bluuebunny/crossref_metadata_2025 huggingface dataset:
P02-09 - Mental Disorders Among Homeless People Admitted to a French Psychiatric Emergency Service: a Survey on 16,754 Persons
Authors: Henry J.-M. , Boyer L. , Belzeaux R. , Baumstarck-Barrau K. , Samuelian J.-C.
Published: June 2010

Objective

The aim of this work was to identify factors associated with homelessness status in patients admitted to the psychiatric emergency ward of a French public teaching hospital over the 6-year study period (2001-2006).

Methods

The study was based on a retrospective review of the psychiatric emergency ward's administrative and medical computer databases. Each emergency care episode had accompanying data including demographic, financial, clinical, and management information.

Results

During this 6-year study, the psychiatric service recorded 16,754 care episodes concerning 8,860 different patients, of which 591 were homeless (6.7%) and 8,269 were non-homeless (93.3%). The mean ± SD number of visits to the psychiatric emergency service was higher for homeless (4.9±12.3) than for non-homeless patients (1.7±2.4) (p< .001). A total of 331 homeless patients (56%) had more than one care episode, versus 2,180 (26%) for non-homeless patients. Factors associated with homelessness included male sex, single status, and the reception of social financial assistance. Schizophrenia (43.7%) and substance use disorders (31.0%) were the most frequent disorders in homeless patients. Aggressive behaviour and violence were reported equally in homeless and non-homeless patients. Homeless patients were hospitalized less often after having received care in the emergency ward.

Conclusion

Although there is near-universal access to free mental health care in France, our findings suggest that the quality and adequacy of subsequent care were not always guaranteed. Multidisciplinary and collaborative solutions are needed to improve the management of homeless patients.
P02-13 - Epidemiological Study of Immigrant Population Attendend in the Emergency Services of a General Hospital in Madrid
Authors: López J. , Marin M. , Pineda M.J. , Angora R. , Codesal R. , Castillo I. , Vazquez J.C. , Aragües M.
Published: June 2010

Objectives

Immigrant population has been growing up in Spain in the last decades. The immigration process constitutes a vulnerability factor for the development of psychological issues. Moreover, ethnicity determines a great variability in the symptomatic expression of psychiatric diseases. The objective of this study was to investigate the demographical characteristics and clinical profiles of immigrant patients that visit the emergency services of general hospitals.

Methods

An epidemiological study was conducted to evaluate profiles and demographical characteristics of immigrant population attended at the emergency services of the “Hospital 12 de Octubre” Madrid, during 2007. The data were acquired through a protocol developed for this study and applied to all foreign patients attended.

Results

2976 patients were attended during 2007. Immigrant patients were 10% of the sample. There mean age was 29.46 years. 42.1% were men and 57.9% were women. The nationalities of the sample were as follow: 47.8% were Latin American, 23.7% Eastern Europeans, 16.1% were Maghribian and 4.7% were Africans. 48.2% were attended because of suicide attempt (the 59% of Latin Americans and the 54.5% of Eastern Europeans) and 14.3% had psychosis (the 42.9% of Africans and the 36.2% of Maghribians). 30% were diagnosed of a current Substance Use Disorder (the 16.9% of Eastern Europeans).

Conclusions

We found several clinical and demographical differences within the ethnic groups studied. Latin Americans and Eastern Europeans consult for suicide attempt, whereas Maghribians and Africans are attended for psychosis. Psychiatrists should consider cultural and ethnic factors when interviewing foreign population.
P02-17 - Intensive Psychiatric Care
Authors: Salzmann-Erikson M. , Lützén K. , Ivarsson A.-B. , Eriksson H.
Published: June 2010

Introduction

The first psychiatric intensive care unit (PICU) opened in the early 1970's in New York. This ward was designed to manage patient that did not respond to treatment in open psychiatric wards. There are about 15 PICUs in Sweden but the concept has not been specified by any public organs. In many county hospitals, both acute and intensive care units exists parallel.

Aims

Therefore, the aim of this study was to describe the core characteristics of PICU in Sweden and to describe the care activities provided for patients admitted to PICU.

Method

Critical incident technique was used. In the study, eighteen caregivers at a PICU participated by completing a semi-structured questionnaire. Additional, in-depth interviews with three nurses and two assistant nurses also constitute the data.

Results

Four categories were identified that characterise the core of PICU: the dramatic admission, protests and refusal of treatment, escalating behaviours and temporarily coercive measure. Care activities for PICU were also analysed and identified as controlling - establishing boundaries, protecting - warding off, supporting - giving intensive assistance and structuring the environment.

Conclusions

PICU were interpreted as a level of care as it is composed by limited structures and closeness in care.
P02-20 - Comparing the Incidence of Anxiety and Depression Between Two Wards of Internal Medicine and A&E (2005 –2006)
Authors: Amanat Lome Dasht N. , Imani A. , Ghorbani R. , Behnam B. , Khankeh H.R.
Published: June 2010

Introduction

Negative emotions such as anxiety and depression have been related to increased mortality in both healthy individuals and medical patients The method of treatment would be changed when the patients have psychological problem. In internal ward researcher observed many patients that them shown psychiatric disorder such as depression and anxiety. Therefore, this study has been done for evaluation of prevalence of anxiety and depression and comparison with a control group.

