European Psychiatry - Volume 41 - April 2017

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S884 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S847–S910
e-Poster viewing: Suicidology and suicide
prevention
EV1457
The application of the attitudes
towards suicide questionnaire (ATTS)
in Tunisian elderly
W. Abbes ∗, M. Manel , H. Kaouthar , C. Nada , Z. Nasreddine ,
Z. Lobna , B.T. Jihen , M. Mohamed
1 Hédi Chaker University Hospital, Psychiatry “A”, Sfax, Tunisia
2 Hedi Chaker University Hospital, Psychiatry “C”, Sfax, Tunisia
∗ Corresponding author.
Introduction According to WHO, suicide is a major public health
problem and the most affected age group by suicide in Tunisia is
that of over 70 years.
Aims To study the perception of the Tunisian elderly of suicide.
Methods A cross-sectional study was conducted during a 3-
month period from October to December 2015. Fifty persons aged
at least 65 years participated to the study. We used an anonymous
questionnaire with a specific scale: “Attitudes Towards Suicide
Questionnaire” (ATTS).
Results The mean age of our patients was 67.5 years. Sex ratio
was 1.27. Most of the participants weremarried (82%), unemployed
(63.2%), with a secondary or high educational level (62%), and low
income (73.5%). All participants were believers. As for religious
practice, 74.5% of the recruited elderly made the fast and 73.5%
were prayers. Among women, 70.8% wore the veil. Concerning
the perception of suicide, it was on the dimension of “permissive-
ness” (M= 1.88) that our participants agreed less. Those who made
prayers had lower scores of “permissiveness” (P = 0.032). Women
who wore the veil had higher scores on the field of “incomprehen-
sibility” than the unveiled ones (P = 0.047). Furthermore, 68% of our
participants believed that suicide is stigmatizing.
Conclusions It might be time to try to lift the taboo and stigma
through information and sensitizing campaigns on suicide. In this
direction, studies of perception help to identify, somehow, “auto-
matic thoughts” regarding representations of suicide and to try to
develop an “alternative thinking” in the general population.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1458
Algeria, from social issue to
self-immolation; autopsy of
a “fashionable” suicide
N. Ali Pacha
A. Mira University, Medicine, Bejaia, Algeria
Introduction Self-immolation has been practised for several cen-
turies in some cultures. Tolerated by Mahayana Buddhism and
Hinduism. It is practised for many reasons: Sati (rituals), polit-
ical protests, devotion and renouncement. In addition, it is also
observed in some warrior cultures, like Rajputs.
The self-immolation trend began in Tunisia during government
protests (“Arab spring” revolution) when aman named Bouazizi set
himself on fire and died. Fiery copycat suicides spread throughout
other countries. Algeria has also discovered this formof protest and
faced awave of self-immolation considered by some commentators
to have reached epidemic proportions.
Objective Our goal is to show the kind of support that political
and health authorities, with the help of psychiatrists, are trying to
set up in order to achieve efficient prevention.
Methods In a case-control study, 20 consecutive case of delib-
erate self-inflicted burns admitted to the regional burn centre
(Douera Hospital, Algeria) were compared with 20 controls who
were selected from the community and matched by sex, age and
living area. Diagnostic and statistical manual of mental disorders
(DSM IV) Axis I (clinical disorders) and Axis II (personality and
mental retardation) diagnoses were assessed via detailed clinical
interview.
Results There have been 69 cases of self-immolation, with an
average age of 26 including 87% of men and fromwhich 13% with a
psychiatric history. Unemployment and housing crisis are the most
common causes. Here, we will provide specific explanations about
our country.
Conclusion It turns out that self-immolation is an extreme form
of protest against the social malaise tomake things change and does
not due in the most cases to mental disease.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EV1459
Role of alcohol use in suicidal
behavior in public places
E. Baca-Garcia ∗, M. Barrigon , F. Cegla Schvartzman ,
A. Sedano-Capdevila , L. Villoria-Borrego , M. Sanchez-Alonso
Hospital Universitario Fundación Jiménez Díaz, Psychiatry
Department, Madrid, Spain
∗ Corresponding author.
Introduction Suicide in public places is a relatively common
emergency in which alcohol use could be a factor involved.
Methods A total of 169 patients were attended for SB in Madrid
public places by SAMUR (Municipal assistance service for emer-
gency and rescue) and transferred to FJD emergency roomwhere all
of themwere assessed by the psychiatrist on duty. For all (but 47 of
them), blood alcohol level was measured and other variables were
collected: age, sex, history of suicide attempt and characteristic of
the attempt. A descriptive analysis was made and then differences
between those using alcohol and those not was made.
Results Our sample comprises 169 patients, 40.2% woman
and 59.8% man (median age = 39.36 years). Alcohol was mea-
sured in 122 patients, being positive in 52.4% (median alcohol
level = 95.09mg/dL). We found that 64.6% of man had consumed
alcohol against the 30.2% of women (P = 0.000). 64.8% of alco-
hol users were discharged, against the 35.2% that not users. We
admitted 28.1% of the alcohol users and 56.8% of the non-users
(P = 0.007). We did not found statistically significance differences
when compared patients that consumed against patients who did
not regarding previous attempts, behavior (ideation, intent, non
suicidal self-harm) and method.
Conclusions When assessed SB, we found that most of the
patients were man under the alcohol influence and most of them
were discharged after being evaluated. The data does not reflect the
seriousness of the SB, which opens the possibility of correlating the
levels of alcohol with suicidal risk.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1460
Psychological autopsies, suicide and
psychopathological significance
(Results of a survey of mental health
from 2000 to 2008 in east of Algeria)
M. Benabbas ∗, O. benelmouloud
1 H M R U C/5e RM, Psychiatrie, Constantine, Algeria
2 Faculté de médecine université de Constantine 3, Psychiatrie,
Constantine, Algeria
∗ Corresponding author.