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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S238–S302



Inserm U1061, University of Montpellier UM1, Department of

Emergency Psychiatry & Acute Care, Lapeyronie Hospital, CHU de

Montpellier, Montpellier, France

Corresponding author.


Suicide rates among patients with cancer are higher

than ones in the general population.


This meta-analysis aims to estimate the suicide risk in

patients with cancer.


We searched Medline, PsycINFO, and the Cochrane

library to identify articles published before July 1, 2016, examining

the association between suicide [death (SD), attempt (SA), ideation

(SI)] and any form of diagnosed cancer.


We initially identified 4880 records and after unsuit-

able studies were removed, our search yielded 102 publications of

which 14 were used in the meta-analyses. Patients with cancer had

higher risk of SD (seven studies, 247.869 participants; odds ratio

[OR] = 1.52, 95% CI = 1.22–1.89,


= 0.0002) compared with those

without cancer (among case-control studies focused on SD versus

living controls). Among studies focused on SD versus other deaths,

patients with cancer had higher risk of SD (two studies, 23.839 par-

ticipants; OR = 1.53, 95% CI = 1.03–2.27,


= 0.03). No difference has

been detected for risk of SA (four studies, 8.147.762 participants)

and for SI (two studies, 37.879 participants).

Since publication bias was detected, the “trim and fill” method was

applied. The majority of the included studies have a high quality at

the STROBE statement.


The assessment of suicide risk in this population is


Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


Profile socio-demographic and clinical

of suicide victims in Brusque County,

Santa Catarina, Brazil, between 2012

and 2015

M. Cigognini

Setting Clinic, NUPE, Blumenau, Brazil


Among the main causes of mortality in the world

stands out approximately 1million deaths due to suicide. In Brazil,

this is the third cause of death due to external factors, being 5.3 the

average rate per 100,000 inhabitants. The state of Santa Catarina

ranks second in the national rankingwith an index of 8.6. According

to WHO, it is necessary to detect probable suicide risk factors once

information can prevent deaths.


Identify socio-demographic and clinical profile of suicide

victims in Brusque County, State of Santa Catarina, Brazil, between

2012 and 2015.


Observational, descriptive and quantitative study, with

analysis of 60 police investigations with suicide records, occurred

from January 2012 to December 2015, in Brusque County.


The suicide was 15.29 per 100,000 inhabitants. The vic-

tims had an average age of 46.51, and


2.12 (SD). Among them,

67.5% suffered from depression and 88% received pharmacological

treatment. Regarding marital status, 59% were married or living

in a stable union. Men accounted for 78% of the sample. Death

by hanging occurred in 65% of cases and 22% previous attempts

were recorded, and in 15%, it was mentioned suicidal intent.

Among the reasons for the act, it was highlighted family mem-

ber’s death. Given the underreporting, such data may be even more



The observed rates were significantly higher than

the state and national rates. Prevention strategies can be focused on

early diagnosis and treatment of depression in middle-aged men,

and who had recent loss of a family member.

Disclosure of interest

The author has not supplied his/her decla-

ration of competing interest.


Victimization in childhood as a

suicide risk factor in adults

G. Dedic

Faculty of Medicine Military Medical Academy, Clinic for psychiatry,

New Belgrade, Serbia


Little is known about the predictive association

between victimization among children and adolescents with

depression and suicidal ideation in adults. The aim of our study

was to examine whether victimization in childhood and early ado-

lescence increases the likelihood of self-harming in adults.


The sample consisted of 82 patients, 65 females and 17

males, aged 38.02


11.05 years on average, hospitalized in Daily

hospital. The juvenile victimization questionnaire (JVQ), defense

style questionnaire (DSQ) and Beck depression inventory were

applied in 48 patients following suicide attempt and in 34 patients

who were on psychotherapeutic treatment due to various life

crises not resulting in suicide attempt. According to indication, we

excluded patients with psychosis, substances abuse and dementia.

The examinees of both groups were matched by age, education,

professional and marital status. Comparison of the patient groups

was done by




The suicide attempters were depressed (Beck depression

inventory 19.13


10.20), using immature defense mechanisms



< 0.005). The JVQ established statistically differences in two gen-

eral areas: Peer and Sibling Victimization (


< 0.001) and sexual

victimization (


< 0.05).


Even after controlling for lifetime factors known to

increase the risk of suicidal behavior, adults who reported peer and

sibling and sexual victimization in childhood were still more likely

than other adults to attempt suicide later in life. Psychotherapists

must understand that history of childhood victimization is impor-

tant to put suicide attempt in a psychodynamic context which can

help them in their work with patients’ psychotherapeutic crisis

intervention following suicide attempt.

Disclosure of interest

The author has not supplied his/her decla-

ration of competing interest.


Decision making under ambiguity and

under risk in depressed suicide

attempters, depressed

non-attempters and healthy controls

E.A. Deisenhammer

1 ,

, S.K. Schmid


, G. Kemmler


, B. Moser



M. Delazer



Medical University of Innsbruck, Psychiatry, Innsbruck, Austria


Medical University of Innsbruck, Neurology, Innsbruck, Austria

Corresponding author.


Study results on decision-making (DM) abilities in

suicidal individuals are conflicting. Most studies have focused on

DM under ambiguity and included patients with a lifetime history

of suicide attempts.


To assess DM abilities with two different instruments

in recent suicide attempters.


The study sample consisted of three groups. Group 1

(SA) were currently depressed inpatients having attempted sui-

cide within the previous six months. Group 2 (NSA) consisted of

depressed inpatients without a lifetime history of suicide attempts.

Group3 (CG)was a healthy control group. Besides depression sever-

ity, impulsiveness and suicidal intent (SA group only) DM was