Suicide attempt is a person’s suicidal behavior that does not result in death and may or may not result in injury. Understanding the factors associated with suicide attempts in patients with major depressive disorder is important to predicting future suicide attempts.

To identify the associated factors with suicide attempts in patients with MDD at the University Medicine Center in Vietnam.

This cross-sectional analytical study was conducted in the psychiatry clinic of the University Medical Center of Ho Chi Minh City, Vietnam, from March to October 2023. Individuals aged 18 and more diagnosed with major depressive disorder as per DSM-5 TR were included. Exclusion criteria were current psychosis, severe intellectual disabilities, and acute medical illnesses.

Participants were interviewed using a questionnaire including sociodemographic criteria, clinical information, and the Hamilton Depression Rating Scale (HDRS).

We collected 151 participants. The average age of participants was 41.3±15.5 years, and they were predominantly female (78.8%) and living in urban areas (62.9%). Nearly four fifths (79.5%) of patients are currently in severe depression. The prevalence of suicide attempts in the lifetime and past 3-months were 7.9% and 5.3% respectively.

In univariate logistic regression analysis of sociodemographic factors and clinical features of depression associated with suicidal attempt among individuals with major depressive disorder, we found that young age (OR=0,91; p=0,004), single status (OR=0,09; p=0,002), early onset of illness (OR=0,91; 95% CI 0,85-0,97), and severe depression as measured by the total HDRS score (OR= 1,19; 95% CI 1,06-1,34). In particular, the risk of a suicide attempt was 72 times higher in patients with a history of self-harm (OR=72,22; 95% CI 13,71-380,49). There was no association between gender, area, education level, cohabitation status and employment status with lifetime prevalence of suicide attempts. After adjusting for covariates using a multivariable logistic regression model, only the severity of depressive episode and history of self-harm remained significantly associated with suicide attempts.

Suicide attempts were significantly high among patients of major depressive disorder in Vietnam. The severity of depression and previous self-harm was significantly associated with it. There is a need for more research and a better understanding of the associated factor with suicide attempts in this population which in turn could lead to the development and implementation of effective preventive interventions.

None Declared

Suicidal ideation, encompassing thoughts, planning, and the desire for death, is a critical facet of the suicidal process, potentially leading to suicide attempts and completion. Understanding its prevalence and severity among college students is vital for preventive interventions.

Our study aimed to estimate the prevalence and severity of suicidal ideation among college students.

We conducted a cross-sectional and analytical study among students from various faculties in Sfax between October 2022 and January 2023. Student recruitment occurred electronically through a Google Forms questionnaire, emphasizing anonymity and the study’s scientific purpose. We utilized the Suicidal Ideation Attributes Scale (French Version) (SIDAS-FR) to identify and assess the severity of suicidal ideation.

Our sample comprised 149 students, predominantly female (83,20%), with an average age of 26 years. Among them, 78,5% were single, and 81,9% lived with their families. Nearly half of the students were from the Sfax Faculty of Medicine, and 64,4% were in their 3rd cycle of education. The mean total score on the SIDAS scale was 1,21 +/- 3,84. Suicidal ideation was reported by 11,4% of participants, with 5,36% indicating moderate to high severity. Factors associated with suicidal ideation included psychiatric disorders (p=0,00), alcohol consumption (p=0,033), psychotropic medication use (p=0,001), and unsatisfactory intrafamily communication (p=0,036).

Suicidal ideation, a concerning issue, particularly among young people, demands focused attention in public health efforts. Understanding the associated factors is pivotal for prevention strategies, emphasizing the importance of mental health support and effective communication within families.

None Declared

Effective suicide risk assessment remains a significant challenge in psychiatric care, particularly when dealing with patients undergoing acute crises. This case study highlights the limitations of current assessment practices and underscores the need for a more nuanced understanding of suicide risk, particularly through the lens of personal narrative crisis and Suicide Crisis Syndrome (SCS).

The objective of this study is to describe a clinical case involving a patient with Suicide Crisis Syndrome (SCS), which emerged from a fundamental alteration in his personal life narrative. Additionally, this study reflects on the existing clinical gap due to the lack of consensual or homogeneous approaches for detecting suicide risk in psychiatric patients experiencing a crisis.

Methodology: A detailed review of the clinical process and hetero-anamnesis was conducted. The case explores the concept of SCS—an acute mental state that precedes a genuine suicide attempt.

