European Psychiatry - Volume 41 - April 2017

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S652 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S645–S709
EV0759
The Portuguese participation in the
Actifcare (access to timely formal care
in dementia) European study:
Preliminary results of systematic
reviews, qualitative and quantitative
data
M. Gonc¸ alves-Pereira ∗, M.J. Marques , C. Balsinha , T. Reis ,
A. Machado , H. Bárrios , L. Alves , A. Verdelho , G. Meyer ,
B. Woods , A. Wimo , G. Selbaeck , K. Irving , O. Zanetti ,
M. Orrell , M. De Vugt , F. Verhey
1 Nova Medical School/FCM, Universidade Nova de Lisboa, CEDOC,
Chronic Diseases Research Center, Lisbon, Portugal
2 Faculdade de Medicina, Universidade de Lisboa, Department of
Neurosciences and Mental Health-IMM-ISAMB, Lisbon, Portugal
3 Martin Luther University Halle-Wittenberg, Medical Faculty,
Institute for Health and Nursing Sciences, Halle, Germany
4 Bangor University, Dementia Services Development Centre Wales,
Bangor-Wales, United Kingdom
5 Karolinka Institutet, KI Alzheimer’s Disease Research
Center-Department Neurobiology-Care Sciences and Society,
Stockholm, Sweden
6 Faculty of Medicine, University of Oslo, Norwegian Advisory Unit on
Ageing and Health-Tonsberg, Oslo, Norway
7 Dublin City University, School of Nursing and Human Sciences,
Dublin, Ireland
8 “Centro S. Giovanni di Dio” Fatebenefratell, Alzheimer’s RU-Memory
Clinic, Brescia, Italy
9 Nottingham University, Institute of Mental Health, Nottingham,
United Kingdom
10 Maastricht University, Department of Psychiatry and
Neuropsychology, Maastricht, The Netherlands
∗ Corresponding author.
Introduction In the context of untimely access to community for-
mal services, unmet needs of persons with dementia (PwD) and
their carers may compromise their quality of life.
Objectives/aims The Actifcare EU-JPND project
) focuses on access to and (non) utilization
of dementia formal care in eight countries (The Netherlands, Ger-
many, United Kingdom, Sweden, Norway, Ireland, Italy, Portugal),
as related to unmet needs and quality of life. Evaluations included
systematic reviews, qualitative explorations, and a European
cohort study (PwD in early/intermediate phases and their primary
carers; n = 453 days; 1 year follow-up). Preliminary Portuguese
results are presented here (FCT-JPND-HC/0001/2012).
Methods (1) extensive systematic searches on access
to/utilization of services; (2) focus groups of PwD, carers and
health/social professionals; (3) prospective study (n = 66 days
from e.g., primary care, hospital outpatient services, Alzheimer
Portugal).
Results In Portugal, nationally representative data is scarce
regarding health/social services utilization in dementia. There
are important barriers to access to community services, accord-
ing to users, carers and professionals, whose views not always
coincide. The Portuguese cohort participants were 66 PwD
(62.1% female, 77.3 ± 6.2 years, 55.5% Alzheimer’s/mixed subtypes,
MMSE 17.8 ± 4.8, CDR1 89.4%) and 66 carers (66.7% female,
64.9 ± 15.0 years, 56.1% spouses), with considerable unmet needs
in some domains.
Conclusions All Actifcare milestones are being reached. The con-
sortium is now analyzing international differences in (un) timely
access to services and its impact on quality of life and needs for care
(e.g., formal community support is weaker in Portugal than inmany
European countries). National best-practice recommendations in
dementia are also in preparation.
Abstract submitted on behalf of the Actifcare Eu-JPND consortium.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0760
Risk of suicidal behaviours in elderly
S. Goretti∗ .C. Sanchéz Sanchéz ,
B. Góngora Oliver , M.D. Sanz Fernández
U.G.C. Salud Mental Almeria, UHSM Torrecardenas, Almeria, Spain
∗ Corresponding author.
Introduction Older adults constitute the age group in which
suicide more often reaches its most categorical expression: con-
summation.
Objective Identify risk factors for suicide in older people.
Method Systematic review of the literature on the subject. The
databases consulted were Dialnet and Pubmed. The descriptors
used have been: “suicide”, “risk factors” and “elderly”, accepting the
works found in English and Spanish, with a total of 501 references
found after the search, from which 75 have been selected.
Results As shown in the reviewed studies, there is a progressive
increase in suicide rate with age in males. The purpose of dying
in the old man is usually characterized by his firm conviction, not
infrequently reflexive and premeditated. In themultifactorial etiol-
ogy of suicidal behaviour in this age group, the main elements to be
considered would be psychosocial factors, psychiatric diseases and
chronic somatic diseases, resulting in a potentiation among them
due to their frequent interaction. The feeling of abandonment, the
feeling of emptiness, the despair of the organic collapse and the self-
perception of being a useless person, without projects, generates
deterioration in the quality of life.
Conclusions In the multifactorial etiology of the suicidal
behaviour of the elderly, they usually play coprotagonic roles, lone-
liness, isolation, somatic illness and depression. The most likely
profile of the suicidal elder would be represented by a man with
a history of depressive episode after age 40, who lives alone, with
a family history of depression or alcoholism and a recent loss.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0761
Decrease selected graphomotor skills
in early stages of Alzheimer’s
dementia
E.J. Gorzela ´nczyk ∗, K. Pasgreta , P. Walecki
1 Collegium Medicum, Nicolaus Copernicus University, Department of
Theoretical Biomedical Sciences and Medical Informatics, Bydgoszcz,
Poland
2 Jagiellonian University Medical College, Faculty of Medicine,
Kraków, Poland
∗ Corresponding author.
Introduction In the early stages of Alzheimer’s disease (AD)motor
and cognitive dysfunctions has been observed.
Objectives In previous studies we have shown that AD patients
present abnormalities of selected graphomotor skills, but results
were vary and not conclusive. In this study, we conducted more
extensive tests on a larger study group.
Aims The aimof the study is to identifywhich graphomotor func-
tions are impaired in the early stages of AD.
Methods Seventy-one patients with mild and moderate AD
(F.00.0, F.00.1, F.00.2) (MMSE 20.3 ±3.8; age 79.1 ± 5.21) were
examined. Forty-four healthy ones (C) without symptoms of
dementia, matched for demographic characteristics (MMSE
29 ±1.1; age 78.3 ± 4.7) were examined. Graphomotor skills were
assessed by the original drawing test (the eight figures and the
signature) performed in a magnetic field (resolution 2540 dpi and