European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S465–S520 S479
disorders, length of hospitalisation could be biased by the require-
ments of assurance company.
Conclusions The risk of admission is higher at younger age in
patients with MDD associated with PD then in MDD alone. The
risk of suicide attempts is significantly higher in group of MDD
associated with PD.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0231
Cancer and serious mental illness: A
qualitative exploration–findings
J. Millman ∗, K. Galway , O. Santin , J. Reid
Queen’s university Belfast, school of nursing and midwifery, Belfast,
United Kingdom
∗ Corresponding author.
Introduction Serious mental illness (SMI) is associated with
poorer cancer outcomes. Reasons for such inequalities are unclear;
those with this comorbidity receive fewer specialist interventions
and die earlier than the general population. Further exploratory
work is required.
Objectives Exploring the experience of SMI and cancer from the
perspective of those affected by this comorbidity and those caring
for them professionally or informally.
Methods Semi-structured interviews were conducted with ‘key
patients’ living with SMI who had received a cancer diagnosis
(n = 7), significant others who had supported key patients (n = 4)
and healthcare professionals who had worked with at least one
KP (n = 17). A panel of patients and professionals ratified interview
guides. Interviews were analysed thematically.
Results Mental health professionals were more confident in their
knowledge of the needs of this population than oncology profes-
sionals, but were challenged by working with patients with major
physical health needs. Key patients’ mental health appeared to
remain stable after cancer diagnosis, and they expressed altruism
towards others with comorbid cancer and SMI. Significant others
and healthcare professionals were more likely to critique systemic
aspects of care than were key patients.
Conclusions Professionals feel challenged when working out-
side of their usual job role. Training needs include mental illness
awareness in an oncology setting. Improved coordination and com-
munication is required, encompassing significant others as well
as professional groups. SMI may protect against the psychologi-
cal impact of cancer. Key patients were keen to provide advice and
support to others in similar situations. Further research is needed
into these areas.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0232
VTE and physical health assessment
upon admission to acute functional
and organic psychiatric in-patient
wards: An audit
N. Mistry ∗ Sikka
1 Macclesfield District general hospital, psychiatry, Manchester,
United Kingdom
2 Pennine Care, psychiatry, Manchester, United Kingdom
∗ Corresponding author.
Introduction Venous thromboembolism (VTE) is a condition that
causes a blood clot to form within the venous blood system. If this
blood clot forms in the peripheral venous system it can cause symp-
toms such as calf pain and swelling. If this clot becomes dislodged,
it may travel through the vessels into the pulmonary artery which
can have much more severe consequences.
Objectives There has been a great deal of effort in recent years to
increase the percentage of in-patients receiving a VTE assessment;
and for those patients to receive appropriate VTE prophylaxis. VTE
is a significant cause of inpatient deaths. This audit aims to compare
current working practice to local standards and identify learning
points.
Methods VTE and physical health assessment data was collected
by checking electronic admission summaries from three acute psy-
chiatric in-patient wards on a random date in 2016. The local
pathway for the management of physical health and wellbeing
states that the VTE assessment and Physical Health Assessment
should be completed within 6 hours of admission. NICE guidelines
also state that all patients should be assessed on admission, with a
standard of 100%.
Results 60% of patients had a VTE assessment and 54% of patients
had a physical health assessment done within 6 hours of admission.
Conclusions This audit shows that the necessary standards are
not met. Importance of these assessments has been communicated
during induction programmes for all staff.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0233
Aspects of the psychological
consequences of cannabis use
L. Montes Reula∗, A. Portilla Fernández , H. Saiz García
Biomedical research center CIB, psychiatric, Pamplona, Spain
∗ Corresponding author.
Cannabis is seen among general population as an “anti-depressive
drug”. Many papers have been published in the field of investi-
gation about the relationship between cannabis use and affective
disorders. We pretend to find the aspect of the psychological con-
sequences of cannabis use.
Methods Using Pubmed and PsychInfo, we conducted a narrative
review of the literature on cannabis and psychiatric comorbidity
using the keywords cannabis, psychosis, mood, depression, mania,
bipolar, and anxiety.
Results There is substantial evidence of an association between
cannabis use and psychosis. A few reports suggest an association
with bipolar disorder while the association with depression and
anxiety disorders is mixed.
Conclusions The present review confirms earlier findings of an
association between cannabis use and a lower age at onset. Data
shows that cannabis use, beginning in the adolescence and with
a frequency higher than once a week, correlates with the devel-
opment in adult age of affective symptoms and/or disorder, mainly
in bipolar disorder, with a moderate relation with Depressive spec-
trum. Evenmore, some authors hypothesize that cannabismay play
a role in the development of the disorder, that to say, affective dis-
order would not appear in the absence of cannabis use. The current
findings suggest that recent cannabis use is associated with a more
severe course of illness in the early phase of BD I.
Recent cannabis use was also associated with more lifetime suicide
attempts.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.