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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S303–S364


depression-dimension the BDI-II items pessimism, past failure,

guilt feelings, punishment feelings and suicidal thoughtswere posi-

tively related to the MRS-quantity.

Discussion and conclusion

A dose-response-relationship was

found, with a higher number of MRS being related to a higher seve-

rity level of self-reported depressiveness as well as to a higher level

of cognitive depression-symptoms in particular. The increase in

suicidal ideations in the light of MRS-exposure is in line with fin-

dings from other migrant populations. Therapeutic interventions

may focus (more) on depressive cognitions as a result of recurring

MRS-experiences. Special attention should be placed on suicidal

thoughts being boosted by MRS.


Migration related stressors; Depression; BDI-II;

Vietnamese migrants; Suicidality

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


Impact of socioeconomic position and

distance on mental health care

utilization by incident users of

antidepressants. A Danish nationwide

follow-up study

A. Packness

1 ,

, F. Waldorff


, L. Hastrup


, E. Simonsen



M. Vestergaard


, A. Halling



Research unit of general practice, department of public health,

Odense, Denmark


Psychiatric research unit, region of Zaeland, Slagelse, Denmark


Institute of general medical practice, department of public health,

Aarhus, Denmark


Center for primary care research, health, Lund, Sweden

Corresponding author.


Equal access to health care treatment is a highly

prioritized goal in most OECD countries. Timely access has become

a priority too; in Denmark now with a 4-week deadline from

referral to diagnosis. When mental health services become more

centralized and allocation of patients to treatment further away

from home become more common, it could have a negative impact

on the goal of equal access.


To determine the impact of socioeconomic position

(SEP) and distance to provider on outpatient mental health care

utilization among incident users of antidepressants.


A nationwide, Danish, register based, follow-up study on

frequencies of contacts to out-patient psychiatric services, psycho-

logist consultations supported by public funding and therapeutic

talks by general practice.

Preliminary results

Outpatient-psychiatric services were reached

more often by patients in low SEP measured by income, but their

frequencies of visits were less. Contacts to psychologists were less

than half for patients in low SEP and less frequent too. Mental

health service by GP showed low SEP associated with low contact.

No difference in use of emergency or inpatient psychiatric services

was found. Distance to provider showed interaction with SEP and

contact to psychologist and frequencies of contact to outpatient

psychiatrists. When distance increased by 5 km, contact to psycho-

logist fell by 11% among lowest income group and frequencies of

visits to outpatient psychiatrist fell by 5%.

Preliminary conclusion

Lower SEP is associated with lower men-

tal health care utilization. Increased distance to provider increases

inequity in mental health service utilization.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


Prevalence and associated risk factors

of psychotic symptoms in homeless

people in France

A. Tortelli

1 ,

, F. Perquier


, V. Le Masson


, D. Sauze


, N. Skurnik



R.M. Murray



EPS Maison-Blanche, psychiatrie, Paris, France


Paris hospital group, psychiatry and neurosciences, épidémiologie,

Paris, France


Paris hospital group, psychiatry and neurosciences, information

médicale, Paris, France


EPS Maison-Blanche, laboratoire de recherche, Paris, France


King’s college, institute of psychiatry, London, United Kingdom

Corresponding author.


Homeless people aremore likely to have higher pre-

valence of psychotic disorders than general population. However,

we know less about the prevalence of psychotic symptoms in this



To estimate the lifetime and current prevalence of

psychotic symptoms and their correlates among homeless people

living in the Paris metropolitan area.


We analysed data from 839 homeless randomly selec-

ted for the “Samenta” survey that studied mental health and

addiction problems in this population. The mini-international neu-

ropsychiatric interview was used to assess psychotic symptoms.

Separate multivariate logistic regression analyses were conducted

to estimate the associations of sociodemographic characteris-

tics (age, gender, education level and migrant status), early life

experiences (sexual abuse, physical and psychological violence,

substance use) and psychiatric disorders.


The lifetime prevalence of psychotic symptoms was

35.4% (95% CI = 28.1–43.5) and the prevalence of current symp-

toms was 14,0% (95% CI = 9,8–19,6) with no significant difference

between migrant and native groups, after exclusion of subjects

with a diagnosis of psychotic disorder (n = 145). In multi-adjusted

models, childhood sexual abuse was associated with an increased

risk of lifetime or current psychotic symptoms (OR > 4,


< 0.05).

Early life psychological violence was strongly associated with the

risk of lifetime psychotic symptoms in natives (OR = 6.33; 95%

CI = 2.10–19.0), whereas alcohol misuse in adolescence was related

to lifetime or current psychotic symptoms in migrants (OR = 3.34;

95% CI = 1.20–9.37).


Homeless people are at higher risk of psychotic symp-

toms compared to the general population in France. Our findings

are consistent with the hypothesis that childhood abuse is an

important risk factor of the psychosis continuum.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


The Italian admission experience

survey: A factor analytic study on a

sample of 156 acutely hospitalized

psychiatric patients

F. Trobia

1 ,

, G. Mandarelli


, L. Tarsitani


, E. De Pisa



M. Pompili


, P. Girardi


, M. Biondi


, S. Ferracuti



Psychiatry residency training program, faculty of medicine and

psychology, Sapienza university of Rome, NESMOS neurosciences,

mental health and sensory organs, unit of psychiatry, Sant’Andrea

hospital of Rome, Rome, Italy


Department of neurology and psychiatry, Sapienza university of

Rome, Rome, Italy

Corresponding author.


The admission experience survey (AES) is a

reliable tool for measuring perceived coercion in mental hospital