European Psychiatry - Volume 33 - March 2016

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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 ∗, U. Ouali , G. Hamdi , H. Ben Ammar ,
F. Nacef
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.
EV1367
Travellers to the psychiatric hospital
in Tunisia
K. Ben Neticha ∗, U. Ouali , G. Hamdi , H. Ben Ammar ,
F. Nacef
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.
EV1368
Typical profiles of multiple DWI
indivisuals on MMPI-2
I.H. Shim , W.S. Woo , H.J. Seo , D.I. Jon , Y.J. Kwon , K.H. Lee ,
K.J. Min , B.H. Yoon , J.H. Lee , E. Lim , W.M. Bahk ∗
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.