European Psychiatry - Volume 41 - April 2017

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S294 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S238–S302
Conclusions The conclusion explains how the findings will be fed
into knowledge translation processes, to provide future programs
of suicide prevention research and changes to practice.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0553
Socio-demographic and clinical
features of patients referred to
emergency room psychiatric
consultation between 2006 and 2015.
A comparison between migrants and
natives
E. Gambaro ∗, C. Vecchi , C. Gramaglia , F. Bert , C. Delicato ,
G. Avanzi , L.M. Castello , P. Zeppegno
1 University of Piemonte Orientale, Department of Traslational
Medicine, Novara, Italy
2 Università degli Studi di Torino, Department of Public Health and
Paediatric Sciences, Torino, Italy
3 Università del Piemonte Orientale, AOU Maggiore della Carità,
Emergency Medicine, Department of Translational Medicine, Novara,
Italy
4 University of Piemonte Orientale, SC Psichiatria, Department of
Traslational Medicine-AOU Maggiore della Carità di Novara Novara,
Italy
∗ Corresponding author.
In recent decades, Italy has become a desirable destination for
immigrants. It should be noted that the organization of men-
tal health services in Italy strongly relies on outpatient services,
while the psychiatric wards usually accommodate patients in acute
phases of their disorder. Nonetheless, migrants’ first contact often
happen in a psychiatry ward when they are in a severe and acute
psychopathological condition. The research was performed in the
Emergency Department (ED) of the Maggiore della Carità Hospital,
Novara, Italy. We collected data about 3781 consecutive patients,
3247 Italian natives and 421 migrants, assessed in the ER of the
Maggiore della Carità Hospital, and referred to psychiatric assess-
ment after ER triage. From1st January 2006 to 31st December 2007,
only data for migrant patients were available. From 1st January
2008 to 31st December 2015, datawere available for all consecutive
patients assessed in the ER. An experienced psychiatrist assessed
patients with a clinical interview, including the assessment of sui-
cidal intent, suicidal behaviors and attempts. The psychiatrist filled
in for each patient a data sheet, reporting demographic data and
clinical features. The high frequency of substance use disorders was
higher in themigrant population than in the native one. The request
for psychiatric consultation for self-injury behaviors was more fre-
quent in migrants and also suicide attempts were more common.
Nonetheless, being amigrant was not a predictor of suicide attempt
in our sample.
Several differences were found between migrants and natives in
socio-demographic, clinical and treatment variables. Clinical impli-
cations will be discussed.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0554
Clinical features of ADHD:
An assessment of suicide risk and
substance abuse
G. Giordano ∗, G. Falcone , A. Nardella , D. Erbuto , M. Migliorati ,
M. Innamorati , P. Girardi , M. Pompili
S. Andrea Hospital, NESMOS Department Neurosciences, Mental
Health, and Sensory Organs, Sapienza University of Rome, School of
Medicine and Psychology, Rome, Italy
∗ Corresponding author.
Introduction Several studies show that attention-deficit/
hyperactivity disorder (ADHD) may persist into adulthood,
increasing the risk of antisocial behaviour, drug abuse, psychi-
atric comorbidities, aggressive behaviour, social impairment and
suicide risk.
Objectives Analyze correlations among ADHD, substances abuse,
alcoholism and suicide risk.
Aim The aim of our study is to better understand the clinical
features of ADHD during adulthood.
Methods We analyzed the presence of ADHD symptoms, suicide
risk and levels of hopelessness, alcoholism and substance abuse
in a sample of 50 (40% males) in/outpatients of S. Andrea Hospi-
tal in Rome, between February and May 2016. We administered
the following scales: Adult-Self Report Scale (ASRS), Columbia Sui-
cide Severity Rating Scale (C-SSRS), Beck Hopelessness Scale (BHS),
Michigan AlcoholismScreening Test (MAST), Drug Abuse Screening
Test (DAST).
Results In our sample of 50 adult patients, 20% had ADHD symp-
toms (10 subjects). We found that those with ADHD showed more
frequently death desires (85.7%; 2 = 1.31; P = 0.25) and higher lev-
els of hopelessness (66.7%; 2 = 0.83; P = =0.36) if compared to
subjects without ADHD symptoms (respectively 63% and 45.8%).
In the overall group of ADHD patients, 10% showed severe alco-
holism, 20% ( 2 = 1.39; P = 0.49) had a borderline behavior, whereas
40% presented a substance abuse ( 2 = 1.75; P = 0.18).
Conclusions ADHD may represent a psychiatric disorder with an
increased suicide risk. It would be important to screen for suicidal-
ity and comorbid symptoms routinely in ADHD in order to improve
the treatment of the patients.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0555
Impulsivity as a risk factor for
suicidality in depressed patients
M. Hambrich ∗, B. Nemes , R. Soare , D. Cozman
Iuliu Hatieganu University of Medicine and Pharmacy, Medical
Psychology, Cluj-Napoca, Romania
∗ Corresponding author.
Introduction Suicide behavior is an important and preventable
cause of injury, disability and death in the world, and, at the same
time, a major economic and social burden for modern societies.
The majority of suicide attempts and completions are associated
with psychiatric disorders, especially major depressive episode.
Impulsivity has been associated with suicidality in major depres-
sive disorder patients.
Aim The current study aims to evaluate impulsivity in major
depressive disorder patients with a history of suicide attempts as
compared to major depressive disorder patients without a history
of suicide attempts.
Methods One hundred and twelve patients with major depres-
sive disorder, aged 51.91 ± 10.72 (70% females) were included
through convenient sampling procedure from the patient popu-
lation of the 3rd Psychiatry Clinic of the Cluj County Emergency
Hospital. Impulsivity was assessed through Barratt Impulsiveness
Scale (BIS-11).
Results In total, 27.8% of the patients had a history of sui-
cide attempts. Significant differences between the two groups
were obtained only for the Perseverance subscale of the BIS-11.
(12.7 ±1.8 vs. 7.13 ±2.1, P = 0.005–Mann Whitney U-test).