European Psychiatry - Volume 33 - March 2016

749 / 812

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805 S745
EV1240
Multimodal validation of facial
expression detection software for
real-time monitoring of affect in
patients with suicidal intent
F. Amico ∗, G. Healy , M. Arvaneh , D. Kearney , E. Mohedano ,
D. Roddy , J. Yek , A. Smeaton , J. Brophy
1 Newcastle Hospital, Psychiatry, Newcastle, Ireland
2 Dublin City University, The Insight Centre for Data Analytics,
Dublin, Ireland
3 The University of Sheffield, Department of Automatic Control and
Systems Engineering, Sheffield, United Kingdom
4 University of Maynooth, Biomedical Engineering Research Group,
Maynooth, Ireland
∗ Corresponding author.
Facial expression is an independent and objective marker of affect.
Basic emotions (fear, sadness, joy, anger, disgust and surprise)
have been shown to be universal across human cultures. Tech-
niques such as the Facial Action Coding Systemcan capture emotion
with good reliability. Such techniques visually process the changes
in different assemblies of facial muscles that produce the facial
expression of affect.
Recent groundbreaking advances in computing and facial expres-
sion analysis software now allow real-time and objective
measurement of emotional states. In particular, a recently devel-
oped software package and equipment, the Imotion Attention
ToolTM , allows capturing information on discreet emotional states
based on facial expressions while a subject is participating in a
behavioural task.
Extending preliminary work by further experimentation and anal-
ysis, the present findings suggests a link between facial affect data
to already established peripheral arousal measures such as event
related potentials (ERP), heart rate variability (HRV) and galvanic
skin response (GSR) using disruptively innovative, noninvasive
and clinically applicable technology in patients reporting suicidal
ideation and intent compared to controls. Our results hold promise
for the establishment of a computerized diagnostic battery that can
be utilized by clinicians to improve the evaluation of suicide risk.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1241
Availability and accessibility of
medications and toxic substances and
suicidal behavior
M. Arsenyan ∗, S. Sukiasyan , T. Hovhannisyan (Member)
1 “St. Grigor Lusavorich” MC, Republican Child Psychiatric
Department, Yerevan, Armenia
2 Yerevan State Medical University Hospital “Muratsan”, Toxicology
Center, Yerevan, Armenia
3 “Artmed” MRC, Department of Mental Health “Stress”, Yerevan,
Armenia
4 Armenian Psychiatric Association, Yerevan, Armenia
∗ Corresponding author.
Introduction Scientific research indicates that accessibility of sui-
cide means has a significant influence on the choice of method.
Since the choice of suicide method largely depends on availability
of suicide means, the lethality of method at hand plays a crucial
role in a period of suicidal crisis.
Aims We aimed to reveal the associations between accessibility
and availability of medications and toxic substances and suicidal
behavior of teenage girls in Armenia.
Objective Our objectives were to determine whether accessibil-
ity and availability of medications and toxic substances have any
impact on development of suicidal behavior among teenage girls
in Armenia and whether toxicity and quantity of medications and
toxic substances at hand or purchased by attempters are associated
with severity of outcome.
Methods A qualitative analysis of patient histories of 26 teenage
girls, hospitalized in the ICU, Toxicology Center “Muratsan”, Yere-
van, RA, diagnosed as having acute deliberate self-poisoning was
performed.
Results In majority of cases, conflict situation preceded suicidal
behavior and decision on attempting suicide was impulsive. Being
emotionally distressed teenage girls reached for medications and
toxic substances readily available in the household or bought med-
ications from a pharmacy.
Conclusion The vast majority of teenage girls attempted sui-
cide by medications and toxic substances at hand. Admittedly,
both, type of medication and quantity of pills or amount of toxic
substances utilized, affected the severity of outcome. Hence, the
availability and accessibility of medications and toxic substances
played a crucial role in development of suicidal behavior and sever-
ity of outcome.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1242
Mental health and suicidal risk in
lesbian, gay and bisexual population
P. Azevedo∗, J. Vitória , A. Norton
Magalhães Lemos Hospital, Inpatient Unit C, Porto, Portugal
∗ Corresponding author.
Introduction Nowadays, the lesbian, gay and bisexual (LGB) com-
munity still suffers fromprejudice and social stigma, including from
medical professionals.
Thus, it is urgent to draw attention to this population since these
individuals have an increased risk of mental disorders, substance
abuse and dependence, suicidal ideation and suicide attempt or
complete suicide.
Aims To underline the prevalence of mental disorders and
increased suicide risk in the LGB population.
Objectives To summarize the latest literature about this field.
Methods A brief review of the latest literature was performed on
PubMed using the keywords “mental health”, “suicidal risk”, “LGB
population”.
Results LGB individuals appear to be at increased risk of mental
disorders and suicidal behavior than heterosexuals. According to
Meyer, they are exposed to what is called the minority stress: prox-
imal, depending on the subject and related to fear of rejection and
internalized homophobia and distal, regardless of the individual
including prejudice, social stress, social exclusion (including their
own families) and violence.
The odds of attempting suicide are approximately 2 to 7 times
higher for lesbians, gay men and bisexuals (LGBs) than for hetero-
sexuals.
Conclusions Minority stress related to prejudice and stigma
against LGB people has a significant risk that can be related to
suicide ideation and attempt.
The higher rate of many psychiatric conditions noted in this
community underscores the need for clinicians to provide nonjudg-
mental care and approachable environment.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.