European Psychiatry - Volume 41 - April 2017

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S892 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S847–S910
evaluate suicidal ideation one month and three months after
discharge.
Results Considering suicide rates in other psychiatric wards,
we retrospectively analyzed in our mood disorder unit the inpa-
tient suicide rate of the last 3 years. In this period, we admitted
1794 patients. The suicide rate has been cumulatively of 0.17% (4
patients): 0.16% in 2014, 0.16% in 2015, and 0.19% in 2016. In the
same period, outpatient suicide rate has been of 0.39%; 57.14% of
outpatient suicides happened within three months after discharge.
Conclusions Hospitalization and discharge are critical circum-
stances for psychiatric patients. Evaluation of risk factors will
contribute to explain our ward suicide rate and hopefully to reduce
it in the future.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1484
Suicidal ideation expressed in online
video diaries: New form of sharing
intention to die
D. Sendler
University of Lublin Medical School, Department of Psychiatry and
Sexual Consultation Clinic, Lublin, Poland
Introduction Suicide risk is increasing among all population
groups, and no effective prevention method has been established
due to high variability of risk factors.
Objectives To (1) determine risk factors in people, who video-
streamed unsuccessful suicide attempt, and (2) assess whether
screening video blog websites is an effective suicide prevention.
Methods Participants (n = 24, 14M and 10F, age range = 19
to 53) with past history of suicidal attempts were recruited
online to participate in encrypted video qualitative interview.
Three scales assessed suicidal tendencies and Internet addiction:
Columbia–suicide severity rating (C-SSRS), suicide assessment five-
step evaluation and triage (SAFE-T), validated Internet addiction
scale of own design. Reported data are mixed quantitative and
qualitative measures.
Results Participants were stratified into two age categories (stu-
dents vs. working professionals), and all were determined to be
addicted to Internet. Each group engaged in minimum 15 sui-
cides ideation-related postings, prior to attempting suicide. Young
participants typically posted impulsive, quick massages capturing
distress caused by peers and family conflicts; seeking short-time
recognition was evidenced by eliciting more “likes” and “com-
ments” for each post. Working professionals posted less, but each
video was lengthier and messages were emotional, usually ending
in tearful summary of life events leading up to suicidal thoughts.
While students expressed anger with “the system” as motivation
to die, working professionals had financial problems and trouble
forming long-lasting friendships.
Conclusion People of all age groups increasingly document inten-
tion to die via blog video posts. These messages can be captured by
prevention professionals who can reach out to troubled students
and working adults.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EV1485
Suicidal intent in people with major
depression
D. Shukla ∗, A.Q. Jilani , P. Jaiswal , A. Nischal ,
R.A. Kallivayalil
1 Dr. Ram Manohar Lohia Institute of Medical Sciences, Psychiatry,
Lucknow, India
2 Era’s Lucknow Medical College, Psychiatry, Lucknow, India
3 King George’s Medical University, Psychiatry, Lucknow, India
4 Pushpagiri Institute of Medical Sciences, Psychiatry, Thiruvalla,
India
∗ Corresponding author.
Background Depression is most common underlying contributor
among cases of attempted/completed suicide. There is dearth of
information regarding suicidal intent among people with depres-
sion and its relationship with hopelessness among Indians.
Objective To evaluate and describe the intent of suicide in people
with depression among north Indian population.
Methods This cross-sectional single point, study was performed
at the department of psychiatry, King George’s Medical Univer-
sity, Lucknow, India. Cases were in the age group of 18–60 years
withmajor depressive disorder as per DSM-IV TR criteria. Following
tools e.g. Hamilton depression rating scale (HRS), Beck’s hopeless-
ness scale (BHS) and suicide intent questionnaire (SIQ) were used
for assessment.
Results Suicidal intent was observed among 68.1% (n = 49) of
study sample (n = 72). Therewas no significant (P > 0.05) association
of suicidal intent with socio-demographic factors except domicile
status. Suicidal intent was common among people with moderate
to severe depression and those with hopelessness. The hopeless-
ness was present among 70.8% of subjects.
Conclusion Suicidal intent is prevalent among people with major
depression. Intervention at initial stage of suicidal intention would
of importance for successful preventive measure. This emphasizes
the need for evaluation of suicidal intent in cases of depression.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1486
Implementation of the national
register of suicide attempts as a
preliminary strategy for the
prevention of suicides in Poland
A. Gmitrowicz , R. Szmajda ∗, A. Baran , I. Makowska ,
P. Kropiwnicki
Central Clinical Hospital, Klinika Psychiatrii Młodzie ˙zowej UM w
Łodzi, Łód´z, Poland
∗ Corresponding author.
Studies show that suicide attempts are a major independent pre-
dictor of suicide. Only in some countries of the world, there are
national registers of these behaviors. Poland is among the coun-
tries where suicide prevention is at the stage of implementation
of these strategies. One is the initial diagnosis of the prevalence
of suicidal behavior (SB) in selected populations. The aim of the
study was to assess the prevalence of SB in Poland on the basis
of available databases, including data such as age, sex and mental
disorders and the analysis of differentiation of selected indicators
of SB.
Material and methods We analyzed available registers of com-
pleted suicides (CS) and suicide attempts (SA), carried out under
reporting of the central statistical office (CSO, in the general pop-
ulation, based on death certificates), Police Headquarters (PH, the
number of reported SB in the country) and the Institute of Psy-
chiatry and Neurology in Warsaw (IPiN, the number of SB in all
psychiatric institutions) and the department of adolescent psychi-
atry in Łód´z (SB among hospitalized youth).
Results and conclusions Reported data on dissemination of SB
in Poland are incomplete, which may affect the reliability of the
assessment of the effectiveness of implemented strategies for the
prevention of suicides. The aim should be to create a central reg-
ister of SB, which will not only gather a well-defined data but also
monitor how it is obtained.