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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S56–S71

S71

prevention of HIV infection in higher-risk individuals. The United

States approved tenofovir + emtracitabine for PrEP in 2012; this is

under review in several European countries, Canada, and Australia,

and is already prescribed off-label in many. Additionally, studies

have shown that treatment with ARV medications to an “unde-

tectable viral load” greatly reduces the risk of further transmission

by persons already infected with HIV, called “treatment as preven-

tion” (TasP). As of September 2015, WHO recommends early ARV

treatment for all persons with HIV, and consideration of PrEP for

men who have sex with men. This paper reviews findings from the

PrEP studies (especially iPrEx, iPrEx Ole, IPERGAY, and PROUD) and

TasP, and looks at their impact on LGBT and HIV+ communities,

with relevance for mental health providers.

Disclosure of interest

The author has not supplied his declaration

of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.983

W50

The association of bullying with

suicide ideation and attempt among

adolescents with different dimensions

of sexual orientation

R. Montoro

1 ,

, K. Igartua

1

, B.D. Thombs

2

1

McGill University Health Centre, Psychiatry, Montreal, Canada

2

Jewish General Hospital, Psychiatry, Montreal, Canada

Corresponding author.

Introduction

Sexual minority youth are at increased risk for bul-

lying and suicide, but they are heterogeneous in their sexual

orientation dimensions (attraction, behavior and identity).

Objective

To compare the association of bullying and suicide

parameters between (1) heterosexually identified students with-

out same-sex attractions or behaviors (2) heterosexually identified

students with same-sex attractions or behaviors and (3) non-

heterosexually identified students.

Methods

The Quebec Youth Risk Behavior Survey was a self-

report questionnaire given to 1852 students 14–18 years old.

Results

The heterosexually identified students without same-

sex attraction or behavior, and no bullying, was our reference

group. When these students had bullying, the likelihood of sui-

cidal ideation was double, but their likelihood of suicide attempts

was the same. For non-heterosexually identified students, those

with no bullying were twice as likely, and those with bullying

were four times as likely to have suicidal ideation. When these stu-

dents had no bullying, they were not more likely to have suicide

attempts, but they were almost three times as likely when they

had bullying. Heterosexually identified students with same-sex

attraction or behavior were never more likely on any of the suicide

measures.

Conclusion

This study was the first to show that adolescents with

a non-heterosexual identity will have a disproportionately greater

likelihood in their suicide parameters when subject to bullying,

than heterosexually identified students with or without same-sex

attraction or behavior, suggesting that these latter two dimen-

sions were non-contributory to suicide risk. The significance of

identity as a predictor of suicidal ideation and behavior will be

discussed.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.984