The patient, a 45-year-old single male with no children, had a biographical history marked by traumatic events during military service and the loss of a child in combat at age 30. For years, he exhibited symptoms consistent with Post-Traumatic Stress Disorder (PTSD), which he managed effectively through meditation and martial arts, resulting in total symptom remission for over a decade. However, following complex cardiac surgery two years ago, he experienced a significant loss of functionality and autonomy, leading to the abandonment of his martial arts practice and lifelong profession as a rehabilitation therapist. This change had profound emotional, behavioral, and socio-economic impacts, resulting in depressive symptoms. During psychiatric evaluation, the patient exhibited affective dysregulation, marked hopelessness, a sense of loss of meaning, feelings of non-belonging, social defeat, and difficulty adjusting unrealistic goals to his current situation. Although he denied active suicidal ideation, he reported intrusive thoughts of death.

Conclusion and Implications: The assessment of self-reported suicidal ideation is often unreliable. There is an urgent need to adopt more comprehensive approaches that focus on the personal narrative crisis and SCS, as current evidence suggests that SCS is a strong predictor of actual suicidal behavior within 1-2 months after discharge.

None Declared

Suicide involves not only patients but also families and communities, causing long-lasting effects on those who “survive”. The term “second victim” is used to define people who experience significant distress after a patient suicide (PS). For mental health professionals, PS could be considered an “occupational hazard”.

To assess the impact of patient death on psychiatric trainees and early career psychiatrists (ECPs), comparing PS to other causes of death.

Participants completed a socio-demographic section and a section about the experience of PS. Impact of event scale–revised version (IES-R) based on the last 7 days and the 7 days after the most recent patient death, Suicide Knowledge and Skills Questionnaire (SKSQ), the Impact of a Patient’s Suicide on Professional and Personal Lives Scale and the Maslach Burnout Inventory (MBI) were administered.

110 subjects were recruited from 23 European and 1 Asian countries. The mean age was 31.9 (SD=4.7). Most were trainees (66.4%, n=73), worked in a psychiatric ward (61.8%, n=68), and in general adult psychiatry (83.6%, n=92). Patient death was experienced by 51.8 % (n=57) of the participants. 17.3% (n=19) experienced a PS, 12.7% (n=14) experienced multiple PS, 13.6% (n=15) had patients who died both by suicide and other medical conditions, and 8.2% (n=9) had patients who died from other medical conditions. The most reported feelings were sadness, regret, guilt, helplessness and frustration. Among participants who experienced at least one PS, 89.7% (n=35) developed symptoms. The most common were increased awareness of risk (40.4%; n=19), low mood (34.0%; n=16), anxiety (32.6%; n=15) and lack of concentration (26.1%; n=12). 6.5% (n=3) experienced suicidal thoughts/passive death wishes, and 6.5% (n=3) received individual psychotherapy treatment for their symptomatology. Having experienced a patient loss influenced clinical practice in 33.3% (n=19) of the sample, with 10.5% (n=6) reporting the affliction of the ability to carry out clinical duties. 12.7% (n=14) considered changing careers, 10.5% (n=6) took sick leave, 57.8% (n=33) received helpful support from colleagues. However, 52.3% (n=30) felt they needed additional support. According to the total score of IES-R scored on the 7 days after the most recent patient death, 22.9% (n=11) of the sample who experienced at least one PS had a score indicating a risk of PTSD, compared to 22.2% (n=2) of participants who experienced other type of patient death. No difference in all scales was observed in those experienced PS rather than any other kind of patient death (p>0.05).

Our results confirm that PS affects the mental health of ECPs and psychiatric trainees, and impacts their daily lives. A larger sample should be collected to strengthen our results and better characterize the impact of these events.

None Declared

Nurses can play a critical role in suicide prevention, especially in hospital settings. The management of patients at risk of suicide requires specific nursing skills, including early recognition of warning signs and knowledge of preventive and protective strategies. Knowing risk factors and recognizing warning signs for suicide should be part of the professional background of any nurse training programs.

In this study we aimed to investigate nurses’s comfort, confidence and competence related to preventing suicide with a view to identify correct preventive strategies regarding the nursing management of patients at risk of suicide.

Our study presents the preliminary descriptive findings from an online survey in nursing staff working in different areas (medical, surgical, critical and emergency) in the Puglia Region. The survey aimed to assess the current knowledge, attitudes, behaviors and training needs of nurses regarding suicide prevention. 84 nurses working in the Puglia Region filled out the questionnaire.

Data highlighted that the majority of participants (81%) recognized the significant role of the nurses in the management of a patient at risk for suicide but only 14.3% believed they had specific training on patients at risk of suicide. 50% of them stated they do not have adequate preparation regarding the possible preventive strategies in suicidal patient. 57.1% of interviewed reported that they had never become aware of protocols or guidelines on the prevention and management of hospitalized patients at risk of suicide. Only 14.3% of those interviewed are satisfied with adequate training on suicidal risk factors in hospitalized patients and even only 7.1% state that they have never received adequate training on possible nursing interventions for the prevention of suicidal risk. Although endorsed suicide prevention guidelines in the health institution where they work, 57.1% responded that they have never viewed them and only 38.9% partially.

