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25th European Congress of Psychiatry / European Psychiatry 41S (2017) S69–S105

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


Psychoeducational family

intervention: Benefits and obstacles

reported by mental health


B. Pocai

, M. Savorani , G. Borriello , V. Del Vecchio ,

G. Sampogna , C. De Rosa , C. Malangone , M. Luciano ,

V. Giallonardo , A. Fiorillo

University of Naples SUN, Psychiatry, Napoli, Italy

Corresponding author.


Despite several guidelines recommend the use of

psychoeducational family interventions (PFIs) as add-on in the

treatment of patients with bipolar I disorder (a), their implemen-

tation on a large scale remains limited (b).


To identify benefits and obstacles in implementing a

PFI in the clinical routine care.


This was a multicentre, real-world, controlled, outpa-

tient trial, carried out in 11 randomly recruited Italian mental

health centres. Mental health professionals received a training on

PFI and provided the intervention to patientswith bipolar I disorder

and their relatives. Difficulties and benefits in performing PFI were

collected through an ad-hoc schedule, which was administered at

baseline and 5 times during the different stages of the intervention.


Mental health professionals report significant improve-

ments in the intervention-related benefits over time (T0 = 5.3



vs. T5 = 7.9




< .0001), in particular in their professional skills

(T0 = 6.5


2.3 vs. T5 = 8.0




< .01). They also report to be

more satisfied with their own work (T0 = 6.6


2.3 vs. T5 = 8.0




< .05). The most relevant difficulties were related to the need to

integrate the PFI with other work responsibilities and to the lack of

time, which did not decrease overtime.


PFIs are feasible in routine care for the treatment

of patients with bipolar I disorder and their relatives, and main

obstacles are related to the organization of mental health centres,

and not to the characteristics of the intervention itself.

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


Aberrant salience and alexithymia in

subthreshold psychotic experiences

among adolescent migrants in Italy:

A comparison with native Italian


A. Pozza

1 ,

, D. Dèttore



University of Florence, Department of Experimental and Clinical

Medicine, Florence, Italy


University of Florence, Department of Health Sciences, Florence,


Corresponding author.


In this decade in the Italian context, there has been

a significant increase of the immigration phenomenon. Consis-

tent data indicated higher risk of psychotic experiences among

migrants. Poor work investigated clinical variables associated with

stronger subthreshold psychotic experiences among this popu-

lation of adolescents. Aberrant salience, the biased assignment

of significance to otherwise innocuous stimuli, and alexithymia,

the difficulty identifying/describing feelings are believed to have

a role in the onset and maintenance of psychotic symptoms. No

study evaluatedwhether they couldmoderate the relation between

migrant status and psychotic experiences among in adolescence.


The current study investigated whether salience and

alexithymia predicted more intense subthreshold psychotic expe-

riences and moderated the effect of migrant status among migrant

and native Italian adolescents.


Seventy-three adolescents born in other countries than

Italy and 75 native Italian adolescents (mean age = 17.57, SD = 2.08,

47.30% females) completed the aberrant salience inventory, the

TorontoAlexithymia Scale-20 and the screening for psychotic expe-



Migrant adolescents had higher levels of subthreshold

psychotic experiences (F = 10.65,


< 0.01), alexithymia (F = 8.93,


< 0.01) and salience (F = 4.38,


< 0.05) than native Italian ado-

lescents. A main effect of aberrant salience and alexithymia on

subthreshold psychotic experiences emerged. An interaction effect

between migrant status and alexithymia was found: migrant ado-

lescents with stronger alexithymia had more intense subthreshold

psychotic experiences.


Public health policies should consider migrant

adolescents as a group at risk for stronger subthreshold psy-

chotic experiences. Prevention programs could take into account

alexithymia as a target of intervention for this population of ado-


Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.


Suicidal ideation amongst adolescent

suffering from disordered eating: The

Young-HUNT study

F. Saeedzadeh Sardahaee

1 , 2 ,

, T. Lingaas Holmen


, N. Micali

3 , 4


K. Kvaløy

1 , 5


Norwegian University of Science and Technology, ISM, Trondheim,



Levanger Hospital, Adult Psychiatry Department, Levanger, Norway


University College London, Behavioural and Brain Science Unit,

London, United Kingdom


Icahn School of Medicine at Mount Sinai, Department of Psychiatry,



Levanger Hospital, Department of Research and Development,

Levanger, Norway

Corresponding author.


Suicide takes a great toll on both individuals and

societies. Successful preventive measures would require a careful

understanding of the scope of suicidal ideation as well as its asso-

ciated factors. Amongst mental disorders, anorexia nervosa has the

highest mortality rate due to suicide.

Objective and aims

Studying the prevalence of suicidal ideation

and its associated factors in adolescents (13–19 years old) affected

by disordered eating (DE).


Logistic regression was employed to study associations

between suicidal ideation and age, gender and disordered eat-

ing in adolescents from a population-based prospective study,

The Young-HUNT 3 cohort, 2006-8. DE cases were defined using

the self-reported questionnaire (Eating Attitude Test-7) and then

grouped into two subscales, poor appetite/under-eating and

uncontrolled appetite/overeating.


A total of 3933(boys 49% and 51% girls) were

included. In total, 177 poor appetite/under-eating and 365

uncontrolled appetite/overeating cases were identified. Preva-

lence of suicidal ideation was 24.5% in total sample with girls

being more affected (27.1%). Prevalence of suicidal ideation

amongst poor appetite/under-eating case group and uncontrolled

appetite/overeating cases was respectively 43.5 and 39.2%. The

odds-ratio of suicidal ideation amongst poor appetite/under-eating