European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S847–S910 S885
This is an epidemiological study of suicide in East of Algeria (15
wilayas) through psychological autopsies (from 2000 to 2008) or
more variables were studied to establish a standard profile of sui-
cide in Algeria. The variables studied were: age, sex, occupation,
place of residence, the existence of life events, psychiatric history
and possibly a history of TS, a source of information (from whom
we collected Information: father, mother, brother, sister. . .) and
the proceeds used for suicide. In total, we identified 1263 cases of
suicide with age 15 and older occurred in populations of East of
Algeria during the period 2000 to 2008. The conclusion focuses on
the emergence of certain variables can be risk factors namely age
between 30 and 45 years, male gender, social and financial difficul-
ties especially difficult life, the presence of a psychiatric diagnosis
on axis 1 of DSM-IV and finally the lack of access to primary care in
urban areas.
Finally, the authors highlight the prevalence per 100,000 popula-
tion per wilaya and the average prevalence for the whole of east of
Algeria.
Keywords Psychological autopsies; Suicide; Risk factors;
Prevention
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1461
Establishment of a comprehensive
inpatient suicide prevention network:
Taiwan experience and systemic
review
T.C. Changchien∗, Y.C. Yen
EDA Hospital, Department of Psychiatry, Kaohsiung City, Taiwan,
ROC
∗ Corresponding author.
Introduction The complexity of inpatient suicide in a general hos-
pital setting, whether medical or surgical, is not fully understood
currently. It is a common sentinel event and an important problem
of patient safety. However, its evidence is currently lacking. So, we
present a healthcare system approach to enhance the effectiveness
of inpatient suicide prevention in Taiwan.
Methods We reviewed available evidence about inpatient sui-
cide. Some risk factors were detected. And we tried to improve
our inpatient suicide prevention program with healthcare failure
mode and effect analysis (HFMEA), which is a prospective qualita-
tive analysis for numerousmedical errors. In this study, HFMEAwas
used to reduce the likelihood of failure of current clinical practices
in preventing inpatient suicide.
Results The psychiatric consultation rate increased after a series
of improvement program. Besides, establishment of an integrated
electronic medical system and the improvement of environment
and facility safety are our main strategies. The HFMEA indicated
that empowering staff with continuing education and case man-
agement by a full-time social worker and clinical psychologist were
also needed. Furthermore, this hospital-based integrated suicide
prevention program was accredited with the symbol of national
quality of Taiwan in 2014.
Conclusion Our study provided systematic intervention to
improve inpatient suicide prevention in a general hospital, and in
Taiwan. The HFMEA is a useful tool to improve inpatient suicide
preventionmeasures. We still needmore information and evidence
to promote the importance of inpatient suicide prevention.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1462
characteristics of suicidal behavior in
a rural population
G.M. Chauca Chauca ∗, L. Carrión Expósito , M.J. Jaén Moreno
1 UGC-Salud Mental Hospital Infanta Margarita, Cabra, Córdoba,
Spain
2 Instituto Maimónides de Investigación Biomédica de Córdoba
IMIBIC, Hospital Universitario Reina Sofía, Universidad de Córdoba,
Córdoba, Spain
∗ Corresponding author.
Introduction Suicidal behavior is defined as any behavior of self-
harm with intent and knowledge of what is done. Suicide ranks
among the 10 leading causes of death in the statistics of the world
health organization.
Objectives The main objective of the study is to determine the
sociodemographic characteristics of patients who have attempted
suicide and the characteristics of this behavior.
Methods It is a descriptive cross-sectional study.
Results The sample consisted of 70 patients, with a mean age
of 41.17 years, most of them were women (58.5%). In relation
to employment status, 31.4% were working, 21.4% unemployed,
14.3%were retired and 32.9% had other employment status. Among
the characteristics of suicidal behavior characteristics, mode, fore-
casting rescue, previous suicidal behavior, previous outpatient
follow-up and consumption of toxic evaluated. The most frequent
method chosenwas the voluntary intake of drugs (77.1%). The 67.1%
were diagnosed with depressive disorder followed by personality
disorders (20%).
Conclusions In total there is a predominance of women in achiev-
ing some suicidal behavior, as well as a higher percentage among
single, divorced or widowed (60%) versus married (40%). Also a
higher percentage of patients unemployed, pensioners and others
who do not receive income (68.5%) versus the occupationally active
(22%). Another condition that must be evaluated in the suicide risk
is having previously made a suicide attempt, in our study 54.3%.
Since subjects with previous suicide attempt are four times more
likely to try again. The results are also consistent with other studies
that the most common disorder associated with suicide attempt is
depressive disorder (67.1%).
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1463
Impact of nonideaton states on youth
suicide attempts
R. Copelan
Formerly, University of Colorado, Emergency Psychiatry, Pensacola,
USA
Background Youth nonideation suicidality (NIS), distinct from
impulsive deliberate-self harm (DSH), is a potential consequence of
adjustment disorder (AD) or selective serotonin reuptake inhibitor
(SSRI) adverse reaction. It is characterized by the absence of tran-
sient or enduring ideation. A new measure was constructed to
evaluate the impact of NIS on attempt rates.
Methods Youth 8 to 24-years-old were recruited in this case con-
trol study. Entry criteria included DSH (n = 50), AD (n = 91), and SSRI
(n = 29) emergent events with overt or suspected NIS, worsening of
existing or new onset suicidality, or abrupt mental status or behav-
ioral change. Exclusion criteria included sensorimotor deficit or
primary depressive disorder. Ratings from the new measure uti-
lized dichotomous as well as outcome scores, and compared to
ratings from other validated scales, after controlling for depression
and other matched factors.
Results High risk AD and SSRI groups presented with abrupt
onset, high lethality attempt, intense motor restlessness, great