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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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2240

EV1256

Who are the suicide reattempters?

E. Gattoni

1 ,

, C . G

ramaglia

1 , C. D

elicato

1 ,

S. Di Marco

1 , I. C

oppola

1 , A.

Venesia

1 , D.

Marangon

2 ,

M.L. Castello

1 , G.C

. Avanzi

1 , E. T

orre

1 , P. Z

eppegn

o 1

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2241

EV1257

Suicide attempters: Clinical

characteristics and management

E. Gattoni

1 ,

, A. Feggi

1

, C. Gramaglia

1

, P. Bergamasco

2

,

I. Coppola

1

, S. Di Marco

1

, C. Delicato

1

, A. Venesia

1

,

D. Marangon

2

, P. Zeppegno

1

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2242

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2243