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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S106–S169


The potential to help vulnerable people who do not use conven-

tional mental health services and people in regionswith inadequate

psychiatric facilities represents an attractive target with favourable

perspectives for suicide prevention Smartphone, apps, websites,

avatar coach, and virtual suicidal subjects are important for both

delivering help as well as to educate mental health professionals as

in the case of role playing.


Shadows and lights are emerging through the use of

new technologies. If more people can be reached there are how-

ever concern for improper use of social network and pro-suicide


Disclosure of interest

The author has not supplied his/her decla-

ration of competing interest.


Ecological momentary assessment of

bipolar disorder episodes with a

smartphone application: Study


M. Blom


, U. Karilampi


, H.K. Carlsen


, M. Ioannou



M. Sörhag


, S. Steingrimsson

2 ,


Sahlgrenska University Hospital, Psychiatry, Gothenburg, Sweden


Sahlgrenska Academy, Centre of Ethics, Law and Mental Health

CELAM, Gothenburg, Sweden

Corresponding author.


Subclinical symptoms of depression or mania,

present prior to clinical manic or depressive episodes in individuals

with bipolar disease. Mobile applications that measure habitual

behavioral patterns such as mobility, physical activity level and

social engagement present an opportunity to identify state tran-

sitions preceding relapse. This could lead to earlier intervention

and improved treatment outcome.


To identify associations between changes in habitual

behavioral patterns measured with smartphone usage and psychi-

atric emergency room visits or admissions for bipolar patients.


In a case-crossover study, around 70 patients at a spe-

cialized outpatient clinic for bipolar disorder will be offered to

install MoodMapper


, an application that registers text message

and calls (but not communication content or recipients), mobility

(but not location), number of steps taken, screen-time, and bat-

tery level. A baseline level for each individual will be established.

Deviations from baseline habitual behavioral patterns in the time

preceding a psychiatric emergency room visits or admissions will

be analyzed in order to establish predictor variables. The patients

will be followed up to 18months.


Preliminary results will be presented.


Smartphone-collected behavioral data can be used

to predict worsening or improvement of a patient’s condition. As

smartphone ownership becomes more commonplace, mobile apps

present a unique opportunity to detect digital real-time signatures

of mental illness in a way that is minimally invasive to individual’s

daily life and privacy.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


Reasons for using schizophrenia

Internet forums in Croatia

N. ˇZaja

1 ,

, T. Vukuˇsi´c Rukavina


, O. Brborovi´c


, A. Proˇsev



D. Peruˇsi´c



University Psychiatric Hospital Vrapˇce, University of Zagreb School

of Medicine, Zagreb, Croatia, Department for psychotic disorders,

Zagreb, Croatia


University of Zagreb, School of Medicine, Andrija ˇStampar School of

Public Health- Zagreb, Croatia, Department of Medical Sociology and

Health Economics, Zagreb, Croatia


County Hospital ˇCakovec, Department of Psychiatry, ˇCakovec,


Corresponding author.

Searching the Internet is one of the main sources for obtaining

health andmedical information.When searching the Internet, users

can find information published by various organizations, compa-

nies, agencies or institutions and also information posted by users

on the user-oriented Internet platforms, such as forums, blogs,

and various social networks. There are no single, standardized

mechanisms to ensure the truthfulness, objectivity, credibility and

comprehensibility of health information available on the Inter-

net. Moreover, a very small proportion of medical content on the

Internet is revised or moderated by health experts. The aim of

this study was to examine the motives for using schizophrenia

Internet forums in Croatia. The study sample consists of user-

generated posts on the largest Croatian schizophrenia Internet

sub-forum over a period of one year, analyzed using qualitative

methodology–grounded theory. The results showed that themajor-

ity of users use schizophrenia Internet forums to receive emotional

support from others with the same diagnosis. Other important rea-

sons were to exchange information about medications, symptoms

and prognosis of the illness. It was noted that a large number of

entries, with information about drugs and symptoms of the ill-

ness, contain inaccurate information. Posts about treatment and

symptoms of schizophrenia provided by Internet forums often con-

tain unverified information and can potentially harm users of such

forums and also undermine doctor-patient relationship. Expert

moderation of these forums and better education of patients by

their physician, could help patients receive better medical care and

to strengthen the confidence of patients in their physicians.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

e-Poster walk: Emergency psychiatry and forensic



Structured risk assessment:

Aggression and safety in ambulatory

emergency service

M. Arts

1 ,

, P. Sanderse-Besselink


, H. Terburg



R. Van De Sande



University of Groningen, University Medical Center Groningen,

Department of Old Age Psychiatry, Groningen, The Netherlands


GGZWNB, Old Age Psychiatry, Bergen op Zoom, The Netherlands


University of Applied Sciences Utrecht HvU, Nursing Science,

Utrecht, The Netherlands

Corresponding author.


Discussing the threat of aggression is not always at

the forefront in ambulatory care providers. A structured risk anal-

ysis model for ambulatory emergency psychiatry is currently not

available, while aggression does occur regularly.

Objectives and aims

The aim of this study is to evaluate the added

value of a risk analysis model and implement the best available

model in emergency outpatient practice.


The study design is a mixed method model. Semi-

structured questionnaires were administered by nurses and

psychiatrists. A benchmark study took place at an outpatient