European Psychiatry - Volume 33 - March 2016

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S754 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805
the economic, social, psychological and cultural, politics conditions
in which we are.
This presenting article explores multidisciplinary explanations for
suicide and suicidal behavior in region and in Albania as a whole
through data collected from official and public institutions. The
interconnection of Durkheimian concepts of social integration and
regulation with ecological insights into family relations in change
and psychological and psychiatric theories on individual distress
are relevant.
Keywords Albania; Ethnicity; Research tradition; Shame
culture; Suicide and suicidal behavior
Disclosure of interest The author has not supplied his declaration
of competing interest.
EV1270
Economic impact of suicidality in
manic patients with depressive
features
U. Ösby ∗, E. Jonas , J. Hällgren , M. Pompili
1 Karolinska Institute, Center for Molecular Medicine, Solna, Sweden
2 Lund University, Department of Clinical Sciences, Lund, Sweden
3 Sant’Andrea Hospital, Sapienza University of Rome, Department of
Neurosciences, Mental Health and Sensory Organs, Suicide
Prevention Center, Rome, Italy
∗ Corresponding author.
Introduction There is limited information published on the spe-
cific financial costs of completed and/or attempted suicide in
bipolar patients. In the last 15 years, only 6 studies were published.
Their results vary considerably due to differences in methods used.
Also, information on cost for pure manic versus mixed episodes
is lacking. This is surprising, since studies have shown that sui-
cidal behaviour is more common among patients with depressive
symptoms thanwith pure mania, and this difference increases con-
siderably when the mixed-features specifier is applied.
Objectives We conducted a registry study with the aim to expand
the epidemiological information on suicidal behaviour by episode
type in bipolar disorder, and its associated costs.
Methods Health data were retrieved from the Swedish Patient
Register. Data covered the period 1990–2014 and included the
number of discharged patients with bipolar diagnosis, hospital re-
admissions, and attempted and/or completed suicides. Moreover,
we retrieved data on suicide and cause of death from the Swedish
Cause of Death register. Analyses were done for the whole sample
and stratified by subtypes (mania, depression and mixed forms).
Results First results will be presented at the EPA meeting.
Conclusions This is a nation-wide Swedish study of completed
and attempted suicide in bipolar patients. The hypothesis we will
test is that there is a substantial variation between different bipolar
disorder subtypes, and thatmost of the expenditures due to suicidal
behaviour in bipolar disorder are linked to mixed forms, mania in
combination with depression.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1271
Profile of Islamic suicide bombers: A
literature review
A. Paraschakis ∗ , I. Michopoulos , A. Douzenis
1 Psychiatric Hospital of Attica, “Dafni”, Athens, Greece
2 2nd Department of Psychiatry, Athens University Medical School,
“Attikon” General Hospital, Athens, Greece
∗ Corresponding author.
Aim To try to define the profile of Islamic suicide bombers.
Methods Literature review of scientific articles (PubMed-
Google).
Results According to the very few relevant studies there does not
seem to exist a single psychological characteristic that differenti-
ates suicide bombers. However, some profiles have been proposed.
Islamic bombers are predominately young men (60–70%), mostly
single, originating from all social, economic and educational back-
grounds (the more educated ones have increased lately). They
appear to possess dependent and/or avoidant traits; other times
impulsive and/or emotionally unstable ones. They are described
as submissive against authority figures, “inadequate” in handling
stressful situations and with a rather “constricted” view of reality.
Suicide bombers do not appear to suffer frommajor psychopathol-
ogy. Sometimes, they want to take revenge for the injury/killing of
(a) loved one(s). The conviction of “ethnic humiliation” and “vic-
timization”, the view that the “enemy” is dominant and that the
“rules of the game are unjust” appear crucially important: only an
unexpected, devastating act of self-sacrifice (“martyrdom”) could
“turn the tables on”. Suicide bombers’ families are generously com-
pensated and enjoy high social status. Religion seems to provide
“ethical legitimization” to similar acts. Islam condemns suicide
except when used to champion Islamic values or fight against
“infidel invaders” (“Jihad”). In these cases, there is the promise of
absolving all the individual’s sins and of after death pleasures.
Conclusions The decision to become an Islamic suicide bomber
appears determined by a plethora of personal, social, political and
religious factors. This kind of suicide resembles Emile Durkheim’s
type of “altruistic” suicide.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1272
Physician suicide prevention
A. Poc¸ as ∗ into Almeida
1 Braga, Portugal
2 Centro Hospitalar de Leiria, Psiquiatria e Saúde Mental, Leiria,
Portugal
∗ Corresponding author.
Every year there is a medical school full of physicians who commit
suicide. Depression is a major risk factor and physicians frequently
fail to recognize their own depression and that or their colleagues.
Even when they do, many of them avoid treatment. The greater
knowledge of lethality of drugs and easy access to means can con-
tribute to the higher suicide rate among physicians.
Some studies say that training physicians are at particularly high
risk of suicide, with suicidal ideation increasing more than 4-
fold during the first three months of internship year. In Portugal,
there are no reliable statistics about resident’s suicide. We do not
even talk a lot about it and the collective silence only compounds
the problem – the refusal to speak perpetuates the stigma that
mental health problems are signs of weakness or failure. Assess
existing resources and best practices should be the next step to
establish training programs to suicide prevention in these profes-
sionals, addressing response programs. As primary prevention, we
should act in order to prevent healthy medical students or physi-
cians from developing a condition that would lead to suicide. A
randomized clinical trial in US with 199 residents from multi-
ple specialties found that a free, easily accessible, brief web-based
cognitive behavioural therapy program is associated with reduced
likelihood of suicidal ideation among medical residents.
It is also essential too early diagnose and treat after the illness onset.
Moreover, it should exist a rehabilitation of suicidal physicians and
their return to maximal function with minimal risk for recurrence.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.