Materials & methods

In this cross-sectional study, we checked 150 patients of internal medicine department and 150 patients, who have admitted to the A&E department as a control group. They have chosen by a Purposive accessible sampling method. A questionnaire form, namely “SCL-R-90” was filled by a group of nursing student. This is known as a standardized questionnaire in Iran. Data have been computed and analyzed by SPSS V.13 and we used t-student, Mann-Whitney tests and logistic regression methods. The results have been considered significant when the two tailed p-value was less than 0.05.

Results

In internal ward 69.3% and A&E department 42% of patient have had depression (OR=3.5, 95%CI=1.9—6.5). Anxiety were observed in 50.7%of internal medicine patients and 12% of A&E's patients (OR=1.94, 95%CI=5.1 —23.7).

Conclusion

Prevalence of the depression and anxiety in internal ward patients was significantly higher in compare to A&E's patients. Therefore, it's necessary to consider these patients in order to diagnosing for the early treatment. Recommendation are made to further investigate by greater sample size and different setting in this field is warranted.
P02-27 - Pathological Gambling in General Population: Preliminary Study
Authors: Lucas C. , Romo L. , Lefauffre C. , Morvannou A. , De Lisle Nichols E. , Ades J.
Published: June 2010

Pathological gambling is characterized in DSM IV-TR as one of the disorders of impulse control. Problem gambling is also part of what is considered behavioural addictions with intrusive thoughts about the game, are spending more and more important to play etc.

Objectives

There is no epidemiological study in France, that's why we make an epidemiological study on the prevalence of pathological gambling.

Methods

We wanted to study the prevalence of pathological gambling in a sample of 529 persons: 368 gamers of Pari Mutuel Urbain and La Française des Jeux, and 161 persons in the general population.

We used as instruments: SOGS for screening of pathological gambling, BIS-10 for impulsiveness's evaluation, HAD scale to assess anxiety and depression and ASRS for the evaluation of attention deficit disorder / hyperactivity disorder.

Results

The results show that the rate of pathological gambling in general population is 1.24% (this result is similar to those found in other countries such as Quebec)

Men are overrepresented in the group of pathological gamblers (88.9%), also with consumption of alcohol and tobacco. Depression and anxiety are particularly high, 40% of JPs with an anxiety score significantly higher.

Conclusions

It would be necessary to establish follow-up studies of populations and patients as well as specific studies on people who frequent casinos, racetracks and Internet gambling. Almost 20% of players have a gambling problem or risk and these people do not consult despite their psychological problems, family, work, debts…
P02-40 - Epidemiological Profile of Addiction to Benzodiazepines Followed Through the Center of Care for Addicts Annaba
Authors: Tefahi B. , Kacha F.
Published: June 2010

Addiction to benzodiazepines is a consumer behavior providing pleasure and relief, characterized by the repeated failure of its control and its persistence in spite of its damage. Our work is related to the study of socio-demographic features, clinical diagnosis and treatment of a sample of patients addicted to benzodiazepines monitored intermediate care center for drug addicts (CIST) of Annaba (Eastern Algeria) during the period from 1 January December 31, 2009. Our preliminary results cover a population of young adults, predominantly male, regularly consume two types of benzodiazepines in over half the cases and for a period exceeding 5 years. Results to follow.
P02-42 - Differences in Psychotropic Drug Prescriptions Among Ethnic Groups in the Netherlands
Authors: Wittkampf L.C. , Smeets H.M. , Knol M.J. , Geerlings M.I. , Braam A.W. , De Wit N.J.
Published: June 2010

Introduction

Differences in prevalence rates between different ethnic groups in the Netherlands and Belgium have been demonstrated. But there is no data on treatment differences among ethnic groups in the Netherlands.

Objectives

To obtain more knowledge on differences in mental health care among ethnic groups in the Netherlands.

Aims

To determine whether these minority groups will be more or less likely to be receiving psychotropic drugs.

Methods

A descriptive population study was performed using the Agis Health Database, containing data of approximately 1.5 million inhabitants of The Netherlands. Rates of prescriptions of psychotropic drugs from 2001 to 2006 and adjusted odds ratios for psychotropic drug prescriptions among native Dutch, Turkish, and Moroccan ethnic groups were calculated. These data were analyzed using logistic regression, adjusted for age, gender and socioeconomic status.

Results

Among both the Moroccan and Turkish populations there was a higher risk of antidepressant drug prescriptions, antipsychotic drug prescriptions and a pronounced lower risk of ADHD medication en lithium prescriptions compared with the native population. Among the Turkish population the risk of anxiolytic drug prescriptions compared with the native population was increased.

