analyses were performed to identify a relationship among socio-
demographic and psychopathology variables (assessed with the
Portuguese version of Brief Symptom Inventory–53 itens).
Results/conclusions One hundred and sixty-two outpatients were
observed: 97 females (59,9%) and 65 males (40,1%), ages between
17 and 31 years old (average: 19,9; median: 20). We found a pos-
itive correlation between depressive and anxiety symptoms and
the education level. A negative correlation was found between
depressive and anxiety symptoms and male gender and presence
of mental illness in the family.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV798
Factors related to disability pensions
– a cross-sectional analysis from a
university hospital in Istanbul
E. Sönmez ∗ unca , Y. Akvardar
Marmara University Pendik Training and Research Hospital,
Psychiatry, Istanbul, Turkey
∗ Corresponding author.
Introduction Mental disorders are one of the leading reasons for
disability-related retirement and payment of associated long-term
benefits in many countries.
Objectives To explore the characteristics of psychiatric outpa-
tients who apply for disability pensions and to investigate the
factors associated with making an application.
Methods A four-month cross-sectional evaluation of disability
pension and retirement applications to the psychiatry outpatient
clinic in a university hospital in Istanbul.
Results The majority of 144 patients were male (n = 102, 70.8%),
based in Istanbul, married, living with their families and had no
occupation at the time of inquiry. Excluding applications for indi-
viduals with a diagnosis of intellectual disability ( n = 44), most
applicants were primary school graduates (n = 31, 32.3%). For the
whole group, the median age of application was 34. 60%, (n = 87)
had an established psychiatric diagnosis before the application,
with average duration since diagnosis of approximately 8 years. The
most frequent diagnoses were intellectual disability, followed by
schizophrenia and depression. More than half of the patients were
treated only outpatiently, with no hospitalization (n = 55, 58%).
Thirty-two of them (22.4%) had a comorbid psychiatric diagnosis
and 58 (40.3%) had at least one comorbid medical diagnosis.
Conclusions There are some similarities between our findings
and findings fromother countries, such as loweducational level and
frequent comorbid somatic diseases among patients applying for
disability pension. In contrast with the literature and as an indica-
tor of social inequality, most patients applied for disability pension
were male. The results are reflecting the specificities of different
health systems and cultural perceptions of disability.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV799
Changing pattern of clinical profile of
first contact patients attending
outpatient Services at the General
Hospital Psychiatric Units in India
over the last 50 years
M. Sood∗ anjan , R.K. Chadda , S. Khandelwal
All India Institute of Medical Sciences, Psychiatry, Delhi, India
∗ Corresponding author.
Introduction Over the last eight decades, general hospital psychi-
atric units (GHPUs) have become important mental health service
set-ups in India. This period has seen a large number of radical
changes in the Indian society. In this background, it is important to
know if it had any effects on the patients attending the GHPUs.
Methodology A total of five hundred subjects, attending a GHPU
were recruited prospectively for the study. The subjects were
assessed using a semi-structured proforma. A comparison was