European Psychiatry - Volume 41 - April 2017

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S906 25th European Congress of Psychiatry / European Psychiatry 41S (2017) S847–S910
EV1527
Ulsba’s Epva hospital team’s first year
of activity
A. Matos-Pires ∗, P. Canelas , J. Coelho , C. Gaspar ,
R. Cavagliá
1 ULSBA Beja, Psychiatry, Beja, Portugal
2 ULSBA Beja, Emergency, Beja, Portugal
3 CerciBeja, Psychology, Beja, Portugal
4 Universidade Católica Lisboa, Neuropsychology, Lisboa, Portugal
∗ Corresponding author.
Domestic violence (DV) against women still lacks rigor in its iden-
tification and denouncement, which makes it an under diagnosed
condition.
Physical and psychic well-being of women who are victims of
DV is threatened hence it is essential to discuss this subject as a
health matter. Furthermore, health professionals are usually DV
victims’ first contact. In 2009, Margaret Chan from WHO stated
that “Preventing violence against women requires a multi-sectoral
approach, and in this context the health sector has a central role
to play which includes helping to identify abuse early, provid-
ing victims with the necessary treatment, and referring women to
appropriate and informed care.”
Portuguese Health Ministry has created, through the legal dis-
patch No. 6378/2013 of may 16, an integrated intervention model
on interpersonal violence throughout life, entitled Ac¸ ão de Saúde
sobreGénero, Violência e Ciclo de Vida (ASGVCV), made operational
by Equipas para a Prevenc¸ ão da Violência emAdultos (EPVA) teams.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1528
What is mommy doing in the
bathroom? A typical case of
postpartum psychosis
G. Montero ∗ lberdi , B. Serván , M. Villanueva , R.Á. Baena ,
L. Niell , J. García-Albea
Instituto de Psiquiatría y Salud Mental, Department of Psychiatry,
Hospital Clinico San Carlos, Madrid, Spain
∗ Corresponding author.
Objective We report the case of a 41-year-old woman brought by
her husband for behavioral disorder during the last week. As back-
ground, she had her first vaginal delivery after a risky pregnancy
a fortnight ago, which required uterine arteries embolization for
intense uterine bleeding; and an adjustment disorder eight years
ago.
Results The patient presents a wordy and inadequate speech, as
well as insomnia for the last seven nights. She has injuries in both of
her hands due to intensive cleaning of her home and genitalia. Her
condition is fluctuant, remaining for hours in the bathroom after
breastfeeding and behaving strangely at night, with an irritable
mood and being unable to care for their child.
She also has a fever of 39 ◦ C, with thrombocytosis (850,000
platelets) and a c-reactive protein up to 20 as relevant alterations,
attributed to mastitis and consequences of the recent intervention.
Olanzapine at a dose of 10mg per day was introduced after stop-
ping breastfeeding, with very good tolerance and complete clinical
remission within a few days, with the diagnosis of postpartum psy-
chosis and suspected affective disorder of the bipolar spectrum.
Conclusions Puerperal psychosis is misdiagnosed in at least 50%
of cases, with a prevalence of 1–2/1000 births, and appears more
frequently between the 3rd and 9th day after delivery. The risk for
bothmother and child is severe and it must be treated immediately,
being its evolution in general favorable. Most of the risk factors and
clinical manifestations for this condition are described in this case.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EV1529
Affirmative competence and practices
of mental health professionals with
LGB clients: An Ibero-American study
H. Pereira
University of Beira Interior, Psychology and Education, Covilhã,
Portugal
Introduction There are not many studies about affirmative com-
petence and practices among mental health professionals working
with lesbian, gay, and/or bisexual (LGB) clients.
Objectives The objectives of this research are to assess the levels
of affirmative competence and practices of professionals in Ibero-
American countries.
Aim We aim to compare differences regarding gender, country
of origin, religious beliefs, political orientation, sexual orienta-
tion, age, education, marital status, and possessing specific training
related to working with LGB clients, in order to determine the pre-
dictive association of the variables under study.
Methods The sample consists of 630 therapists from various
countries various Ibero-American countries: 23% from Portugal,
23.2% from Brazil, 19.1% from Spain, 6.7% from Mexico, 6.7%
from Argentina and 18.6% from other countries. Ages ranged
from 19 to 75 years old, with a mean age of 41.46 years. The
socio-demographic questionnaire, the Sexual Orientation Coun-
selor Competency Scale, and the Affirmative Practice Questionnaire
were the measures used.
Results The results show statistically significant differences
when comparing marital status, sexual orientation, political ori-
entation, religious beliefs, level of education, and specific training
concerning LGB issues. Age, gender, and country of residence show
no statistically significant differences. The linear regression model
demonstrates that there is a significant predictive value between
affirmative competence and practices with LGB clients.
Conclusions This study indicates that mental health profession-
als should undergo some type of academic or professional training
and/or possess experience in regards to working with LGB clients,
in order to enhance their approach when working with this popu-
lation.
Disclosure of interest The author has not supplied his/her decla-
ration of competing interest.
EV1530
Violence suffered by women before
her incarceration: Integrative
literature review
E. Schere ∗ cherer essoa . Scherer
1 Ribeirão Preto Medical School Hospital, University of São Paulo,
Neurosciences and Behavioral Sciences, Ribeirão Preto, Brazil
2 University of São Paulo, Ribeirão Preto College of Nursing,
Psychiatric Nursing and Human Sciences, Ribeirão Preto, São Paulo,
Brazil
3 Neurosciences and Behavioral Sciences, Ribeirão Preto Faculty of
Medicine, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
∗ Corresponding author.
Introduction The complex phenomenon of violence against
women is determined by gender relations that, from a historical
and social construction of female and male, and the biological dif-
ferences which gives unequal power between men and women.
This results in increased vulnerability of women, exposing them
to physical, psychological and sexual violence. The history of vio-