Conclusions

Compared with the native population in the Netherlands, first and second generation Turkish and Moroccan immigrants had an increased risk of antidepressant and antipsychotic drug prescriptions and a decreased risk of ADHD medication and lithium prescriptions. Further research is needed to clarify if patients of different ethnic backgrounds with the same symptoms receive equal diagnosis and treatment.
P01-406 - Physical Coercion, Perceived Pressures and Procedural Justice in the Involuntary Admission and Future Engagement with Mental Health Services
Authors: O’Donoghue B. , Lyne J. , Hill M. , Larkin C. , Feeney L. , O’Callaghan E.
Published: June 2010

Introduction

The use of physical coercion and involuntary admission is one of the most controversial practices in medicine, it is now understood that perceived coercion is multidimensional and is associated with procedural justice and perceived pressures, and not simply related to the legal status of the patient.

Objectives

We sought to determine the rate of physical coercion used and the perceived pressures and procedural justice experienced by the person at the time of involuntary admission and whether this influenced future engagement with the mental health services.

Methods

Over a 15 month period, people admitted involuntarily were interviewed prior to discharge and at one year follow-up.

Results

81 people participated in the study and 81% were interviewed at one year follow-up. At the time of involuntary admission, over half of people experienced at least one form of physical coercion and it was found that the level of procedural justice experienced was unrelated to the use of physical coercive measures. A total of 20% of participants intended not to voluntarily engage with the mental health services upon discharge and they were more likely to have experienced lower levels of procedural justice at the time of admission. At one year following discharge, 65% of participants were adherent with outpatient appointments and 18% had been readmitted involuntarily. The level of procedural justice experienced at admission did not predict future engagement with services.

Conclusions

This study demonstrates that the use of physical coercive measures is a separate entity from procedural justice and perceived pressures.
P02-44 - The Patient's Privacy in the Care of Elderly People and its Correlation with Satisfaction in Emergency Department
Authors: Aghajani M. , Naierre N.
Published: June 2010

Objective

The objective of this study was to determine the rate of observe patients Privacy by treatment team and its correlation with patient's satisfaction in an Emergency Department.

Methods & material

This was a cross-sectional correlation study that 260 hospitalized elderly patients in census method were recruited in Emergency Department of selected hospital of Tehran, Iran. Data were collected using a questionnaire included various dimensions in patients privacy and satisfaction. Data were analyzed using descriptive and analytic statistical methods by SPSS software.

Results

Half of patients perceived that their privacy observed at poor to medium level. About 49.4% of patients reported that their privacy was observed at near to excellent to excellent level. Also about 1/3 of patients perceived that physical privacy and psychosocial privacy observed in medium level and their good information privacy. Satisfaction of 76.4% patients was low and medium. However satisfaction 50% of patients in physical privacy and 58.6% in information privacy was low. There is a strong correlation between level of privacy observed and satisfaction in various dimensions. There was significant correlation between some of the demographic variable and observes of privacy and satisfaction.

Conclusion

In regard to observe of privacy and satisfaction of the most of patients is not in good level thus it is need to specific attention of clinicians and educators to this point. Also interventions is need for better observe of privacy and patients satisfaction.
P02-47 - Juvenile Sex Offenders in Switzerland: Demographic Factors, Psychopathology, Offence Characteristics and Recidivism
Authors: Aebi M. , Bessler C.
Published: June 2010

Objectives

The aim of the present study was to describe the population of juvenile sex offenders in the Canton of Zurich by a retrospective analysis of a consecutive sample of the police and judicial records between 2000 and 2008. Offence characteristics have been studied and compared to demographic and psychopathological factors of the adolescent offenders. Reoffence risk was assessed by the Juvenile Sex Offender Assessment Protocol (J-SOAP-II) and compared to sexual and general recidivism.

Methods

A youth-adapted version of the Forensic-Psychiatric Documentation System (FDPS) has been used for data collection. Recidivism has been assessed by the official crime database of the Canton of Zurich until October 2009.

Results

Preliminary results show that the population of juvenile sex offenders is of heterogeneous nature. Intensity of sexual behavior and violence varies significantly in the sample (N = 351). Mostly the juvenile offenders have been arrested after committing one criminal act (56.4%). With exception of pornographic offences (35.9%), sexual coercion (32.8%) and sexual assaults against children (27.4%) were the most frequent crimes. Psychiatric assessments of the most serious juvenile offenders found frequent behavioral (43.6%) and emotional disorders (18.1%) but only one case of paraphilia. Results of risk assessment and recidivism are in preparation and will be added to the final presentation.

