European Psychiatry - Volume 41 - April 2017

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S86 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S69–S105
O048
The role of maladaptive psychological
strategies in the association between
shame and psychological quality of
life
C. Ferreira ∗, A.L. Mendes , J. Marta-Simões
Faculty of Psychology and Education Sciences - University of
Coimbra, CINEICC, Cognitive Behavioural Centre for Research and
Intervention, Coimbra, Portugal
∗ Corresponding author.
Shame experiences have been highly associated with the engage-
ment in maladaptive strategies (such as experiential avoidance
and cognitive fusion) to cope with unwanted thoughts and feel-
ings. Furthermore, these maladaptive processes have been linked
to different psychopathological conditions.
The current study aimed to test the mediational effect of two dif-
ferent emotional regulation processes, cognitive fusion (i.e., the
entanglementwith unwanted inner events) and experiential avoid-
ance (i.e., the unwillingness to be in contact with these inner
experiences and the tendency to avoid and control them), on the
association between external shame and psychological quality of
life.
Participants were 421 (131 males and 290 females), aged between
18 and 34 years old.
The tested path model explained 40% of the variance of psycholog-
ical quality of life and showed excellent model fit indices. Results
demonstrated that external shame presented a significant direct
effect on psychological quality of life and, in turn, an indirect effect,
through themechanisms of cognitive fusion and experiential avoid-
ance. In fact, these findings seem to suggest that higher levels of
external shame are linked to a higher tendency to engage in cog-
nitive fusion and to lower acceptance abilities, which appear to
explain decreased levels of psychological quality of life.
The present findings seem to offer significant clinical implications,
emphasizing the importance of targeting maladaptive emotion
strategies through the development of acceptance and decentering
abilities.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
O049
Interaction between previous
attempts and diagnosed psychiatric
disorder as a risk marker of repeated
suicide attempts among adolescents:
Results from a prospective
hospital-based study
G. Martinez-Ales ∗, E. Jimenez , E. Roman , P. Sánchez , I. Louzao ,
A. Cano , A. Orosa , I. Rubio , A. Fraga , A. De Diego , M. Coll ,
L. Nocete , V. Baena , R. Gallego , B. Rodríguez , M.F. Bravo
Hospital Universitario La Paz, Psychiatry, Madrid, Spain
∗ Corresponding author.
Suicide is the secondmost frequent cause of death among the youth
and its rates among adolescents have recently risen. Up to 30% of
adolescents who attempt suicide will try it again within a year. Our
objective is to analyze how previous attempts and diagnosed psy-
chiatric disorder behave as markers of risk of reattempts and their
statistical interaction. We include every underage patient treated
by an emergency roompsychiatrist after a suicide attempt in a Gen-
eral Hospital between years 2010 and 2015. Patients free of relapse
after 1000 days are censored. We obtain Kaplan–Meier estimates
for the risk of a new attempt as a time-dependant variable, divid-
ing them by the presence of previous suicide attempts, diagnosed
psychiatric disorder or both at a time, checking the differences by
using log-rank tests. Then, we perform Cox proportional risk mod-
els including both variables and a factor of their interaction and
adjust them by sex and age in a non-automatically driven mul-
tivariate analysis, thus obtaining HR estimates. We present 150
cases (118 female; mean[SD] age in years: 15.8 [1.6]). Overall, 22.6%
of them relapse during follow-up time. Multivariate models show
interaction of previous attempts and diagnosed psychiatric disor-
der is associated with relapse with an HR of 1.27 × 108 (95% CI:
5.51 ×107 – 2.9 ×108). Interaction of both factors is an outstand-
ing risk marker of relapse after an attempted suicide and should
thus be given clinical importance in tertiary prevention.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
O050
Personality and spirituality as
predictors of suicidality in depressed
patients
S. Mihaljevic ∗, B. Aukst-Margetic , S. Karnicnik ,
B. Vuksan-Cusa
1 General Hospital Virovitica, Psychiatry department, Virovitica,
Croatia
2 Clinical Hospital Centre Zagreb, Psychiatry Department, Zagreb,
Croatia
∗ Corresponding author.
Introduction Some studies show that more expressed spiritual-
ity and some dimensions of personality have protective role from
suicidality.
Aim The aim of our study is to examine the influence of the spir-
itual quality of life (QoL) and dimensions of personality on course
of suicidality in patients with depression.
Methods Ninety-nine patients were assessed with self-report
measures of suicidality (BHS), personality (TCI), spirituality
(WHOQOL-SRPB) during a yearlong follow-up.
Results Spirituality was inversely linked with suicidality at
baseline and during follow-up and more expressed spirituality
influenced faster recovery from suicidality. Dimensions of temper-
ament harm avoidance and self-directedeness show as significant
predictors of recovery from suicidality.
Conclusion In our sample, spirituality, harm avoidance and self
directedeness are significant predictors of recovery from suicidal-
ity. This finding is stimulus for further researching of protective
factors from suicidality.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.