ABSTRACTS - World Psychiatric Association
ABSTRACTS - World Psychiatric Association
ABSTRACTS - World Psychiatric Association
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1991 in the province of Quebec, Canada. In one of the largest study on<br />
this topic to date, the authors were able to identify a total of 840 consecutive<br />
records of victims who were murdered in the context of familial<br />
or domestic violence. These records were reviewed in detail and<br />
compiled by the same two psychiatrists. The importance of obtaining<br />
a clear understanding of familial homicide is underscored by indications<br />
that a high proportion of those homicides are perpetrated by<br />
individuals who suffer from a major mental illness. Spousal homicide<br />
represented about half of the domestic homicide, followed in frequency<br />
by filicide (22%), parricide (12%) and fratricide (2%). In contrast<br />
to spousal homicide, where a similar proportion of victims died by<br />
firearm or use of a sharp object, and parricide, where the majority of<br />
victims died by sharp object, most victims of filicide (excluding fatal<br />
battering) died by a method that caused minimal injury or pain.<br />
PO3.129.<br />
ETHICAL ISSUES IN PSYCHIATRIC CARE:<br />
AN INDIAN VIEW<br />
A. Mallik, D. Roy<br />
Kothari Medical Centre and Appolo Hospital, Kolkata, India<br />
No area of medicine is so concerned with ethics as the field of psychiatry.<br />
In India, there is a wide variation of caste, creed and religion.<br />
Hence, building a cooperative and trusting relationship with the<br />
patients has always been an essential factor to enable psychiatrists to<br />
foster the healing process. But, in reality, ethics in psychiatry is usually<br />
wrongly stated or assumed in our practice. This is because psychiatry<br />
remains a low priority compared to other branches of medical science<br />
in India. Apathy and ignorance of family members of mental<br />
patients, social stigma, unpredictable prognosis and variable treatment<br />
modalities are the probable reasons. In India, a practicing psychiatrist<br />
has to take more responsibility in management of mental disorders<br />
in spite of workload, criticism by family members or vested<br />
interested people. Harassment by over-enthusiastic patient party,<br />
pseudo-social activists, politicians is inevitable and a practicing psychiatrist<br />
needs careful consideration for such interference.<br />
PO3.130.<br />
DETENTIONS OF OLDER ADULTS IN A SCOTTISH<br />
HEALTH REGION UNDER THE 1984 AND 2003<br />
MENTAL HEALTH LEGISLATION – A COMPARATIVE<br />
STUDY<br />
G. Stevenson<br />
Department of Psychiatry, NHS Fife, Scotland, UK<br />
Mental health detentions in older adults (over 65 years) is an underreported<br />
topic compared to working age adults, but the demographic<br />
shift towards an older population is likely to alter this, and may influence<br />
future mental health service configurations. This study compared<br />
detentions of older adults in a Scottish health region under the previous<br />
1984 legislation to those detained under the current 2003 mental<br />
health legislation. Data were collected prospectively on all older adults<br />
detained in Fife (with a population of 350,000) during a 12 month<br />
period in 1994-1995 under emergency powers of the Mental Health<br />
(Scotland) Act 1984, and for all older adults in the same health region<br />
detained in 2008 under the replacement Mental Health Care & Treatment<br />
(Scotland) Act 2003. The detaining medical practitioners were<br />
interviewed, generally by telephone, following each detention, and a<br />
structured questionnaire was utilised to record demographic information<br />
of detainees, their previous mental health contacts, psychiatric<br />
diagnoses, alcohol and drug usage, self-harming behaviours, violence<br />
towards others, police involvement, and experience of the detaining<br />
practitioner in the use of mental health legislation. Initial results show<br />
a changing pattern of detentions of older adults in this Scottish health<br />
region. Reasons for this are proposed and discussed in view of the<br />
changes in Scottish mental health legislation.<br />
PO3.131.<br />
AN EVALUATION OF MENTAL STATUS OF STAFF<br />
IN A TURKISH PRISON<br />
G. Özgür, L. Baysan Arabacı, S. Yıldırım, S. Bozkurt,<br />
N. Gördeles Beşer<br />
Ege Üniversitesi Hemşirelik Yüksek Okulu, İzmir; Niğde<br />
Üniversitesi Zübeyde Hanım Sağlık Yüksekokulu, Niğde, Turkey<br />
This research was made to evaluate mental status of staff in a Turkish<br />
prison. Thirty-three prison staff accepted to be included in the study.<br />
Data were collected by an ad-hoc form and the SCL-90-R. The mean<br />
age of staff was 42.5±4.5 years; 93.9% of them were male; all of them<br />
were married; 54.5% of them were graduated from high school. The<br />
mean Global Severity Index score was 0.7±.0.6. The level of distress<br />
was higher in those whose age was 40 or higher, who were graduated<br />
from high school, who worked 48 hours per week, who had been<br />
working in a prison 20 years or more. The higher scores were found<br />
on the subscale anger (1.1±0.9), obsessive-compulsive (0.9±0.6), somatization<br />
(0.9±0.8), paranoid thinking (0.8±0.7) interpersonal sensitivity<br />
(0.7±0.7).<br />
PO3.132.<br />
FIRST-EVER ADMITTED PSYCHIATRIC INPATIENTS:<br />
CLINICAL CHARACTERISTICS AND REASONS<br />
CONTRIBUTING TO ADMISSION<br />
G. de Girolamo, F. Guzzetta, R. Miglio, G. Santone, A. Picardi,<br />
B. Norcio, R. Bracco, for the PROGRES-Acute group<br />
Health Care Research Agency, Emilia-Romagna Region, Bologna;<br />
Department of Mental Health, Local Health Unit of Cesena;<br />
Department of Statistics, University of Bologna; United Hospitals<br />
of Ancona and Polytechnic University of Marche, <strong>Psychiatric</strong><br />
Clinic, Ancona; Mental Health Unit, Center of Epidemiology,<br />
Surveillance and Health Promotion, National Institute of Health,<br />
Rome; Department of Mental Health, Local Health Unit,<br />
Trieste, Italy<br />
First admission to a psychiatric facility represents a major personal<br />
event for patients and their families, as well as a very expensive form<br />
of psychiatric treatment. Aim of this study is to describe socio-demographic<br />
and clinical characteristics of first-ever admitted patients and<br />
to identify reasons contributing to admission. Data were obtained<br />
from a national survey carried out in Italy in public (n=130) and private<br />
(n=36) facilities admitting acute psychiatric patients (PRO-<br />
GRES-Acute). Cluster analysis was used in order to identify homogeneous<br />
patients’ groups. Three-hundred thirty-seven patients were at<br />
their first admission. Median age at admission was 40; about 46% of<br />
subjects were not receiving any treatment in the month preceding<br />
admission. Social/work functioning problems, social withdrawal and<br />
conflict with family members were the most common reasons contributing<br />
to admission. Cluster analysis identified four patient groups<br />
with notably different socio-demographic and clinical characteristics.<br />
First admitted patients represent a highly heterogeneous group of<br />
patients. Early intervention research should consider this sociodemographic<br />
and clinical variety in order to better allocate resources<br />
and develop special intervention programmes.<br />
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