Conclusions

Juvenile sex offenders are a complex population and can not been compared to adult offenders according to offence characteristics and crime motivation. Developmental factors have to be included when assessing and treating juvenile sex offenders.
P02-51 - Security and Psychiatry: the British Experience and Implications for Forensic Psychiatry Services in Israel
Authors: Bergman - Levy T. , Bleich A. , Kotler M. , Melamed Y.
Published: June 2010

In recent years the courts have become more involved in the psychiatric services in Israel. Data reveal a gradual increase in the rate of court ordered hospitalizations according to Section 15 of the Law for the Treatment of the Mentally Ill. This paper examines the implications of this trend while focusing on the issues of security and safety in psychiatric hospitals. The work presents highlights from extensive British experience with this issue, while focusing on the implications on forensic psychiatry in Israel. The development of the hierarchy of security in the British psychiatric services beginning with the early 1970's, with the establishment of the Butler Committee that determined a hierarchy of three levels of security for the treatment of patients and culminating with the establishment of principles for the operation of medium security units in Britain (Read Committee, 1991) is reviewed. Forensic psychiatric services in Britain are based on these developments.

We examine the current status of mental health facilities in Israel, and the relevance of the British experience to the Israeli situation. In our opinion, a safe appropriate environment is a necessary condition for an appropriate treatment setting. As is in several European countries we are suggesting the establishment of medium security forensic psychiatry departments within a mental health facility that will enable concentration and classification of court ordered admissions as well as systemic flexibility and capacity for better treatment, commensurate with patient needs.
P02-55 - Forensic Psychiatric Services in Kuwait and the Need for Mental Heath Legislation
Authors: Eid S.
Published: June 2010

The state of Kuwait is situated on the north-west coast of the Arabian Gulf. Its population is made up of approximately 3 millions; one third is Kuwaiti and the other two thirds are expatriates. Psychiatric services started in Kuwait in 1949 and developed over time. Although there is a mental health policy in Kuwait, there is no mental health legislation. The main and only psychiatric facility in Kuwait is the psychological Medicine Hospital, which is a large psychiatric facility with 650 beds. Until 2000 Medico-legal cases were admitted to a close ward. In 2000 a new forensic unit was opened. The unit consists of two male wards located within the ground of Psychological Medicine Hospital. It has 34 beds, and in practice it provides a level of security that is a mid-way between medium and maximum. Female medicolegal cases are few and are admitted to a general close female ward. Cases are referred for medicolegal assessment from Police stations, prisons and courts. The unit provides psychiatric services for mentally disordered prisoners. Involuntary admission of mental patients other than those referred from legal authorities depends on the agreement of their families whatever their conditions are dangerous or not. Management and regular follow up of mentally disordered patients at outpatient clinics faces many challenges. There is no legal mean to commit mentally disordered patients; found to be no guilty because of a mental disorder to attend outpatient psychiatric clinics. There is a need to have mental health legislation in Kuwait.
P02-63 - The Implicit Association Test IAT for Child Abusers and Internet Sex Offenders
Authors: Händel N. , Habermeyer B. , Mager R. , Dittmann V. , Graf M.
Published: June 2010

Objectives

Deviant sexual preference is known as a risk factor for child abuse. Most often the examination of sexual preferences relies on interviews, self-ratings like the Multiphasic Sex Inventory or rather invasive methods like phallometry respectively the so called Abel-Screen, derived from the latest. The computer based Implicit Association Test (IAT) has proven its validity in several fields like sexism or racism by measuring the subjects attitude to certain association. Gray et al. from Cardiff published in 2005 significant associations between children and sex in pedophiles.

Methods

As part of a larger study about visual erotic stimulation of child abusers and internet sex offenders, we conducted the IAT in two different versions with visual stimuli on both child abusers and internet sex offenders as well as on male and female comparison samples. Psychological and Personality profiles were assessed by HAWIE, WCST - 64, SKID, MMPI, MSI, IPO and SCL-90 R.

Results

Preliminary data suggests discriminant validity of the IAT concerning sexual preference. In addition, tests for frontal inhibition show poor performance of child abusers in contrast to controls and internet sex offenders.

Conclusions

Our preliminary data about the IAT suggests that both child abusers and internet sex offenders display other associations on visual erotic stimulations than the comparison sample. Further research about deviant sexual preferences should take the impact of cognitive processes into consideration.
P02-67 - Adolescent Delinquency as Precursor to Adult Violent Offending - a Prospective Study of a Representative Sample of Swiss Men
Authors: Laubacher A.
Published: June 2010

Studies on adult sex and violent offenders have found high rates of adolescent delinquency, while early delinquency has been shown to be significantly associated with adult offending. The examined sample represents a sub-sample of an age cohort of a longitudinal prospective study (N=6315) including all men who at the age of 19 had an entry in the criminal records (N=123). During the observation period of 34 years, 68.3% of the sample had been reconvicted as adults, 23.6% for violent or sex offenses. Of the adolescent delinquents who went on to adult violent offending the odds for adult sex or violent offending were 2.8 times elevated for those who had committed a violent offense in adolescence and 2.5 times elevated per type of offense committed in adolescence. Additionally, each offense committed before the age of 19 lead to a 5% increase in risk for violent or sex offending as an adult. The characteristics of criminal history showed the highest discriminative values (AUC: 0.61-0.65). The most important finding of this study was that characteristics of adolescent delinquency such as versatility, violence and frequency are better predictors of adult violent offending than socio-economic or psychiatric ones.
P02-68 - Neural Correlates of the Processes of Deception: an fMRI Study
Authors: Lee T.M.Y. , Lee T.M.C.
Published: June 2010

Introduction

Detection of deception is important for the practice of psychiatry, especially for forensic psychiatry. Previous neuroimaging studies have identified that activity of the prefrontal and parietal cortices was associated with deceptive behaviors. However, the temporal sequence of neural activation in these regions remained unknown.