Our study highlighted the need to implement specific training programs for nurses on the management of patients at risk of suicide.

None Declared

Intent to die is a crucial factor in assessing the risk of suicide attempts, which is difficult to measure.

This study examined the characteristics of suicide attempters based on intent to die and aimed to investigate whether clinical and circumstantial evidence can support the assessment of the intent to die.

A total of 3486 suicide attempters who visited emergency department were divided into two groups: intent to die(n=1085, 31.1%) and no intent to die(n=2401, 68.9%). Demographic variables, clinical characteristics, and factors related to suicide attempt between the two groups were analyzed.

Suicide attempters who reported an intent to die were older (46.7 ± 21.7 vs. 40.5 ± 19.3, t=8.460, p < 0.001), had a higher proportion of males (41.1% vs. 33.4%, χ2=19.174, p < 0.001), were more likely to be unemployed (60.6% vs. 51.0%, χ2=26.954, p < 0.001), had lower socioeconomic status (34.1% vs. 23.4%, χ2=44.365, p < 0.001), and experienced more severe depression (76.6% vs. 49.6%, χ2=230.442, p < 0.001), intense emotions (92.9% vs. 80.0%, χ2=91.138, p < 0.001), agitation (45.5% vs. 40.4%, χ2=7.734, p < 0.01), and hopelessness/helplessness (86.1% vs. 60.7%, χ2=221.980, p < 0.001) compared to those who did not report an intent to die. Moreover, suicide attempters who reported an intent to die showed more repetitive/intense/continuous suicide ideation (79.8% vs. 42.8%, χ2=410.830, p < 0.001), a higher rate of multiple attempts (46.5% vs. 41.1%, χ2=8.637, p < 0.005), higher medical risk of death (3.6 ± 1.3 vs. 3.0 ± 1.1, t=15.633, p < 0.001), a higher total risk score (9.5 ± 2.2 vs. 8.3 ± 2.0, t=25.596, p < 0.001), and a lower total rescue score (12.1 ± 2.0 vs. 12.7 ± 1.9, t=8.649, p < 0.001) compared to those who did not report an intent to die. Some circumstantial factors such as planned attempts (19.4% vs. 2.3%, χ2=307.079, p < 0.001), presence of suicide notes (21.3% vs. 9.8%, χ2=83.625, p < 0.001), absence of regret (75.1% vs. 51.2%, χ2=174.849, p < 0.001), and high lethality of suicide methods (18.0% vs. 9.2%, χ2=56.161, p < 0.001) showed statistical significant differences, but some proportions of suicide attempters who did not report an intent to die also exhibited these circumstantial factors.

The present study suggests that suicide attempters who reported an intent to die tend to have more severe psychopathologies and serious suicide attempts related to direct factors than suicide attempters who did not report an intent to die.

None Declared

Suicidal behavior is a public health problem in which the entire society must commit to implementing all available strategies to prevent it (Tighe et al., 2018), as more than 800,000 people die worldwide each year (Pedrola-Pons et al., 2024).

The objective is to determine the efficacy of ACT in reducing suicidal behaviors through a systematic review.

A systematic review was conducted following the PRISMA 2020 methodology, searching the Cochrane, EMBASE, PubMed, PubPsych, and MEDLINE databases for scientific literature published between 2013 and March 31, 2024, using the keywords: “suicidal behavior” and “acceptance and commitment therapy” in Spanish and English. After applying inclusion and exclusion criteria, 7 studies were finally included in the systematic review.

After conducting the search, 7 studies were included, among which were 1 meta-analysis of randomized controlled trials, a systematic review and meta-analysis, two randomized clinical trials, a systematic review of 5 studies, a program analysis, and an effectiveness study. The review showed a significant reduction in suicidal behavior in patients who received ACT (Calati et al., 2024).

A relationship was observed between increased psychological flexibility and decreased suicidal ideation (Macri et al., 2024). The efficacy of ACT was comparable or superior to other interventions in some of the studies included in the review (Kumpula et al., 2019).

ACT shows promising results in reducing suicidal behaviors. However, more studies with long-term follow-up are needed to confirm its efficacy.

More studies with larger sample sizes and longer participant follow-up are needed to establish the long-term efficacy of ACT in reducing suicidal behavior.

None Declared

The COVID-19 pandemic has significantly impacted mental health globally, disproportionately affecting women. The widespread repercussions highlight the necessity to delve into the factors exacerbating these impacts and tailor effective mitigation strategies to the unique challenges faced by women.

