European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S170–S237 S223
71.3%, P ≤ 0.01). A psychiatrist or paediatrician confirmed the diag-
nosis in 113 (83.1%). Sixty-two (45.3%) of YP were prescribed
medication, 50 (36.8%) were referred for parental skills course and
55 (40.4%) psychotherapy. Meanwaiting time for first appointment
was 187.6 days (CI ± 26.9, 0–720), and first specialist review was
301.0 days (CI ± 34.4, 0–800)
Conclusions The incidence for YP (3–16 years) with ADHD on
treatment was lower than the US. Sincemost pre-diagnostic assess-
ments were carried out by other services, this raised the question
about the reliability and validity. We recommend a diagnostic MDT
meeting following the multimodal assessment to diagnose ADHD.
Medication prescribing followed NICE overall, standardising non-
pharmacological management is required.
Table 1 Assessment available at intake multidisciplinary team
meeting.
Table 2 Young people prescribed medication.
Table 3 Medical assessment for young people on treatment.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0346
High Bdi-21 scores in adolescents
without depression are associated
with negative self-image, immature
and neurotic defense styles and
adverse life events
E.M. Savilahti ∗, H. Haravuori , M. Rytilä-Manninen ,
N. Lindberg , M. Marttunen
1 Helsinki University Central Hospital and University of Helsinki,
Adolescent Psychiatry, Helsinki, Finland
2 National Institute for Health and Welfare, Department of Health,
Mental Health Unit, Helsinki, Finland
3 Helsinki University Central Hospital and University of Helsinki,
Forensic Psychiatry, Helsinki, Finland
∗ Corresponding author.
Introduction Structured self-reports, such as Beck’s Depression
Inventory (BDI) are widely used in assessing adolescents’ psycho-
logical wellbeing.
Objectives To investigate what factors are associated with dis-
crepancies between BDI scores and diagnostic assessment in
adolescent psychiatric patients and general population.
Aims To recognizewhat factorsmay contribute to high BDI scores
besides depressive symptoms.
Methods The study population consisted of 206 adolescents
(13–17 years old) who were hospitalised for the first time in ado-
lescent psychiatry and 203 age and gender matched adolescents
recruited from schools in the same region. Study subjects filled
self-reports on depression symptoms (BDI-21), substance misuse
(AUDIT), psychiatric symptoms (SCL-90), defense styles (DSQ-40)
and self-image (OSIQ). Diagnostics was based on K-SADS-PL inter-
view, and/or clinical interview and clinical records when available.
Information on background and life events was gathered from
study subjects.
Results We compared subjects who scored in BDI-21 either 0–15
points or 16–63 points firstly among subjects who did not fill diag-
nostic criteria for current unipolar depression and secondly among
those who did fulfill the diagnostic criteria. High BDI-21 scores in
subjects without depression diagnosis were associatedwith female
sex, older age, several adverse life events, higher psychiatric co-
morbidity, worse self-image and more immature, neurotic and
image-distorting defense styles (and less mature defense style).
Low BDI-21 scores among subjects with depression diagnosis were
associated with male sex, more positive self-image and less imma-
ture defense style.
Conclusions High BDI-21 scoresmay reflect a broad range of chal-
lenges in an adolescent’s psychological development even in the
absence of depression.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0347
School violence: Characterization of
occurrence’s records of a public high
school institution
E. Scherer ∗, Z. Scherer , L. Cavalin , J. Rodrigues
1 Ribeirão Preto Medical School Hospital of the University of São
Paulo, Neurosciences and Behavioral Sciences, Ribeirão Preto, Brazil
2 University of São Paulo at Ribeirão Preto College of Nursing,
Psychiatric Nursing and Human Sciences, Ribeirão Preto-São Paulo,
Brazil
∗ Corresponding author.
Introduction Acts of indiscipline, incivility and violence are com-
mon in the school environment and reflect on physical and mental
health of those involved.