European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S583–S644 S585
Results Two hundred and twenty nine incidents of head bang-
ing were recorded, occurring approximately every three days in
each service. The prevalence of the behaviour between individual
patients varied widely, ranging from one to 38 incidents within
one year. Women and patients with intellectual disability appeared
more likely to engage in head banging. Qualitative incident reports
indicated that head banging was associated with mental distress,
anger, and psychotic experiences.
Discussion Head banging occurs frequently in forensic services,
and has documented associations with traumatic brain injury in
affected individuals, thus negatively impacting progress through
the care pathway and treatment outcomes. Further research should
investigate short and long term management strategies and treat-
ment approaches, in order to minimise harm.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0554
The prevalence of obesity among
forensic intellectual disability
inpatients
R. Denman , V. Chester ∗, J. Watson , C. Nyakunuwa ,
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.
Background Inpatient mental health settings have been
described as “obesogenic” environments, due to factors including
psychotropic medication, high calorie food, restricted physical
activity and sedentary lifestyles. No research has investigated
obesity among forensic intellectual disability inpatients, despite
this populations’ increased risk. Therefore, this paper aims to
evaluate the prevalence and correlates of overweight and obesity
on, and during admission.
Method The weight and body mass index data of 46 inpatients
(15 women and 31 men) within a specialist intellectual disability
forensic service was examined for the study.
Results Only six patients (13%) were a normal weight at admis-
sion, whereas 40 (87%) were overweight or obese. During their
admission, 28 (61%) gained weight (average 11.8 kg), and one
(2%) maintained. However, 17 patients (37%) lost weight (average
6.2 kg), though 16 remained in overweight/obese categories. There
was no correlation between length of stay and weight/BMI.
Conclusions The majority of patients were overweight or obese
on admission, and approximately 60% gained weight during their
admission.Women appeared at greater risk of obesity. Therewas no
relationship between length of stay and weight. This is potentially
due to the high prevalence of obesity on admission and the impact
of previous admissions onweight. The results highlight the need for
effective weight management interventions with this population.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0555
The phenomenon of serial killers from
the perspective of the seven deadly
sins
F.J. De Santiago Herrero ∗, A.M. Trigo Bensusan ,
G.M. Montfragüe , C. Torres Delgado
1 Salamanca University, Personaliad, Evaluación y Tratamientos
Psicológicos, Salamanca, Spain
2 Centro de Psicología Clínica Kairós, Centro privado de psicología
clínica, Salamanca, Spain
3 Universidad Pontificia de Salamanca, Facultad de Educación,
Salamanca, Spain
4 Salamanca University, Máster en Psicoanálisis, Salamanca, Spain
∗ Corresponding author.
Objectives The aim of this paper is to make a comparative
study on serial killers from different countries and link them to
one of the traditional seven deadly sins in the Judeo-Christian
culture.
Methods Firstly, it was necessary to define each different deadly
sin and establish its behavioural correlate. This was achieved
thanks to a questionnaire designed to measure the interrate
agreement within a sample population. Once the categories were
defined (pride, lust, envy, sloth, wrath, gluttony and greed),
30 serial killers from America and Europe were analyzed in
order to determine the sin behind their motivation to commit a
crime. The evaluation was based on the Coding Guide – Serial
Killers Research Project – created by the unit of analysis of
criminal behavioural (University of Salamanca, Spain). After-
wards, an ex post facto descriptive non experimental study
was carried out to find out the relation between the serial
killer’s own characteristics and the deadly sin linked to their
motivation.
Results/conclusions The results show a clear predominance of
pride, lust and greed as themainmotivations within the study sam-
ple. As well as some possible dependency relations between killers’
motivations and some other variables, which could be helpful when
applied to the offender profiling field like sex or personality.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0556
Serial killers: Relation between
childhood maltreatment and sexual
relations with the victims
F.J. De Santiago Herrero ∗, C. Torres Delgado ,
M. García-Mateos
1 Salamanca University, Personaliad, Evaluación y Tratamientos
Psicológicos, Salamanca, Spain
2 Universidad de Salamanca, Máster de Psicoanálisis Clínico,
Salamanca, Spain
3 Universidad Pontificia de Salamanca, Facultad de Educación,
Salamanca, Spain
∗ Corresponding author.
Introduction Serial killer’s (SK) familiar relations often present a
disorganized adherence characterized by the paternal absence and
the excessive maternal coldness or over-protection. This familiar
diagram, joined to mistreatment situations, could generate differ-
ent antisocial conducts in the child because of the vacancy of a
significant strong figure.
Objectives To study, in the SK, the relation between having suf-
fered childhood mistreatment and the sexual aggression to the
victims before killing them.
Method A study is realized between the variables of childhood
mistreatment and sexual aggression to the victims. The data has
been extracted from100 protocols of SKwith different nationalities
elaborated by the unit of analysis of criminal behavioral (University
of Salamanca, Spain).
Results The results showa significant relation between both vari-
ables.
Conclusions It can be confirmed that the SK who have suffered
childhood mistreatment sexually attack their victims before killing
themwhile those who did not experiment it during their childhood
do not realize that conduct.