Objectives

In this fMRI study, we used a face recognition deception paradigm involving three mental processes in the following temporal order of a deceptive response:

(1)

Perception

(2)

Formulation

(3)

Response, to examine the activation of the brain regions during the process of deception.

Methods

Fourteen healthy males were scanned by a 3T Philips scanner while performing the deception task. A 2-way ANOVA model was employed to understand the activation pattern of neural correlates of deception during the three processes studied.

Results

Activations of the prefrontal, the fusiform, the supramarginal, the postcentral, the angular, the precuneus, and the rolandic areas were found to peak at different processes. Specifically, the fusiform, the prefrontal, and the precuneus regions were activated first, with their activation peaked at the perceptual process. On the other hand, the activity of the supramarginal, the angular, and the postcentral regions peaked at the formulation process. Activity of the rolandic region was peaked at the response process.

Conclusions

This study showed that there are different temporal gradients of neural activations with respect to the cognitive processes that evolve in deception. By understanding the specific role played by each of the neural correlates during deception, the accuracy and reliability of lie detection could be enhanced.
P02-74 - A critical Review of Patients Under Section 5(2) of the Mental Health Act
Authors: Najim H. , Shaik R.
Published: June 2010

Patients who suffer from mental illness, and are a risk to themselves, to other people or at risk of self neglect. Such patients can be detained under section 5(2), if they are already admitted to hospital and express their wish to leave against medical advice.

44 patients were identified. 40% were men, 65% above the age of 50 years, 52% were sectioned after hours or at the weekends. Measures to persuade patients to stay as an informal patient were taken in 16%. 55% were sectioned by the on call doctor.68.5 % exhibited threatening behaviour.30% had self neglect, 13% were a risk to others, 26% had a deliberate self harm risk.

60% had moderate to severe suicidal risk and ideation.

68% didn’t have mental health capacity to give consent for admission.

60% had been assessed in the first 24 hours of their section.

60% were converted to section 2,3 of the Mental Health Act.

25% stayed as informal patients and 7% were discharged.

Female patients were more, which was against expectation. Older people were more which was again against expectation. Majority of patients were a risk to themselves and only 13% were a risk to other people. Nearly two third were assessed within 24hrs from the section which was something we commend our services on. 60% needed to be transferred to different sections which indicates that 40% of the sample could have been managed more efficiently, in a way which had not warranted the use of section 5(2).
P02-77 - Psychosocial and Personality Conditions of Juvenile Criminal Thinking Style
Authors: Rode M. , Rode D.
Published: June 2010

Background

The issues of my research study concern psychosocial and personality conditioning of criminal thinking styles of juveniles.

The objective of my research study is to distinguish and characterize profiles of criminal thinking styles of juvenile boys and girls who committed a criminal offence and to define psychosocial (restricting to the family environment - a guardian system) and personality factors conditioning a criminal thinking style of juveniles.

Method

For the purpose of the research following methods have been used: PICTS by G. Walters - has been adapted into polish circumstances, Values Scale (Rokeach), Davis Empathy Scale, The Tennessee Self-Concept Scale (TSCS) by Fitts, Skala Postaw by Plpoa, KBPK by Kurzyp-Wojnarska.

Research tasks

In the analysed problem the following research tasks are involved:

·

Singling out of juvenile criminal thinking styles

·

determining the criminal predicators in criminal thinking styles

·

establishing predicators of criminal thinking styles, defining factors determining criminal thinking style of juveniles (a group of explanatory variables include: thinking styles of parents (guardians), parents’ attitude towards a child, a value system of parents, personality variables of a juvenile, i.e. self-esteem, empathy level (level of emphatic understanding), a sense of control and a social competence level).showing (presenting) constitutive differences and similarities In terms of criminal thinking styles between the group of minors and their parents (guardian)

·

establishing the differences and similarities in terms of cognitive functioning (thinking styles) of the juveniles due to the criminal act.
P02-78 - Risk Factors for Recidivism in Schizophrenic Violent Offenders
Authors: Rossegger A. , Endrass J.
Published: June 2010

There is a wide body of literature revealing, that there is a higher risk of violent offending in schizophrenics compared to the general population, as well as a specific offense pattern for schizophrenic violent offenders. Using the data of a representative cohort (n = 308) of violent offender in the Canton of Zurich, Switzerland, the prevalence of schizophrenia was 13%. Logistic regression analyses showed that schizophrenic violent offenders were less likely to have been raised in a foster home and to have a criminal record for repeat offending. Schizophrenic offenders were more likely to have a family history of schizophrenia, being a Swiss national, and having been treated in a psychiatric hospital prior to violent offending. Schizophrenic offenders were in addition more likely to commit the offense in their own apartment and to choose a related victim (parents or siblings).

