European Psychiatry - Volume 41 - April 2017

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S584 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S583–S644
tendency which promotes different expressions in terms of age,
a tendency which also measures capacity in terms of age.
Objective To evaluate elder physical abuse – cases reviewed at
the Forensic Institute, Tirgu Mures County, Romania.
Methods An experimental design was used, focusing on elder
physical abuse cases involving victims aged 65 or older, who
requested a forensic certificate. All cases were reviewed at the
Forensic Institute Tg. Mures, Mures County, Romania between 1st
of Jan–31st Dec 2014. Variables included: age, gender, environ-
mental origin, physical abuse, sexual abuse, relationship with the
perpetrator (relative, known person/neighbor, unknown person,
husband/wife), the required number of days of hospitalization, vic-
tim previous psychiatric diagnosis, aggressor previous psychiatric
diagnosis.
Results A total of 5252 forensic medical certificates were issued
at request by the Forensic Institute of Tg Mures. One hundred and
twenty (2.28%) were related to acknowledgement of the aggres-
sion of an elderly peIntroductionrson (≥65 years, with an average
age of 69.89 years CI: 68.8903–70.8930). The majority of subjects
were males (65%), of rural origin (64.17%). The same address as
the aggressor’s was identified in most of the cases (41.66%). 35.83%
were hurt by neighbours/acquaintances, 22.5% were attacked by
strangers.
Conclusion We are aware of that an elder abuse appears to occur
most often in domestic home situations, men fromrural, more often
than women, are involved that victims and may be perpetrated by
adult family members, or other persons.
The authors have not supplied their declaration of competing inter-
est.
EV0551
Towards an EU research framework
on forensic psychiatric care:
Introduction, structure, activities and
results of cost action Is1302
L. Castelletti ∗, F. Scarpa
1 Azienda Socio Sanitaria Territoriale di Mantova, Sistema REMS,
DSM, Mantua, Italy
2 Usl Centro Toscana, Usl 11 Empoli, Empoli FI, Italy
∗ Corresponding author.
Introduction Forensic psychiatric care is aimed at improving
mental health and reducing the risk of recidivism of mentally
ill offenders. For some mentally disordered offenders long foren-
sic psychiatric care is required. Due to different legal framework,
policies and resources in member countries, treatment programs
and care provided for these subjects may vary substantially across
Europe.
Objectives COST Action IS1302, a EUproject aimed at establishing
a European network of researchers, clinicians and service providers
about long-term forensic psychiatric care, has involved nineteen
European countries for 2013 to set the basis for comparative eval-
uation and research on effective treatment and the development of
best practice in long-term forensic psychiatry in Europe.
Method It is constituted by three main areas of interest and
research. One group works on determination of patient character-
istics, looking into prevalence, duration of stay and the most deter-
minant characteristics of long term patients. The second area of
research aims at obtaining better understanding of complex exter-
nal factors that influence the poor progress of patients residing for
an above average time in forensic services. Third group of research
focuses on knowledge about specific needs brought about by psy-
chiatric symptoms and how these specific needs might optimize
the quality of life of patients in long term forensic psychiatric care.
Results/conclusions Launched four years ago, the action is at its
last of activities. We display features, activities and data emerging
from the research conducted so far.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0552
Use of new synthetic drugs in
Slovenian prisons
K. Ceranic Ninic ∗ ejcic lavnik Pustoslemsek
1 University Medical Centre Maribor, Department of Psychiatry,
Maribor, Slovenia
2 University of Maribor, Faculty of Medicine, Maribor, Slovenia
∗ Corresponding author.
Introduction Prisons are a specific environment, in terms of
population and various factors that affect health in the broader
sense. According to the report of the board of prisons for Slovenia
in 2013, 1 078 people who have had problems with illicit drug use
were identified, representing 23.04% of all incarcerated persons.
Moreover, an increase in the use of various types of new psy-
choactive substances, the so-called designer drugs, was recorded
in recent years.
Aims The research aimed to point out the psychoactive drugs
most used in Slovenian prisons and to explore whether these pose
a public health issue.
Methods We conducted statistical research with semi-
standardised epidemiological and psychoeducational question-
naires, whichwere distributed among prison population inMaribor
region, Slovenia.
Results The analysis of the questionnaires received, which was
completed by 54 prisoners, has shown that 54.55% of people aged
between 18 and 35 years take synthetic drugs regularly, 30.30%
of the population enjoys synthetic drugs occasionally. In the cat-
egory of over 50 years, no one enjoyed these drugs. The most
popular synthetic drugs were synthetic cannabinoids. Although
a third of the users of these drugs has experienced at least one
side effect, as many as 55.56% do not know how to act in such
a case.
Conclusions This study confirmed that the majority of users of
synthetic drugs are young adults who are convinced that their use
is less harmful than the use of “ordinary” psychoactive substances.
A surprisingly low awareness of side effects measure was stated.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0553
Head banging as a form of self-harm
among inpatients within forensic
mental health and intellectual
disability services
V. Chester ∗, R. Alexander
1 Partnerships in Care Learning Disability Services, Psychiatry,
Palgrave-Diss-Norfolk, United Kingdom
2 Leicester Partnerships NHS Trust, Psychiatry, Leicester, United
Kingdom
∗ Corresponding author.
Introduction “Head banging” is a common form of self-harm,
linked to numerous negative outcomes including significant brain
damage. However, little research has investigated the prevalence
and correlates of head banging behaviour in clinical populations.
Method Head banging episodes were identified from the incident
records (n = 5417) of two inpatient forensic services (one intellec-
tual disability and one mental health), using relevant search terms.
Rates were compared between individual patients, by gender,
diagnosis and level of security. Incident accounts were analysed
qualitatively using thematic analysis.