European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S645–S709 S661
improved over time on aripiprazole, but was transferred to a res-
idential care home setting due to persisting cognitive deficits and
social care needs This case highlights the importance of recognising
multimorbidity, joint working and more research required in the
area.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0786
Attitudes toward euthanasia:
Contradictory views and ideas of
alzheimer patients’ relatives
E. Nikolaev
Ulianov Chuvash State University, Department of Social and Clinical
Psychology, Cheboksary, Russia
Introduction Alzheimer’s disease (AD) is one of the pressing social
problems as the negative effects of the disease often manifest on
patients’ relatives. Relatives of AD patients experience physical and
psychological burden during the care.
Objectives To clarify what kind of views on euthanasia are more
common among relatives of patients with AD.
Methods The study involved 23 AD patients’ relatives (mean age
60, SD = 2). There were 5men (22%) and 18women (78%). All partic-
ipants were directly involved in caring for their relatives with AD.
A 19-item structured questionnaire (E. Nikolaev, 2016) was used
for measuring medical, legal, ethical, socio-cultural, spiritual and
personal aspects of attitudes to euthanasia.
Results The respondents were less likely to see euthanasia as
medical issue. They also referred it to kind of ethical and legal
problems. Legal aspects were determined by greater consent to its
legalization and by awareness of imperfections of legal basis for
its immediate implementation. Ethical issues according to which
euthanasia practice was related to the development of human-
ity complemented this vision. These settings were in conflict with
socio-cultural perceptions of euthanasia. Respondents were con-
vinced in possibility of various forms of abuse during euthanasia.
Supporting the ideas of euthanasia in general, many respondents
on a personal level were not ready to apply them to their relatives
with AD in practice.
Conclusions Attitudes to euthanasia in AD patients’ relatives was
contradictory. It was determined by divergent ideas about euthana-
sia in field of legal, social, cultural, spiritual and personal issues of
this interdisciplinary phenomenon.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EV0787
Prescribing tricyclic antidepressants
in the elderly
B. Oueslati ∗, M. Oumaya , R. Bouzid
Hopital Universitaire Mohamed Tahar Maamouri, Mental health
department, Nabeul, Tunisia
∗ Corresponding author.
Introduction Although not recommended as a first-line treat-
ment for old patients with depressive, anxiety or somatic symptom
disorders, we continue seeing tricyclic antidepressants being fre-
quently prescribed.
Objectives To estimate the prevalence and to assess the imple-
mentation of safety measures related to the prescription of such
molecules in the elderly. To explain their choice as a first-line treat-
ment.
Methods We included all new patients aged 65 years or over
between 1st January 2011 and 31st December 2015 whom, were
prescribed an antidepressant. Recommendations of the Canadian
coalition for seniors’ mental health, of the world federation of soci-
eties of biological psychiatry and of the national institute for health
and care excellence were our evaluation tools. We compared tri-
cyclic receivers to those having newer antidepressants to try to
understand the choice of tricyclics as a first-line treatment.
Results Eighty patients were included. Mean age was of 75 years.
46% were prescribed a tricyclic as a first line treatment. Depressive
disorders were the most diagnosed ones (79%) followed by anxiety
disorders (14%) and somatic symptom disorders (7%). An electro-
cardiogramwas not performed to all patients prior to the initiation
of the tricyclic nor at anytime later. 11% continued being prescribed
tricyclics in spite of contraindications. Only a low economic level
was significantly related to their choice as a first-line treatment
(P = 0.001).
Conclusions Tricyclics’ prescribing rate was high. Safety meas-
ures were not applied for all patients. Regular availability of newer
antidepressants in public health structures and a better aware-
ness of antidepressants prescribing guidelines in the elderly are
mandatory.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0788
Study of the sensitivity of the organic
psychosyndrome after one year of the
disease
K. Paschalidis ∗, P. Argitis , K. Gatsiou , C. Chatzidai ,
P.P. Dalli , E. Pantoulas , I. Chaviaras
1 Psychiatric Hospital of Thessaloniki, Greece, 2nd Department of
Mental Health, Serres, Greece
2 University of Ioannina, Psychiatric Department, Ioannina, Greece
3 General Hospital of Corfu, Psychiatric Department, Corfu, Ionian
Islands, Greece
∗ Corresponding author.
Introduction The delirium of the elderly is defined as an acute
confusional state, with variation during the day, characterized by
impaired consciousness, orientation, memory, thinking, attention
and behavior.
Purpose The purpose of this research is to investigate whether
the organic psychosyndrome of the elderly is a valid indicator of
mortality after one year.
Material It was used material from patients with organic psy-
chosyndrome older than 60 years, who were hospitalized in
pathological clinics of the Hospital of Corfu and was diagnosed by
the linker portion of the psychiatric clinic.
Methodology The patients diagnosed with organic psychosyn-
drome neither suffered from a psychiatric disorder psychotic type
in the past, nor previously preceded anaesthesia in the context of
physical disease. For the recognition and the criteria of ICD-10 to the
exclusion of another psychiatric condition, it was used the delirium
rating scale method.
Results According to the analysis of the data, 8% of patients died
during hospitalisation, in the first 3months after diagnosis, the 28%
of the initially hospitalised patients, in 6 months the 42%, while
during the year the 48% of the initial total patients died and in the
next 12 months only one death was reported.
Conclusions The analysis of the survey results shows that while
the instrument psychosyndrome could be considered as a poor
diagnostic marker for the first 12 months, 48% mortality, in the
long run it seems to lose its prognostic value with the mortality
approaching themortality index of the hellenic statistical authority
for 2015 at ages 60+ (1.2%).
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.