European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S303–S364 S341
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.
Keywords Migration related stressors; Depression; BDI-II;
Vietnamese migrants; Suicidality
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0688
Impact of socioeconomic position and
distance on mental health care
utilization by incident users of
antidepressants. A Danish nationwide
follow-up study
A. Packness ∗, F. Waldorff , L. Hastrup , E. Simonsen ,
M. Vestergaard , A. Halling
1 Research unit of general practice, department of public health,
Odense, Denmark
2 Psychiatric research unit, region of Zaeland, Slagelse, Denmark
3 Institute of general medical practice, department of public health,
Aarhus, Denmark
4 Center for primary care research, health, Lund, Sweden
∗ Corresponding author.
Introduction 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.
Objective To determine the impact of socioeconomic position
(SEP) and distance to provider on outpatient mental health care
utilization among incident users of antidepressants.
Method 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.
EW0689
Prevalence and associated risk factors
of psychotic symptoms in homeless
people in France
A. Tortelli ∗, F. Perquier , V. Le Masson , D. Sauze , N. Skurnik ,
R.M. Murray
1 EPS Maison-Blanche, psychiatrie, Paris, France
2 Paris hospital group, psychiatry and neurosciences, épidémiologie,
Paris, France
3 Paris hospital group, psychiatry and neurosciences, information
médicale, Paris, France
4 EPS Maison-Blanche, laboratoire de recherche, Paris, France
5 King’s college, institute of psychiatry, London, United Kingdom
∗ Corresponding author.
Introduction 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
group.
Objectives To estimate the lifetime and current prevalence of
psychotic symptoms and their correlates among homeless people
living in the Paris metropolitan area.
Methods 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.
Results 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, P < 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).
Conclusion 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.
EW0690
The Italian admission experience
survey: A factor analytic study on a
sample of 156 acutely hospitalized
psychiatric patients
F. Trobia ∗, G. Mandarelli , L. Tarsitani , E. De Pisa ,
M. Pompili , P. Girardi , M. Biondi , S. Ferracuti
1 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
2 Department of neurology and psychiatry, Sapienza university of
Rome, Rome, Italy
∗ Corresponding author.
Introduction The admission experience survey (AES) is a
reliable tool for measuring perceived coercion in mental hospital