These results replicate the finding that schizophrenics are overrepresented in offender populations and that the high number of schizophrenic offenders in contact with the health system prior to offending (psychiatric hospitalization) highlights the possibilities of prevention. It should be discussed to which extent health professionals underestimate the dangerousness of schizophrenics.
P02-81 - EEG in Forensic Population - Prevention of Criminal Recidiv
Authors: Talevska V. , Nikodijevic D. , Hristova A.
Published: June 2010

Introduction

Evaluation the patients with various psychiatric diagnoses with criminal behavior with EEG registration. Aims of investigation are as follows:

1.

To define the importance for the difference between the EEG changes at the patients with criminal behavior and the patients from the control group;

2.

To examine the relationship between the EEG findings of the patients with criminal behavior and the diagnostic entities according to ICD - 10.

Material and methods

In this paper we shall present a simple prospective analysis of 158 EEG investigations made on patients examined at the Psychiatric Hospital in Demir Hisar for a period of 24 months, which are with aggressive and criminal behavior.

Results and discussion

In men normal EEG found (69.44%) prevails in relation with abnormal EEG found (30.56%). There was the significant difference between normal and abnormal EEG found and the diagnoses in hospital patients.There was the significant difference between EEG found in hospital patients and its criminal factor. The difference between the means age (37.73 god.) of patients in control group with abnormal EEG found and the mean age of patients with normal EEG found is significant. In patients (32.28%) in examiner group was registered abnormal EEG found more significant than in patients in control group(9.49%).

Conclusion

There was significant difference between EEG found in patients in control and examiner group. Suggested measures: More easily diagnosis providing of psychiatric disorders with aggressive and criminal behavior, with help of EEG method, and hereby would be facilitated the psychiatric expertise.
P02-82 - Influence of Forensic Psychiatric Reports to Criminal Procedure
Authors: Thomkapanich W.
Published: June 2010

Objectives

To study influence of forensic psychiatric diagnosis in case of criminal responsibility, treatment necessary and violence to court orders.

Methods

Samples were 301 inpatients of Galya Rajanagaridra Institute who were criminal offenders during year 2000-2007. Data were collected from medical records and reports of the judgments and prosecution. The data were analyzed by descriptive statistic.

Results

The study found that most of samples were single, males who aged between 21-40 years old. They were unemployed and graduated primary school. Most of them were sent by courts. Murderers were found the most. Regarding to psychiatric diagnosis, most of them were psychosis and their motivation to crime were delusion and hallucination. Moreover, psychiatrists diagnosed that 125 samples (41.5 %) were not criminally responsible, 143 samples (47.5 %) needed treatment and 42 samples (14.0 %) were stated as violence. In those cases, 5 and 22 cases (1.7 and 7.3 %) were dropped the charge by police and district attorneys, respectively. Regarding to criminal responsibility according to the section 65 of Criminal Code, courts agreed with psychiatrist's diagnosis for 49.3 %. In case of treatment order according to the section 48 and 56 of Criminal Code, courts disagreed with psychiatrist's diagnosis for 64.1 % totally.

Conclusions

The study showed that forensic psychiatric diagnosis, in cases of criminal responsibility, treatment necessary and violence, moderately influenced to court orders. Thus, this leads to question to develop forensic psychiatric work in the future.
P02-104 - Problems and Opposition to Constitution of Mental Health Centers in Montenegro
Authors: Macic A. , Mitric B. , Stjepcevic A.
Published: June 2010

In recent years, with the support of the Stability pact for south-east Europe, and following the example of the EU countries, there has been developed a new concept of mental health care. It should be carried out by newly opened centers for mental health. Goal of the work is to set forth numerous problems which considerably slow down development of these modern aproach to mental health care,as well as solutions to them.

Problems in the realisation of the project, have been stated and classified in the discussion together with explanation of their causes and consequences:

-

unadjusted or non-existent accompanied legal acts;

-

negligence of bureaucracy, resistance in other social services;

-

prejudices and opposition of “official” psychiatry and of profesionals in mental health institutions;

-

insufficient education and shortage of trained staff

-

lack of understanding and resistance in a wider community;

-

financial problems.

Furtheron, methods have been stated for finding “less painful” solutions to these problems. This experience is probably similar to those in all countries in transition and should help that the same mistakes would not be made in further development of communal psychiatry. This work contains recommedations how to prevent and avoid these obstacles and may be useful in those places where developmemnt of such aproach to mental health care just being planned.
P02-118 - Student Career Choice in Psychiatry - Phase 1 - a Systematic Review
Authors: Seed K. , Lydall G. , Malik A. , Howard R. , Bhugra D. ,   ISoSCCiP
Published: June 2010

Introduction

The chronic worldwide shortage of psychiatrists has impaired the delivery of first class mental health care (WHO 2008). This international project funded by a World Psychiatric Association grant proposes to examine and compare the effects of country-specific undergraduate and postgraduate factors involved in medical student choice of a psychiatric career. Phase 1 focussed on identifying published proven and novel modifiable factors to improve psychiatric recruitment.

