European Psychiatry - Volume 33 - March 2016

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S688 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805
Methods Retrospective cross-sectional descriptive Study. The
three patientswho received the continuation/maintenance electro-
convulsive therapy during the 10 months this unit has been opened
were chosen as a sample.
Results From the opening of Psychiatric Day Hospital 10 months
ago, 58 patients have been admitted; among them, three patients
come to the hospital monthly to receive the electroconvulsive ther-
apy, maintaining their psychopathological stability over time.
Conclusions With the creation of this new program we consid-
ered three types of objectives:
– therapeutic: a therapy applied in a more comfortable and satis-
factory for the patient and family regime. To prevent relapse and
exacerbations;
– management: benefits on the best use of existing resources:
– reduction in hospital admissions and readmissions,
– decrease in the average stay,
– reduction in visits to Emergency Services,
– allow referrals from outpatient department,
– individual monitoring of patients that complements the check
at their Mental Health Team;
– teaching, training and investigation.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1060
The use of electroconvulsive therapy
(ECT) in the Czech Republic
L. Kalisova ∗, K. Madlova , J. Albrecht , J. Michalec
1st Medical Faculty and General Hospital, Charles University,
Psychiatric Department, Prague, Czech Republic
∗ Corresponding author.
Aim The aim of this study was to monitor the use of electro-
convulsive therapy (ECT) in the Czech Republic for the purpose of
harmonizing national practice.
Method A 13-item questionnaire was sent to all Czech inpatient
psychiatric facilities. This questionnaire assessed technical back-
ground of ECT, indications for the treatment, procedure in detail,
way of documentation and monitoring of side effects.
Results ECT is used 23 centers (10 psychiatric hospitals, 5 uni-
versity psychiatric departments and 8 psychiatric wards) across
the Czech Republic. There is no special legal act regulating the use
of ECT in the CR, but there are guidelines issued by the Czech Psychi-
atric Society available. All centers use instruments delivering brief
pulse stimuli. All patients have to be indicated for this treatment
and have to sign inform consent form/excluding situation when
patient’s life is endangered/. Somatic state is assessed/EKG, blood
tests, eye check-up regularly and other examinations in individ-
ual cases/. Thiopenthal and succinylcholine are used most often
for anesthesia and myorelaxation. Bitemporal electrode place-
ment is the preferred option in all centers. The ECT is provided
2–4 times a week in special ECT rooms in the presence of staff
team/psychiatrist, anesthetist, psychiatric and anesthesiological
nurses/. Continuation ECT and outpatient ECT is not used. The pro-
cedure including side effects is documented in individual patient’s
documentation, but summarizing documentation is conducted
only in some centers.
Conclusion ECT is widely used in the Czech Republic. Procedures
in all centers follow national guidelines. There is need to improve
documentation system to harmonize national practice.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1061
Public stigma of electroconvulsive
therapy (ECT) in the Czech Republic
K. Mádlová∗, L. Kaliˇsová , M. Zajícová
General Hospital Prague, Psychiatric Department of the 1, Medical
Faculty of Charles University and General Hospital Prague, Praha,
Czech Republic
∗ Corresponding author.
Aims To find out how the use of ECT in psychiatry is perceived by
the public in the Czech Republic.
Method The questionnaire (8 questions monitoring awareness,
knowledge of ECT and its use in modern psychiatry) created for
the purpose of this study was shared through internet and also
distributed in paper version to public.
Results The sample consists of 365 respondents – age average
28.9 years, 62% of females, 53% of university graduates, 44% with
secondary education, 3% other education, 27% of healthcare pro-
fessionals outside the field of psychiatry, 20% of medical students
before the start of the traineeship at psychiatry, 53% of the public.
Among the respondents, 98% have heard about ECT, 7% of them
think that ECT is no longer used. Among the respondents, 62%
learned about ECT from the media (film, print). Among the respon-
dents, 22% do not believe in the effectiveness of ECT, 30% think that
ECT is abused by psychiatrists, 86% believe that ECT has side effects
(personality changes, permanent memory disorders, brain damage,
epilepsy). Among the respondents, 77% would agree with ECT, if it
should be applied to their relative.
Discussion ECT is an effectivemethod in treating of severemental
disorders. But until now the public view is influenced bymedia. Due
to the negative stereotype of the method many people are afraid of
this treatment. The interesting fact is that also health professionals
and medical students are influenced by public stigma of ECT.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1062
First experience of electroconvulsive
therapy in Belarus
T. Dokukina ∗, A. Pinchuk , M. Makhrov , P. Korolevich , N. Misuk ,
S. Marchuk
Republican Scientific and Practical Center for Mental Health,
Department of mental and behavioral disorders, Minsk, Belarus
∗ Corresponding author.
Electroconvulsive therapy (ECT) – a method of psychiatric and neu-
rological treatment in which a large epileptiform seizure caused
by passing an electric current through the brain of the patient
in order to achieve a therapeutic effect. Clinical research of effi-
ciency of application ECT with anesthesia, muscle relaxation and
hardware analysis of EEG in patients with resistant forms of men-
tal and behavioral disorders was held in the Republic of Belarus.
The duration of the course of ECT, the frequency of sessions, as
well as the method of applying electrodes for stimulation were
determined by the doctor conducting the sessions of ECT. Ses-
sions were conducted with general anesthesia with the use of
muscle relaxants. Analysis of EEG data (Average Seizure Energy
Index [ASEI]; Postictal Suppression Index [PSI]; COH–Maximum
Sustained Coherence), on the basis of which the dose of stimulation
was corrected, was conducted to assess the duration and quality of
convulsive seizure during ECT. Significant clinical improvement in
patients who underwent ECT sessions was achieved as a result of
the study. Application of the method allowed to achieve persistent
clinical remission in a short time. The clinical study showed that the