European Psychiatry - Volume 33 - March 2016

751 / 812

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805 S747
with the increase of unemployment. Although unemployment is
considered a risk factor for suicide, it was observed a noticeable
increase in suicide rates among Italian employed men during the
last years, probably related to the specific economic scenario and to
emerging difficulties in keeping an income to adequately maintain
one’s own family standard of living.
Aim To study attempted suicides with a specific focus and atten-
tion on the current Italian economic scenario.
Methods Determinants of emergency room visits for psychiatric
reasons in patients aged > 16 years were studied prospectively from
2008 to 2015 at the AOU Maggiore della Carità Hospital, Novara,
Italy. Each patient was assessed by an experienced psychiatrist with
a clinical interview and socio-demographic and clinical features
were gathered. Statistical significance was set at P ≤ 0.05.
Results Preliminary results suggest an increase in suicide
attempts according to the rise of the unemployment rate in Novara.
Although in absolute figures most attempters are unemployed, it
seems that suicide attempts are more frequent in the group of
employed subjects, which includes also people under redundancy
fund. This subgroupmay be considered halfway between employed
and unemployed attempters.
Conclusions Data collection and statistical analyses are still ongo-
ing. Implications for clinical practice will be discussed.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1247
Dermal reactivity and resilience in a
sample of depressed patients
I. Coppola ∗, E. Gattoni , C. Gramaglia , S. Di Marco ,
C. Delicato , D. Marangon , A. Feggi , M. Martelli ,
C. Guerriero , L.H. Thorell , M. Sarchiapone , E. Torre ,
P. Zeppegno
1 Università del Piemonte Orientale, Translational Medicine, Novara,
Italy
2 SC Psichiatria, AOU Maggiore della Carità, Translational Medicine,
Novara, Italy
3 Linkoping University and Emotra AB, Clinical and Experimental
Medicine, Savedalen, Sweden
4 Università del Molise, Medicine and Health Science, Campobasso,
Italy
∗ Corresponding author.
Background Mental disorders are considered a risk factor for sui-
cide: for example, the lifetime risk of suicide is estimated to be
4%–8% in peoplewithmood disorders. The literature suggests that a
history of suicide attempts is significantly related to electrodermal
hyporeactivity and that patients with violent suicide attempters
exhibit faster habituationof the electrodermal response to repeated
neutral tones than patients with non-violent attempts. The impact
of depressive symptoms on suicidal ideation may be moderated by
resilience. Resilience refers to the ability to maintain o regain men-
tal health despite experiencing adversity. In bipolar and depressive
disorders, resilience may influence severity of episodes, frequency
of relapse and response to treatment.
Aim The objective of our study was to assess the possible corre-
lation among attempted suicide, resilience and dermal reactivity in
a sample of depressed patients.
Methods We recruited patients with depressive disorders and
bipolar depression; data about socio-demographic, clinical fea-
tures, severity of attempted suicide and suicidal riskwere gathered.
Patients filled in the Resilience Scale for Adult (RSA). Moreover, for
each patient we performed the Edor test in order to assess dermal
reactivity.
Results Data collection is still ongoing. We expect to find lower
levels of resilience in those patients who are hyporeactive and
attempted suicide. Moreover, we hypothesize that suicide attempts
in the group of hyporeactive patients would be characterized by
planning and greater severity. Clinical implications will be dis-
cussed.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1248
How does someone who weighs so
little feel like a burden to everyone?
F. Coutinho∗ randão , E. Pereira
Centro Hospitalar de São João, Clínica de Psiquiatria e Saúde Mental,
Porto, Portugal
∗ Corresponding author.
Introduction Anorexia nervosa (AN) is one of the most lethal psy-
chiatric disorders, which is explained partially by starvation related
health problems, but also because of high suicide rates. One of the
proposed theories to explain a suicide attempt is the interpersonal
theory of suicide (IPTS), with its three essential variables: feel-
ings of thwarted belongingness, perceived burdensomeness and
the acquired capacity for suicide.
Objective To review the literature about suicidality in AN and
to present a case report of a patient with restrictive AN who has
committed suicide.
Methods To review of the literature using the database Medline,
through PubMed, with the keywords “anorexia nervosa”, “eating
disorders” and “suicide”.
Results Suicide attempts and completed suicide are highly preva-
lent among patients with AN, and some authors suggest that
20–40% of deaths in AN are due to suicide. Recently, the IPTS has
been proposed as a mean to explain increased suicidality in AN
patients.
Conclusion We present a case report about a patient with a long
standing AN who has committed suicide after leaving a good-
bye note describing strong feelings of perceived burdensomeness
directed to her family. It is of utmost importance to continue the
study about the phenomenon of suicide in AN to be able to prevent
this tragic outcome.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1249
Psychiatric consultations in the
emergency room: Focus on suicide
attempters with and without
longitudinal psychiatric disorders
C. Delicato∗, S. Di Marco , E. Gattoni , I. Coppola , A. Venesia ,
D. Marangon , G. Avanzi , L.M. Castello , C. Gramaglia ,
P. Zeppegno
Università degli Studi del Piemonte Orientale “A. Avogadro”,
Translational Medicine, Novara, Italy
∗ Corresponding author.
Introduction The role of mental illness in the pathway leading to
suicide iswidely discussed in the literature. Nonetheless, the debate
about this issue is open, both froma clinical and philosophical point
of view.
Aims The purpose of the present study was to compare suicide
attempters with and without a history of psychiatric disorder, in
order to highlight the possible differences between the two groups,
with a specific focus on intent to die and methods of the attempt.
Methods Data from all ER referrals undergoing a psychiatric con-
sultation in the period 2008–2015 at the Maggiore della Carità
Hospital, Novara, Italy, were gathered. Comparison of qualitative