European Psychiatry - Volume 33 - March 2016

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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.
W50
The association of bullying with
suicide ideation and attempt among
adolescents with different dimensions
of sexual orientation
R. Montoro ∗, K. Igartua , B.D. Thombs
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.