European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S645–S709 S667
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0805
A study on the factors that contribute
to older adults’ sexual unwellness
S. Von Humboldt ∗ eal
ISPA-Instituto Universitário, William James Research Center, Lisbon,
Portugal
∗ Corresponding author.
Introduction Older adults may remain sexually interested and
capable into their 90s.
Objectives To analyze the contributors to sexual unwellness (SU)
and to explore the latent constructs that can work as major deter-
minants in SU for a cross-national older community-dwelling
population, and to analyze the explanatory mechanisms of a SU
model, in an older cross-national sample.
Methods A socio-demographic and health questionnaires were
completed, assessing participants’ background information. Inter-
viewswere completed, focused on the contributors to SU. Complete
data were available for 109 English and Portuguese older adults,
aged between 65–87 years (M = 71.6,SD = 6.95). Data was subjected
to content analysis. Representation of the associations and latent
constructs were analyzed by a Multiple Correspondence Analysis.
Results The most frequent response of these participants was
‘lack of intimacy and affection’ (25.1%) whereas ‘poor sexual health’
was the least referred indicator of SU (11.2%) A two-dimension
model formed by ‘poor affection, intimacy and sexual health’, and
‘poor general health and financial instability’ was presented as a
best-fit solution for English older adults. SU for Portuguese older
adults were explained by a two-factor model: ‘daily hassles and
health issues’, ‘poor intimacy and financial instability’.
Conclusions These outcomes uncovered the perspective of older
adults concerning SU and the need of including these factors when
considering the sexual well-being of older samples.
Keywords Community-dwelling older adults; Content analysis;
Multiple correspondence analysis; Sexual unwellness.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0806
A checklist for assessing
dementia-friendly design:
Architecture as non-pharmacological
mean in assistance of patients with
dementia
M.V. Zamfir ∗, M. Zamfir Grigorescu
1 Carol Davila University of Medicine and Pharmacy, Physiology II,
Neurosciences Division, Faculty of Medicine, Bucharest, Romania
2 “Ion Mincu” University of Architecture and Urbanism, Faculty of
Architecture, Bucharest, Romania
∗ Corresponding author.
Introduction Although there are recommendations regarding
dementia-friendly architecture, studies on design features and
their impact on quality of life of patients with dementia are
quasi-nonexistent. The design of the environment is one of the
non-pharmacological methods in the assistance of patients with
dementia.
Objectives Setting a checklist of design principles in order to
assess centers for elderly with dementia; identifying the types of
centers where will be applied the checklist; implementation of the
checklist and determining results of assessment.
Aims Our aim is to challenge the contemporary architecture of
centers for elderly to be friendly with dementia patients.
Methods After studying literature we built a check-list of 8 prin-
ciples: providing a comfortable space and also a therapeutically
environment; functionality and efficiency; flexibility and acces-
sibility; optimal design of circulation routes in order to avoid
disorientation and to reduce agitation; security and safe; aesthet-
ics; sanitation; sustainability. We then performed a case-study on
two types of settings, day care centers and respite centers, and
we applied the check list on three examples: two urban Day Care
Centers for patients with Alzheimer Dementia (2006, Pontevedra,
Spain and 2011, Alicante, Spain) and a Respite Center (2009, Dublin,
Ireland).
Results In general, the centers are verifying the proposed check-
list. Four architectural tools were identified: light, form, colour and
texture. Form is more recognizable than colour and colour more
recognizable than function.
Conclusions Architecture contributes to increase quality of life in
people with dementia. The proposed checklist is a promising tool
for assessing dementia-friendly design.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
e-Poster Viewing: Oncology and psychiatry
EV0807
Suicide risk in cancer patients – Are
we prepared?
M. Alves ∗, A. Tavares
1 Hospital Magalhães Lemos, Servic¸ o C, Porto, Portugal
2 Instituto Português de Oncologia, Servic¸ o de Psico-Oncologia, Porto,
Portugal
∗ Corresponding author.
Introduction Individuals with cancer are at increased risk for
suicidal ideation and behaviour when compared to the general
population. Suicidal thoughts are sometimes minimized and con-
sidered by clinicians as a normal reaction to diagnosis of oncological
disease. Less severe forms of suicidal ideation, such a fleeting wish
to die may happen in all stages of the disease.
Objectives We aim to highlight the cases of cancer patients that
present an imminent suicide risk and its related psychopathological
aspects, psychosocial and physical risk factors thatmay increase the
probability of suicidal attempt.
Methods Non systematic literature review through the Medline
and Clinical Key databases, with time constraints.
Results Individuals with cancer have twice the risk of suicide
compared to the general population. It was found that suicidal
thoughts are more common in patients with advanced disease, in
hospital or in palliative care settings or in those who are experi-
encing severe pain, depression, cognitive impairment or delirium.
The first months following the diagnosis are the period of great-
est risk and the highest suicide risk occurs in men with respiratory
cancers. Death by suicide occurs more often in cancer patients in
the advanced stages of disease.
Conclusions An appropriate therapeutic response should include
empathy, active listening, management of realistic expectations
and permission to discuss psychological distress. The first inter-
vention should focus on determining imminent risk of suicidal
behaviour and act for patient safety.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.