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


From a sample that is made up of 100 YPCL, the main

objective is to deduce the social determinants, which encourage the

criminal desistance in YPCL, it means young people who commit



To infer the social determinants (circumstances in which

people are born, grow, live, including the health system) which

foster the desistance in YPCL.


The results of a sample of 100 YPCL were assessed with

three profiles as follows: I: DSM-IV personality disorders (PD T-

Scores). II: swap personality syndromes (Q-Factor T-Scores). III.

factor T-scores.


This research shows the prevalence of the following

social determinants associated with the desistance: (1) integrated

families. (2) Educational and cultural opportunities (3) academic

progress. (4) Healthy relationships that support and help. (5) Sta-

ble living arrangements (6) social conditions preserved the use of

psychoactive substances and alcohol abuse.


It is possible to identify the prevalence of social

determinants which encourage the desistance in YPCL. Those

allows them to transform their risk path in another that shows a

positive development, associated with individual transformations

that take them away from the criminal life and reintegrate into the


Disclosure of interest

The author has not supplied his/her decla-

ration of competing interest.


Assessing violence in psychosis –

A clinical prediction rule

F. Seena

1 ,

, A. Wolf


, T. Fanshawe



University of Oxford, Psychiatry, Oxford, United Kingdom


University of Oxford, Department of Primary Health Care Sciences,

Oxford, United Kingdom

Corresponding author.


Current approaches to stratify patients with psy-

chosis into risk groups are limited by inconsistency, variable

accuracy, and unscalability.


This paper will present an overview of current

approaches based on a systematic review. It will also present a

novel scalable approach based on a total national cohort of 75 158

Swedish individuals aged 15–65 with a diagnosis of severe mental

illness (schizophrenia, schizophrenic-spectrum, bipolar disorder,

and other psychotic illnesses). We developed predictive models

for violent offending through linkage of population-based registers

and tested them in external validation. We measured discrimina-

tion and calibration for prediction of violent offending at 1 year

using specified risk cut-offs.


: A 16-item model was developed from pre-specified

routinely collected criminal history, socio-demographic and clin-

ical risk factors. In external validation, the model showed good

measures of discrimination (c-index 0.89) and calibration. For risk

of violent offending at 1 year, using a 5% cut off, sensitivity was

64% and specificitywas 94%. Positive and negative predictive values

were 11% and 99%, respectively. The model was used to generate a

simple web-based risk calculator (OxMIV).


We have developed a prediction score in a national

cohort of all patients with psychosis that can be used as an adjunct

to decision-making in clinical practice by identifying those who

are at low risk of future violent offending and higher risk individ-

uals who may benefit from additional risk management. Further

evaluation in other populations and countries is needed.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


Forensic psychiatric assessment of

individuals with mental and

behavioral disorders due to use of

alcohol, who committed homicide

A. Survilaite

National forensic psychiatry service, adult department, Vilnius,



The rate of pure alcohol consumption per capita in

Lithuania is reported to be one of the highest in Europe Union.

Many studies illustrate the relationship between alcohol and vio-

lent crimes. Though dual diagnosis of severe mental disorder and

alcohol dependency is common.


To evaluate peculiarities of mental status of individuals with

mental disorders due to use of alcohol, who had committed homi-



Forensic psychiatry examination reports in alcohol con-

sumption cases and homicide acts (


110) were taken from archive

of national service of forensic psychiatry in Lithuania, 2010–2014.


In total, 93% (


91) men and 100% (


12) women at the

time of homicide act were under the influence of alcohol. A total

of, 83% (


91) of cases reported impulsiveness, emotional lability

and personality degradation due to long term of alcohol consump-

tion; 52% (


57) of cases motives for violence remained unclear:

offenders indicated they remember nothing because of alcohol

intoxication, also possiblemalingeringwas evaluated. In total, 100%

women (


12) and 97%men (


95)were criminally responsible. Only

2 individuals committed homicide as a result of psychosis due to

paranoid schizophrenia and 1 individual had significant intellec-

tual deficiency due to moderate mental retardation, which lead

them to inability to appreciate the dangerous nature of their acts

and to control their behavior. Compulsory medical treatment was

recommended to all three of them.


Impulse control deficiency and emotional lability are

prevalent amongst homicide offenders with mental disorders due

to use of alcohol. Only 3 individuals were irresponsible for their

criminal acts as a result of severe mental disorders.

Disclosure of interest

The author has not supplied his/her decla-

ration of competing interest.


Assessments of need for treatment

and danger in decisions about

community treatment orders

H.K. Stuen


, A. Landheim


, J. Rugkåsa


, R. Wynn

3 ,


Innlandet Hospital Trust, Norwegian National Advisory Unit on

Concurrent Substance Abuse and Mental Health Disorders,

Brummundal, Norway


Akershus University Hospital, Health Services Research Unit,

Lørenskog, Norway


UiT The Arctic University of Norway, Department of Clinical

Medicine, Tromso, Norway

Corresponding author.


A total of, 14 Norwegian assertive community treat-

ment (ACT) teams have been established. During the teams’ first

year of operation, approximately 35% of the enrolled patients were

subjected to community treatment orders (CTOs) at intake. CTOs

are a legal mechanism to secure treatment adherence, and may be

used in Norway when severely mentally ill patients refuse neces-

sary treatment (‘treatment criterion’) or when they are considered

a danger to themselves or others (‘danger criterion’). Even if the use

of CTOs seems to increase in Norway, few have examined in detail

how and why these decisions are made. The purpose of the present

study was to explore assessments of need for treatment and danger

in decisions about CTOs.