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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805

S749

Conclusions

This study is the first attempt to forecast suicides rate

in Russia. This study highlighted the limitations associated with

forecasting of suicides using extrapolation of time series. Adoption

of new anti-alcohol initiatives in 2006 appeared as an intervention

witch effected the trends in suicides mortality. This suggests that

different kinds of social interventions hamper reliable forecasting

of suicides rate.

Disclosure of interest

The author has not supplied his declaration

of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2237

EV1253

Developing interventions for

prevention of self-harm for British

South Asian women: A qualitative

study

N. Husain

1

, F. Lunat

2 ,

, N. Gire

3

, S. Bin Bilal Hafi

4

, M.I. Husain

5

,

T. Walker

6

, A. Syed

2

, N. Chaudhry

1

1

University of Manchester, Institute of Brain-Behaviour and Mental

Health, Manchester, United Kingdom

2

Lancashire Care NHS Foundation Trust, Research and Innovation,

Preston, United Kingdom

3

University of Central Lancashire, School of Health, Preston, United

Kingdom

4

Greater Manchester West NHS Mental Health Foundation Trust,

Psychiatry, Manchester, United Kingdom

5

Camden and Islington NHS Foundation Trust, Psychiatry, London,

United Kingdom

6

Manchester Metropolitan University, Mental Health, Manchester,

United Kingdom

Corresponding author.

Introduction

It has been estimated that the global burden of sui-

cide is a million deaths per year (WHO, 2014). Rates of self-harm

in British South Asian (BSA) women are higher compared to their

white counterparts. Limited evidence is available on effective pre-

ventative strategies and culturally sensitive interventions for these

patients.

Objective

To understand common perceptions about self-harm,

identify any barriers to accessing services and service improve-

ment recommendations including appropriate interventions for

BSA women.

Aim

To examine the views of health professionals on the cultur-

ally adapted problem solving therapy (C-MAP) in BSA women.

Methods

The design was a qualitative study using focus group

discussion. This is part of a larger exploratory trial, to test a cul-

turally adapted problem solving therapy (C-MAP) in British South

Asian women who have a history of self-harm (Husain et al., 2011).

Three focus groups were held with Asian lay members of the

community, health professionals and service users. The data was

analysed using a manual content analysis and indexing technique.

Results

Results showed lack of identification of self-harm by

health professionals. Common self-harm methods reported were

serious overdoses, use of household chemicals, burning and cutting.

Lack of trust in GP s was one common reason for non-disclosure of

self-harm behaviour. Need for increased awareness, working along

with local Imams, better cultural sensitivity among health profes-

sionals and non-judgmental support were some solutions offered

to address these barriers.

Conclusion

The results of this study have provided insight into

developing strategies to prevent and manage self-harm in British

South Asian women.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2238

EV1254

Suicide risk assessment and early

recognition of risk factors

V. Fricchione Parise

, L. Addeo , G. Balletta

Mental Health Centre Avellino, ASL Avellino, Avellino, Italy

Corresponding author.

Suicide is a common cause of death in people with mental health

problems. No specific patient stereotype nor single risk factor can

be used to easily identify which person or patient will attempt sui-

cide. Mental health professionals often have to assess or manage

suicide risk and this is challenging by reason of accurate methods

of predicting remain elusive. Presence of multiple risk factors often

suggest the need for additional evaluation for suicidal ideation, but

an impending suicide attempt is not always recognized, even after

evaluation by healthcare provider. More half of suicidals have seen

a psychiatrist or psychologist or other healthcare provider within

one month beforehand. The presentation of possible warning signs

can be subtle and experience is required. Service provision for sui-

cidal patients is often substandard, particularly at times of highest

need such as after discharge from hospital or emergency depart-

ment. As many as 75% or more of people who die by suicide have

a diagnosable mental health disorder at the time of their death.

The most common are bipolar disorder and schizophrenia over

major depression. Between 25% and 50% of bipolar patients will

attempt suicide at least once, and 5% to 20% will die by suicide. In

schizophrenia diagnosis, 20% to 40% of patients will attempt suicide

and more than 10% will die by suicide. Additional risk factors: alco-

hol misuse, family history, illegal substance use. The way in which

suicide is broached and discussed with patient plays a significant

role. Here, a focus on clinical management of suicide risk.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2239

EV1255

Suicide attempts related to

homelessness in patients with

personality disorder

P. García González

, R. Huerta-Ramírez , A. Capllonch Carrión ,

A. Molina Serrano

Complejo Asistencial Benito Menni, Unidad Hospitalización Breve,

Ciempozuelos, Madrid, Spain

Corresponding author.

Suicide is among the main causes of death in homeless population.

In some samples, up to 34% of homeless adults have attempted

suicide and psychiatric diagnoses are related to a higher rate of

suicidality.

We report here two cases of suicide attempt related to a situation

of homelessness. The first case is a young male who was a squatter

after being kicked out of the family home, ended up homeless and

made a suicide attempt. The second case is a middle-aged female

with poor relationship with her family, who was unemployed and

ended up penniless. She made a suicide attempt after being unable

to pay for the hostel where she stayed. Both were admitted to our

Psychiatry Hospitalization Unit, had a previous diagnosis of mixed

personality disorder and related clearly the suicide attempt with

their social situation.

We review related literature regarding the relationship between

homelessness and suicide attempts. Psychosocial factors have a

strong relationship with suicide ideation and attempts, specially

in patients with personality disorders. Ensuring a place to live is

an important part of the stabilization of these patients, so men-

tal health professionals should always take into account this issue

when it appears in one of our patients. To this day, it is difficult to