European Psychiatry - Volume 41 - April 2017

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25th European congress of psychiatry / European Psychiatry 41S (2017) S365–S404 S399
[2] Liu RT, Miller I. Life events and suicidal ideation and behavior:
a systematic review. Clin Psychol Rev 2014;34(3):181–92.
EW0849
Predictors of a suicidal behavior in
patients with dementia
N. Maruta ∗ udrenko
1 “Institute of Neurology, Psychiatry and Narcology of National
Academy of Medical Science of Ukraine” SI, Borderline Pathology,
Kharkiv, Ukraine
2 Sumy State University, Medical Institute of the Sumy State
University, Department of Neurosurgery and Neurology, Sumy,
Ukraine
∗ Corresponding author.
Introduction Cognitive disorders are associated with a wide
range of psychopathological syndromes and behavioral disorders,
and suicidal manifestations in dementia are understudied nowa-
days.
Objectives To investigate clinical-psychopathological predictors
of a suicidal behavior in patients with dementia.
Methodology Forty-four patients with dementia were examined:
23 patients with suicidal manifestations and 21 patients without
them (control group). Clinical and psychometrical methods were
used: Mini Mental State Examination (MMSE) scale; Assessment of
Suicide Risk scale; Hamilton Rating Scale for Depression (HDRS),
and statistical ones.
Results It was determined that male patients with dementia had
suicidal behavioral manifestations more often than female patients
(69.6%; P< 0.05). An average age of the patients was 69.88 ±1.85
years with no significant difference between the main and control
groups.
The majority of the patients with dementia (52.3%) had suicidal
manifestations. Real suicidal intentions were the most frequent
(25%; P < 0.05); 20.5% of patients expressed passive thoughts (anti-
vital sentences, fantasies, ideas concerning death); 2 patients
(6.82%; P < 0.05) had suicidal attempts. Patients with suicidal ten-
dencies in their clinical picture more often had hallucinatory syn-
drome (39.1%; P < 0.05); features of severe depression (35.04 ±1.54
points; P < 0.01); a high level of suicidal risk (26.34± 1.68 points;
P < 0.01); a severe cognitive deficit (ММ SE score 0–10); and a signif-
icantly lower level of self-awareness of death (18.53 ± 0.72 points;
P < 0.05) in comparison with the control group.
Conclusions A high suicide risk in dementia correlated with a
level of depressive symptoms (r = 0.6), moderate and/or severe
grades of dementia (r= 0.45), and a low level of self-awareness of
death (r = 0.35).
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0850
The burden of attempted suicide: The
attitude of emergency services
workers
G. Cuoghi , M. Venuta , G. Mattei ∗, A. Sacchetti , S. Ferrari
1 Villa Rosa, Modena, Italy
2 University of Modena and Reggio Emilia, Clinical, Diagnostic and
Public Health Medicine, Modena, Italy
3 Association for Research in Psychiatry, Association for Research in
Psychiatry, Castelnuovo Rangone, Italy
∗ Corresponding author.
Introduction The great global burden of suicide requires specific
preventive strategies focused on emergency services (ES) workers,
providing first aid after attempted suicide.
Objectives To investigate the approach of ES workers toward
attempted suicides, and to assess work-related stress and team-
work attitude as variables likely to influence suicide risk
perception.
Methods A total of 265 ES workers (73 medical doctors, 130
nurses, 62 health and social care workers) from 3 hospitals in the
area of Modena (Northern Italy) were involved. In a group set-
ting, titles from local newspapers reporting about suicides were
read, and ES workers were asked to fill in 3 psychometric scale
questionnaires (SUIATT, MBI and SAQ).
Results The questionnaires returned were 88 (33%), 47% (n = 42)
were filled by women, median age was 40 years. Doctors group had
the highest response rate (60%). Burnout levels were intermediate
at the Emotional Exhaustion subscale, severe at the Deperson-
alization subscale and mild at the Professional Efficacy subscale.
Eighteen percent recorded a good team perception, 33% had a good
perception of their work conditions. SUIATT subscales showed a
restrictive attitude toward suicide, regardless of hospital and task.
Discussion No associations emerged among SUIATT, MBI and SAQ
subscales; male sex alone correlated to the SUIATT factor “ratio-
nality/mental alteration”, suggesting more “tolerance” of suicidal
behaviour.
Conclusions It is crucial to raise awareness among ES workers
on this issue, since those workers considering suicide as “more
acceptable” are more likely to recognise its signs.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0851
Attempted suicide: Study of the
phenomenon in a sample of patients
in the province of Modena
L. Bisi , M. Bolondi , G. Mattei ∗ acchetti , S. Ferrari
University of Modena and Reggio Emilia, Diagnostic, Clinical
Medicine and Public Health, Modena, Italy
∗ Corresponding author.
Introduction Attempted suicide consists in a self-damaging non-
fatal behaviour, with an explicit or implicit evidence of the intent
to die. It has a multifactorial aetiology: presence of psychiatric
disorder, particularly major depression and other non-psychiatric
components, like a series of stressful events.
Aim To describe suicidal behavior among patients who
attempted suicide.
Methods Cross-sectional study. Patients admitted to three hospi-
tals in the Province ofModena (Italy) after having attempted suicide
were enrolled. Observation time: August 2015–August 2016 (13
months). Descriptive statistics made with STATA 13.0.
Results A total of 187 subjects (female 65%) were enrolled in the
period of time considered. Forty-one percent were aged 45–64;
43.7% had higher education; 50.4% were unemployed; 49.6% had
regular income. Common means to attempt suicide were drugs
(64%), weapons (11%), precipitation (10%), other (6%), choking (4%).
Recent stressful events were reported by the 83.4% of respondents,
namely: family conflicts (29%), economic problems (17%), personal
health problems (11%), health problems affecting a family member
(5%), emotional separation (9%), job loss (7%), other (22%), alcohol
abuse (27%), substance abuse (4%). The main psychiatric diagnoses
were: depressive disorder (56.67%), personality disorder (20%),
psychotic disorder (6.67%), bipolar disorder (5.33%), behavioural
disorders (2.67%), anxiety disorders (2%), dementia (1.33%).
Conclusions Findings of the present study are consistent with
available literature and could help to identify “high risk” groups
to plan future targeted programmes.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.