European Psychiatry - Volume 41 - April 2017

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S400 25th European congress of psychiatry / European Psychiatry 41S (2017) S365–S404
EW0852
Mental health profile of suicide
victims in an Irish urban population
G. Udoh
Saint Patrick’s University Hospital, Young Adult, Dublin, Ireland
Objectives To describe demographic and psychiatric characteris-
tics of suicide victim cases.
Method Retrospective, case file psychological autopsy of deaths
registered at the coroner’s court, Dublin. Cases with a verdict of
suicide and open verdicts registered in 2007, 2012 and 2013 were
included.
Results Two hundred and five cases of suicide/open verdictswere
registered the 3-year period. Seventy four percent (n = 152) were
males. Mean age – 42.87 years old (STD = 15.44) with no significant
difference between genders. Sixty-four percent (n = 132) were sin-
gle at the time of death, while 32.2% had children. One hundred
and ninety-eight had a stable accommodation; 37.5% (n = 77) living
alone, and 36.6% (n = 75) actively employed.
One hundred and twelve subjects (54.6%) suffered from mental
illness; 53.6% – affective disorder; 15.2% – alcohol and substance
misuse; 12.5% – psychotic disorder. Seventy-nine (70.5%) were not
in contact with mental health services at the time of death; 32
(28.6%) were attending as outpatients. Illness onset was recorded
for 68.7% cases (n = 77); 35.7% (n = 40) had a length of illness of more
than 5 years. Psychiatric comorbidity was present in 29.5% (n = 33);
54.5% (n = 18) presented also alcohol/substance misuse.
Conclusion Suicide victims were single, middle-aged male, suf-
fered mental health difficulties, most frequently affective disorder.
A small number of subjects an additional comorbid diagnosis. Few
were in contact with outpatient services at the time of death. No
significant differences in demographic characteristics were found
between the group suffering frommental illness and the groupwith
no mental illness.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EW0853
Suicide and drug and alcohol
addiction: Self-destructive
behaviours. An observational study on
clinic hospital population
A. Nardella ∗, G. Falcone , G. Giordano , D. Erbuto ,
M. Migliorati , M. Innamorati , P. Girardi , M. Pompili
1 Psychiatry Residency Training Program, Faculty of Medicine and
Psychology, Sapienza University of Rome, Rome, Italy
2 Faculty of Medicine and Psychology, Sapienza University of Rome,
Department of Neuroscience, Mental Health and Sensory Organs
NESMOS, Rome, Italy
3 European University of Rome, Department of Human Sciences,
Rome, Italy
4 Faculty of Medicine and Psychology, Sapienza University of Rome,
Sant’Andrea Hospital Rome, Department of Neuroscience, Mental
Health and Sensory Organs NESMOS, Rome, Italy
∗ Corresponding author.
Introduction Suicidal behaviour and drug and alcohol depen-
dence represent two different aspects of self-destructive behavior.
Objectives We evaluated the relationship between suicidal
behavior and substance and alcohol addiction. It was investigated
the role of childhood trauma in these self-destructive behaviors and
in the development of the two mental constructions of hopeless-
ness and mentalization.
Aims We also assessed how a high level of hopelessness could
affect suicidal ideation and how low or absent capacity of men-
talization could influence the development of substance and/or
alcohol addiction.
Methods This naturalistic, observational study included 50
patients (mean age = 46.54; S.D = 14.57) recruited from the depart-
ment of psychiatry (n = 18) and the centre for suicide prevention
(n = 32) of Sant’Andrea Hospital (Rome). Different question-
naires were administered to each patient from February to
May 2016.
Results There was not a statistically significant relationship
between suicidal behavior and addict behavior. Childhood trauma
resulted a risk factor for alcohol abuse with a relationship that
tended to significance (P = 0.07). Physical and sexual abuses were
significantly associated with addiction (respectively P = 0.014;
P = 0.033). It was showed a statistically significant interac-
tion between high level of hopelessness and suicidal ideation
(P = 0.037). The absence of mentalizationwas related to the absence
of alcohol abuse (P = 0.061). Finally, trauma experienced dur-
ing childhood was associated with high level of hopelessness
(P = 0.005).
Conclusions Suicidal behavior is influenced indirectly by a
childhood traumatic experience that conditioning the level of hope-
lessness. Childhood trauma affected directly the development of
drug abuse and alcoholism. The capacity of mentalization was not
related with childhood trauma.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0854
Cyberbullying and suicidal ideation:
Relationship with mood states and
consumption of psychoactive
substances
D. Silva , J. Nunes ∗, T. Ferreira , A. Pissarra da Costa
1 Hospital Sousa Martins, Department of Psychiatry and Mental
Health of Sousa Martins Hospital, U.L.S. Guarda, Guarda, Portugal
2 Hospital Prof. Doutor Fernando Fonseca, Amadora, Portugal,
Department of Psychiatry, Lisbon, Portugal
∗ Corresponding author.
Introduction Cyberbullying is an emergent problemassociated to
terrible consequences, especially in young adults.
Objectives To analyse the levels of behaviours of victimization
and aggression of cyberbullying, suicidal ideation, mood states and
consumption of psychoactive substances in a sample of college
students from the University of Beira Interior (UBI), as well as to
analyse the relationship between these variables.
Methods Analytical cross-sectional study that integrates quanti-
tative methodology. Data collection took place via online survey
in the population of students at the UBI (n = 475, 329 females,
mean age 22.2 ±4.1 years). The questionnaire consisted of socio-
demographic, mental health and internet use data and the
Portuguese versions of self-reported scales tomeasuremood states,
consumption of psychoactive substances, the levels of behaviours
of victimization and aggression of cyberbullying and the levels of
suicidal ideation.
Results The levels of aggression of cyberbullying were signifi-
cantly higher inmale students and inusers of social networks. There
was a significant positive correlation between behaviours of vic-
timization and aggression of cyberbullying, and between them and
suicidal ideation and negative affect. The levels of both behaviours
of cyberbullying and suicidal ideation were significantly higher
in students consuming alcohol with drugs, just drugs and seda-
tives. There was a significant positive correlation between suicidal
ideation and negative affect and a significant negative correlation
between suicidal ideation and positive affect.
Conclusions Both behaviours of cyberbullying were significantly
associated with suicidal ideation and negative affect. Thus, stands
out the relevance of an earlier identification of these behaviours
and an adequate intervention by health professionals.