European Psychiatry - Volume 33 - March 2016

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S750 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805
address this problem from our mental health system so it is impor-
tant to have a good coordination with social services and improve
the resources we have to tackle this problem.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1256
Who are the suicide reattempters?
E. Gattoni ∗ ramaglia elicato
S. Di Marco oppola Venesia Marangon
M.L. Castello . Avanzi orre eppegn
1 Università del Piemonte Orientale, Translational medicine, Novara,
Italy
2 AOU “Maggiore della Carità”, SC Psichiatria, Novara, Italy
∗ Corresponding author.
Background History of previous suicide attempts is one of the
most important risk factors for a subsequent completed suicide.
Suicide reattempters (SR) has been long associated with demo-
graphic and clinical risk factors for suicide, such as unemployment
and psychiatric disorders, however a recent review of the litera-
ture has not supported a specific age and gender profile of SR, but
rather underscored that, as far as diagnosis is concerned, SR were
more likely to have a personality disorder. According to literature,
16%–34% of the subjects repeat a suicide attempt within the first 2
years after the previous one.
Aim The purpose of our study was evaluating clinical and
socio-demographic characteristics and the outcome of psychiatric
consultation among subjects referring to an emergency room for
recommitting a suicide attempt.
Methods We considered a sample of SR aged > 16 years. We
extracted data from the database including all patients requiring
psychiatric evaluation in the emergency room, and eventually com-
pared the features of SR and patients with a single suicide attempt.
For each patient, we gathered socio-demographic features, psychi-
atric history and current clinical issues, suicidal intent and suicidal
behaviors.
Results Data collection and statistical analyses are still ongoing.
Preliminary results show that, compared to patients with a sin-
gle suicide attempt, SR were more frequent female, unmarried,
employed, with a low level of instruction; they had a psychiatric
disease (axis I – anxiety disorder, somatoform disorder; axis II –
histrionic personality disorder); they are under the care of mental
health services and under psychopharmacological treatment.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1257
Suicide attempters: Clinical
characteristics and management
E. Gattoni ∗, A. Feggi , C. Gramaglia , P. Bergamasco ,
I. Coppola , S. Di Marco , C. Delicato , A. Venesia ,
D. Marangon , P. Zeppegno
1 Università del Piemonte Orientale, Translational medicine, Novara,
Italy
2 AOU “Maggiore della Carità”, SC Psichiatria, Novara, Italy
∗ Corresponding author.
Background Suicide attempts, defined as self-inflicted, poten-
tially injurious behaviors with a nonfatal outcome, and with
evidence of intent to die are extremely prevalent. Literature sug-
gests that suicide is more common among males, while attempted
suicide is more frequent among females. Depression, mental
disorders, substance use disorders and history of suicidal behavior
are important risk factors for suicide: the risk of suicide attempt
is 3 to 12 times higher in psychiatric patients than in the general
population.
Aim The aim of our study was to compare severity of depressive
symptoms in a sample of suicide attempters with a diagnosis of
bipolar and related disorders or depressive disorders and in a sam-
ple of sex- and diagnosis-matched patients who do not commit a
suicide attempt. The severity of attempted suicide and the suicidal
risk in the hospital will be assessed as well.
Material and methods We collected a sample of inpatients who
committed a suicide attempt during 2015. For each attempter,
we selected another sex- and diagnosis-matched patient with no
history of attempted suicide. Socio-demographic and clinical char-
acteristics of the sample were gathered. Assessment included:
Montgomery-Asberg Depression Rating Scale (MADRS) for severity
of depressive symptoms in both groups, Suicide Intent Scale (SIS)
for the severity of attempted suicide and the suicidal risk with a
nurse assessment for suicide.
Results Data collecting is still ongoing. We expected to find more
severe symptoms in patients who attempted suicide. Clinical impli-
cation will be discussed.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1258
Who is a survivor of suicide loss? A
systematic review
S. Gili ∗, C. Delicato , A. Feggi , C. Gramaglia , P. Zeppegno
Universita’ del Piemonte Orientale, Translational Medicine, Novara,
Italy
∗ Corresponding author.
Introduction Death by suicide stuns with soul-crushing surprise,
leaving family and friends not only grieving the unexpected death,
but confused and lost by this haunting loss. The underlying struc-
ture of grief for survivors of suicide loss appears complicated.
Aims The purpose of this study consists in reviewing litera-
ture data about survivors of suicide, especially exploring the few
informations emerged by researches on the role of psychiatrist as
“survivor”.
Methods A PubMed search was conducted using combinations of
the following keywords: survivors suicide or bereavement suicide
or suicide psychiatrists and randomized.
The search was conducted through September 10, 2015, and no
conference proceedings were included.
Results Bereavement following suicide is complicated by the psy-
chological impact of the act on those close to the victim. It is further
complicated by the societal perception that the act of suicide is a
failure by the victim and the family to deal with some emotional
issue and ultimately society affixes blame for the loss on the sur-
vivors. This individual or societal stigma introduces a unique stress
on the bereavement process that in some cases requires clinical
intervention.
Conclusions Suicide bereavement seems to be different fromnat-
ural loss. Clinicians may react to a patient’s suicide both on a
personal and professional level, with emotions such as loss of self-
esteem or blame. This grief somehow nullifies the core of a helping
relationship and may imply a more conservative management of
future patients or even avoiding to accept suicidal patients for treat-
ment. Support interventions have been proposed.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.