European Psychiatry - Volume 33 - March 2016

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S752 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805
Goals Compare data of suicide attempts between 1996 and 2014
in the University Hospital of Valladolid. Influence of the economic
crisis on suicide data. Expose the risk factors. Provide prevention
strategies.
Material and methods We have performed a study of epidemio-
logical surveillance collecting descriptive data of suicide attempts;
using the samemethodology as in1996. The variables studiedwere:
sex, age, day, month, residence, method, personal status, education,
employment status, religious believes, family history of suicide,
psychiatric history and family and personal psychiatric history.
Results Increase in the rate of suicide attempts 27%. Distribution
by sex is similar, but in 2014, a higher proportion was observed in
males. The percentage of women is significantly higher than that
of men in the group of teenagers (10–19 years old) (20% women vs.
4.5% of men; P = 0.005); 83.5% have a psychiatric diagnosis (54.2%
of them have a depressive disorder). Unemployment and economic
problems stand out as environmental stressors in 2014. The main
suicide method used in Valladolid is the hanging, and the second
method used is the precipitation.
Conclusions The primary, secondary and tertiary prevention
strategies are very important. Suicide is the major cause of mor-
tality in the young age group (15–24 years old). Mortality in the
general populationhas beenon a downward trend; but suicide rates
per 100,000 population has remained stable over the last decade.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1263
Autolytic behavior in acute
psychiatric hospitalization
P. Hervías Higueras ∗, L. Maroto Martín , S. Raffo Moncloa ,
P. Jiménez de los Galanes Marchán
1 Hospital Dr. R. Lafora, Psiquiatría, Madrid, Spain
2 Centro San Juan de Dios, Psiquiatría, Madrid, Spain
∗ Corresponding author.
The aim of the study was to identify inpatients due to autolytic
behavior in the acute psychiatric hospitalization of Dr. R. Lafora
Hospital. It is an observational, descriptive and retrospective study.
We collected information about patients aged 18 to 64 who
were hospitalized during the month of January of 2015 in the
acute psychiatric hospitalization by Selene software. The results
were analyzed by SPSS software; 53.3% of patients diagnosed
with schizophrenia spectrum and other psychotic disorders were
hospitalized for acute exacerbation of paranoid schizophrenia;
57.1% of personality disorders for suicide attempts, 28.6% autolytic
ideation; 28.6% of bipolar disorders due tomania, 28.6% depression,
28.6% mixed clinical and 14.29% suicide attempts; 60% of alco-
hol use disorders for autolytic ideation, 20% intoxication; 100% of
substance-related and addictive disorders due to autolytic ideation;
100% of feeding and eating disorders for autolytic ideation; 50%
of obsessive-compulsive and related disorders due to autolytic
ideation; 100% of adjustment disorders with depressed mood due
to drug over-eating; 100% of adjustment disorders withmixed anx-
iety and depressed mood for mixed clinic; 16.7% of depressive
disorders due to dysthymia, 16.7% due tomajor depressive episode,
16.7% for moderate depressive episode, 16.7% for mild depressive
episode with mixed nature, 16.7% for drug over-eating, 16.7% for
autolytic ideation. It would be important to focus on patients with
a diagnosis of adjustment disorders, personality disorders, alco-
hol use disorders, obsessive-compulsive and related disorders and
bipolar disorders, providing community care and avoiding the risks
associated psychiatric hospitalization.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1264
Autism and suicidality: Review of risk
factors in literature
A. Hooijer ∗, B. Sizoo
1 Dimence Groep, Dimence, Specialized Mental Health Care, Adults,
Amersfoort, Netherlands
2 Dimence Groep, Dimence, Developmental Disorders, Deventer,
Netherlands
∗ Corresponding author.
Introduction There is emerging evidence that suicide and suicidal
behavior frequently occur in people with autistic spectrum disor-
ders (ASD), although this topic is largely understudied. We have
little understanding of suicidal behavior among individuals with
ASD and there are no empirical data to guide practitioners in the
treatment of suicidality in persons with ASD. There is a need to
investigate risk factors associated with suicidal behavior in persons
with ASD, to improve prevention strategies and interventions.
Objectives To get an overview from literature of risk factors for
suicidality in individuals with ASD.
Methods Review of the literature using Cochrane Collaboration
Centre, Embase, Medline, PsychINFO, PubMed, andWeb of Science.
Results In the literature, we found that, among already known
risk factors like comorbid depression, an underlying vulnerability
in personality may be a risk factor for suicidal behavior. Several
studies showed that a high score on the temperament factor ‘nov-
elty seeking’ and ‘harm avoidance’ is associated with suicidality. In
other studies, where suicidality was not an object of study, adults
with ASD showed high scores on ‘harm avoidance’ and low scores
on ‘novelty seeking’. This suggests that personality profiles may
be of predictive value for suicidality in adults with ASD. A study
proposal focused on this possible association be presented.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1265
Methods of suicide in old age in Israel:
Age and gender differences
B. Katz
Western Galile College, Criminology, Acre, Israel
Introduction Suicide rates in the western world rise with age
among both men and women. However, suicide at older ages gets
less consideration in research and prevention strategies compared
to younger age groups.
Objective This study examines the differences between men and
women in Israel in the method chosen for committing suicide over
three decades, focusing on the elderly (younger seniors 65–75,
and older seniors 75+) and compares them to younger age groups
(15–24; 25–44; 45–64).
Methods Suicide rates by age, gender and the method chosen are
calculated based on data from official publications of the Ministry
of Health in Israel over the years 1981–2008.
Results The findings of the study show that in all the methods
used to commit suicide [hanging, drowning, fire, getting run over
by a motor vehicle, jumping from heights, drugs and poisons, the
suicide rate of the elderly (age group 75 and up)], followed by
ages 65–75 was higher than the suicide rate of younger age groups
(15–24; 25–44; 45–64) except for the use of weapons. In all age
groups, the male suicide rate was higher than females, with the
exception of taking poison for 75 year olds and above. In this age
group, the females’ rate of suicide was higher than males.
Conclusions These findings reveal the need develop strategies to
prevent suicide in the community in general, and especially among
seniors. Particular attention should be devoted regarding the use
of drugs and various poisonous substances among elderly women.