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S784

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S349–S805

EV1366

Medical repatriation from Razi

Hospital in Tunisia

K. Ben Neticha

1 ,

, U. Ouali

2

, G. Hamdi

2

, H. Ben Ammar

1

,

F. Nacef

1

1

Razi Hospital, Psychiatry F, Mannouba, Tunisia

2

Razi Hospital, Psychiatry A, Mannouba, Tunisia

Corresponding author.

Introduction

Travel might represent a stressful adventure that

can influence mental state to a considerable extent. Some of the

travellers experience psychiatric emergencies that require medical

attention, during the course of their travel, leading to admission to

psychiatric hospital and then repatriation.

Aims

Identify the number and clinical characteristics of foreign

patients needing medical repatriation due to psychiatric disorders.

Methods

This is a retrospective and descriptive study on patients

with nationalities other than Tunisian that were admitted to Razi

Psychiatric Hospital in Tunis/Tunisia for a psychiatric condition

from January 2000 to January 2015. Medical records were analyzed

and patients requiring medical repatriation were identified.

Results

A total number of 157 hospitalizations of patients with

foreign nationalities were recorded during the last fifteen years.

Among those hospital admissions, 100 patient files were examined.

Twenty-nine percent of patients were repatriated to their home

countries, most of them to Europe (72.4%,

n

= 21). The majority of

patients were female and single. Fifteen out of these 29 patients

(51.7%) were diagnosed with bipolar disorder, 34.4% with chronic

psychotic disorders, and 6.8% with acute transient psychotic dis-

orders. The majority of patients were visiting Tunisia as part of a

pathological journey (55.1%,

n

= 16), 24.1% of patients (

n

= 7) were

tourists and 13.7% (

n

= 4) were resident in Tunisia.

Conclusion

The majority of repatriated patients was diagnosed

with bipolar disorder and was visiting Tunisia in the context of a

pathological journey. Other patients could have been repatriated

without being hospitalized. Further studies must be conducted to

refine results.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2351

EV1367

Travellers to the psychiatric hospital

in Tunisia

K. Ben Neticha

1 ,

, U. Ouali

2

, G. Hamdi

2

, H. Ben Ammar

2

,

F. Nacef

2

1

Razi Hospital, Psychiatry F, Mannouba, Tunisia

2

Razi Hospital, Psychiatry A, Mannouba, Tunisia

Corresponding author.

Résumé

Objective

A growing number of travellers in Tunisia are being

hospitalized for a psychiatric condition. This study aimed at char-

acterizing pathological travellers, a population seldom studied in

psychiatry.

Methods

This is a retrospective and descriptive study on patients

with nationalities other than Tunisian that were admitted to the

only psychiatric hospital in Tunisia from January 2000 to January

2015. Patients were identified on the basis of administrative data.

Their medical records were then analyzed and pathological trav-

ellers were identified.

Results

A total number of 157 hospitalizations of patients with

foreign nationalities were recorded during the last fifteen years.

Among those hospital admissions, 80 patient files were examined.

28.7% of patients (

n

= 23) were hospitalized for a pathological jour-

ney. Fifteen out of these 23 patients were diagnosed with bipolar

disorder, five with schizophrenia and three with schizoaffective

disorder. Pathological travellers came from European and African

countries. The majority of patients were male and single. Average

age was 41 years with extremes going from 23 to 73 years. Most of

them travelled alone.

Conclusion

In the context of globalization, international travel is

on the increase, whichmay lead to a rise in pathological journeys. In

our study, the majority of pathological travellers were diagnosed

with bipolar disorder. Their choice to travel to Tunisia could be

explained by the relatively easy accessibility from Europe or Africa,

by the nature of the climate, as well as by cultural and religious

specificities of the country.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2352

EV1368

Typical profiles of multiple DWI

indivisuals on MMPI-2

I.H. Shim

1

, W.S. Woo

2

, H.J. Seo

2

, D.I. Jon

3

, Y.J. Kwon

4

, K.H. Lee

5

,

K.J. Min

6

, B.H. Yoon

7

, J.H. Lee

8

, E. Lim

9

, W.M. Bahk

2 ,

1

Dongnam Institute of Radiological & Medical Sciences, Busan,

Republic of Korea

2

Yeouido St. Mary’s Hospital, psychiatry, Seoul, Republic of Korea

3

Sacred Heart Hospital, psychiatry, Anyang, Republic of Korea

4

Soonchunhyang Cheonan Hospital, psychiatry, Cheonan, Republic of

Korea

5

College of Medicine, Dongguk University, psychiatry, Gyeongju,

Republic of Korea

6

College of Medicine, Chung-Ang University, psychiatry, Seoul,

Republic of Korea

7

Naju National Hospital, psychiatry, Naju, Republic of Korea

8

College of Medicine, Daegu Catholic University, psychiatry, Daegu,

Republic of Korea

9

Shinsegye hospital, psychiatry, Gimje, Republic of Korea

Corresponding author.

Introduction

Alcohol intoxication is often involved in the com-

mission of criminal behaviors that are risky and involve personal

confrontation. Individuals who reported having three or more

drinks before driving exhibited greater impulsivity when under

the influence of alcohol than did those who did not report heavy

drinking before driving.

Objectives

The present study utilized the Minnesota Multiphasic

Personality Inventory-2 (MMPI-2) to compare the characteristics

of individuals with a single driving while intoxicated (DWI) offense

with individuals who were multiple DWI offenders and to identify

whether there was a typical profile for multiple offenders.

Methods

The charts of patients were examined in terms of

demographic characteristics including age, sex, employment, and

education; the MMPI scores of the two groups were compared

using an independent

t

-test, and we identified the typical profile of

multiple DWI offenders by using hierarchical cluster analysis with

Ward’s method.

Results

Scores on the F and the depression (D) scales of theMMPI-

2 were significantly higher among multiple offenders than among

first offenders. The multiple offenders-I group obtained relatively

high scores on the D and psychopathic deviate (Pd) scales, and the

multiple offenders-II group had low scores on both the hypoma-

nia (Ma) and social introversion (Si) scales. Thus, some multiple

offenders may have poorer emotional adjustment, characterized

by tendencies toward psychopathic deviance, mania, and depres-

sion, as well as psychopathological characteristics associated with

patients with alcohol-use disorders.

Conclusion

The present findings suggest that multiple offenders

should be considered a high-risk group for alcohol-use disorders

and recurrent drunken driving.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2353