European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S238–S302 S265
2 Department of Human Sciences, European University of Rome,
Roma, Italy
3 Section of Psychiatry Department of Neuroscience Ophthalmology
Genetics and Infant Maternal Science, University of Genoa, Genova,
Italy
∗ Corresponding author.
Introduction Suicide is a major public health issue.
Objectives Mentalization is a form of imaginative mental activity
about others or oneself that may shed light on the phenomenology
of suicide.
Aims To assess the role of a number of variables in suicide risk.
Methods Participants were 156 (73 men and 83 women) adult
psychiatric inpatients (age range = 18/74 year). Most of the patients
had a major mood disorder (26.3% BD-I, 3.2% BD-II, and 11.5 MDD),
psychosis (16.7%), or a schizoaffective disorder (20.5%). All the
patients were administered the Mini International Neuropsychi-
atric Interview (MINI) for assessing diagnosis and suicide risk,
and the Impact of event scale, Mentalization Questionnaire, Child-
hood Trauma Questionnaire. Some patients (18.6%) were admitted
for a recent suicide attempt and 34.6% had attempted suicide in
the past.
Results At the MINI, 44.9% of the patients resulted at a moder-
ate to high risk of suicide, and 55.1% at no or low risk of suicide
with no difference for sociodemographic variables (sex and age)
and diagnosis, but they differed for mentalization and symptoms
of intrusions and avoidance caused by a traumatic event. Groups
also did not differ for self-reported childhood trauma. Only men-
talization was independently associated with higher suicide risk,
and patients with moderate to severe risk of suicide were 1.7 times
more likely to report more mentalization deficits than those with
no or low risk of suicide.
Conclusions Our study supports the notion that the investigation
of mentalization among patients may help in proper assessment of
suicide risk.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0467
Effectiveness of treatment of young
psychotic patients on
psychotherapeutic inpatient unit
B. Restek-Petrovic ∗, A. Bogovic , G. Majda , M. Nina , F. Igor
Psychiatric hospital, Sveti Ivan Psychotherapeutic unit, Zagreb,
Croatia
∗ Corresponding author.
Introduction The psychotherapeutic unit for psychotic patients
in Psychiatric hospital Sveti Ivan, Zagreb, Croatia provides psy-
chotherapeutic and psychosocial treatment for mostly young
psychotic patients. Psychotherapeutic program has basically
psychodynamic frame and patients participate in small and
medium groups. Also, they participate in workshops based
on cognitive behavioral principles (anti-stigma, self-concept,
emotion, relationships, goals, stress), psycho-education, thera-
peutic community, work and occupational therapy, recreational
therapy.
Aim The aim of this study was to determine effectiveness of this
comprehensive program during hospitalization of individuals with
first psychotic episode on psychotherapeutic ward. We evaluated
the possible changes during treatment in attitudes towards drugs,
in quality of life, insight and self-esteem.
Methods Participants were 37 individuals with first psychotic
episode, average age: 25.1. They fulfilled: Drug attitude inventory
(DAI-10), TheWorldHealthOrganizationQuality of Life (WHOQOL),
Insight scale and Rosenberg’s Self-Esteem Scale at the beginning of
treatment and at discharge from the hospital.
Results Results show tendency of more positive attitude towards
drugs at discharge, as well as tendency of better self-esteem, statis-
tically significant more satisfactionwith physical health (P= 0.004),
psychological health (P = 0.004) and with environment (P= 0.001),
and statistically significant better quality of life (P = 0.000). There
was no significant difference in insight.
Conclusion During psychotherapeutic treatment of individuals
with first psychotic episode, positive changes were observed. So,
our findings indicate importance of implementing such a compre-
hensive program in treatment.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0468
Change in attitude towards
psychotherapy in the course of
clinical practice: Qualitative analysis
of experience of students from
various health care fields
L. Sapezinskiene ∗, L. Jukstaite-Pacesiene , A. Vagonis ,
S. Liutkus , N. Mickuviene
1 Psychosomatic Research Laboratory, Lithuanian University of
Health Sciences Behavioral Medicine Institute, Palanga, Lithuania
2 Clinics Stress Diseases inpatient and day patient department,
Lithuanian University of Health Sciences Behavioral Medicine
Institute, Palanga, Lithuania
∗ Corresponding author.
Introduction A stigmatizing attitude towards psychiatry and psy-
chotherapy still prevails in Lithuania. It is evidenced by a variety of
patterns, especially by a controversial social opinion about a person
suffering from mental disorders.
Objectives To investigate the experiences of students in Psy-
chiatry and General Practitioner Residency studies and those in
Bachelor’s andMaster’s degree programs of Psychologywho during
their clinical psychiatric practice joined a multi-professional team
at the Stress RelatedDisorders Department as temporarymembers;
and to analyse how their attitude towards psychotherapy changed
in the process.
Aims To analyse students’ feedback about their experiences and
involvement into the activity of the multi-professional team at the
Stress RelatedDisorders Department (day care) during their clinical
psychiatric practice.
Methods Qualitative researchmethods based on phenomenolog-
ical sociology were employed in the study. Students responded
to five questions in writing during interview. Collected quali-
tative research material was analysed while applying content
analysis.
Results Eighteen subthemes were obtained and they were
matched with the following nine main thematic codes: (1) past,
present, future; (2) difficult beginning: “birth”; (3) childbirth pain;
(4) childhood challenges; (5) birthing team; (6) adulthood; (7)
mourning; (8) joining the team; and (9) future prospect.
Conclusions Clinical psychiatric practice develops a multidisci-
plinary attitude towards psychiatry including both pharmaceutical
and non-pharmaceutical treatment while using individual and
group psychotherapy. Significant experience and attitude of health
care students changed during clinical psychiatric practice as they
acquired deeper understanding of the meaningfulness of psy-
chotherapy.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.