European Psychiatry - Volume 41 - April 2017

573 / 916

25th European Congress of Psychiatry / European Psychiatry 41S (2017) S521–S582 S569
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0506
Prevalence of depression in psychiatry
trainees in 22 countries: Findings
from the international burnout
syndrome study (BoSS)
J.N. Beezhold ∗, D. Durant , A. Ginzler , R. Sherman ,
A. Podlesek , N. Jovanovic
1 Norfolk and Suffolk NHS Foundation Trust, Mental Health Liaison
Service, Norwich, United Kingdom
2 University of East Anglia, Norwich Medical School, Norwich, United
Kingdom
3 University of Ljubljana, Department of Psychology, Ljubljana,
Slovenia
4 London, United Kingdom
∗ Corresponding author.
Aims The Burnout Syndrome Study screened for burnout in psy-
chiatric trainees in 22 countries, along with associated factors.
This paper reports the results of the PHQ-9 depression screen that
formed part of the study.
Background It is well documented that physicians have higher
rates of mental illness compared to the general population. Post-
graduate medical trainees may work long hours and be exposed to
stressful or saddening situations regularly. Their environment and
workload means they may not exhibit appropriate help-seeking
behaviours and be at significant risk of depression.
Methods The study used a cross sectional, multi-country
online survey. Participants were asked to participate via an
email invitation. The participants were asked to complete the
PHQ-9 questionnaire, which is validated as a primary care self-
administered screen for depression. Mixed methodology was used
when recruiting trainees to obtain the most representative sam-
ple possible from each country. Statistical analysis was performed
using SPSS.
Results Complete data was obtained from 1980 trainees with an
average age of 31.9 years and with 2.8 years of training. The preva-
lence of depression in psychiatric trainees varied by country from
50% in Latvia to 7.1% in Belarus. The average rate of depression was
20.8%.
Conclusions Prevalence of depression in the US general popula-
tion is estimated at 6.7%, making the prevalence of depression in
trainees of 20.8% a sign that action needs to be taken to reduce
depression rates in trainees.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0507
Paranoidism and memory deficits:
An epidemiological study
C.M. Calahorro ∗ Guerrero Jiménez . Girela Serrano
J.E. Mu˜noz Negro
1 Hospital Universitario San Cecilio, Unidad de Salud Mental,
Granada, Spain
2 Santa Ana Hospital, Psychiatry, Motril- Granada, Spain
3 Universitary Hospital Complex of Granada, Psychiatry, Granada,
Spain
∗ Corresponding author.
Background The Green et al. Paranoid Thought Scales (GPTS)
was developed to fulfill a need for a tool that was adapted to
the current dimensional definition of paranoia, capable to assess
dimensions of preoccupation, conviction, and distress, valid and
reliable for the assessment of both clinical and healthy popu-
lations, and precise enough to detect subtle clinical change. It
has recently been validated for the Spanish population (S-GPTS)
with very good psychometric properties. Numerous studies sug-
gest that patients with severe psychiatric disorders have impaired
sustained attention and memory. A wide spectrum of executive
deficits have also been described (goal-oriented tasks, recognizing
priority patterns, planning, etc.) Very few studies have attempted
to identify whether these same relationships between neuropsy-
chological deficits and psychotic symptoms also occur in general
population.
Methods This is a cross-sectional study. We undertook a multi-
stage sampling using different standard stratification levels and out
of the 5496 eligible participants finally approached, 4507 (83.7%)
agreed to take part in the study, completed the interview and were
finally included in the study (n = 4507).
Results Individuals with high cut off S-GPTS scores showed
lower scores in working memory subtest verbal statistically sig-
nificant(P > .05). While no significant difference was found among
for immediate verbal learning subtest and high S-GPTS scores
(P > .05654).
Discussion This information can improve the clinician’s under-
standing of patient’s cognitive strength and weaknesses, put
patients’ cognitive abilities into perspective for their diagnosis, and
facilitate multidisciplinary treatment decisions as we improve our
ability to distinguish clinical cases from non-clinical population.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0508
Risk factors of self-injury behavior
among psychiatric inpatients
N. Charfi ∗, S. Hentati , M. Maâlej Bouali , L. Zoauri , N. Zouari ,
J. Ben Thabet , M. Maâlej
Hedi Chaker University Hospital, Psychiatry “C” department, Sfax,
Tunisia
∗ Corresponding author.
Background Self-injury behavior among mental patients has
been recognized for several years, yet our understanding of its
mechanisms and its risk factors remains limited.
Objectives This study aimed to assess the prevalence of deliberate
self-harm (DSH) among psychiatric inpatients and to identify its
association with personal and clinical factors.
Methods It was a descriptive and analytic study. It included 87
psychiatric inpatients followed in the psychiatry department “C”
at the Hedi Chaker University Hospital of Sfax in Tunisia. Barratt
Impulsivity Scale (Bis11) and the 28-items Childhood TraumaQues-
tionnaire (CTQ) were used to assess respectively impulsivity and
child maltreatment.
Results The average age of patients was 29.32 ± 8 years. Most of
them were male (75%) and single. Fifty-nine percent of patients
had previously attempted suicide. A history of DSH was found in
60.9% of cases. The most frequent trauma types were emotional
abuse and physical neglect with respectively 58.7% and 69.8%. Fac-
tors positively correlated with DSH were: male gender (P = 0.026),
father alcoholism (P = 0.024), history of suicide attempts (P = 0.017),
borderline personality (P = 0.00) and history of emotional abuse
(P = 0.008) or physical abuse (P = 0.04) or neglect (P = 0.004).
Score “Bis11” was significantly correlated with suicide attempts
(P = 0.00) and presence of childhood abuse (P = 0.00) or neglect
(P = 0.01).
Conclusion DSH seems to be a prevalent problem among psychi-
atric inpatients. It concerns mainly patients with a history of child
abuse and impulsive behavior such as suicidal attempts underly-
ing borderline personality disorder. Patients with these risk factors
warrant specific attention in mental health services.