This study aims to identify and delineate specific risk factors that have escalated suicidal behaviors among women during the COVID-19 pandemic and to suggest targeted prevention strategies that address these identified factors.

Employing a narrative review approach and adhering to the PRISMA guidelines, this study systematically examined literature from PubMed and Scopus on the impact of the COVID-19 pandemic on women’s suicide rates. This review focused on studies published between January 2020 and December 2024 that explored the pandemic’s effects on women’s mental health.

The findings indicate a profound deterioration in mental health among women during the pandemic, characterized by a spike in depression, anxiety, post-traumatic stress disorder, and suicidal behaviors. The impact was notably severe among women facing unstable living conditions, single mothers, and those experiencing domestic violence. Social isolation emerged as a critical factor exacerbating these conditions, particularly pronounced among young women and those from socioeconomically disadvantaged backgrounds. The literature also underscores a significant increase in suicide attempts, with these groups most profoundly impacted.

This review confirms that the pandemic has exacerbated various risk factors associated with suicidal behaviors in women, particularly due to increased domestic violence, economic instability, and increased caregiving burdens, underscoring the critical need for tailored prevention strategies that specifically address women’s unique challenges. These should include measures to protect women from domestic violence, enhance access to mental health services, and increase economic support to buffer the adverse effects of health crises on women’s mental health.

None Declared

Suicidal poisoning represents a significant yet frequently underreported public health concern, particularly in regions where surveillance systems fail to fully capture the scope of the issue.

This study aims to bridge this critical gap by estimating the total number of intentional poisoning cases and evaluating the completeness of the national toxicovigilance system in the Tanger-Tétouan-Al Hoceima region of northwest Morocco.

This study analyzed data from suicidal poisoning cases recorded over a three-year period in the Tanger-Tétouan-Al Hoceima region. We sourced data from the Moroccan Poison Control Center (MPCC) and hospital registers in the region. The two-source capture-recapture method was employed to evaluate the completeness of the poisoning surveillance system.

A total of 824 suicidal poisoning cases were identified after removing duplicates, with 578 cases reported by MPCC and 286 cases from hospital records. Forty duplicates were found between the two sources. The capture-recapture method estimated a total of 4,133 cases (95% CI: 3,548-4,718), revealing that an additional 3,309 cases were not captured by the two data sources. The completeness of the surveillance was estimated at 13.98% for MPCC data and at 6.92% for hospital records.

Despite the presence of a toxicovigilance system in Morocco, significant deficiencies remain in its completeness. There is an urgent need to enhance this system by promoting greater awareness among healthcare professionals regarding the critical importance of spontaneous reporting of intentional poisoning cases.

None Declared

Suicide has a growing importance as a mental health problem, being now the first cause of not-natural death at Spain. Developing suicide prevention strategies is a prioritary goal at mental health care. In our community, ARSUIC protocol was developed as a way to provide specialized preferent care to people with suicide attempts.

• - Measure results of ARSUIC protocol at suicide attempts prevention.

• - Study level of satisfaction of patients assisted at ARSUIC protocol.

A qualitative ad-hoc phone interview has been made to patients atended at ARSUIC protocol of our community mental health center, in order to measure their level of satisfaction. Descriptive cuantification of new suicide attempts, visits to Emergency Service and incomings at Psychiatry Hospitalization in the last 6 months has been performed, using clinical history data.

Global level of satisfaction is high at the most of the sample, mainly because of the preferent attendance and the improvement it implies in the therapeutic bond. Indicators of relapse reflect global good evolution at the most of the sample.

Preferent attendance reveals as a proper way to improve clinical care and prevention at people with suicide attempts. Strategies to maintain that kind of frequent attendance along the main risk period of relapse are in develope (group therapy, etc.).

None Declared

Physician Assisted Death (PAD) has been legalized or decriminalized in over a dozen jurisdictions around the world, and many other jurisdictions are considering assisted dying laws. Most jurisdictions only allow PAD in terminal conditions while a minority allow PAD outside end-of-life situations, with a small number allowing PAD for sole mental illness conditions. A key element in assessments of PAD requests is whether those assessments can filter out traditional suicidality, for which suicide prevention is provided, from other motivations for assisted death, for which PAD may be provided.

1. 1. To recognize the range of factors that may motivate assisted dying requests.

2. 2. To understand the factors that inform assisted dying assessments, specifically how the assessments attempt to identify suicidality.

3. 3. To appreciate the degree of certainty or uncertainty that assisted dying assessments actually identify suicidality in different patient populations.

This presentation briefly reviews evidence related to motivations leading to assisted dying requests in different populations, and then focuses on reviewing guidelines PAD assessors use to attempt to identify traditional suicidality, and to distinguish that from other motivations leading to PAD requests. These guidelines are compared to established evidence and factors related to suicide risk and suicide prevention.

