European Psychiatry - Volume 41 - April 2017

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S224 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S170–S237
Objective To characterize conflict records made by students,
teachers/others and parents/guardians in a Brazilian high school
institution.
Method Qualitative research, exploratory documental. Studied
113 records from 2014 to 2016.
Results “Indiscipline and Incivility”–75 records (66 by tea-
chers/others and 9 by students) of students: improper use of
clothes and accessories, cell phone use in class, not bringing
material, dating in school, conversations during class, do not
respect the timetables, inappropriate jokes, disrupting activities,
theft of materials and disrespect toward authority figures. “School
violence”–22 records (12 by students, 9 by teachers/others and 1
by parent/guardian) of school violence: physical violence between
students, psychological/verbal between students/teachers/others,
and a match of sexual abuse. Three records (by teachers/others)
of violence against the school: students destroyed teaching and
cleaning materials and caused damage to the patrimony. Fifteen
records (12 by students, 2 by parents/guardians and 1 by teacher) of
school’s violence: teachers’ harassment (excessive rigor in regard to
school performance, clutter in the ratings, refusal to clarify doubts
and inappropriate criticismon student’s behavior) and institutional
negligence (teachers’ delay, lack of clarification on teaching orga-
nization and supervision in practical activities).
Conclusion Some students’ acts of indiscipline and incivility can
be protests against the social control of the school. Assistance
in case of conflicts and violence as well as preventive measures
must be based on interdisciplinary and inter-sectorial articulation
practice.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0348
Mothers mental health of children
with attention deficit/hyperactivity
disorder (ADHD)
Z. Sepehrmanesh
Kashan University of Medical Sciences, psychiatry
department-medical faculty, Kashan, Iran
Background Attention deficit hyperactivity disorder (ADHD) is
the most common neuropsychiatric disorder in pediatric popu-
lations with an early onset. Mental health of mother can effect
on child mental health and relation between mother and child
is very important. The aim of this study was investigation about
mental health of mothers with children suffering from attention
deficit/hyperactivity disorder.
Materials and methods This cross sectional study was carried out
on 100mothers of childrenwithADHDdiagnosis (Kashan, Iran). The
data collection instruments included the Goldberg’s General Health
Questionnaire, and the questionnaire form includes the personal
information and the variables associated to mental health.
Results The total means score of GHQ in the mothers’ was
26/6 ± 11/78. Fifty-eight percent of themothers havemental health
problem. The highestmean score in the sub scaleswas related to the
anxiety subscale (7.73) and the most common mental health prob-
lem in these mothers was anxiety problems (11%). Mental health
problem is most common inmothers with low socio-economic sta-
tus, younger age than 30 years old, education lower than diploma
degree, householder mothers, single, having boy child with ADHD,
having child more than 9 years old.
Conclusion According to the results of this study, 58% of the
mothers have mental health problem. So with screening and on
time diagnosis and treatment, we can prevent disadvantage effects
of these problems on social and mental health of their children.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EW0349
Factors associated with depression
severity in adolescence
G. Serra ∗, M.P. Casini , V. Maggiore , R.J. Baldessarini ,
S. Vicari
1 Pediatric Hospital Bambino Gesu’, Department of Neuroscience,
Roma, Italy
2 Harvard Medical School, Department of Psychiatry, Boston, USA
∗ Corresponding author.
Introduction Severe depression is greatly impairing during ado-
lescence and involves a high risk for suicidal behaviors.
Objectives and aims Identify clinical and demographic factors
associated with severity of depression in adolescents diagnosed
with a major mood disorder so as to improve clinical treatment
and prevent suicidal behaviors.
Methods We analyzed factors associated with depression sever-
ity in 145 severely ill adolescents diagnosed with a major affective
disorder using the K-SADS (Kiddie-Schedule for Affective Disor-
ders and Schizophrenia) at the Mood Disorder Outpatient Program
of Bambino Gesù Children’s Hospital (Rome). Depressive and
manic symptoms were rated with the CDRS-R (Children’s Depres-
sion Rating Scale-Revised) and K-SADS-MRS (Mania Rating Scale),
respectively. Bivariate comparisonswere followed bymultivariable
linear regression modeling.
Results Depression severity was greater among females than
males (mean CDRS scores: 53.0 vs. 42.8; P < 0.0001) and with
major depressive versus bipolar disorder diagnosis (50.4 vs. 45.4;
P = 0.001). Manic symptoms, including irritability, mood lability,
crowded thoughts, delusions, and insomnia, were more likely with
more severe depression; their number and severity correlated with
CDRS-R total score (respectively, ˇ = 1.53 and 5.44;both P < 0.0001).
Factors independently and significantly associated with CDRS-R
depression score in multivariate modeling were:
– presence of suicidal ideation;
– absence of ADHD;
– female sex;
– greater number of manic symptoms.
Conclusions Severe depression was associated withmanic symp-
toms and with suicidal ideation among adolescents diagnosed
with either bipolar or major depressive disorders. This relationship
should be considered in treatment planning and suicide prevention,
including consideration of mood-stabilizing and antimanic agents
in the treatment of severe adolescent depression.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0350
Pediatric mania: The controversy
between euphoria and irritability
G. Serra ∗, M. Uchida , C. Battaglia , M.P. Casini , L. De Chiara ,
J. Biederman , S. Vicari , J. Wozniak
1 Pediatric Hospital Bambino Gesu’, Department of Neuroscience,
Roma, Italy
2 Harvard Medical School, Department of Pediatric
Psychopharmacology, Boston, USA
3 Harvard Medical School, Department of Psychiatry, Boston, USA
∗ Corresponding author.
Introduction Pediatric bipolar disorder (BD) is a highly morbid
pediatric psychiatric disease, consistently associated with family
psychiatric history of mood disorders, with high levels of morbidity
and disability and with a great risk of suicide.
Objectives While there is a general consensus on the symptoma-
tology of depression in childhood, the phenomenology of pediatric
mania is still highly debated and the course and long-termoutcome
of pediatric BD still need to be clarified.