European Psychiatry - Volume 41 - April 2017

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S450 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S405–S464
Description of clinical case Patient 10-year-old pediatrics sent
from service due to history of frequent admissions for recurrent
abdominal pain. In the bypass request indicate that this is a patient
of perfectionistic traits; detect dysfunctional family dynamics high-
lighting the rivalry in the phratry, andwith an equal difficulty in the
field. From 2010 to 2016, he has made more than 30 visits to hospi-
tal emergency combined intervention of psychiatry and psychology
andmultidisciplinary service available with a pediatric surgery and
pediatrics is performed.
Exploration and complementary tests From 2011 to 2016, it has
made 44 blood tests, sonograms 9 full abdomen, abdominal renal
scintigraphy without significant findings.
Diagnosis F45.5 pain disorder.
Differential diagnosis Symptoms due to a medical condition.
Other symptoms substance-induced mental disorders: non-
specific conversion disorder, pain disorder, hypochondriasis, body
dysmorphic disorder, somatization disorder, simulation, factitious
disorder, medical symptoms. . .
Conclusions Psychosomatic disorders are one of the most
common clinical forms of mental disorders in childhood and
adolescence expression. Knowing the stages of development and
operating characteristics. In clinical practice, mainly in primary
care, tend to find an organic cause somatic complaints in chil-
dren, so prevalence data and/or referral to specialized services vary
depending onmental consulted sources is critical to understand the
pathogenesis of these disorders.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0145
Adolescent type outpatient in an
addictive behavior unit profile – child
and youth
M.D. Ortega Garcia ∗ . Marti Garnica arcia Marin
P. Blanco del Valle omez Martinez A. Lopez Bernal
C. Martinez Martinez
1 CSM Cartagena, Child and Adolescent Mental Health Centre,
Cartagena, Spain
2 CSM Lorca, Psychiatry, Lorca, Spain
3 CSM Soria, Psychiatry, Soria, Spain
4 CSM Leon, Psychiatry, Leon, Spain
5 CSM Cartagena, Psychiatry, Cartagena, Spain
∗ Corresponding author.
Morbidity and mortality during adolescence is primarily the result
of certain risk behaviors. Today, it is observed that early teens con-
tact formwith snuff, alcohol and legal drugs and not many of them
have a high intake of these substances. Habits such as those men-
tioned onmany occasions not only maintained during adolescence,
but the rest of life extend causing major consequences for public
health.
Objectives To know the magnitude and characteristics of the use
of legal drugs (alcohol and snuff) and illegal (marijuana, cocaine,
heroin, inhalants) in the – adolescent/child – population who come
regularly to addictive behavior unit of a rural environment.
Material andmethods Descriptive study of a sample of adolescent
patients (n = 30) who came in the past two years to addictive behav-
ior unit. Data collection of such patients is performed by assessing
sociodemographic characteristics (age, sex, population, education
level. . .), age of onset and type of use of psychoactive substances,
and comorbidity of psychiatric disorders.
Results/conclusions The average age of the adolescent patient is
14.5 years (SD1.09) with an age of onset in the consumption of toxic
13.6 years (SD 1.03). As for sex, 20% were women. The dropout
among adolescents of this sample is 43.3% (SD 1.05). A complete
prevalence ofmarijuana use (100%), andmono-consumers only 10%
was observed. Seventy percent of the sample has associated psy-
chiatric disorders and 46.15% in psychiatric family history there;
38.4% up to legal problems are collected.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0146
Non-suicidal self-injury in
adolescents: A diagnostic and
psychopathological approach. A case
presentation
M.D. Ortega Garcia ∗, V. Marti Garnica , S. Garcia Marin ,
C. Martinez Martinez , R. Gomez Martinez , P. Blanco del Valle
1 CSM Cartagena, Child and Adolescent Mental Health Centre,
Cartagena, Spain
2 CSM Lorca, Psychiatry, Lorca, Spain
3 CSM Leon, Adult Mental Health Centre, Leon, Spain
4 Hospital Center Virgen del Miron, Psychiatry, Soria, Spain
∗ Corresponding author.
Self-injurious behavior is a major public health problem. An
increase in the number of self-injuring adolescents has been
observed since the mid-1960s.
Description of clinical case C. is a 14 teenagerwho comes to amen-
tal health center for the first time a year ago for having numerous
self-injuries in the forearm. She says that she cannot avoid doing so
in moments of anxiety and that, in addition, when she is hurt she
calms down. Throughout the interviews, C. relates that after the
death of her best friend in a traffic accident she is alone and with
episodes of anxiety.
Exploration and complementary tests It is important to analyze
the risk factors of self-injurious behaviors in adolescence such as:
– personal characteristic;
– psychiatric disorders;
– family characteristics;
– mass media.
Diagnosis Depressive episode (F32).
Differential diagnosis In general, self-injury is considered as a
symptomor characteristic of a specific psychiatric disorder. Stereo-
typed self-injury is characteristic of processes of cognitive deficit
of the level of severe and profound mental retardation. Compulsive
self-harm involves symptomatic habits such as severe scratching
of the skin or already differentiated psychiatric entities, such as
trichotillomania, onicofagia or delusional parasitosis . . . Important
psychotic disorder.
Conclusions Following the Task Force’s criteria, in relation to
probably effective therapies, it can be concluded that the therapy
based on mentation for adolescents (MBT-A) is the first effective
treatment for the treatment of self-harm in adolescents.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0147
Must we fear antidepressants in
adolescents?
S. Paulino ∗ Santos , A.C. Almeida
Hospital Santa Maria, Psychiatry Department, Lisboa, Portugal
∗ Corresponding author.
Introduction Epidemiological studies have established that
teenager’s prevalence rates of major depression are significant
(10%). The media has given a good deal of attention to the potential
risks of antidepressants and their connection to increased suicidal-
ity (especially in children and adolescents). These concerns have
had a significant impact on both the prescribing of antidepres-
sants and the parental fears about their use. It is interesting to note