1. 1. Different factors motivate different populations to seek assisted death, with those making PAD requests in terminal situations frequently seeking PAD in efforts to preserve dignity, and those seeking PAD outside terminal conditions or for sole mental illness citing feeling a burden, or an accumulation of multiple life stressors, as fueling their PAD requests.

2. 2. Most of the factors presented in guidance on distinguishing and separating suicidality from PAD requests equally apply to traditionally suicidal individuals and to those requesting PAD.

3. 3. Evidence shows that the few distinguishing factors used to attempt to separate suicidality from PAD requests, specifically impulsivity and acting on one’s own, do not actually filter out suicidality.

While a key goal of physician assisted death assessments is to identify and separate traditionally suicidal individuals from those seeking and receiving assisted death, current assessment techniques are unable to filter out suicidal individuals in an unknown number of cases.

None Declared

Suicide represents one of the most discussed mental health issues in the world today and health challenges for the future. The burden of suicide is calculated in very high numbers (720.000 people per year) ranking it among the most frequent causes of death (World Health Organization. Suicide. WHO Fact Sheet. 2024 https://www.who.int/news-room/fact-sheets/detail/suicide). In the context of patients hospitalized in psychiatric services, the incidence of suicide attempts is particularly high, representing a major challenge for mental health professionals and the health care system.

This study aims to analyze the socio-demographic and clinical factors influencing suicide attempts in a sample of psychiatric patients in Albania and looks for statistically significant relationships between them.

A retrospective study was conducted on 138 psychiatric patients admitted after a suicide attempt and data from August 2022 to July 2024 were obtained. Socio-demographic and clinical data were collected and analyzed. The relationship between these variables were explored. A total of 28 different demographic, clinical and behavioral variables were sampled and pooled with the help of statistical software.

From the data it was found that suicide attempts were more frequent among women with a woman/man ratio of 1.42:1, age 25-44 years and among unemployed persons during the working age. It was more frequent in urban areas, with an uban / rural ratio of 2.85:1. The education level most frequent was primary (8-years of education) in 44.2% of the cases. Our data showed that 86.2% of cases did not live alone, which can be explained by the traditional Albanian family structure. However, only 28.3% of cases had good family support. Suicide attempts were most common in summer. The most frequent discharge diagnosis was a mood disorder in 69.6% of the cases, while a co-diagnosis was present in only 22.5% of cases. 59.1% were hospitalized for a first attempt. The attempt was reported as premeditated in 64.5% of cases, with prior preparation in 21.7% of cases and without asking for help in 62.3% of cases. There is a significant relationship (p<0.05) between the diagnosis and seeking help. A significant relationship was found between compliance and first or repeated attempts and also between diagnosis and first or repeated attempts. The most frequently used type of attempted suicidal method was the use of medications in 41.3% of cases.

The pattern presented in the study group in relation to the characteristics of patients who commit suicide attempts, is close to the patterns presented by similar studies. Differences and non-correlations are atributed to local factors. Identification of suicide behaviors pave the way for treatment and assistance for anyone considering suicide. Further research is needed to examine outpatient and community samples.

None Declared

Every year, 726,000 people take their own lives and many more attempt it. Suicides can occur at any age and were the third most common cause of death in people aged 15 to 29 worldwide in 2021.

Presentation of a clinical case.

We analyze the case of a 17-year-old patient who came to the ED after ingesting sodium hypochlorite with self-lytic intent. She says that, being accompanied by a friend, she begins to hear “a voice, which is my own voice, telling me to kill myself.” With a pretext, he enters the kitchen and overeats. She says that, although she was induced by “the voice,” she thinks that “if I continue like this all my life, it would be better to die.” She discusses it with her brother and her friend, who inform her mother.

She is the youngest of three brothers. He resides with his mother and her partner, parents divorced at 11 years old. He is in 4th ESO, with poor performance. Pregnancy, childbirth and maturation milestones within normality. Four years ago he began to experience behavioral alterations in the family environment characterized by drug abuse reactive to family arguments. These ingestions are becoming more frequent and for anxiolytic purposes, requiring attention in the ED. Throughout evolution, the attitude has become increasingly regressive, with demands for attention to which the family responds by reinforcing them. He has had several hospital admissions. On current treatment with olanzapine 5 mg/24h, fluoxetine 20 mg/24h and tranxilium 5 mg/8h.

Analysis with blood count, basic biochemistry, arterial blood gases, SO and toxic substances in urine; without significant alterations.

Gastroscopy: Esophagus: Mucosa, distensibility and peristalsis without alterations. Esophago-gastric junction 36 cm from the dental arch with competent cardia at the level. Stomach: isolated antral areas of circumscribed erythema. Centered and permeable pylorus. Duodenum: Bulb and second portion without alterations.

