European Psychiatry - Volume 41 - April 2017

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S222 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S170–S237
Objective and aims Recent studies investigate the association
between SA and NSSI among adolescent, as well as risk factors asso-
ciated with these phenomenon. We investigated the co-ccurrence
of NSSI and SA among adolescents treated in hospital during the
previous year.
Method We conducted a cross-sectional study among hospital-
ized adolescents in the Clinic formental disorde “Dr Laza Lazarevic”,
aged 14 to 18 years, in the period from 01.01.2015 to 01.01.2016.
The data were obtained from clinical interviews of patients.
Results Study included 146 adolescents, 51.4% male and 48.6%
female, average age 15.5. We found a statistically significant dif-
ference of NSSI (c2 = 9.951, P = 0.002, phi = 0.276) and SA ( c2 = 4.517,
P = 0.034, fi = 0.192) among female adolescent. The co-occurrence
of NSSI and SA was found in 4.8% of adolescents, which does not
indicate a statistically significant difference (c2 = 1.009, P = 0.315,
phi = –0.101) compared to the total population of hospitalized ado-
lescents.
Conclusion Although our study did not confirmed a higher inci-
dence of SA in adolescent with NSSI, understanding of what
percentage of those engaging in NSSI also make SA, and how they
are related have great significance in their prevention taking into
account the dangerousness and lethality of those behavior.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0343
Untreated remission of adolescents’
mental health problems: Challenging
the treatment gap?
D. Raven ∗, F. Jörg , R.A. Schoevers , A.J. Oldehinkel
1 UMCG, Psychiatry, GRONINGEN, The Netherlands
2 Friesland Mental Health Services, Research and Education,
Leeuwarden, The Netherlands
∗ Corresponding author.
Introduction Mental health problems are highly prevalent and
are associated with a high burden, but such problems are often left
untreated. This is referred to as the “treatment gap”. The question
of who is most likely to remit from their mental health prob-
lems without treatment has received surprisingly little attention.
A few studies do suggest that untreated remission is common in
the general population, but these are in particular limited by short
follow-up times.
Objectives The aims of this study are to describe untreated remis-
sion of mental health problems in adolescence, and to assess the
extent to which mental health problems recur after untreated
remission.
Methods Data from the Dutch community-based cohort study
TRacking Adolescents’ Individual Lives Survey (TRAILS) were used.
Depressive and anxiety problems were assessed using the Youth
Self-Report at ages 11, 13, and 16, and the Adult Self-Report at ages
19 and 22.
Results Preliminary analyses showhigh rates of untreated remis-
sion (approximately 80% over all waves). However, a substantial
proportion of remitted cases still report sub clinical levels of mental
health problems at follow-up. More elaborate analyses are ongoing,
and will be presented at the conference.
Conclusions First results suggest that untreated remission is com-
mon in adolescents. The presence of residual symptoms may point
towards an elevated risk of recurrence in adolescents who remit
without treatment. Further knowledge about untreated remission
is of vital importance for an accurate assessment of the treatment
gap, and for prevention and early intervention programmes.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0344
Self-harm and attachment in
adolescents: What is the role of
emotion dysregulation?
G. Rogier ∗, C. Petrocchi , M. D’aguanno , P. Velotti
1 La Sapienza, Psicologia clinica e dinamica, Roma, Italy
2 University of Rome, La Sapienza, Department of Dynamic and
Clinical Psychology, Roma, Italy
3 University of Genoa, Educational Sciences, Psychology Unit, Genoa,
Italy
∗ Corresponding author.
Introduction Self-harm typically occurs in adolescence and has
been conceptualized as a dysfunctional strategy to regulate intense
negative emotions. Furthermore, empirical literature outlines that
self-harmers are more prone to have an insecure attachment style.
Moreover, the link between quality of attachment and capacity
to regulate emotions has been theoretically and empirically sup-
ported.
Objective To examine the associations between attachment style,
self-harm behaviors and emotion dysregulation among a sample of
adolescents. The sample consisted of 740 adolescents aged between
13 and 19 years (mean age = 16.70, SD = 0.91).
Aims To explore the nature of different pathways by which inse-
cure attachment leads to self-harm behaviors.
Results As expected, insecure attachment and emotion dys-
regulation were positively associated with self-harm behaviors.
Moreover, emotion dysregulation mediated the link between
attachment styles and self-harm. Specific pathways between types
of insecure attachment dimension of emotion dysregulation and
self-harm behaviors emerged.
Conclusions Such results confirm the theorization of self-harm
behaviors as a dysfunctional strategy to regulate emotions. More-
over, such emotion dysregulation in self-harmers seem to be
connected to insecure attachment. Depending on the subtype of
insecure attachment, specific dimensions of emotion dysregulation
seem to be involved in self-harm behavior, suggesting interesting
clinical implications.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0345
A population service evaluation of the
ADHD pathway of children and young
people’s services, Malta
A. Saliba ∗, D. Agius , E. Sciberras , N. Camilleri
Mount Carmel Hospital, Malta, Psychiatry, Attard, Malta
∗ Corresponding author.
Introduction ADHD is the commonest neurodevelopmental dis-
order in young people (YP) aged 5–18 years. YP with untreated
ADHD are 5 times more likely to develop co-morbid psychiatric
disorders.
Objectives To carry out a population service evaluation of the
assessment process and management of YP with ADHD at Child
and Young People’s Service (CYPS), Malta age 0–16 years for 2014.
Aims To describe the service input, assessment and treatment of
YP attending CYPS and compare to ADHD NICE guidelines 2008.
Methods All patients diagnosed with ADHD at CYPS throughout
2014 were included. The incidence of YP with ADHD on treatment
age 3–16 years in Malta was calculated. Information was collected
from; (i) retrospective case file review and (ii) methylphenidate
and atomoxetine registry and compared with NICE guidelines.
Results One hundred and thirty-six YP were diagnosed with
ADHD. The minimum 12-month incidence of ADHD on treatment
(3–16 years) in Malta was 553 per 100,000. Pre-diagnosis assess-
mentsweremore frequently performed by other YP services (n = 97,