Suicide attempts should always be recorded in a patient’s discharge summary as this aids risk assessment and management. Discharge letters provide valuable information to outpatient and emergency services and guide risk assessment. However, they are available to be read by patients and their loved ones. Insensitive wording or graphic detail can contribute to feelings of shame and guilt and perpetuate stigma towards our patients.

This audit aimed to assess quality of documentation of suicide attempts and behaviour on Mount Carmel Hospital (MCH) discharge summaries with respect to the International Association of Suicide Prevention (IASP)’s Language guidelines. It also aimed to assess the effectiveness of a short presentation intervention on suicide given to foundation (FY) doctors.

For the first cycle, discharge letters of patients admitted to MCH between January and July 2023 were screened according to inclusion criteria. Included discharges were assessed for adherence to IASP’s language guidelines. The authors then gave a short presentation to FY doctors during their rotation, highlighting the importance of using sensitive language on suicide in discharge summaries. The second cycle was carried out between January and July 2024 and results were compared to the first cycle.

In the first cycle, a total of 1393 patients were admitted between January and July 2023. 26% of discharge letters did not use appropriate suicide-related terminology. Of these, the most common issues were with excessive description of the attempt (53%) and use of the phrase ‘commit suicide’ (28%). In the second cycle, a total of 1335 patients were admitted between January and July 2024. 20% of discharges did not use appropriate suicide-related terminology (n = 34). The intervention significantly reduced the use of the phrase ‘commit suicide’ (OR 0.279; CI 0.0921 to 0.8452, p = 0.0240).

In the first cycle, one out of every four patients admitted on a background of suicidal behaviour received a discharge summary that it potentially insensitive or stigmatising in nature. This decreased to one in five after the short intervention. These results are promising especially given that the intervention is neither time consuming nor costly. Simply making foundation year doctors aware and guiding them on how to write about suicide can not only improve the quality of patient care but also reduce iatrogenic harm. Additionally, foundation doctors should be supported and supervised by more senior firm members to ensure that discharge letters are not only of good quality but also written sensitively and sensibly.

None Declared

The first place to intervene in individuals who have attempted suicide is often the emergency department. These individuals may then be referred to intensive care units for close monitoring of physical findings and treatment, depending on the results of the suicide attempt. The attitudes and stigmatisation of nurses in the emergency department and intensive care unit toward suicide affect the quality of care provided. It is important to determine the attitudes and stigmatisation of nurses.

This study aims to determine the attitudes and stigma levels of nurses working in intensive care and emergency services towards suicidal behaviour and to examine the related factors.

The research is descriptive, cross-sectional and correlational. The research was conducted with 82 volunteer nurses working in the emergency room and intensive care unit of a hospital in Turkey between January and March 2023, with approval from the ethics committee and the institution. Nurses filled out the Personal Information Form, Attitude Towards Suicide Attempt Scale and Stigma of Suicide Scale. In data analysis; Independent samples t-test, One-way ANOVA, and Welch test were used in cases where variances were not homogeneously distributed. Bonferroni and Games-Howell methods were preferred among post hoc multiple comparison tests. Pearson correlation was used for the relationship between continuous variables, and Spearman correlation analysis was used for categorical variables.

The mean score of the nurses’ Attitudes Towards Suicide Attempt Scale was 98.78±9.16. The mean scores of the Stigma of Suicide Scale; Stigma, Isolation\Depression, Sublimation\Normalization sub-dimensions were 71.95±18.09, 57.68±10.94, 27.11±6.86, respectively. The mean score of the Sublimation\Normalization sub-dimension of the Stigma of Suicide Scale of those who had attempted suicide in their close circle was higher than those who had not, and the results were significant (p<0.05). In the same sub-dimension, the mean scores of those who gave care to patients who attempted suicide were lower than those who did not, and the results were significant (p<0.05). The total score of the Attitude Towards Suicide Attempt Scale had a positive and statistically significant effect on the Stigma of Suicide Scale (β=0.562, t=6.071, p<0.001).

These results indicate that nurses have high levels of negative attitudes towards suicidal behaviour, stigmatize it, associate suicide with depression and isolation, consider suicide normal, or glorify people who commit suicide. The presence of those who have attempted suicide in the immediate environment and providing care to individuals who have attempted suicide was associated with nurses’ attitudes and stigmatisation towards suicidal behaviour. It was found that nurses’ negative attitudes towards suicide had an increasing effect on their stigmatisation.