Psychopathological examination: COC. Regressive, character traits in the foreground. No alterations in psychomotor skills. Attentive, without memory errors. Discourse with an infantilized tone, spontaneous, fluid and coherent, structured, focused on feelings of vital failure. Referred hypothymia, without apathy or hypohedonia. Referred anxiety, not evidenced. Active autolytic ideation, without criticism, manifesting intentionality of repetition. Low tolerance for frustration with impulsive responses. Preserved appetite. Hypersomnia. Preserved reality judgment. Partial awareness of illness.

Suicidal behavior should never be considered a call for attention but rather for help. In the intervention we must not blame and reconnect the minor with the family. We must talk openly about the circumstances in which it occurred, facilitating emotional expression. We must guarantee the safety of the minor, open dialogue between parent-child and provide support from parents.

None Declared

Suicide is a major public health problem. Psychological Pain (Psychache) and Social Cognition (SC) may have potential clinical significance. The aim of this study is to determine whether they are clinically relevant in patients with a history of suicide attempts and Major Depression (MD) in remission.

1. 1.- To investigate the severity of Psychache in patients with MD who have attempted suicide.

2. 2.- To identify changes in SC associated with an increased risk of suicidal behavior.

3. 3.- To identify clinical subgroups of patients according to the SC and Psychache typology.

A controlled cross-sectional observational study is being conducted comparing two groups assessed with a clinical diagnostic interview and a psychological assessment including measures of SC and Psychache: 1) 60 patients with a history of suicide attempts (more than 6 months prior to the study), diagnosed with MD (DSM-5) at the time of their last attempt, and in remission when evaluated (HRDS<15). 2) 60 age/gender matched healthy case controls.

Preliminary results from a group of 23 patients matched with 23 healthy controls:

1. 1.- Psychache: a) Patients vs. Controls: Patients, despite being in remission of depression, have a higher level of Psychache than controls (p<0.001). b) Patients: The level of current Psychache is significantly lower than at the time of the suicide attempt (p<0.001). c) The level of current Psychache correlates significantly with the depression severity (HDRS) (r=0.77). This correlation is significant in the patient group (p<0.001) but not in the control group. d) The results obtained on the Total Psychache Scale do not differ from those obtained on the Unbearable Psychache subscale.

2. 2.- Social Cognition: Overall scores on two of the Social Cognition measures (RMET and Hitting Task) were not significantly different between the patient and control groups. In the case of the MASC test, the global scores of the group of patients (with a history of suicide attempts) are significantly lower than those of the control group (p<0.05).

Table 1

a) Patients with stable depression and a history of suicide risk maintain a significant level of Psychache, which is higher than in the control group. b) The use of the Unbearable Psychache subscale -with only 3 items- discriminate clearly between the patient (suicide attempters) and the control groups: its use in primary care should be considered. c) Differences between patients and controls in SC were not significant in two of the three scales used, but were significant in one (MASC). This should be confirmed and analyzed in the full sample.

None Declared

Suicide is a major public health issue and different metrics have been put into place in order to compare suicide rates and adapt prevention strategies to local contexts. Two numbers often cited are the number of suicides in a given country in a given year and the rate of suicides per 100.000 people in this country.

As straightforward as those two indicators may seem, they may nevertheless be subject to considerable caveats in specific national contexts. As an example, we will outline the case of Luxembourg.

Luxembourg is a high-income European Union member state and benefits greatly of its multilinguality and close ties to its neighboring countries. Although other European countries also have considerable populations of foreign nationals working in, but not residing in their country, the Luxembourgish context is unique for its proportions: For a population shy of 680.000, there are about 200.000 foreign workers that cross the boarder every day.

Those frontalier-workers, as they are called, might however die by suicide in both their country of residence as well as in Luxembourg. Moreover, the Luxembourgish health care system offers considerable opportunities for patients to be treated in neighboring countries.

Those patients also might die by suicide abroad, thus not being counted into the Luxembourgish statistics.

To investigate the influence of a considerable foreign commuters demographic as well as of treatment of Luxembourgish nationals in boardering countries on the number of suicides reported for Luxembourg and its suicide rate.

Analysis of data by the Ministery of Health (Ministère de la Santé et de la Sécurité sociale), the National Statistics Insitute (Institut national de la statistique et des études économiques du Grand-Duché de Luxembourg) as well as the National Health Fund (Caisse Nationale de Santé)

Different figures are reported for suicide cases, which cannot easily be converted into one another:

One counts the number of suicides taking place in the territory of Luxembourg, an other one describes the causes of death for Luxembourgers who died outside of the country.

