European Psychiatry - Volume 33 - March 2016

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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805 S751
EV1259
Suicide attempts in area II of
Valladolid
S. Gómez Sánchez ∗, E. Domínguez Álvarez ,
R. Hernández Antón , I. Sevillano Benito , S. Cepedello Pérez ,
E. Mayor Toranzo , H. De la Red Gallego , A. Alonso Sánchez ,
J.A. Blanco Garrote , C. Llanez Álvarez
1 Hospital Clínico Universitario de Valladolid, Psiquiatría, Valladolid,
Spain
2 Hospital General de Tomelloso, Psiquiatría, Ciudad Real, Spain
3 Complejo Asistencial de Zamora, Psiquiatría, Zamora, Spain
∗ Corresponding author.
Introduction Suicide is among the ten leading causes of death in
the world. According to WHO, the annual suicide mortality rate is
16:100,000. Suicide rate has increased by 45% globally and by 60%
in Spain in the last 50 years.
Objective It will be explained:
– scale of the problem;
– suicidal behaviour characteristics;
– risk factors due to Werther effect;
– protective factors;
– presenting the study on autolytic attempts at HCUV from July to
December 2013.
Materials and method Data about autolytic attempts treated at
the HCUV in the last 6 months were collected. A structured history
was compiled for each patient collecting information about age,
personal circumstances, cohabitation, studies, employment status,
residence (urban, semi-urban or rural), religious beliefs, day of the
week, family background, personal organic and psychiatric back-
ground, previous autolytic attempts, last three month’s events, last
week’s events, method and medical practice undertaken.
Conclusion The study shows that the average age is 43 years
old, 42.2% are married, 41.3% live with their family, 33% have pri-
mary studies, 27.3% are unemployed and other data, which will be
exposed through diagrams. Compared to a study from 1996/1997,
there has been a 27% increase in the suicide attempts rate.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1260
Who gains from suicide risk
assessment: Health inspectorate and
health insurances, or also psychiatrist
and patient?
A. Gonlag (Resident) ∗, M. van Baest (Resident) ,
C. Rijnders (Ph.D.) , R. Teijeiro
1 GGz Breburg, Breda, Netherlands
2 GGz Breburg, Tilburg, Netherlands
3 Elisabeth-TweeSteden Ziekenhuis, MPU, Tilburg, Netherlands
∗ Corresponding author.
Introduction The number of suicides rises in the Netherlands.
In 2008, 1435 suicides were recorded; in 2012: 1753 (CBS). Ade-
quate risk assessment with suicidal behaviour (SRA) is essential for
prevention. The Health Inspectorate and Insurances seek to have
a stronger grip on the way suicide risk is assessed and insist on
using questionnaires. This runs counter to the multidisciplinary
guidelines in the Netherlands for diagnosis and treatment of sui-
cidal behaviour, which state that “questionnaires or observation
instruments cannot replace clinical diagnostic examination.”
Objective Do questionnaires rather than ‘care as usual’ (CAU) in
SRA lead to different treatment policies?
Aim To determine whether the use of questionnaires rather than
CAU in SRA leads to different treatment policies.
Methods Patients who were seen by staff at the department of
Psychiatry at the ETS Hospital, either for in-house consultation or at
the MPU, in connection with attempted suicide, auto-intoxication,
or psychological distress with suicidal statements. Patients were
examined by conducting a questionnaire, resulting in treatment
policy (admission, discharge with an appointment with patient’s
own practitioner, discharge with referral to a practitioner, dis-
charge without aftercare). Then, the same patient was again
examined by another colleague in a free interview (CAU). The col-
league was not informed about the outcome of the first assessment.
Again, treatment policy was determined as a result. The two out-
comes were then compared.
Results Data collection still continues.
Conclusions There are signs that there are no differences in the
determined treatment policies following SRA based on the use of
questionnaires or CAU.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1261
Suicide attempts
M.J. Gordillo Monta˜no ∗, C. Gonzalez , E. Guillen ,
D. De la Vega
1 Los Santos De Maimona, Spain
2 Spain
∗ Corresponding author.
Introduction Suicide is a serious public health problem in West-
ern countries. In Spain, suicide is the leading cause of unnatural
death in front of traffic accidents. The presence of a mental disorder
is referred to as a risk factor of great interest both for its presence
in suicides and the possibility of being treated and thus to reduce
the risk of suicide.
Objective Study the presence of psychiatric diagnoses in subjects
entering the treble unit of Huelva for attempted suicide.
Methods We conducted a retrospective study comparing the data
obtainedwith this material in the literature. Statistical analysis was
performed using the statistical package SSPS.
Results The age range is between 17 and 86 years, with a mean of
42 years. There are large differences by gender. Only 12% of the sam-
ple lived alone. Thirty-nine cases, representing 25% were in active
employment at the time of the suicide attempt.
About 80% had a history of mental health and more than half of the
sample had a previous suicide attempt.
The diseases most often associated are personality disorders,
depressive disorder (unipolar) and alcohol abuse various toxic; fol-
lowed by anxiety disorders, organic disorders and alcohol.
Conclusions Presence of diagnosis and prevention opportunities.
Differences between sexes. Further exploration and increasing the
sample compared to suicides.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1262
Suicide: A major public health
problem
R. Hernandez Anton ∗ ominguez Alvarez
A. Alvarez Astorga ybak Koite omez Sanchez
L. Rodriguez Andres ayor Toranzo Hernandez Garcia
J.M. Blanco Garrote . Maderuelo V. Garcia Santos
H. De La Red Gallego , F. Uribe Ladron De Cegama
1 HCUV, PSQ, Valladolid, Spain
2 Institute of Legal Medicine, Valladolid, Spain
∗ Corresponding author.
Introduction Suicide is the deliberate act of take off life to itself.
According to WHO, more than one million people commit suicide
every year.