None Declared

Health professionals are a vulnerable population, prone to mental health problems such as suicidal behaviors. Suicidal ideation (passive and active) is a potential indicator of committing suicide. Passive suicide ideation has been undervalued as an indicator of suicide risk for not having a plan to commit suicide. Despite the high risk, few studies have examined the prevalence and factors related to the presence of passive suicidal ideation in healthcare residents.

Determine the prevalence and associated factors of passive suicidal ideation among resident healthcare professionals, including physicians, nurses, and psychologists.

This cross-sectional study involved a non-probabilistic sample of 775 healthcare professionals. Data were collected via a self-administered survey distributed to teaching units in hospitals across Spain. Key variables included passive suicidal ideation (yes/no), year of residency, and personality traits (neuroticism, extraversion, openness, agreeableness, conscientiousness), assessed with the Spanish adaptation of the NEO-PI-R Personality Inventory. Descriptive analyses summarized categorical and continuous variables. Associations between passive suicidal ideation and independent variables (age, gender, personality traits, drug consumption, mental health specialization, residency program) were analyzed using logistic regression models.

Among the total sample, 13.42% exhibited passive suicidal ideation. In terms of personality traits, individuals with higher levels of neuroticism and openness demonstrated an increased likelihood of experiencing passive suicidal ideation, whereas higher scores in extraversion were associated with a decreased probability of such ideation. Additionally, the use of prescribed medication and instances of self-medication were found to be related to passive suicidal ideation.

A notable proportion of healthcare professionals experience suicidal ideation during their residency. The findings of this study indicate that preventive measures for suicidal ideation should be implemented during the residency period for healthcare professionals.

None Declared

Suicide risk correlates with the nature of psychotraumatic factors that act directly during military service, their severity, duration of exposure, and individual adaptive capacities of military personnel. The development of suicidal behavior occurs against the background of anxiety and depressive syndromes in military patients and is aggravated by concomitant addictive behavior.

To investigate the relationship between the mechanisms of development of suicidal behavior in the military and psychopathological status that potentiate suicidal activity.

The following diagnostic scales were used: Suicide Risk Scale of the Los Angeles Suicide Center, Sad People Scale (W.M. Patterson, H.H. Dohn, J. Bird), Spielberger-Hanin Scale of Reactive (Situational) and Personal Anxiety (STAI), Hospital Anxiety and Depression Scale (HADS), Hamilton Rating Scale for Depression, Impact of Event Scale (IES-R). Review of existing literature on suicidal behavior among military personnel.

38 patients with a suicide attempt (within the diagnostic criteria F 43, F 32, F 31, F07 according to ICD-10) were examined during 6 weeks of inpatient care. It was established that the psychopathological presuicidal period in the examined patients was formed against the background of high levels of anxiety (38% of patients), anhedonia (26% of patients), feelings of sadness and hopelessness (19% of patients), addictive behavior (13% of patients), feelings of anger and irritability (4% of patients). In 43% of cases, the formation of suicidal behavior in military personnel was observed against the background of violations of interpersonal relationships: self-isolation behavior (22%), conflict (13%), and antisocial actions (8%). The duration of the pre-suicidal period are several minutes (23% of patients), several days (44% of patients), a month or more (33% of patients). The dominant methods of suicide attempts among the observed military personnel are self-inflicted wounds (61%), poisoning (18%), gunshot wounds (11%), hanging attempts (8%) and self-arson (2%). The reaction of suicidal people to an unsuccessful suicide attempt depends on the current mental state of the military personnel, often with a critical assessment, less often - suicidal-fixed.

In most cases, the development of suicidal behavior in military personnel occurs against the background of anxiety, depressive symptoms, post-concussion disorders, anhedonia, and concomitant addictions. Prevention of suicide among military personnel should include early detection of the main psychopathological symptoms and timely crisis therapy.

