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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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2258

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2259

EV1275

Sibling death in childhood and

self-inflicted injuries in young adults

– a national cohort study from

Sweden

M. Rostila

1 ,

, L. Berg

1

, A. Arat

1

, B. Vinnerljung

2

, A. Hjern

1

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.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2260

EV1276

Over, but not out-recognition and

preventing aircraft-assisted

murder-suicide by Aircrew

A. Saxena

1 ,

, V. Sharma (Chief Research Officer)

2

, A. Walia

3

,

P. Sharma

4

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.