European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S583–S644 S613
The judiciary enquiring suomotu into deaths following an oncology
trial in central India opened a can of worms. Searching investigation
suggested that informed consent was only a cosmetic exercise and
the victim was usually illiterate, poor and for a monetary reward
and without being informed of the consequences of the interven-
tion, subjected to a drug trial. Further, the process of informed
consent was dispensed with and “patient” was asked to sign at the
bottom of the document, no questions asked. The ‘patient’ in these
trials usually is from the urban poor or deeply patriarchal, poorly
literate rural hinterland. This led to a media outcry, a witch-hunt,
indictments, penal action and the regulatory body now insisting
on a video filmed informed consent. The wheel has truly turned
full circle. The regulators while seeking idealistic regulation seem
to live in a utopian world. The patriarchal and illiterate populace
of rural India is far removed from the rarefied world of videotaped
informed consent and presents an ethically quixotic situation.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0645
When it’s the time to switch the
therapeutic approach on
electroconvulsive therapy for residual
positive symptoms in schizophrenia?
I. Nechifor (General Psychiatry)∗, N. Nita (General Psychiatry) ,
M. Buzut (General Psychiatry)
Socola Institute of Psychiatry, Iasi, Romania
∗ Corresponding author.
Introduction Schizophrenia is clearly one of the most debilitating
diseases. Luckily, in the past 20 years, there has been a wide and
good change in symptomatology due to the new atypical antipsy-
chotics. Still, there are patients who are treatment resistant after
different adjustments like switching or adding antipsychotics. Most
of the clinicians consider Clozapine the “last resort”. But what if it
doesn’t work so well on some patients?
Objective To determine the point when it’s time to try electro-
convulsive therapy in schizophrenia treatment-resistant patients
or remain on conventional approach.
Aims The aim of this work is to determine whether it’s better
for those patients who have residual positive symptoms to use
oral/depot antipsychotics or to switch on electroconvulsive ther-
apy.
Methods This work presents the case of the patient C.D., 35 years,
diagnosed with paranoid schizophrenia since 2008. Risperidone,
Olanzapine, Aripiprazole were introduced during time, with some
improvement on the positive symptomatology, but the patient
developed several side-effects. At his last admission in our hos-
pital, he came after a suicidal attempt caused by high anxiety and
depression due to his false beliefs. Clozapine was introduced, but
after one month of treatment, the patient still had the belief that
his neighbours want to harm him somehow.
Results The patient and his mother definitively refused electro-
convulsive therapy because of their personal beliefs. He affirmed
that he can live with this “low-dose” of suspiciousness which,
unfortunately, had a negative impact on his social life.
Conclusions We still recommend electroconvulsive therapy in
these situations, even though, there are many misconceptions
regarding this approach.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0646
The effects of personality traits of
university students in their romantic
relationships
E. Ongun∗, G. Unsal Barlas
Marmara University Faculty of Health Sciences, Psychiatry Nursing
Department, Istanbul, Turkey
∗ Corresponding author.
Introduction Most people will have romantic relationship in dif-
ferent periods of their life and sometimes this relationship can
contain abuse. The abuse which is perceived in romantic relation-
ships can be an important problem for university students.
Objective This study was conducted to determine the effects
of personality traits of university students in the abuse which is
perceived in their romantic relationships.
Methods The study was descriptive and analytical. The students
of Marmara University Faculties of Law, Pharmacy, Nursing and
Midwifery, Cinema and Television department comprised the sam-
ple. Themeasuring instruments consisted of a personal information
form, the Basic Personality Traits Instrument (BPTI) and Romantic
Relationship Assessment Inventory (RRAI). The data were analyzed
with the SPSS 11.5 programme, using the “Mann–Whitney U Test”,
“Kruskal–Wallis Test”, “Spearmans Correlation Test”.
Results RRAI mean score was 102.41 ± 33.79; subscale of
BPTI’s mean scores were; extraversion 28.60± 5.97; conscien-
tiousness 28.30 ± 5.91; agreeableness 33.73 ± 4.29; neuroticism
26.09± 6.48; openness to experience 21.91 ±3.83; negative
valence 9.82 ± 3.36. There was a low level negative significant
relation was obtained between subscale of conscientiousness
(r= −0.196, P= 0.000), agreeableness (r = −0.168, P = 0.000), a low
level positive significant relation was found between subdi-
mensions of neuroticism (r= 0.168, P = 0.000), negative valence
(r= 0.255, P = 0.000) and abuse.
Conclusion In conclusion, there is a relation between personal-
ity traits and perceived abuse. Therefore, education programmes
should be prepared about abusive behaviour and its risk factors
and consequences.
Keywords Personality traits; Romantic relationships; Abuse of
romantic relationships; Dating violence; Partner abuse
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0647
Community based mental health care
in Bosnia and Herzegovina – an
overview of the last six years
G. Racetovic ∗, P. Slavica , B. Rosic , S. Grujic-Timarac
1 Health Center-HC, Community Mental Health Center-CMHC,
Prijedor, Bosnia and Herzegovina
2 Public Health Institution, Health Center-HC, Prijedor, Bosnia and
Herzegovina
3 Hospital Dr Mladen Stojanovic, Department of Psychiatry, Prijedor,
Bosnia and Herzegovina
∗ Corresponding author.
Introduction Mental health care in Bosnia and Herzegovina (BH)
is changing and shows the new trends more than 20 years. In last 6
years is established strong network of community mental health
centers (CMHC) as a most important service in the prevention,
treatment and rehabilitation of mental illnesses.
Objectives Project of mental health in BH (PMH) is the largest
reform project, supported by the Swiss Government and it is
planned to be implemented in whole BH emphasizing importance
of community mental health care and putting patients in the focus
of the reform.