None Declared

Suicide is currently the leading external cause of mortality in Europe and one of the main causes of premature death. Suicidal behavior is highly heterogeneous, making it difficult to predict in clinical practice. However, among people who die by suicide, 83% had attended primary care in the previous year, and 50% had done so within 30 days of their death. Moreover, well-known suicide risk factors are already recorded in routine electronic health records (EHRs). Therefore, the development and implementation of artificial intelligence tools can help improve the prevention of suicidal behavior.

The aim is to design a platform based on predictive artificial intelligence (AI) predictive models that allows preventing suicide risk, addressing both suicidal attempts and/or ideation, as well as deaths by suicide, using clinical, biological, and sociodemographic factors through real-world data (RWD) from EHRs in a large sample of pediatric and adult patients undergoing psychiatric treatment.

This is a retrospective population-based study that uses structured and anonymized EHRs of a large sample of pediatric and adult patients who received mental health care between 2018 to 2024. The IDICIUS project consists of five work packages (Figure 1):

• - Extraction and integration of data from different sources: EHRs from Mental Health and Primary Care services; database of outpatient medicines invoiced by pharmacies from the Catalan Health Service; and all suicidal behaviors from the Suicide Risk Code register and also suicide deaths.

• - Predictive models creation and validation

• - Integrated care platform design

• - Design and plan feasibility

• - Scientific dissemination of results

We have identified approximately 40,000 patients who visited the Mental Health service at Parc Taulí Hospital between 2018 and 2024, of whom 162 died by suicide. The integration of these databases (Figure 2) has been achieved through the collaboration and coordination of three different public entities over the course of more than a year, ensuring compliance with legal and ethical standards at each step, given the sensitive nature of the data and its intended use in the development of an AI predictive algorithm.

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We are now moving forward with the subsequent phases, aiming to make a decisive contribution to the more effective and efficient management of suicidal behavior in clinical populations. The potential clinical utility of the results obtained in the prediction of suicide is analyzed, applying the AI algorithm in real clinical practice conditions. The aim is to improve the information available, through the use of alarms that help clinicians in decision-making to improve suicide prevention in primary care (risk detection) and in specialized mental health care (detection of significant variations in baseline risk).

None Declared

Assessing violence and suicide risk is a critical preventive action in the fight against suicide.

This study aimed to analyze the vulnerability factors associated with violence and suicide risk in the general Senegalese population.

This was an observational, population-based, national, cross-sectional, descriptive, and analytical survey. Data collection was conducted from July to August 2023 on 496 randomly selected households proportionally distributed according to the demographic weight of different areas. The assessment of suicide risk was derived from the Mini International Neuropsychiatric Interview (MINI) V5. Data were directly entered into ODK, and analysis was performed using R software. Ethical approval was granted by the National Health Research Ethics Committee of Senegal.

A total of 2,174 individuals were surveyed, with a mean age of 41.4±12.2 years. The prevalence of violence in Senegal was 52.76%. The most common forms were psychological violence (47.38%), verbal violence (43.47%), and physical violence (32.84%) (Refer to table I: Distribution by type of violence). Associations of violence were observed, with physical violence associated with psychological violence accounting for 19.59%. Women were more exposed to the different type of violence. Geographic disparities were identified, with the Dakar region emerging as the main hotspot for these forms of violence (refer to image 1: mapping of violence by region of Senegal). The suicide risk was found to be 8.4%, with a high level at 1.66%. Regardless of the type of violence, the suicide risk was elevated; it was 47.6% for sexual violence (refer to image 2: Distribution of Suicide Risk According to the Type of Violence). Unfortunately, recourse to victim assistance was low, with 6.2% of victims receiving psychological support and 10.4% receiving police assistance.Table I:

Distribution by type of violence

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Violence was significant in Senegal, with gaps in administrative and medicopsychological assistance. The suicide risk is high, but suicide remains underreported. It is crucial for Senegal to have a political and health framework with a public health approach centered on vulnerable groups for managing violence and suicide risks.

Violence, Suicide risk, Senegal, Africa

None Declared

Youth suicide is a significant public health issue, ranking as the third leading cause of death among youth worldwide. Pediatric emergency departments (PEDs) play a critical role as the first line of care for suicidal patients. However, PED personnel, who often lack psychiatric training, need to be equipped with the skills necessary to assess suicidality and provide immediate intervention. This study explores the readiness of non-psychiatric medical personnel in Israeli PEDs to identify and care for suicidal children and adolescents.

