European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S583–S644 S589
EV0567
Violent incidents within psychiatric
settings
B. Motamedi ∗, A. Mahmoudi , M. Motamedi
Faculty of Nursing, Chiang Mai University, 110 Inthawaroros Road,
Sriphum District, A. Mueang, Chiang Mai, Thailand
∗ Corresponding author.
Objective To determine the frequency and types of aggressive and
violent behaviors in acute psychiatric inpatient settings and poten-
tial interactions between staffing and patient mix and rates of the
behaviours were explored.
Methods Data on violent incidents were gathered prospectively
in two acute psychiatric units in two general hospitals and two
units in a psychiatric hospital in Isfahan, Iran. Staff recorded violent
and aggressive incidents by using Morrison’s hierarchy of aggres-
sive and violent behavior. The classification ranged from level 1,
inflicted serious harm to self or others requiring medical care, to
level 8, exhibited low-grade hostility. They also completed weekly
reports of staffing levels and patient mix. Regression analysis was
used to calculate relative rates.
Results A total of 400 violent incidents were recorded over a
three-month period. Based on the scale, more than 50 percent of
the incidents were serious. Seventy-eight percent were directed
toward nursing staff. Complex relationships between staffing,
patient mix, and violence were found. Relative risk increased with
more nursing staff (of either sex), more nonnursing staff onplanned
leave, more patients known to instigate violence, a greater number
of disoriented patients, more patients detained compulsorily, and
more use of seclusion. The relative risk decreased with more young
staff (under 30 years old),more nursing staffwithunplanned absen-
teeism, more admissions, and more patients with substance abuse
or physical illness.
Conclusions Violent incidents within psychiatric facilities were
frequent and serious, with great significance for occupational
health. Some clues were found in the prediction of violence.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0568
Differences in current psychological
and physiological subclinical stress
levels in forensic patients with
psychopathic personality traits
S. Nigel ∗, J. Streb , K. Leichauer , B. Hennig , S. Otte , M. Dudeck
Ulm University, Department of Forensic Psychiatry and
Psychotherapy, Günzburg, Germany
∗ Corresponding author.
Stress and its associations with psychopathic traits have been
widely studied. However, recent research suggests the distinction
between psychological and physiological symptoms of subclinical
stress experience. Possible differences regarding these two dimen-
sions of stress and their relations to psychopathy factors have
not been investigated yet. Hence, this is the first study on psy-
chological and physiological subclinical stress levels of forensic
patients with psychopathic personality traits. We expected to find
distinct associations between stress dimensions and psychopathy
factors. Therefore, we examined 164 forensic patients with a sub-
stance use disorder regarding their psychopathy scores and current
stress levels, using the Psychopathy Personality Inventory (PPI)
and the Subclinical Stress Questionnaire (SSQ). Our results indicate
that only the experience of psychological stress and not physi-
ological stress is predicted by psychopathy. More precisely, the
psychopathy factor “Impulsive Antisociality” is a positive predic-
tor of subclinical psychological stress symptoms, while the factor
“Fearless Dominance” is a negative predictor. Thereby, gender has
an influence as females are more likely to experience psychologi-
cal and physiological stress. In conclusion, these results imply that
forensic patients scoring high on the psychopathy factor “Impulsive
Antisociality” experience high levels of psychological distress. This
is in line with previous findings describing Impulsive Antisociality
as a generallymaladaptive trait manifesting in low adaptability and
insufficient coping strategies.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0569
The profile of sexual abusers of
minors: A forensic-psychiatric study
J. Nunes ∗, D. Figueiredo , T. Ventura Gil , M. Colón ,
A. Pissarra da Costa
1 Hospital Sousa Martins, Department of Psychiatry and Mental
Health of Sousa Martins Hospital,U.L.S. Guarda, Guarda, Portugal
2 Delegac¸ ão do Centro do INMLCF, I.P., Psiquiatria, Coimbra, Portugal
∗ Corresponding author.
The World Health Organization (WHO, 2006) defines sexual abuse
as the involvement of a child in sexual activity that he or she does
not fully comprehend, being unable to give informed consent to,
or for which the child is not developmentally prepared, or else that
violates the laws or social taboos of society. In Portugal, the law that
regulates the sexual abuse of underage people (minors) is enclosed
in crimes of sexual auto-determination, which are described as
child sexual abuse (article 171◦ ) and sexual acts with a teenager
(article 172◦ ), and those are applied to the person that has copula-
tion, anal intercourse and oral intercourse with underage abusing
from their inexperience. Our objective is to investigate the profile
of sexual abusers of minors, namely, the socio-demographic fea-
tures, clinical correlations, and the level of penal responsibility of
sexual offenders who were referred by court to forensic psychiatric
assessment in the Institute of Legal Medicine of the City of Coim-
bra. Moreover, verify if these individuals present mental disorders
at the time of the offence. The present study is of descriptive nature,
being based on the observation and consultation of 30 clinical pro-
cesses of sexual abusers. All written reports were obtained from
2005 to 2015 by court-appointed psychiatric experts on individ-
uals that have been charged of committing sexual crimes against
minors and referred to the main forensic institute in the city of
Coimbra. This study will contribute to the increase of more infor-
mation on these offenders, promoting the development of more
adequate contingency plans for this population.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0570
Predicting offense recidivism in
Schizophrenia patients
B. Oueslati ∗, M. Ali , R. Ridha
1 Razi Hospital, Forensic psychiatry department, Manouba, Tunisia
2 Faculty of Medicine of Tunis, Preventive medicine department,
Tunis, Tunisia
∗ Corresponding author.
Introduction Schizophrenia increases the risk of offending.
Recidivism rates are significant.
Aim Identifying general and violent recidivism risk factors in
schizophrenia patients.
Methods We conducted a case control study. All included
patients were admitted, at least once, to the forensic psychia-
try department in Razi Hospital between January 1st, 1985 and
December 31st, 2014 after a decision of irresponsibility by reason
of insanity. All those who reoffended during this period were con-