European Psychiatry - Volume 33 - March 2016

762 / 812

S758 24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805
Conclusion Results of the study indicate that all attempts of sui-
cide should be taken seriously and crisis hot line and emergency
services should be ensured for this group.
Disclosure of interest The author has not supplied his declaration
of competing interest.
EV1283
Predictors of suicidal behaviour
persistence and recurrence
I. Untu ∗ Cartas Mutic˘a . Ciubar˘a Ciubar˘a
C. Roxana
1 UMF Iasi, Psychiatry, Iasi, Romania
2 Socola, Institute of Psychiatry, Iasi, Romania
3 UMF Craiva, Psychiatry, Iasi, Romania
4 UMF Iasi, Iasi, Romania
∗ Corresponding author.
Introduction Suicidal behaviour represents a global public health
issues; personal suicidal history is the most common predictor of
the persistence and recurrence of suicidal ideation and behaviour
in general.
Objective This paper proposes to elaborate a synthesis of the
scientific literature, concerning the main predictive factors of the
persistence and recurrence of suicidal behaviour, considering that
the current diagnostic criteria available fail to make a distinction
and to specify clearly the differences between all psychiatric dis-
orders without self-harming behaviour and the same nosological
entity accompanied by suicidal behaviour.
Materials and methods I conducted a literature review, by ana-
lyzing the data concerning the predictors of the persistence and
recurrence of self-harming behaviour, obtained from articles pub-
lished between January 2013 and January 2015. I browsed the
PubMed website, by keywords such as suicide, suicidal risk, sui-
cide predictor, persistent suicidal ideation, and suicidal behaviour
recurrence.
Results The scientific literature underscores that that entrap-
ment and defeat are two elements often neglected; however, they
should be a priority criterion, alongside traditional predictive fac-
tors, such as the following: gender, age, history of suicide attempts,
socio-familial status, etc. All of these factors must be considered
within the complex endeavour of assessing suicidal risk. However,
there is still only scarce validated data concerning the mechanism
that leads to entrapment and the one that determines its relation
with self-harming behaviour.
Conclusions This paper proposes to synthesize the current data
concerning suicide predictors, in order to obtain new research
assumptions. The final purpose is to develop proper preventive and
therapeutic approaches.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1284
Risk factors for attempted suicide: A
prospective study on psychiatric
consultations in the emergency room
A. Venesia ∗ oppola ramaglia Marangon
S. Di Marco elicato attoni . Avanzi astello
F. Bert , M.R. Gualano , R. Siliquini , E. Torre , P. Zeppegno
1 Università del Piemonte Orientale, Translational Medicine, Novara,
Italy
2 Università degli Studi di Torino, Public Health and Paediatric
Sciences, Torino, Italy
∗ Corresponding author.
Introduction Studies conducted on Italian samples suggested that
70% of self-harms referred to the emergency room(ER)were suicide
attempts. Suicide attempts are associated with societal, relation-
ship and individual risk factors, which vary with age and gender,
occur in combination, and may change over time. We conducted a
previous study on a sample of psychiatric consultations in ER from
2008 to 2011. We observed that female gender, a permanent job
and being in the warmer months of the year were risk factors for
suicide attempts.
Aim To update knowledge about risk factors for attempted sui-
cide analyzing a larger sample of ER psychiatric consultations.
Methods Determinants of emergency room visits for psychiatric
reasons were studied prospectively in a period of 8 years, from
2008 to 2015 at the “Maggiore della Carità” Hospital in Novara.
The psychiatric assessment of patients was performed by experi-
enced psychiatrists with a clinical interview. For each patient, a
data sheet was filled in order to gather demographic and clinical
features. Comparison of qualitative data was performed by means
of the Chi2 test while differences between groups for continuous
variableswere assessed through a t-test. Statistical significancewas
set at P ≤ 0.05. Amultivariate analysis was performed using logistic
regression in order to assess the potential predictors of attempted
suicide. Results are expressed as odds ratio (OR) with 95% confi-
dence intervals (95% CI).
Conclusions We have collected data from more than 500 psy-
chiatric consultations for attempted suicide. Data collection and
statistical analyses are still ongoing. Implications will be discussed.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1285
Are suicidal thoughts in adolescents
dependent on substance abuse?
M. Wypiór ∗ obieraj Salomon-Perzy ´nski Dyrda
K. Krzy ˙zowska Matusiak aluch Seweryn
M. Janas-Kozik
1 Katowice, Poland
2 Medical University of Silesia, Clinical Ward of Psychiatry and
Psychotherapy of Developmental Age, Paediatric, Clinic Jan Pawel,
Sosnowiec, Poland
∗ Corresponding author.
Substance abuse is common issue in youth and may influence
youth’s suicide thoughts or actions. It can lead to social isolation,
low self-esteem, loss of work or school, estrangement from family
and friends – all these may create a core of stresses that may lead
to suicidal tendencies.
Analysis addictive factors correlating with occurrence of suicidal
thoughts and behaviours among adolescents at the age of 18–20.
Study was based on authorial, previously validated questionnaire,
included 16 questions about suicidal thoughts. Questionnaires
were filled by adolescents (age 18–20) of 21 Secondary Schools in
Katowice.
From the group of 965 adolescents, 28.8% had suicidal thoughts.
From all respondents: 31.3% smoked, 92.7% drunk alcohol, 16.0%
used legal hights and 30.9% – drugs; 35.8% of smoking adoles-
cents had suicidal thoughts. In group of non-smoked adolescents
– 25.6%. There was statistical significant difference (P = 0.0012)
between these groups. Among adolescents who drunk alcohol,
28.8% had suicidal thoughts. In the group of non –drinking alcohol
adolescents – 27.9%. Therewas no statistical significant differences
(P = 0.88233) between these groups. There were 43.7% adolescents
with suicidal thoughts who used legal hights. In the group of non-
users of legal hights, 26.0% adolescents had suicidal thoughts.
Adolescents that are using examined stimulants are in the group
risk of suicidal thoughts and autodestructive behaviours. Results
show the need of psychiatric and psychotherapeutic support that