European Psychiatry - Volume 33 - March 2016

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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.
EV1253
Developing interventions for
prevention of self-harm for British
South Asian women: A qualitative
study
N. Husain , F. Lunat ∗, N. Gire , S. Bin Bilal Hafi , M.I. Husain ,
T. Walker , A. Syed , N. Chaudhry
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.
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.
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