Although a considerable demographic, no data exists on the proportion of frontalier-workers among suicide victims in Luxembourg.

The study of suicide rates in Luxembourg highlights how a seemingly simple metric can prompt researchers to reconsider what exactly they aim to measure, enabling them to better design targeted prevention strategies for groups at higher risk.

None Declared

Suicide has become a first-order public health concern, especially following the negative impact of COVID-19 on the mental health of the general population. Few studies analysed the effects of early psychotherapeutic interventions on subjects who have attempted suicide (SA), and even fewer have focused on those hospitalized in non-psychiatric units after a medically serious suicide attempt (MSSA).

The main aim of this study is to describe the protocol designed to evaluate the effectiveness of individual psychological treatment for patients hospitalized after an MSSA. The secondary objectives of the study are: 1) to evaluate the impact on quality of life and other psychosocial variables of patients with a recent MSSA who receive early psychological intervention; 2) to analyse the biological, psychological, and clinical impact of early psychotherapeutic treatment on subjects hospitalized after an MSSA.

An experimental, controlled, and randomized trial will be conducted with patients over 16 years of age admitted to two general hospitals. The case intervention group will enrol for 8-sessions of individual psychotherapy, Suicide Attempts Multi-component Intervention Treatment (SAMIT), combining Dialectical Behaviour Therapy (DBT), Mentalization-Based Therapy (MBT), and Narrative approach. In contrast, the control group will receive a treatment-as-usual intervention (TAU). Longitudinal assessment will be conducted at baseline (before treatment), post-treatment, and 3, 6, and 12 months after. The main outcome variable will be re-attempting suicide during follow-up.

Results from the interim analysis will be presented at the congress. We are in the recruitment and data-gathering phase.

Some psychotherapeutic interventions, usually implemented in outpatient, have proven to be effective in preventing suicidal behaviours. Early intervention, combining powerful components of main treatments focused on suicidal behaviour can prevent future SA in patients hospitalized after an MSSA. Moreover, assessment of the biological, clinical, and psychometric impact of this new intervention on patients during the first year after the attempt may help understand some of the multi-level factors associated with the effectiveness of psychotherapeutic interventions in MSSAs. The prevalence of high suicide rates requires the design of effective psychological interventions for their prevention, and also in order to design new pharmacological and psychological treatments.

A. Beneria: None Declared, A. Motger-Albertí: None Declared, M. Quesada-Franco: None Declared, G. Arteaga: None Declared, O. Santesteban-Echarri: None Declared, G. Parramon-Puig: None Declared, P. Sanz-Correcher: None Declared, I. Galynker: None Declared, L. Pintor: None Declared, J. A. Ramos-Quiroga Grant / Research support from: Received travel grants (air tickets + hotel) to attend psychiatric meetings held by Idorsia, Janssen-Cilag, Rubió, Takeda, Bial and Medice, Consultant of: was on the speakers’ bureau and/or has acted as a consultant for Biogen, Idorsia, Janssen-Cilag, Novartis, Takeda, Bial, Sincrolab, Neuraxpharm, Novartis, BMS, Medice, Rubió, Uriach, Technofarma and Raffo in the last 3 years, Speakers bureau of: was on the speakers’ bureau and/or has acted as a consultant for Biogen, Idorsia, Janssen-Cilag, Novartis, Takeda, Bial, Sincrolab, Neuraxpharm, Novartis, BMS, Medice, Rubió, Uriach, Technofarma and Raffo in the last 3 years, P. Bruguera: None Declared, M. D. Braquehais: None Declared

Suicide is a significant public health issue, and its study has been approached from various perspectives. This work focuses on analyzing consultations related to suicide attended by the Psychiatry Service at the University Hospital of Salamanca during 2023. Suicide is defined as an intentional act with a fatal outcome, and its prevention is considered a priority in mental health.

General Objective: To assess the prevalence of suicide-related consultations within the total psychiatric emergencies attended in 2023.

1. 1. To identify demographic and temporal patterns in suicide-related consultations.

2. 2. To compare the prevalence of suicide-related consultations with other types of psychiatric emergencies attended during the same period.

The study is observational and retrospective, based on the analysis of psychiatric emergency records from 2023. Demographic variables such as gender and age were analyzed, as well as the cause of the consultations, classified as “suicide-related” or “other psychiatric causes.” Statistical tools were used to identify significant patterns and relationships.

1. 1. Gender distribution: 55.2% of the patients were women, and 44.8% were men.

2. 2. Age distribution: Most consultations involved adults (74.4%), followed by older adults (16.7%) and minors (8.9%).

3. 3. Cause of the consultation: 36.15% of the cases were related to suicidal behavior, while 63.85% were due to other psychiatric emergencies.

