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


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.


Socio-demographic and clinical

features of patients referred to

emergency room psychiatric

consultation between 2006 and 2015.

A comparison between migrants and


E. Gambaro

1 ,

, C. Vecchi


, C. Gramaglia


, F. Bert


, C. Delicato



G. Avanzi


, L.M. Castello


, P. Zeppegno



University of Piemonte Orientale, Department of Traslational

Medicine, Novara, Italy


Università degli Studi di Torino, Department of Public Health and

Paediatric Sciences, Torino, Italy


Università del Piemonte Orientale, AOU Maggiore della Carità,

Emergency Medicine, Department of Translational Medicine, Novara,



University of Piemonte Orientale, SC Psichiatria, Department of

Traslational Medicine-AOU Maggiore della Carità di Novara Novara,


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.


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.


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.


Analyze correlations among ADHD, substances abuse,

alcoholism and suicide risk.


The aim of our study is to better understand the clinical

features of ADHD during adulthood.


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).


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%;


= 1.31;


= 0.25) and higher lev-

els of hopelessness (66.7%;


= 0.83;


= =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% (


= 1.39;


= 0.49) had a borderline behavior, whereas

40% presented a substance abuse (


= 1.75;


= 0.18).


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.


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.


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.


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.


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).


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.



1.8 vs. 7.13




= 0.005–Mann Whitney