European Psychiatry - Volume 41 - April 2017

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S88 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.
O054
Psychoeducational family
intervention: Benefits and obstacles
reported by mental health
professionals
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.
Introduction 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).
Objectives To identify benefits and obstacles in implementing a
PFI in the clinical routine care.
Methods 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.
Results Mental health professionals report significant improve-
ments in the intervention-related benefits over time (T0 = 5.3 ±2.0
vs. T5 = 7.9 ± 0.9; P < .0001), in particular in their professional skills
(T0 = 6.5 ± 2.3 vs. T5 = 8.0 ±0.8; P < .01). They also report to be
more satisfied with their own work (T0 = 6.6 ±2.3 vs. T5 = 8.0 ± 1.3;
P < .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.
Conclusions 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.
O055
Aberrant salience and alexithymia in
subthreshold psychotic experiences
among adolescent migrants in Italy:
A comparison with native Italian
adolescents
A. Pozza ∗, D. Dèttore
1 University of Florence, Department of Experimental and Clinical
Medicine, Florence, Italy
2 University of Florence, Department of Health Sciences, Florence,
Italy
∗ Corresponding author.
Introduction 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.
Objectives 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.
Methods 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-
riences.
Results Migrant adolescents had higher levels of subthreshold
psychotic experiences (F = 10.65, P < 0.01), alexithymia (F = 8.93,
P < 0.01) and salience (F = 4.38, P < 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.
Conclusions 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-
lescents.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
O056
Suicidal ideation amongst adolescent
suffering from disordered eating: The
Young-HUNT study
F. Saeedzadeh Sardahaee ∗, T. Lingaas Holmen , N. Micali ,
K. Kvaløy
1 Norwegian University of Science and Technology, ISM, Trondheim,
Norway
2 Levanger Hospital, Adult Psychiatry Department, Levanger, Norway
3 University College London, Behavioural and Brain Science Unit,
London, United Kingdom
4 Icahn School of Medicine at Mount Sinai, Department of Psychiatry,
NY, USA
5 Levanger Hospital, Department of Research and Development,
Levanger, Norway
∗ Corresponding author.
Introduction 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).
Methods 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.
Results 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