European Psychiatry - Volume 41 - April 2017

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S476 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S465–S520
ularly ADHD, depression and eating disorder were higher in the
ADHD group (P < 0.05).
Conclusion Our results demonstrate that ADHD is prevalent
among university students with high co-morbidity. Hence peo-
ple with ADHD need comprehensive and lifelong assessment and
management of their symptoms and needs.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0224
Patients with mood disorders and
chronic coronary artery disease
receiving conservative therapy have a
higher risk of death during affective
episode
E.V. Lebedeva ∗, E.D. Schastnyy , G.G. Simutkin ,
T.N. Sergienko , T.G. Nonka , A.N. Repin
1 Mental health research institute- Tomsk national research medical
center- Russian academy of sciences, affective states department,
Tomsk, Russia
2 cardiology research institute- Tomsk national research medical
center- Russian academy of sciences, department of rehabilitation of
patients with cardiovascular diseases, Tomsk, Russia
∗ Corresponding author.
The contribution of comorbid with coronary artery disease (CAD)
mood disorders (MD) into total mortality is contradictory.
Objective To study frequency and time until death due to general
causes in groups of patients with comorbid MD, and without them
as well as interrelationship of these indicators with comorbid MD
and therapy with antidepressants.
Methods Inpatients with chronic CAD (n = 333) under con-
servative therapy were investigated (31% females (n = 103),
69% males (n = 230), mean age 61.8 ± 9.8 years). Team of car-
diologists and psychiatrists followed up patients for 7 years
(2008–2014). Survival frequency was evaluated by method of life
tables.
Results Among patients under conservative therapy of CAD the
death frequency due to general causes did not differ significantly
in presence (n = 80) and absence of MD (n = 253) and was 18.8%
and 16.6%, respectively. Correlation of deaths with hypomanic and
mixed episodes was revealed (rs = 0.3). The groups differed accord-
ing to function of immediate risks: patients with MD were at high
risk of death during the year after detection of affective symptoms,
and in group without MD it increased over the time of observation
(Р = 0.0000).
Duration of antidepressant therapy was 5.5 ± 0.5months. Among
patients receiving antidepressants ( n = 20), during therapy and
after one month after discontinuation there were not deaths. Dif-
ference of function of immediate risks in these subgroups was not
significant (Р = 0.09).
Conclusions Patients with affective disorders and chronic CAD
under conservative therapy are at high risk of deathwithin affective
episode and therapy with antidepressants did not influence change
of risk of death.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0225
Tobacco treatment of indigent
patients alcoholics rehabilitation in
the Association Rauxa
M.L. Marín Puig , Dra. ML. Marín , D. Rodríguez , JM. Calvo ,
MJ. Acero
Associació Rauxa, directora medica, Barcelona, Spain
∗ Corresponding author.
Introduction Smoking is the leading preventable cause of mor-
bidity and mortality in the world and the leading cause of death
in alcoholics. The prevalence of smoking among alcohol addicts is
very high as among homeless people. Both groups have a higher
risk of smoking-related illnesses. It seems that quitting smoking
increases the rate of alcohol abstinence. It is therefore crucial to
perform treatment of tobacco dependence among this population.
Material and method Population: homeless alcoholic patients in
treatment at the Association Rauxa with dependence criteria DSM-
IV-TR and DSM-V, male, over 18 years. Anamnesis, examination,
analysis, chest X-ray, addictive history is practiced. Patients are
encouraged to start smoking treatment. Once the decision is made.
Tests: motivation, Fagerstrom, fasting weight; weekly and random
monitoring of CO in exhaled air. Treatment with decreasing nico-
tine patches. Weekly smoking therapies. Withdrawal symptoms
and relapse, timely or complete, if it occurs, are evaluated. Treat-
ment ends in one year without relapse.
Results n = 237(2006:n = 19; 2007:n = 26; 2008:n = 24;
2009:n = 33; 2010:n = 31; 2011:n = 25; 2012:n = 33; 2013:n = 25 y
2014:n = 21)
Get high on2006:10/19 (53%); :13/24
(54%); 2009:9/33 (27%); 2010:6/31 (19%); 2011:2/25 (8%);
2012:8/33(24%); 2013:9/25 (36%); 2014:11/21 (52%). In 9 years,
82/237 (35%) finishes treatment without relapse.
Discussion A percentage of 35% is obtained discharge. Different
parameters-relapse are correlated to see predictors of relapse.
No correlation is found statistically significant.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0226
Interdisciplinary approach in patients
with severe mental disorders
V. Martí Garnica ∗, M.D. Ortega Garcia , M.A. Lopez Bernal ,
J.R. Russo De leon , S. Marin Garcia
1 Servico murciano de salud, csm San Andrés, Murcia, Spain
2 Servicio murciano de salud, csm Cartagena, Murcia, Spain
3 Servicio murciano de salud, hospital Reina Sofia, Murcia, Spain
4 Servicio murciano de slaud, csm Lorca, Murcia, Spain
∗ Corresponding author.
Through the analysis of a case report to analyse the importance
of the interdisciplinary approach in people suffering from severe
mental disorders for management of an outpatient.
The diagnosis was clear, I wanted to rule out organic pathology
was added due to the irregularity in the outpatient monitoring and
control (F20. Paranoid schizophrenia)
Community intervention with people suffering from severe mental
disorders has some peculiarities. The “in vivo” treatment requires
the establishment of the frame, in a space that is constantly chang-
ing. It consists of the setting-up of a new working area. Social and
community intervention is inter-institutional; include movement
between different institutions (health, socio-economic and com-
munity). In this new changeable and dynamic, “working area”, the
professional is of professional is essential using clinical strategies
and social and community coordinating. It is important to high-
light the role of community treatment for severe mental disorder.
Thus developing social skills is as necessary and also combats social
stigma and prejudice to achieve a social integration in community.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.