European Psychiatry - Volume 41 - April 2017

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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S847–S910 S889
media coverage. In the same region, several “Satanist” offenders
were successfully prosecuted since.
Objectives This paper raises awareness of this “suicide epidemic”
and its possible links to ritual violence ideologies.
Aims The research explores how “mind control” through secret
societies can lead to suicide and murder.
Methods The research was prompted by client disclosures of a
crime series that lead to a false “delusional” diagnosis. Reviewof the
sparse literature andmedia coverage was used to ascertain themes.
Results Colin Batley, a self-styled Satanist high priest, was sen-
tenced for child sexual abuse alongside 4 others. His son Damien
had died through aspirationwhen filming himself in a “sexual stim-
ulation game”.
IanWatkins, disgraced singer of “The Lost Prophets”, was sentenced
for abusing two babies provided by two “super-fan” mums. Peaches
Geldorf tweeted their names, got a tattoo of O.T.O, a Satanist “kinky
sex” group and was found dead a year later.
Albert and Carole Hickman were sentenced for sexually abusing an
11-year-old including “sucking blood”.
MatthewWilliams cannibalised his victim before being killed with
a police taser.
Conclusions “Hanging” and “Over-dosing” could be the result of
suicide or of “being suicided”. The abuse crimes of all three Satanists
convicted in the last 15 years in UK courts occurred in SouthWales.
Associated violent death in the vicinity of the cases and author-
ity irregularities suggest the operation of an “Organised ritualised
crime abuse network” posing challenges for psychiatry.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EV1474
Characteristics of suicide attempters
with a high lethality means
C.T. Lee ∗ . Lee , K.U. Lee , H.K. Lee , Y.S. Kweon
Uijeongbu St. Mary’s Hospital, Department of Psychiatry, Uijeongbu,
Republic of Korea
∗ Corresponding author.
Introduction Suicide attempts with higher lethality increase the
likelihood of suicide completion. Accumulating knowledge on risk
factors contributing to higher suicide lethality may help clinicians
to allocate their limited resources to more endangered people.
Objectives To explore the factors associated with higher lethality
in suicide attempts.
Methods All suicide attempters, who visited the emergency
department of Uijeongbu St. Mary’s hospital from January 2014
to December 2015, were reviewed retrospectively. We compared
between the high vs. the low lethality group, of which had been
recorded based on clinical judgment using t-test or Chi2/Fisher’s
exact test with two-sided P-value of 0.05.
Results Among the 753 suicide attempters, the assessed lethality
was recorded in 736 cases. Low and highly lethal attempters were
426 (57.9%) and 310 (42.1%), respectively. For demographic vari-
ables, the high lethality attempters were significantly more likely
to be older (48.3 vs. 44.78; P = 0.009), unemployed (61.0% vs. 56.5%;
P = 0.042, without religion (90.9% vs. 84.9%; P = 0.017). For clini-
cal variables, the high lethality attempters were significantly more
likely have hopelessness (67.7% vs. 58.2%; P = 0.013) and a history of
schizophrenia (4.5% vs. 1.4%; P = 0.023, while they did display any
difference for mood disorders. The low lethality suicide attempts
were more frequent in patients with comorbid personality disor-
ders (9.2% vs. 4.9%; P = 0.031).
Conclusions These results are in line with literatures reporting
higher suicide risk in people, who are old, unemployed, not having
a religion, psychotic and hopeless. Thesemay have beenmoderated
by committing a higher lethal means of suicide at least in part and
warrants additional investigations.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1475
Is prior suicide attempt a reliable
indicator of short-term suicide risk
amongst patients admitted to an
acute suicide inpatient intervention
unit in India?
S. Mishra
MTI Trainee, Newsam center, Secroft hospital, Psychiatry, Leeds and
York Partnership Trust, Leeds, United Kingdom
Introduction Traditionally past suicide attempt is considered a
strong reliable factor in predicting an immediate or short-term sui-
cide risk. Considering the complex interplay of different variables
associatedwith suicide, the absence of past attemptsmay not prove
to be of lesser risk for a consequent attempt.
Aim To compare sociodemographic and clinical correlateswithin
high-risk suicidal patients who have made a recent suicide attempt
in the presence versus absence of past suicide attempts.
Methods Retrospective review of patient’s records admitted to
intensive care unit, applied suicide intervention and supportive
treatment (ASIST) between 1st January 2015 and 31st May 2016
was conducted. Data was extracted for all consecutive admissions
to ASIST, of adults (16 to 60 years) male patients with high risk for
suicide.
Results Out of 109 at risk inpatients, 31% were recent attempters
without past attempts and 13.5% were recent and past attempters.
Rest included past attempters without recent attempt and non-
attempters. Except for poor coping skills, which were significantly
higher (Chi2= 13.97; P = 0.001) in the group consisting recent and
past attempters, all other relevant sociodemographic and illness
related correlates were comparable across these groups.
Conclusion Suicide risk may be associated with multiple factors.
Apart from past attempts, a faulty coping style can be associated
with risk for further attempts. Other correlates like age, marital
status, employment and illness profile did not follow the traditional
pattern in our study which makes them equally important while
addressing suicide risk in Indian men.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EV1476
Fear from freedom, tendency to
suicide
M. Mohammadi
Education Organization, physics, Tehran, Iran
The growth of social activities for women in Iran has had a
two-sided outcome for women. The worst, the women have
encountered the phenomenon of prison, which is a great problem
in traditional and Islamic societies. The change of role expectations
after the release from prison has imposed many restrictions on
women so that there is not any vivid future for them. Lack of enough
education and skill has deprived the prisoner women from retain-
ing their pre-prison situation. The high number of suicide among
prisoner women shows that subculture of encountering with pris-
oned women in Islamic societies is based on sin approach in that
the women are sinners who will be sent to hell in the other world
and they must see the punishment of their sin to be ready for the
extreme heat. Disinterestedness in the interaction with other peo-
ple and loving isolation are two characteristics of style life for these
women. The efforts of authorities to return these women to nor-
mal life, unfortunately, have failed to work. This paper investigates