European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S238–S302 S291
3 Inserm U1061, University of Montpellier UM1, Department of
Emergency Psychiatry & Acute Care, Lapeyronie Hospital, CHU de
Montpellier, Montpellier, France
∗ Corresponding author.
Introduction Suicide rates among patients with cancer are higher
than ones in the general population.
Objective This meta-analysis aims to estimate the suicide risk in
patients with cancer.
Methods 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.
Results 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, P = 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, P = 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.
Conclusion The assessment of suicide risk in this population is
crucial.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0544
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
Introduction 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.
Aim Identify socio-demographic and clinical profile of suicide
victims in Brusque County, State of Santa Catarina, Brazil, between
2012 and 2015.
Methods Observational, descriptive and quantitative study, with
analysis of 60 police investigations with suicide records, occurred
from January 2012 to December 2015, in Brusque County.
Results 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
significant.
Conclusions 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.
EW0545
Victimization in childhood as a
suicide risk factor in adults
G. Dedic
Faculty of Medicine Military Medical Academy, Clinic for psychiatry,
New Belgrade, Serbia
Objective 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.
Method 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 t-test.
Results The suicide attempters were depressed (Beck depression
inventory 19.13 ±10.20), using immature defense mechanisms
(P < 0.005). The JVQ established statistically differences in two gen-
eral areas: Peer and Sibling Victimization (P < 0.001) and sexual
victimization (P < 0.05).
Conclusion 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.
EW0546
Decision making under ambiguity and
under risk in depressed suicide
attempters, depressed
non-attempters and healthy controls
E.A. Deisenhammer ∗, S.K. Schmid , G. Kemmler , B. Moser ,
M. Delazer
1 Medical University of Innsbruck, Psychiatry, Innsbruck, Austria
2 Medical University of Innsbruck, Neurology, Innsbruck, Austria
∗ Corresponding author.
Introduction 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.
Objective To assess DM abilities with two different instruments
in recent suicide attempters.
Methods 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