European Psychiatry - Volume 41 - April 2017

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S700 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S645–S709
EV0907
Serotonin syndrome with SSRIs
augmentation of amisulpride: Two
case report and literature review
M. Preve ∗, A. Ruccia , R. Traber , R.A. Colombo
Sociopsychiatric Organization, Psychiatric Clinic, Mendrisio,
Switzerland
∗ Corresponding author.
Introduction Serotonin syndrome is a potential adverse reaction
to drugs increasing serotoninergic activity in the nervous system,
some of them being frequently prescribed, such as antidepressant
drugs. The association of myoclonus, diarrhea, confusion, hypoma-
nia, agitation, hyperreflexia, shivering, in-coordination, fever and
diaphoresis, when patients are treated with serotoninergic agents,
could constitute a “serotonin syndrome”. The purpose of this report
is to review the clinical evidence of serotonin syndrome with SSRIs
augmentation of amisulpride. We propose two case report and lit-
erature review.
Method We conducted a systematic review of the literature with
the principal database (PubMed, Enbase, PsychInfo) andwe present
two case report
Results We describe two different case report with SSRIs aug-
mentation of amisulpride.
Discussion and conclusion To our knowledge this is no report
about the emergence of serotonin syndrome due to the use of
SSRIs augmentation of amisulpride. Serotonin syndrome symp-
toms include high body temperature, agitation, increased reflexes,
tremor, sweating, fever, dilated pupils, and diarrhea. Further
research is warranted to replicate our clinical and qualitative
observations and, in general, quantitative studies in large samples
followed up over time are needed. Methodological limitations, clin-
ical implications and suggestions for future research directions are
considered.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
References
[1] Chassot, et al., 2012.
[2] Gury, et al., 1999.
EV0908
Descriptive study of the first
consultations in a mental health unit
E. Bobadilla , C. Quiroga ∗
Clinical University Hospital of La Coru˜na, Psychiatry, A, Coru˜na, Spain
∗ Corresponding author.
The profile of patients cared for in a mental health unit is diverse.
However, there are recurring features. In this study, a total of 100
patients were evaluated for 2months. This study describes the
socio-demographic aspects, the reason for the consultation, the
psychiatric history, the diagnoses, the previous treatments and the
presence of previous admissions in a psychiatric hospitalization
unit. Knowledge of the patient profilewill improve service delivery.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0909
Health screening audit – south Barnet
PCMH pilot
H. Rahmanian
Camden and Islington NHS Trust, Primary Care Mental Health,
Sutton, United Kingdom
Physical health monitoring is an integral part of caring for patients
with mental health problems. It is proven that serious physical
health problems are more common among patients with severe
mental health illness (SMI), this monitoring can be challenging and
there is a need for improvement.
Aims The aim of this project was to improve the physical health
monitoring for patients with mental health illness. The patients
group was under the care of south Barnet primary care mental
health pilot (SB PCMH Pilot). SB PCMH pilot is a multidisciplinary
teamthat includes: consultant psychiatristmental healthnurse and
psychologist.
Results Between November to December 2014, 60 patients were
discharged from SB PCMHT and the electronic case notes of 38 of
them who had an assessment/intervention by the service were
reviewed. Results showed that 82% of the records verified that
discussion and screening of physical health, smoking, drugs and
alcohol had been completed. The data was discussed in teammeet-
ings with all team members. After thorough team discussions and
brainstorming; the team agreed that an improvement in the pro-
cess of monitoring was needed to work towards ensuring these
matters are discussed with 100% patients and that this is accurately
recorded. It was agreed to re-audit in 3months.
Re-audit A re-audit completed between January to April 2015
confirmed an improvement as 98% of patients seen for an assess-
ment by SB PCMH pilot have had their annual health checks and
appropriate health screenings discussed and recorded routinely.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV0910
Personality traits and emotion
recognition abilities in two samples of
Romanian medical students
A.M. Romosan ∗ ehelean , R.S. Romosan , M.O. Manea
University of Medicine and Pharmacy “Victor Babes”, Neuroscience,
Timisoara, Romania
∗ Corresponding author.
Introduction Personality traits and social cognition are impor-
tant predictors for the future performance, success, adjustment and
mental health of medical students.
Objectives The purpose of the study was to assess and compare
personality traits and emotion recognition abilities of two medical
student samples: general medicine (GM) and general nursing (GN)
students.
Methods The study was conducted between 2015–2016 on 173
Romanian medical undergraduates from the Timisoara “Victor
Babes” university of medicine and pharmacy: sixth-year GM stu-
dents (n = 96) and fourth-year GN students (n = 83). Personality
traits were evaluated with the 60-item NEO five-factor inventory
(NEO-FFI). Emotion recognition abilities were assessed with the
revised version of the “reading the mind in the eyes” test.
Results The GM sample consisted of 31 (32.3%) males and 65
(67.7%) females, with a mean age of 24.65 years (SD = 1.81). The GN
sample was comprised of 13 (15.7%) males and 70 (84.3%) females,
with a mean age of 23.84 years (SD = 2.12). Overall, compared with
female students, males gave considerably less correct answers in
the “eyes test” (P = 0.002) and had lower mean scores in “agreeable-
ness” (P= 0.005). GM students scored significantly higher than GN
students in “neuroticism” (P = 0.01), obtained lower mean scores
in “agreeableness” (P = 0.015) and had poorer emotion recognition
abilities (P = 0.03) than their GN colleagues.
Conclusions GN students appear to be more emotionally stable
and with better emotion recognition abilities than GM students.
Results of the present study represent a starting point for other
studies that may use larger and diverse student samples.