European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S106–S169 S153
2 Universidade do Contestado, Psichology, Mafra, Brazil
∗ Corresponding author.
Introduction A growing number of studies investigating the
relationship between violence and problems in child psychiatry.
Consistent findings have been verified in studies related to aggres-
sive behavior, antisocial and post-traumatic stress disorder with
the violence against children. The financial costs associated with
child abuse andneglect, including future lost earnings and expenses
with mental health treatments were estimated at $ 94 billion US in
2010. The abuse and child neglect can cause permanent changes in
the body’s response to stress, with profound changes in the brain
development.
Methods Consisted of an exploratory study of character quanti-
tative and qualitative, with document design. Records of children
and adolescents who stayed in the shelter from 2011 to 2015 were
surveyed. In order to collect data was used input and shutdown
records used for shelter.
Conclusions Unlike Brazil and the rest of the world’s data, the
leading cause of institutionalization in this work in the town of
Mafra, was neglect rather than abuse. Perhaps for the under-
reporting of abuse cases. This, coupled with the fact that there are
no typically physical findings associated with sexual abuse, made
the detection more difficult. This paper alerts the importance to
increase our ability to identify all child abuse experiences, for pro-
tecting our children. Not only sexual abuse, but also physical abuse
could benefit from strategies to enhance detection.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0143
Addiction and violence among people
with severe mental illnesses:
An updated literature review
I. Khemiri ∗, F. Fekih Romdhane , A. Belkhiria , J. Lamia ,
R. Trabelsi , I. Ghazeli , R. Ridha
Hospital Razi, Forensic Psychiatry Department, Tunis, Tunisia
∗ Corresponding author.
Introduction Violence has important relevance for the criminal
justice and health care systems especially forensic psychiatry. Pre-
vious studies reported the relation between violence, mental illness
and substance abuse. We purpose to investigate the association
between addiction and violence among people with severe mental
illness through a review of literature.
Method we conducted aMedline and Pubmed literature search of
studies published between “2000 and 2015”, combining the terms
“psychotic disorders”, “addiction” “substance use disorder”.
Results The studies published showed that much of the exces-
sive violence observed in patients with severe psychiatric disorders
is due to co-morbid substance use. Increasing violence associated
with substance use disorders in these patients had same level than
that observed among subjects without severe psychiatric disor-
ders. Increasing violence in subjects with substance use disorder
but without severe mental disorders was higher than in patients
with only severe mental disorders. In fact, mental disorders could
increase the risk of installing on substance use disorders, and there-
fore increase the risk of partner violence. Among the substances
used, if alcohol is frequently identified as a consumer risk for the
emergence of violence among subjects with severe psychiatric dis-
orders, stimulants could be causing more violence than alcohol.
Conclusions Severemental illnesses are associatedwith violence.
However, most of the excess risk appears to be mediated by sub-
stance abuse co-morbidity. This finding improves the need of
prevention of substance use disorders and emphasizes the fact that
patients with severe mental disorders are more often victims than
perpetrators of violence.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0144
Experiences of young offenders and
health-care professionals involved in
transitions from forensic adolescent
mental health services: A qualitative
study
M. Livanou ∗, V. Furtado , S. Singh
University of Warwick, Warwick Medical SchoolDivision of Mental
Health and Wellbeing, Coventry, United Kingdom
∗ Corresponding author.
Introduction Transitions fromchild and adolescentmental health
services to adult mental health services have been quite trou-
blesome for young people in the UK. There is strong evidence
throughout the literature that long waiting lists and rigid adult
services criteria hamper dramatically transitions across services.
Little knowledge exists about transitions from forensic adolescent
services to adult services.
Objectives To interview health-care professionals and young off-
enders in transition of care from forensic child and adolescent
mental health services in England.
Aims This study aimed to bridge the current literature gap in
regards to transitions across forensic services and the complexities
resulting from disruptive care.
Methods This study adopted a prospective design to identify
young offenders referred to adult services over a six-month period.
We utilized semi-structured interviews. Health-care professionals
were interviewed about their transition views and perspectives.
Young offenders were followed-up within a month of their transi-
tion and were interviewed.
Results The numbers of transitions within forensic settings are
much lower compared to those of general transitions across men-
tal health services in England. Transition delays were a repetitive
theme across interviews due to lack of bed availability, especially in
medium secure hospitals, and poor multi-agency communication.
Commissioning determines age boundaries along with transfer
destination for each service.
Conclusions Ineffective liaison among different sectors might
impact adversely young people and hallmark their long-stay in
the system. Therefore, continuity of care within forensic services
should be looked warily along with the role of policy shaped
by commissioning. Multiple transitions can repeatedly traumatize
young people moving across services.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0145
Social determinants, which encourage
the criminal desistance in young
people in conflict with the law
M. Orlando
Member Of The Argentinian Law Court, Criminal Justice, Buenos
Aires, Argentina
Introduction Previous studies about young people in conflict with
the law (YPCL) have a tendency to focus on the risk factors that con-
tribute to trigger antisocial criminal behavior. Instead, this study
aims to research the social determinants that encourage the crim-
inal desistance: understood as a gradual process taking place in
the periods of absence of crime and desire to abandon the criminal
activity.