Method

We searched EMBASE, PsychInfo and Medline using the keywords ‘career psychiatry’, ‘medical education’, and ‘career choice’. All 206 papers retrieved using the combined search were reviewed and categorized thematically.

Results

Findings are summarised under three themes:

·

Pre-medical school factors: arts & social sciences qualifications, attitudes towards mental illness, high uncertainty tolerance, liberal political views, gender and life goals.

·

Medical school factors: availability of psychology/sociology/special-studies modules, electives; length of clinical placement; exposure to motivated patients and effective treatment; quality of teaching and good role models; and conversely negative attitudes from other specialities.

·

Post-graduate factors: availability of early clinical posts in psychiatry, work-life balance, remuneration.

Conclusions

·

Studies have been limited by small sample sizes, unicentricity, and datedness, given the major reorganisations of mental health services and postgraduate training in many countries.

·

During the next stage we will generate the first multicountry comparison, with sufficient power to detect differences in factors influencing a psychiatric career choice at personal, institutional and national level. We will focus on factors that may be modifiable by policy to positively influence career choice towards psychiatry.
P02-119 - Prevalence of Burnout in Senior Medical Students
Authors: Sepehrmanesh Z. , Ahmadvand A. , Akasheh G. , Saei R.
Published: June 2010

Objectives

Burnout is caused by high stress jobs and could induce somatic, psychological disorders and negative attitude to professional actives so this process is caused poor relationship with patient. Burnout should be considered in medical students by counseling centers of University for prevention of consequences. This study investigates burnout in senior medical students of Kashan University of Medical Sciences, Kashan,Iran(2008).

Methods

This research is a cross sectional study. In this study all of senior medical students (N=56) were answered to demographic questionnaire and Maslach burnout Inventory.

Results

The findings showed that the majority of medical students (91.1%) had burnout and 16% of them had severe burnout. There was not significant relationship between burnout and sex, age, marital status P< 0.05.

Conclusions

Burnout was common problem in medical students and need to be helped. Therefore Medical Student should be encouraged to seek help and adequate facilities should be available.
P02-122 - Piramhids - Positive and Innovative Resources: a Mental Health Interactive Database (Scotland) (www.piramhids.com)
Authors: Thomson D.
Published: June 2010

Objectives

Following the National Review of Mental Health Nursing in Scotland (2006), an action plan was developed to improve recovery focused mental health services. It was advocated that a method of sharing evidence based, positive and innovative practice in mental health be created. NHS Quality Improvement Scotland supported by the Scottish Government, was tasked to develop the database and successfully launched the PIRAMHIDS resource in September 2008, now providing the platform to share information at local, national and international levels.

Methods

PIRAMHIDS ensures equitable opportunity to share examples of practice from statutory, non statutory services and the voluntary sector. Contribution to the database is made easy by an intuitive online submission process. A quality assurance process is then followed in achieving publication approval. Submissions are passed to an external review body. External reviewers consist of professionals from a range of disciplines including Psychiatry, Mental Health Nursing, Occupational Therapy, Higher Education, service improvement, etc. The selected reviewers consider the submission in context of the publication criteria which includes:

Practice summary:

Detail of practice deliverable

Evidence base-current/existing or potential to inform evidence

Challenges and resolves

Quality assurance considerations and impact assessment on the patient experience

Results/conclusions

PIRAMHIDS is the resource to share your practice. In addition there is an online forum encouraging networking, up to date mental health information feeds and direct links to other useful resources such as Integrated Care Pathways for mental health toolkit. Now accessed by thousands world wide, take the credit and share your care.

Contribute today.
P02-125 - Need for Community-based Services for Mentally Ill Persons and their Families
Authors: Vladimirova S. , Gutkevich E.V. , Lebedeva V.F.
Published: June 2010

Objective

To investigate need for social support for persons with mental health problems and their families on example of screening-questionnaire of persons, visiting on World Mental Health Day Clinics of Mental Health Research Institute SB RAMSci, Tomsk, Russia.

