European Psychiatry - Volume 41 - April 2017

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S292 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S238–S302
assessed using the Iowa gambling task (IGT) for DM under ambigu-
ity and the game of dice task (GDT) for DM under risk.
Results A total of 78 participants (SA group, n = 21; NSA group,
n = 31; CG, n = 26) were included into the study. Significant between
group differences were found regarding marital status, current
partnership, smoking status, depression score, impulsiveness score
and family history of psychiatric disorders (all discriminating
controls from patients but not between SA and NSA groups).
The three groups did not differ with regard to IGT scores. Con-
cerning GDT, the SA group showed significantly lower scores
compared to the two other groups, implying a readiness for more
risky decisions in suicide attempters versus non-attempters and
controls.
Conclusion Suicide attempters appear to make more risky deci-
sions compared to depressed non-attempters as well as healthy
controls even if the DM under ambiguity patterns do not
differ.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0547
In-patient and post-discharge suicides
in Tyrol 2004–2011
E.A. Deisenhammer ∗, E.M. Behrndt , G. Kemmler , C. Haring ,
C. Miller
1 Medical University of Innsbruck, Psychiatry, Innsbruck, Austria
2 State Hospital Hall, Austria, Psychiatry, Hall, Austria
3 Hospital Kufstein, Psychiatry, Kufstein, Austria
∗ Corresponding author.
Introduction Psychiatric patients constitute a high-risk popula-
tion for suicide. In-patient status and the period after discharge are
of particular interest concerning risk assessment.
Objective To assess risk factors for in-patient and post-discharge
suicides.
Methods The Tyrol suicide register was linked with the registers
of three psychiatric departments/hospitals of the region. Suicides
were categorized according to whether the suicide was committed
during a hospital stay orwithin12weeks after discharge orwhether
the suicide subject had not recently been hospitalized. Groups were
compared with regard to demographic and clinical variables. Fur-
ther, case-control comparisons were performed for the in-patient
and post-discharge groups.
Results During the study period (2004–2011) 30 in-patients, 89
post-discharge and 592 not recently hospitalized suicides were
identified. Groups differed in terms of gender distribution, his-
tory of suicide attempts, warning signals and suicide methods.
Compared with controls matched for a number of variables, in-
patient suicides were significantly more suicidal and depressed at
admission, reported more often a recent life event and showed less
often aggressive behavior and plans for the future. Post-discharge
suicides had more often a history of attempted suicide, depres-
sive and thought disorder symptomatology, a ward change and an
unplanned discharge and less often a scheduled appointment with
a non-psychiatric physician.
Conclusions Suicide victims differ with regard to whether they
die during, shortly after or not associated with a hospitalization.
Compared to controls there are specific risk factors for those who
commit suicide during a hospital stay and within 12 weeks after
discharge.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0548
A descriptive analysis of psychological
factors and childhood trauma in a
sample of suicide attempters
C. Delicato ∗, E. Gattoni , S. Di Marco , A. Venesia , C. Vecchi ,
F. Bert , P. Zeppegno , C. Gramaglia
1 Università degli Studi del Piemonte Orientale “A. Avogadro”,
Translational Medicine, Novara, Italy
2 Università degli Studi di Torino, Public Health, Torino, Italy
∗ Corresponding author.
Introduction Childhood trauma, especially sexual abuse, is asso-
ciated with an increased risk of suicidal behavior. However, studies
also show that according to the stress-vulnerability model, not all
individual exposed to this kind of trauma exhibit suicidal behav-
iors as some protective factors could diminish the aforementioned
risk, such as personality factors. Resilience might be one such a
protective factor. Furthermore, there has been growing evidence
to support the role of impulsive and aggressive behavior in the risk
of suicide.
Objectives To compare suicide attempters to non-suicide
attempters (patients admitted for any other reason) for as far as
psychological features and childhood trauma. To verify the role
of resilience and coping strategies as protective factor for suicide
attempt, mitigating the risk of an individual who has experienced
childhood trauma.
Methods We recruited patients referred to the inpatient and
outpatient facilities of psychiatry ward of “Maggiore della Carità”
hospital in Novara during the period November 2015–December
2016. We included all patients from 18 to 65 years with a psy-
chiatric disorder that met DSM–5 diagnostic criteria. For the
analysis, we divided patients into two subgroups according to the
presence/absence of suicidal behaviors. The assessment included:
Resilience Scale for Adult (RSA), Brief cope, Rosenberg Self-esteem
Scale (RSES), childhood trauma questionnaire (CTQ), temperament
and character inventory (TCI).
Results and discussion Although, the recruitment is still ongo-
ing preliminary results seem to confirm the role of resilience and
coping strategies as protective factor mitigating the risk of an
individual who has experienced childhood trauma from making a
suicide attempt.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0549
Risk evaluation in the emergency
department: An algorithm for suicide
prevention
T. Duarte ∗, C. Ferreira , N. Santos , D. Sampaio
Centro Hospitalar Lisboa Norte, Hospital de Santa Maria, Núcleo de
Estudos de Suicídio N.E.S. do Servic¸ o de Psiquiatria e Saúde Mental,
Lisboa, Portugal
∗ Corresponding author.
Introduction Suicide is one of the biggest challenges that psychi-
atrists face, especially in the emergency room. According to the
World Health Organization, there are approximately 3000 suicides
every day: one every 40 seconds. About half of all violent deaths
in the world are suicides with economic costs of billions of euros.
The risk assessment is still based on a subjective approach, with
no screening or evaluation tools that support the decision about
in-hospital or ambulatory treatment for these patients.
Objectives Creation of a decision tree algorithm that can be used
in the emergency room to guide the clinical decision.
Aims Increase the number of avoided suicides.
Methods PubMed database was searched and articles with the
words “emergency”, “suicide”, “attempt” “screening” and “preven-