European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S521–S582 S577
be developed with respect to sensitivity to detect signs of depres-
sion among long-term unemployed.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0530
Who’s lost in waiting?
P. Ossola Jovanovic McColl Giordano
C. Johnston Webbe Steel Ramjaun Andlauer ∗
1 University of Parma, Psychiatry Unit- Department of Neuroscience,
Parma, Italy
2 East London NHS Foundation Trust, Early Intervention City and
Hackney, London, United Kingdom
3 Queen Mary University of London, The Barts and London School of
Medicine and Dentistry, London, United Kingdom
∗ Corresponding author.
Introduction Early intervention services (EIS) can significantly
reduce the rate of relapse, risk of suicide and number of hospital
admissions for people with first episode of psychosis (FEP). How-
ever, care pathways in FEP can be complex, thus extending the
period before patients commence appropriate treatment. Recently
in the UK, guidelines have set a limit of two-weeks before patients
with a FEP receive treatment at EIS.
Objectives We explored the impact of this newpolicy on referrals
to an EIS in the area City and Hackney, London, which has one of
the highest incidence of psychosis in the UK.
Methods Referrals from 6months of 2015 have been compared
with the data from the same period of 2016, once the waiting
standard had been implemented.
Results We observed more than a two-fold increase in the
monthly number of referrals (9.4 in 2015; 20 in 2016) and this
wasn’t due to a rise of inappropriate referrals (2.23% in 2015; 1.53%
in 2016). Moreover the number of referrals doubled further when,
in addition, the City & Hackney EIS went from a 18–35-year-service
to an “ageless” adult service.
Conclusion The recent focus on FEP in the UK might have
increased awareness and reduced stigma, leading to the increment
in referrals. Also, shortening the waiting time made the service
more accessible for those that would have gave up in front of a
longer waiting list. Interestingly enough a peak in the number of
referrals has been observed from September 2016 when another
standard was implemented.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0531
Social stigma in severe mental illness
in Tunisia: Clinical and
socio-demographic correlates
U. Ouali∗, R. Jomli , R. Nefzi , H. Ouertani , F. Nacef
Razi Hospital, Psychiatry A, Mannouba, Tunisia
∗ Corresponding author.
Introduction Mental patients generally internalize some of the
negative conceptions about how most people view them: they
might be considered incompetent or untrustworthy or believe that
people would not want to hire, or marry someone with mental ill-
ness. A lot of research on stigma has been conducted in western
countries; however, little is still known on the situation in Arab-
Muslim societies.
Objectives To evaluate social stigma as viewed by patients suf-
fering from severe mental illness (SMI)
Methods This is a cross-sectional study on clinically stabilized
patients with schizophrenia and Bipolar Disorder (BD) according
to DSM IV, who were interviewed in our out-patients clinic with
the help of a semi-structured questionnaire, containing 8 opinions
on the social inclusion and stigmatization of psychiatric patients,
with special reference to the local cultural context (e.g.: “It is better
to hide mental illness in order to preserve the reputation of my
family”)
Results We included 104 patients, 51% with schizophrenia and
49% with BD. Mean age was 38.4 years (18–74 years); 59.6% were
males. Overall social stigma scores were high. Social stigma in
patients was correlated with gender, age, place of residence and
diagnosis. Patients with BD showed significantly less social stigma
than patients with schizophrenia.
Conclusion Our results show the need for a better understanding
of this phenomenon in patients with SMI, but also within Tunisian
society, in order to elaborate anti stigma strategies adapted to the
local context.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0532
Prevalence of tobacco smoking among
school teachers in Greece
A. Liozidou , M. Fragkoulakis , G. Papazisis ∗, A. Tzortzi ,
P. Behrakis
1 Biomedical Research Foundation Academy of Athens, National
School of Public Health, Experimental Surgery, Athens, Greece
2 Ludwig-Maximilians University, Department of Statistics, Munich,
Germany
3 Aristotle University of Thessaloniki, Department of Pharmacology,
Thessaloniki, Greece
4 Hellenic Cancer Society, Institute of Public Health of The American
College of Greece, George D. Behrakis Research Lab, Athens, Greece
5 Biomedical Research Foundation of Athens Academy, Hellenic
Cancer Society, Institute of Public Health of The American College of
Greece, George D. Behrakis Research Lab., Experimental Surgery,
Athens, Greece
∗ Corresponding author.
Abstract
Introduction Teachers serve as models for young people and sig-
nificantly influence their health behavior.
Aim We were interested in conducting the first epidemiological
survey about tobacco smoking among Greek teachers.
Methods A total of 1032 teachers of the two biggest cities
of Greece participated in the study. A questionnaire was cre-
ated to include questions regarding tobacco smoking, history of
tobacco use, nicotine dependence as well as health attitudes. Fre-
quencies and relative frequencies were determined for all the
questions. Pearson’s Chi2 and Chi 2 adjusted tests were used to
examine the potential association of current smoking status with
gender, age and school level in a statistical significance level
of 0.05.
Results Prevalence of current smokers in the sample was 25.6%.
Cigarette emerged as the tobacco product of choice reported by
88,3% of the respondents, followed by e-cigarette (5.2%), cigar
(2.4%), hookah (2.4%) and pipe (1.7%). The highest prevalence of cur-
rent smokingwas found in the age group of 40–49 years old (46.1%).
Current smoking proportionwas higher among female (26.0%) than
male teachers (24.9%). Intention to quit smoking was reported by
18.1% of the sample.
Conclusions As compared to other countries, teachers in Greece
have a moderate percentage regarding tobacco smoking. A
concerted effort must be made towards smoking cessation
in this population with gender specific interventions. It is of
great importance for teachers to act as public health pro-
moters, as performers of tobacco prevention curricula and
as leaders in the implementation of school tobacco control
policies.