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



Perseverance might be a discriminating element

between patients that eventually commit a suicide attempt and

those that do not.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


Is there a case for using social

outcomes in self-harm research?

P. Huxley

1 ,

, N .




Bangor University, Centre for Mental Health & Society, Bangor,

United Kingdom


Swansea university, Health Science, Swansea, United Kingdom

Corresponding author.


Self-harmis costly to individuals andhealth services

and has high associated risks of further self-harm and completed

suicide. Self-harm presentations to hospitals offer an opportu-

nity to engage patients in interventions to help reduce future

episodes and associated costs. This presentation reviews clinical

trials for self-harm interventions conducted over the past twenty

years in hospital emergency departments (1996–2016) comparing

successful vs. unsuccessful trials (defined by the whole or partial

achievement of trial defined outcomes) in terms of methodology,

type of intervention and type of outcome measure.


Databases were searched using defined keywords.

Randomized trials of adult subjects presenting to emergency

departments were selected.


Twenty-four studies are included in the review. There

was no significant difference between the type of intervention

and “success”, nor were there index/control differences by sam-

ple size and follow-up length. Most trials (79%) used re-admission

to hospital after a further episode as the primary outcome; only

4 (16%) of the studies reported social outcomes. As an example

of social interventions and outcomes, we discuss trial results of a

new social intervention for adults (many of whom do not receive

a (UK-mandated) psychosocial assessment), and who are usually

provided with little/no support after leaving the emergency room.


The findings suggest that the use of repetition and re-

presentation as outcome indicators may bemissing the importance

of social precipitants of self-harm and the need to assess social cir-

cumstances, interventions and outcomes. We discuss findings from

a new social intervention trial, which addresses these limitations.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


The spatial pattern of suicides in


S. Kandrychyn

1 ,

, R. Yury



Republican Clinical Medical Centre, Cardiology, Minsk, Belarus


Grodno State Medical University, Pathological Physiology, Grodno,


Corresponding author.


The regularity in suicide rates in Europe was one

of the essential challenges facing social scholars at the end of XIX



The present study aims to assess the continuation of this

phenomenon in XXI century.


To explore this phenomenon, suicide rates were

obtained from WHO official publications for 1990, 2000, 2010 and

2012 across 41 European nations. In order to examine the regu-

larity of spatial suicide pattern, the data sets were subjected to

Spearman’s rank order correlation analysis.


The suicide rates rank order distribution between Euro-

pean nations in 1990 was associated with suicide rates in 2000,

2010 and 2012 (


s = .91, .81, and .80, respectively,


< .001). The

national suicide death indices show the significant positive corre-

lation over the studied period, what means the definite regularity

of suicide mortality pattern and absence of essential changes or

fluctuations between the regions. The highest indices have the

countries situated on theNorthern and Eastern part of the European

continent (Lithuania, Russia, Belarus andHungary). On the opposite

pole are the nations settled the Mediterranean and British islands.

Thus, the fixed gradient in suicide distribution with the growing to

the north and northeast of European continent is visible. The same

stable vector in suicide spatial distribution is duplicated on the vast

territories on the east part of Europe.


The data presented support the idea that spatial reg-

ularity in suicide distribution in Europe is not generally connected

with social and cultural changes occurred during the centuries.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


Educational programme in primary

care is the basic way of decreasing


N. Kornetov

Siberian State Medical University, Psychiatry, Addiction and

Psychotherapy, Tomsk, Russia


The depressive disorder (DD) is a widespread dis-

ease described to be a severe burden and to have high suicide risk.

Depression is not yet listed in the primary care (PC), Russian specific

educational program.


To create educational Recognition of Depressive dis-

orders Program (REDEP) in order to decrease suicides in Tomsk City

and Tomsk Area (TA).


Educational ProgramWPA/PTD on DD (Russian version)

was used as a basis of REDEP, comparative analysis of mortality

ratio of suicides (MRS) throughout the period of 2004–2015 among

the population of the Russian Federation (RF), Siberian Federal

Region (SFR) and TA, analysis of suicide decrease in Tomsk City.

The Program is based on ideas of collaboration between the Pri-

mary Medical Care institutions and the Service of Mental Health

Care. Depression and its consequences on people and the economy

should be listed as a non-infectious illness.


We conducted a comparative analysis of suicides in RF,

SFR and TA; we also assessed the dynamics of suicides reduction

in TA under the influence of educational program on DD. The most

prominent MRS decline was in TA: from 38.3 to 12.8 (


< 0.03). Dur-

ing 2008–2015, MRS was being held below 10/100,000 in Tomsk



Suicide prevention is possible if persistent and con-

tinual education of doctors in PC is in place. Such specialists are

needed to recognize and manage depression and co-morbid con-

ditions. The Program can be extrapolated to other regions of the

country with high MRS.

Disclosure of interest

The author has not supplied his/her decla-

ration of competing interest.


Psychiatric ward consumption before

suicide: A case-control study

T. Sellin

1 ,

, F. Holländare


, M. Tillfors



University Health Care Research Center, Faculty of Medicine and

Health, Örebro, Sweden