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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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2254

EV1270

Economic impact of suicidality in

manic patients with depressive

features

U. Ösby

1 ,

, E. Jonas

2

, J. Hällgren

1

, M. Pompili

3

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2255

EV1271

Profile of Islamic suicide bombers: A

literature review

A. Paraschakis

1 ,

, I. Michopoulos

2

, A. Douzenis

2

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2256

EV1272

Physician suicide prevention

A. Poc¸ as

1 ,

, S . P

into Almeida

2

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2257