European Psychiatry - Volume 41 - April 2017

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S290 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S238–S302
and bulimia nervosa (BN). These patients show increased levels of
alexithymia, problems understanding one’s own emotion, which
has been simultaneously, associatedwith difficulties in recognizing
others emotions.
Objectives In this study, we were interested in the neuronal
mechanism of emotion processing from both, self and others per-
spective, andwe aimed to compare the underlying brain activations
in eating disorder patients and healthy controls.
Methods A sample of 12 women with ED (10 AN, 2 BN) and
11 age and education matched healthy controls (HC) under-
went fMRI examination while performing emotion recognition
task, which requires either inferring mental states of depicted
figures, or assessing participant’s own feelings evoked by the
pictures.
Results The task activated superior temporal sulcus bilaterally,
left temporo-parietal junction, and medial prefrontal cortex. Those
regions have been consistently identified in literature to be active
while thinking about other people. Interestingly, group differences
analysis revealed that ED patients group showed higher activations
in right supramarginal gyrus, compared to HC group. This struc-
ture is critical to overcome egocentricity bias in social judgment.
Contrary to ED patients, HC group showed greater activations in
cingulate gyrus and insula, regions involved in emotion formation
and processing.
Conclusion We hypothesize that ED patients tend to suppress
their own perspectivewhile thinking about emotional states of oth-
ersmore strongly thanHC, probably due to alexithymia and the lack
of awareness of their mental states.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
e-Poster Walk: Suicidology and suicide
prevention – part 1
EW0541
A systematic review of suicide
prevention strategies
K. Aini
Widya Husada School of Health Sciences, Nursing, Semarang,
Indonesia
Background Suicide is one of the serious problems, whichbecome
ten causes of death in the world. An increased risk of suicide groups
stimulates researchers to undertake the development of suicide
prevention efforts with various approaches.
Objectives To examine evidence of suicide preventive interven-
tions and to make recommendation for the further programs and
research.
Methods Fifteen identified systematic review articles were taken
through an electronic search of the Cochrane library, McMaster
health forum, Google Scholar, PubMed, and Suicidology online.
They have been published betweenMarch 2008 until January 2015,
using the keyword “suicide”, “self-harm”, “suicide prevention”, and
“systematic review”. Criteria of this review include the type of
intervention, intervention category, group intervention and inter-
vention effectiveness.
Results The intervention was performed using a strategy of pro-
motion, prevention, treatment, and rehabilitation of the target
group of teenagers, sexual perversion, suicide risk groups, such
as drug abuse, mental illness patients, a group of health workers
and the general public. Effectiveness of therapy has different effects
and requires a combination of an intervention strategy with other
interventions to obtain optimal results.
Conclusion The strategies of suicide prevention which were
identified by various intervention approaches given to the large
population require more stringent controls and difficulty in
performing evaluation. Furthermore, pharmacological and psycho-
logical therapies are recommended to reduce the suicide rate in
more specific setting such as a hospital or mental health clinic.
Keywords Review; Suicide prevention; Intervention; And the
results of intervention
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EW0542
Anxiety, depression and suicidal
behavior among medical students
from the university of Valladolid
A. Alvarez Astorga ∗, M.H. De la Red Gallego ,
A. Alonso Sánchez , S. De la Fuente Ballesteros ,
T. Delgado Santillana , R. Hernandez Anton , M. Gómez García ,
M.M. De Lorenzo Calzón , E. Mayor Toranzo ,
J.A. Blanco Garrote
1 HCU Valladolid, psychiatry, Valladolid, Spain
2 University of Valladolid, Psichiatry, Valladolid, Spain
∗ Corresponding author.
Introduction Suicide is a major public health problem, especially
in young people. It is one of the most significant causes of mortality
and potential years of life lost. Medical students are a vulnerable
group presenting mental health problems.
Objectives To study the prevalence of common mental illnesses
among medical students from the university of Valladolid in order
to assess the need for intervention programs.
Methods Cross-sectional study in which, 584 students partic-
ipated during the academic year 2015–2016 by completing an
online self-administered questionnaire. Mental health outcomes
were measured by different batteries of depression, anxiety and
suicide (BDI, GAD-7 and MINI). Information about possible related
risk factors was also obtained. Statistical Chi2 and Student t-tests
were applied to estimate associations between socio-demographic,
socioeconomic data and clinical results.
Results We found a prevalence of 15.8% for depression, 11.6% for
ideation suicide and 38.5% for anxiety, with gender differences in
the latter case. Prevalence rates were higher than those described
in general population. Compared to other international studies,
prevalence estimates were also higher among our sample.
Conclusions This study shows for the first time data of these three
psychiatric disorders among medical students in Spain. It suggests
the urge to implementing preventive activities to alleviate mal-
adaptive behaviors, academic stress, improve the quality of life and
adaptation of students to college life. Larger, prospective, multi-
centre studies are needed to draw conclusions about the causes
and consequences of students’ stress, since evidence shows that
mental health problems are perpetuated throughout professional
performance.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0543
Risk of suicide mortality among
cancer patients: A meta-analysis of
observational studies
R. Calati ∗, V. Di Mattei , P. Courtet
1 Inserm U 1061, Neuropsychiatry: Epidemiological and Clinical
Research, Montpellier, France
2 Vita-Salute San Raffaele University, Clinical and Health Psychology
Unit, IRCCS San Raffaele Hospital, Milan, Italy