European Psychiatry - Volume 41 - April 2017

153 / 916

25th European Congress of Psychiatry / European Psychiatry 41S (2017) S106–S169 S149
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.
Conclusions 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
websites.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EW0130
Ecological momentary assessment of
bipolar disorder episodes with a
smartphone application: Study
protocol
M. Blom , U. Karilampi , H.K. Carlsen , M. Ioannou ,
M. Sörhag , S. Steingrimsson ∗
1 Sahlgrenska University Hospital, Psychiatry, Gothenburg, Sweden
2 Sahlgrenska Academy, Centre of Ethics, Law and Mental Health
CELAM, Gothenburg, Sweden
∗ Corresponding author.
Introduction 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.
Aims To identify associations between changes in habitual
behavioral patterns measured with smartphone usage and psychi-
atric emergency room visits or admissions for bipolar patients.
Methods 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.
Results Preliminary results will be presented.
Discussion 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.
EW0131
Reasons for using schizophrenia
Internet forums in Croatia
N. ˇZaja ∗, T. Vukuˇsi´c Rukavina , O. Brborovi´c , A. Proˇsev ,
D. Peruˇsi´c
1 University Psychiatric Hospital Vrapˇce, University of Zagreb School
of Medicine, Zagreb, Croatia, Department for psychotic disorders,
Zagreb, Croatia
2 University of Zagreb, School of Medicine, Andrija ˇStampar School of
Public Health- Zagreb, Croatia, Department of Medical Sociology and
Health Economics, Zagreb, Croatia
3 County Hospital ˇCakovec, Department of Psychiatry, ˇCakovec,
Croatia
∗ 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
psychiatry
EW0132
Structured risk assessment:
Aggression and safety in ambulatory
emergency service
M. Arts ∗, P. Sanderse-Besselink , H. Terburg ,
R. Van De Sande
1 University of Groningen, University Medical Center Groningen,
Department of Old Age Psychiatry, Groningen, The Netherlands
2 GGZWNB, Old Age Psychiatry, Bergen op Zoom, The Netherlands
3 University of Applied Sciences Utrecht HvU, Nursing Science,
Utrecht, The Netherlands
∗ Corresponding author.
Introduction 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.
Methods 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