4. 4. Temporal pattern: There was an increase in consultations during the autumn months, particularly in September and November.

The study reveals that over one-third of psychiatric emergency consultations were related to suicide, underscoring the need to enhance prevention strategies and early intervention. The results also show significant differences by gender and age, as well as seasonal patterns that may be linked to emotional and social factors.

The findings emphasize the importance of identifying specific risk factors associated with gender and age, as well as reinforcing the training of emergency personnel to effectively intervene in cases of suicidal behavior. Moreover, attention should be given to months with higher incidence of suicide-related consultations, such as the autumn season.

None Declared

Hypomentalizing may contribute to heightened social withdrawal and it has been related with an increased risk of and suicide attempt (SA). Although certain studies have identified a relationship between hypomentalizing and suicidal behavior, research on follow-up remains limited.

This study aims to examine the relationship between suicide reattempt and the progression of mentalizing within 12-months.

Our study included a cohort of 1,374 patients who committed a SA. We conducted assessments at the baseline and at a 12-months follow-up. We measured mentalizing using the RFQ-8, and evaluations of suicidal ideation and behavior employing the CSRSS. Demographics, clinical characteristics, and mentalizing were subjected to comparative analysis using the T-student and Chi-square tests.

A total of 310 participants committed a suicide reattempt in the follow-up period. Our results showed that reattempt group were significantly younger, more presence of female gender, suicidal ideation and planning, more previous SA, and higher hypomentalizing means.

Image 1:

Social cognition may play a crucial role in the suicide reattempt risk. Future research on the association between social cognition and suicidal behavior could help elucidate the associated factors and identify potential therapeutic actions.

None Declared

Suicide represents a serious public health problem. Suicidal gestures make up a significant proportion of the psychiatric emergencies treated in Emergency Services.

The study aimed to identify which of the total emergency visits were related to suicidal ideation or suicide attempts, and to analyze the epidemiology of these patients in terms of age and gender.

A retrospective, observational study was conducted by collecting and analyzing data from July 2024 in the Emergency Department of the Clinical Hospital of Salamanca.

Out of a total of 201 patients treated by on-call psychiatry in the Emergency Department, 64 patients (31.8%) presented suicidal ideation or suicide attempts. Of these, 43 were women (67%) and 21 were men (33%). By age group, among the women, 5 were under 18 years old, 11 were between 18 and 35 years old, 16 were between 36 and 55 years old, and 11 were over 55 years old. Among the men, 1 was under 18 years old, 7 were between 18 and 35 years old, 8 were between 36 and 55 years old, and 5 were over 55 years old.

Regarding the profile of patients with suicidal behavior, there is a higher presence of women with suicidal tendencies, as reported in the literature and other studies. No clear relationship was observed between age ranges and suicide attempts. It is important to note that the sample size is not statistically significant to determine representativeness.

None Declared

Autism Spectrum Disorder is characterized by persistent deficits in communication and social interaction in multiple contexts, including deficits in social reciprocity, in nonverbal communication behaviors used for social interaction and in skills to develop, maintain and understand relationships,in addition to repetitive patterns of activity. Individuals with Autism Spectrum Disorder (ASD) present a wide variety of cognitive profiles, with levels of symptom severity that differ between those with the same diagnosis. In language development, there are individual differences, both in the acquisition process and in speed and quality. Sleep is an important parameter for child development and its relevance has been associated with healthy physical, cognitive and behavioral development, as well as cognitive functions in children and adolescents. Researchers estimate that between 40% and 80% of children with ASD have sleep disorders.

To relate sleep disorders frequently present in cases of ASD to delays in language development in children with ASD.

The research was approved by the USP ethics committee. To investigate sleep disorders, the Cognitive Speech Therapy Protocol aimed at ASD was used, an accessible and understandable instrument for parents or guardians. To identify language disorders, the ADL2 Language Development Assessment was used. 40 parents and/or guardians of children with ASD, aged between 2 and 12 years, participated in the research. A logistic regression analysis was performed to evaluate the relationship between sleep disturbances and language delay in children with ASD. The sample included 32 children, 28 of whom reported sleep disorders and all of whom had language delays

The results showed that children with sleep disorders are 2.3 times more likely to have delays in receptive and/or expressive language compared to those without sleep disorders. This association is statistically significant, indicating that sleep disorders are a relevant risk factor for language delays in children with ASD.

Sleep disorders can impact the development of expressive language in several ways, such as by reducing the time available for language and interaction practices or by direct effects on cognitive and neurological processes. Therefore, sleep quality should be considered an important factor to be addressed to improve both receptive and expressive language in children with ASD. Therefore, sleep quality should be considered an important factor to be addressed to improve both receptive and expressive language in children with ASD.

None Declared