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

S799

Introduction

Aggressiveness is amultidimensional phenomenon,

characterized by many cognitive and emotional processes, which

is often present in psychiatric disorders. Until the present time,

mechanical restraint has been a tool used in order to avoid risks

for patients or other people around them. It should be used as a

last option, so new strategies to reduce the use of these measures

favoring others are being developed.

Aim

We try to analyze the influence of clinical and organizational

changes in the frequency and duration of mechanical restraints, in

order to provide new data and built hypothesis for future interven-

tion plans.

Methodology

This oral communication presents a retrospective

analysis of mechanical restraints carried out in the Mental Health

Hospital Unit of Jerez de la Frontera between 2007 and 2014, both

inclusive, a sample of 950 episodes. Several variables will be ana-

lyzed and related to the different organizational events conducted

in the Clinical Management Unit of Jerez de la Frontera.

Results

There has been a gradual reduction in the duration of

mechanical restraints carried out in the Mental Health Unit Hos-

pital of Jerez de la Frontera over the eight years studied, specially

after the implementation of the agitation protocol developed in

2011.

Conclusion

In our experience, the implementation of a compre-

hensive clinical record, deep observation of the patient by the

professionals and the development of protocols to regularize inter-

ventions performed during an episode of psychomotor agitation

are useful strategies to reduce the duration of each mechanical

restraint episode.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2400

EV1416

Descriptive study of mechanical

restraint in acute psychiatric

inpatient unit of Jerez De La Frontera:

Analysis of a risk profile

J. Pérez Revuelta

1 ,

, B . C

arabias Contreras

1 ,

E. Fernández Nicolás

2

, E. Valverde González

1

,

A. Jiménez Espinosa

1

, R. Guerrero Vida

1

, J.M. Villagrán Moreno

1

1

Hospital del S.A.S. de Jerez, Clinical Management Unit of Mental

Health, Jerez de la Frontera Cádiz, Spain

2

Hospital del S.A.S. de Málaga, Clinical Management Unit of Mental

Health, Málaga, Spain

Corresponding author.

Introduction

Various medical and psychiatric conditions can

determine the occurrence of disruptive behavior and aggression.

Mechanical restraint is part of the strategies for managing these

risks. Its use implies a multidisciplinary, phased and individualized

for each case strategy, with attention to the ethical and legal issues

surrounding this coercive intervention.

Objective

The objective of thiswork is the analysis of the profile of

patients who required mechanical restraint during hospitalization

in a psychiatric inpatient unit.

Methodology

Retrospective descriptive analysis by collecting

data of patients, who required mechanical restraint during admis-

sion, between 2007 and 2014. The data sources were medical

clinical history and nursing records. Variables analyzed were sex,

age, clinical diagnosis at discharge and clinical state during the

episode of mechanical restraint.

Results

Of the total sample of patients requiring restraint

(

n

= 266), 66.92% were men. The mean age of patients was 38.01

years. Distribution of clinical diagnoses based on ICD-10 cod-

ing: 30.23% F60 personality disorder (

n

= 289), 19.56% diagnosed

with F31 bipolar disorder (

n

= 187) and 14.02% F20 schizophre-

nia. Regarding the clinical characteristics of the episode, 49.47% of

patients had an agitation/violent state and in 23.11% risk of impul-

sive self-injury was evident, 13.47% had confusional syndrome.

Conclusion

Data analyzed shows differences in frequency distri-

bution because of patient profile and clinical diagnosis. Otherwise,

organizational factors and appropriate amendments to this level

appear to play a key role in minimizing the use of such coercive

measures.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2401

EV1417

New data of the theory of

self-medication

I. Prieto Sánchez

, M.D.L.C. Ramírez Domínguez ,

N. Garrido Torres , S. Fernández León , M. Reina Domínguez ,

A. Rodríguez Martínez , A.S. Biedma Martín , C. González Macías

Complejo Hospitalario Universitario de Huelva Juan Ramón Jimenez,

Unidad de Salud Mental, Huelva, Spain

Corresponding author.

Objective

The theory of self-medication in patients with severe

mental illness has been exposed for years but to date has not been

confirmed or ruled out. With this study, we intend to show the

latest available evidence regarding this context.

Methods

An exhaustive literature research in Medline and the

latest forth in APA 2015.

Results

More andmore evidence refute the veracity of this theory

deeply rooted among some professionals.

Conclusion

There are theoretical alternatives that relate more

sustainedmanner the relationship between consumption and toxic

psychosis.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.2402

EV1418

Can I have a quality seizure? A review

J. Ramos

1 ,

, A. Arriba

2

, M. Urretavizcaya

2

1

Centro Hospitalar Tondela-viseu, Psychiatry, Viseu, Portugal

2

Hospital Universitari de Bellvitge, Psychiatry, Barcelona, Spain

Corresponding author.

Introduction

After seventy-five years of its introduction, electro-

convulsive therapy (ECT) remains the most effective treatment for

severe depressive disorders. It is known that the antidepressant

effect is not due only to the electric current itself, but by the general

seizure activity. As so, for beneficial or adverse effects of ECTs, it’s

mainly important to induct a well-generalized seizure. Those can

be influence by several variables like, seizure duration and thresh-

old, ECT practice factors andmedication, resulting in a lack efficacy.

It’s advantageous to treatment if physiological markers of adequacy

are established to seizure quality, because a high seizure quality has

been successfully correlated with better outcome in many studies.

Aims and methods

The aim of this work is to review the avail-

able international literature regarding to identified parameters that

influence and evidence seizure quality.

Conclusion

Although throughout history ECT is embroiled in

controversy, according to international bibliography, this is a tech-

nique of great therapeutic relevance and precise indications. It

is noteworthy, that it has been shown to be an effective and

safe treatment for many psychiatric disorders. Nevertheless, there

is not a consensus regarding to the parameters to its efficacy,

particularly the seizure quality. Thus, it’s important to current prac-

tice, to do more studies in this field, in order to establish those

parameters, have homogenise clinical practice and promote better

results.