Methods

Screening-questionnaire was carried out anonymously. Questions were answered by 14 persons of various ages, randomly selected by investigator. Respondents had to choose variants of answers for 4 questions:

Results

100% of respondents have come to clinics for their mental health problems, among them 1 person (7%) was a relative of person with mental health problems. 2 persons (14%) had friends with mental health problems. One person said that it is simply interesting for him. Patients and relatives need more information about mental health. They’d like to know about available medication. Overwhelming number of respondents believed that establishment of site and organization for mentally ill and relatives is necessary. % of negative answers was significantly lower and was explained by unwillingness to attract attention of other people. Organization of leisure-time would diversify life of patients and relatives. Of interest is advocacy of patients and their relatives,

Conclusions

Analysis of screening-questionnaire has shown that social support is really needed by persons with mental health problems and it may be rendered by user-led organizations, need for which in Russia has not been still satisfied. Social support is important both for patients and their families because they are often isolated and hardly cope with challenge of poor mental health of ill family member.
P02-126 - The Physical Co-morbidity of People with a Mental Disorder: Variation, Causes, Risk Factors and Prevention Strategies Across 14 European Countries
Authors: Weiser P. , Lucas R. , Becker T. , Kilian R. ,   for the HELPS Network
Published: June 2010

Objective

Little is known about the physical co-morbidity in mentally ill living in psychiatric and social health care facilities with regard to variation, causes, risk factors and prevention strategies. Aim of this study was to determine patients’ and professionals’ perceptions, attitudes and thoughts of

(i)

co-morbid physical health problems and illness,

(ii)

risk factors and causes of somatic problems and

(iii)

prevention measures across Europe.

Methods

A total of 52 focus groups in 14 European countries were conducted. Participants were recruited from psychiatric and social health care facilities. Data were content analyzed deductively and inductively.

Results

The physical health problems that were often mentioned were weight problems, diabetes, cardiovascular and gastrointestinal problems, problems of the circulatory system, and general aches and pains. Regarding the causes of somatic problems and illnesses, focus groups repeatedly emphasized side-effects from medications. Besides treatment-related factors, country-specific aspects also were mentioned, mainly in the field of the living environment. Findings concerning “prevention” demonstrated the greatest distinctions between the participant groups, particularly with regard to the implementation and realization of health promotion interventions. Discussions revealed that patients preferred active learning (hands-on experiences) coupled with group classes for education and social support.

Conclusions

Focus groups identified behavioural, environmental and iatrogenic health risks. Efforts need to be directed toward interventions for physical illness prevention and health promotion on the background of the heterogeneity of mental disorders and the multitude of physical problems, and need to be based on an understanding of residents’ cultural beliefs and life situations.
P02-127 - Probing Stress and Depression in Mental Health Professionals at the General Hospital in Greece
Authors: Kyloudis P. , Rekliti M. , Kyriazis I. , Wozniak G. , Kotrotsiou E. , Roupa Z.
Published: June 2010

Aim

Of this project was to study the characteristics of stress and depression in mental health professionals and the degree at which they are affected by demographic factors.

Material - method

The sample of the study includes 62 mental health professionals. An anonymous closed questionnaire by Bedford & Foulds was used. The data analysis was made with the use of SPSS 16.0.

Results

Two factors were found statistically essential; the age[F(5,41)=0,52 p=0,004] and the marital statue [F(5,41)=0.49 p=0.008]. The married people seem to statistically develop higher anxiety (p=0,001), higher tension (p=0,002) and higher insomnia (p=0,001) in comparison to the singles, the divorced and the widows/widowers. The singles seem to keep more calm (p=0.014) in comparison to the married and the divorced (p=0.001).Working people aged 35-49 experience more intense sorrow than the other age groups (p=0,003), more intense feelings of panic (p=0,018) and tension (p=0,049). The age groups in stressful or depression situations diversify their needs as regards smoking, with the 35-49 age group being the heaviest smokers (p=0,029).

Conclusions

It is discovered that a different defense mechanism is used by mental health professionals as regards their marital statue and their age, developing sleeping disorders, increase in smoking and sadness elements indifference for the future, more often.
P02-87 - Role of Family Factors in Formation of Mental Health of Children with Disabilities
Authors: Dashiyeva B.
Published: June 2010

From 1993 to present, experiment is carried out to create school of social adaptation for children with disabilities. Purpose of school development program: creation of integral educational space for rehabilitation of disabled children. Basic conditions for rehabilitation of children with disabilities: psychological and educational support; individualization of education, socio-pedagogical support of disabled children, distance learning, use of new information and telecommunication technologies. Numbers of pupils - 420, all pupils in grades 1-4 are taught in home-based version, from grade 5 attend school. The most common cause of disability among students of school is - cerebral spastic infantile paralysis (38%), and neuro-psychological disorders, respiratory diseases, congenital anomalies. Identified forms of maladjusted behavior confirm approval of researchers that in personality structure of children with disabilities phobic component can be traced. Children suffer from lack of communication, are afraid of loneliness, but also afraid to meet with other people, do not feel ready to return to public school. Hyperprotection by parents even more fixes maladjusted behaviors of children. Analysis of style of family education showed that 75% of families of pupils in schools there is hyperprotection, and 65% of parents are experiencing phobia of loss of child. These strategies of education do not motivate children to activity, provides them with state of «learned helplessness“and”sense of low self-efficacy. Families of children with disabilities, pupils in the school of social adaptation are characterized by low quality of life, lack of material security, lower occupational status, high unemployment.