European Psychiatry - Volume 41 - April 2017

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S402 25th European congress of psychiatry / European Psychiatry 41S (2017) S365–S404
EW0858
Neurocognitive functions in inpatient
suicide attempters and
non-attempters: A comparison
R.P. Sant’Angelo ∗, F. Ambrosini , M. Pacetti , R. Raggini ,
G. Piraccini
1 S.P.D.C., Ospedale Bufalini, Cesena, Italy
2 Dipartimento di Psicologia, Università di Bologna, Bologna, Italy
3 C.S.M. di Forlì, AUSL ROMAGNA, Forli, Italy
∗ Corresponding author.
Introduction According to many studies, suicide attempters,
compared to healthy general population, exhibit some neurocog-
nitive deficits, which are considered promising endophenotype
of suicidal behavior disorder. A similar pattern of impair-
ment is widespread in individuals affected by psychiatric
disorders.
Objectives To compare neurocognitive functions of hospitalized
suicide attempters (A) with those of an inpatient group without
history of suicidal behavior (NA), likewise affected by psychiatric
disorders.
Aims The purpose of the study is to evaluate if neurocognitive
impairment is associated to suicidal behaviors, regardless of under-
lying psychiatric diagnosis.
Methods The whole sample is composed of 70 adult psychiatric
inpatients (34 males, 36 females), divided into two groups (A and
NA) of 35 patients with diagnosis of Psychotic, affective and per-
sonality disorders. Neurocognitive functions were assessed using
Tower of London Test (TOL), Modified Wisconsin Card Sorting Test
(MCST), Stroop Test (ST) and Attentional Matrices (AM). Differ-
ences between A and NA groups were analyzed using U-test of
Mann–Whitney and cross tabulations, taking into account the three
diagnostic areas.
Results Statistically significant differences were found between
A and NA with regard to the ability of categorization (MCST),
planning, problem solving and inhibition of automatic response
(TOL), which proved to be more preserved in A individuals. No
significant differences were found on selective attention tasks
(ST and AM).
Conclusions These preliminary findings show statistically sig-
nificant differences on executive functions between suicide
attempters and psychiatric non-attempter individuals. Further
research on larger samples is needed to investigate these associ-
ations.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0859
Zero suicide southwest UK
initiative – Steps to mitigate suicide
risk in local populations using quality
improvement methodology and a
whole life approach
R. Shankar ∗, E. Wilkinson , S. Roberts , O. Rebecca
1 Cornwall Foundation NHS Trust, ID Neuropsychiatry, Truro, United
Kingdom
2 Cornwall Foundation NHS Trust, Psychiatry, Truro, United Kingdom
3 Cornwall Council, Public Health, Truro, United Kingdom
4 Kernow Clinical Commissioning, Mental Health, St Austell, United
Kingdom
∗ Corresponding author.
Background Only 25% of people who die by suicide see mental
health services. Suicide is not just a health issue. Its causation and
consequences lie within all of society. Many erroneously believe
that suicide is inevitable and not preventable, because its cau-
sation is too complex. Underlying associations with suicide are
largely social. There are programmes in the USA, which have com-
bined interventions to reduce suicides. The 2014 UK suicide rate
per 100,000 was 10.8 but 11.1 in South West (SW) England (pop: 5
million). A whole system approach is necessary. Zero Suicides SW
is a project to address this.
Aim (1) To develop a regional strategy to reduce and prevent sui-
cide. (2) To make whole populations suicide risk aware. (3) Reduce
regional suicide rates.
Method A collaborative involving national and local 60 organ-
isations including charities and voluntary sector was formed.
Five collaborative meetings used narratives of suicide survivors,
national experts led themed workshops, etc. to come up with a
regional strategy. Quality Improvement (QI)Methodologywas used
to develop and examine the success of all projects.
Outputs Initiatives such as using local radio stations for mental
health promotion, collaboration via a poster campaign with local
breweries and pubs to make men more self-aware of risk, suicide
risk counselling for relatives/carers of patients admitted to psychi-
atric care, improving scrutiny to access to medication for recently
discharged psychiatric patients have developed from the project.
The QI model demonstrated how localised changes at person and
organisation level could combine and have a powerful role in sui-
cide prevention.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW0860
Suicide risk assessment in the elderly
N. Smaoui , I. Baati , T. Dorsaf , S. Mkaouar , I. Abida ,
J. Masmoudi∗
Hédi Chaker University Hospital, Psychiatry A, Sfax, Tunisia
∗ Corresponding author.
Objectives To assess suicide risk in elderly psychiatric outpatients
and to identify potential suicide risk factors in this population.
Methods This was a cross-sectional, descriptive and analytical
study, including 50 psychiatric outpatients, aged 65 years or more
and attending theHédi Chaker UniversityHospital, in Sfax (Tunisia),
between November and December 2015. We used a hetero ques-
tionnaire including epidemiological and clinical data and three
scales: the Suicidal Risk Assessment Scale of Ducher (RSD), the Hos-
pital Anxiety and Depression Scale (HADS) and the Mini Mental
State Examination (MMSE).
Results The sex ratio (M/F) was 1. The average age of patients was
68.62 years. Themajority of themweremarried (68%), unemployed
(98%), living in urban area (58%) and within their family (88%); they
had at most a primary degree (80%) and a low socioeconomic level
(74%).
The prevalence of patients at risk of suicide (RSD≥ 3) was 26%. This
risk was high (RSD ≥ 7) in 18% of cases.
The presence of suicidal ideation (RSD ≥ 3) was correlated with:
a family history of suicide attempt (58.3% vs. 15.8%; P = 0.003),
a personal history of suicide attempt (80% vs. 12.5%; P < 0.001),
depressive symptoms (HAD-D ≥ 11) (36.7% vs. 10%; P = 0.05) and
anxiety (HAD-A ≥ 11) (52.4% vs. 6.9%; P = 0.001).
Conclusion Our study showed that among older psychiatric
outpatients, one in four had suicidal thoughts. This high rate
encourages us to search systematically these suicidal thoughts in
this population, especially in patients with risk factors such as a
family history of suicide attempt, depressive or anxious symptoms.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.