European Psychiatry - Volume 33 - March 2016

759 / 812

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805 S755
EV1273
Suicidal behavior in old age: Special
considerations
M.D.L.C. Ramirez Dominguez ∗, A. Ramirez Dominguez ,
I. Prieto Sánchez , C. Gonzalez Macias
Complejo Hospitalario de Huelva, Psiquiatria, Huelva, Spain
∗ Corresponding author.
Introduction Suicide in the elderly is a growing problem inWest-
ern society, despite which there are no large studies examining this
issue, nor specific protocols to address them.
Objective To raise awareness of the importance of suicidal
behavior in elderly both its prevalence and special features that
presents need a different performance plan from other fractions
old.
Methods Comprehensive literature review of all published in the
last two years, as well as the specific features.
Conclusion Suicidal behavior in the elderly has very specific char-
acteristics that we must know in order to develop therapeutic
strategies adapted to the present conditions.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1274
Immigration and suicide in Spain:
Literature review
S. Rodrígue Vargas
Almería, Spain
Objectives and method Although it is increasingly an immigrant
country, we can not forget that for years has been a world leader as
a meeting place of many nationalities. It has carried out a review
of the literature about the number of suicides that occur in the
immigrant population of our country.
Results Cultural factors that influence suicidal behavior are reli-
gion, socio-demographic factors (inverse relationship between
socioeconomic status and suicide attempts), conflicts, alco-
hol/drugs, and social and family support as emigration entails
fostering emotional and cultural rootlessness isolation and
increased risk. Stresses in young Filipinos (20%) and American Indi-
ans (19%) than for any other ethnic group. Among the immigrants,
I returned to their country of origin, the Germans have a 30% rate
of suicides. And if we consider the length of stay, a clear decrease
in rates seen since the frequent change of residence results in an
increased risk. In the comparison of nationality and gender, it shows
that the rate for suicides is very high amongMoroccanwomen aged
between 10 and 24 years.
Conclusions and discussion Migration can alter the development
and adaptation of people and sometimes increase the risk of sui-
cide especially when migration occurs alone. Attempted suicide
is an exceptional crisis that requires special attention. Progress in
researchwill deepen the psychological effects ofmigration in adults
and in children migrated.
Disclosure of interest The author has not supplied his declaration
of competing interest.
EV1275
Sibling death in childhood and
self-inflicted injuries in young adults
– a national cohort study from
Sweden
M. Rostila ∗, L. Berg , A. Arat , B. Vinnerljung , A. Hjern
1 Centre for Health Equity Studies, Stockholm University, Karolinska
Institute, Stockholm, Sweden
2 Department of Social Work, Stockholm University, Stockholm,
Sweden
∗ Corresponding author.
Previous studies have shown that sibling death influences health
and mortality in bereaved adult siblings. Few studies have so
far examined whether exposure to sibling bereavement in child-
hood is associated with suicidality later in life. The aim of the
present research was to investigate whether the loss of a sib-
ling during childhood influences self-inflicted injuries/poisoning
in young adulthood. A national cohort born during 1973–1982
(n = 717,723) was followed prospectively in the National Patient
Discharge Register from 18 to 31–40 years of age. Multivariate
Cox analyses of proportional hazards with adjustment for socio-
demographic confounders and family covariates were used to test
hypotheses regarding sibling loss and hospital admission due to
self-inflicted injuries/poisoning. Men (HR: 1.28, 95% CI: 1.01–1.62)
and women (HR: 1.23, 95% CI: 1.00–1.51) who had lost a sibling
during childhood had an higher risk for being admitted to hospi-
tal for a self-inflicted injury/poisoning in young adulthood after
adjustment for socio-demographic confounders and family risk fac-
tors. Losing an infant sibling was most detrimental for men (HR:
1.43, 95% CI: 1.03–1.98) while losing a non-infant sibling was most
detrimental for women (HR: 1.38, 95% CI: 1.05–1.81). The risk of
hospital admission due to self-inflicted injuries/poisoning was par-
ticularly detrimental for bothmen (HR: 1.40, 95% CI: 0.92–2.13) and
women (HR: 1.54, 95% CI: 1.09–2.17) who lost a sibling in adoles-
cence (12–18 years) when compared to loss at younger ages (0–5
years and 6–11 years). It is important to provide support for siblings
bereaved in childhood in order to prevent suicides.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1276
Over, but not out-recognition and
preventing aircraft-assisted
murder-suicide by Aircrew
A. Saxena ∗, V. Sharma (Chief Research Officer) , A. Walia ,
P. Sharma
1 Indian Armed Forces, Department of Psychiatry, Jorhat, India
2 Institute of Aerospace Medicine, Indian Air Force, Bangalore, India
3 Indian Armed Forces, Department of Aerospace Medicine, Jalandhar,
India
4 Indian Armed Forces, Department of Psychiatry, Bangalore, India
∗ Corresponding author.
Context and introduction The recent crash of Germanwings Flight
4U9525 appears to be the latest act of aircraft-assisted murder-
suicide. The psychiatric preventive aspects of the murder-suicide
need to be discussed, and effective measures for recognition and
prevention of this murder-suicide are needed. Aircrew health is
biased towards the physical ailments, and evaluationmanuals have
not discussed the mental health aspects, especially preventive
strategies. These strategies involve multifactorial interventions,
their applicability and usefulness are not globally validated.
Objectives and methods Thanatology has since long, focused on
early detection of mental distress and elucidating behavioural and
psychological factors that predispose towards attempts at self-
harm. Aircrew forms a different group from the general population.
The recognition and preventive strategies in this special group,
must, therefore, be tailored to this group with its special charac-
teristics.
Data sources, study selection and data synthesis publications were
identified via electronic searches using multiple search terms
related to suicide prevention. The available effective preventive
measures were juxtaposed on the current concepts in aerospace
psychiatry.