The primary objective is to evaluate the readiness of non-psychiatric PED personnel to detect and intervene with suicidal youth. Specific objectives include assessing:

1. Frequency of suicidal patient encounters in PEDs.

2. Training and confidence in managing suicidal cases.

3. Experience and self-assessed ability to provide immediate care to suicidal patients.

This cross-sectional study surveyed 87 non-psychiatric PED medical staff across Israel using a questionnaire distributed through REDCap. The survey included both quantitative questions on a 5-point Likert scale and open-ended qualitative questions. Data were analyzed using descriptive statistics for quantitative responses and thematic analysis for qualitative data.

A majority (76%) reported treating suicidal patients within the past year, though only 35% felt confident in providing care. Training levels were insufficient, with participants scoring an average of 2.25/5 on whether they had received adequate training. Most respondents (45%) expressed a need for further education in pediatric psychiatry, and 60% disagreed with the adequacy of current tools for identifying and managing suicidality. The qualitative analysis revealed a perceived gap in training and preparedness, emphasizing the importance of specialized education.

Israeli PED personnel frequently encounter suicidal youth but often feel underprepared to provide appropriate care. There is a clear need for enhanced training programs, particularly in suicide prevention, to equip medical staff with the tools necessary to effectively identify and treat at-risk patients. Recommendations include curricular updates and specialized workshops for PED personnel to improve suicide intervention outcomes.

None Declared

Eating disorders (ED) are serious mental illnesses affecting both physical and psychological health. In Turkey, no systematic research has been conducted on the adequacy of ED education in psychiatric residency programs. This study aims to evaluate the perceptions of psychiatric residents regarding the adequacy of their ED training and to offer suggestions for curriculum development.

The primary objective is to assess psychiatric residents’ perceptions of the adequacy of their training in EDs and compare this with their training in other psychiatric disorders. Additionally, the study aims to propose improvements to the training curriculum.

A cross-sectional online survey was conducted among 133 psychiatric residents across Turkey. Participants were recruited through social media groups for psychiatric residents, and data were collected in August 2024. The minimum sample size was determined to be 111, based on power analysis. The survey included sociodemographic questions (age, gender, institution type, years of residency) and questions regarding ED training, supervision experience, and other psychiatric disorders. Categorical variables were summarized using percentages and frequencies, while continuous variables were presented as means and medians. McNemar’s test was used to assess differences in training and self-efficacy between two diagnostic groups. Ethical approval was obtained from Başkent University (KA24/297).

The mean age of the participants was 28.3 years (SD: 2.1), and the average duration of their residency was 2.6 years (SD: 1.1). Regarding ED training, 46.2% (n=62) reported receiving theoretical lessons, while 84.2% (n=112) reported no supervision. Additionally, 56.4% (n=75) considered their ED training insufficient, and 55.2% (n=73) felt inadequately prepared to manage EDs, which was significantly different from other disorders (for psychotic disorders: χ² = 34.225, p <.001; χ² = 29.167, p <.001, anxiety disorders: χ² = 9.031, p =.003; χ² = 35.027, p <.001, sleep disorders: χ² = 18.581, p <.001; χ² = 34.028, p <.001, neurocognitive disorders: χ² = 34.028, p <.001; χ² = 30.031, p <.001).

This study demonstrates that psychiatric residents in Turkey, perceive their training in EDs as inadequate. This may stem from the limited time allocated to ED education, lack of supervision, and insufficient clinical experience. The perception that EDs are less common and complex could contribute to limited resources being allocated to their education. These inadequacies may affect residents’ ability to manage ED patients effectively. A comprehensive review of training programs, including more practical experience and supervision, could address these deficiencies.

None Declared

Balint groups are recognized for preventing burn-out and ehanced empathy by general practionners. Since few years, they are also identified for enhancing empathy by medical students for difficult patients. With the introduction of a six weeks psychiatric internship during the master medical studies at Fribourg University, a compulsory participation in four Balint Group sessions was implemented for medical trainees during there clinical psychiatric rotation.

Hilighting main psychiatric topics concerns by medical trainees during the first and the second years of implementation Hypothesing about imposition participation for medical trainees versus a freely participation.

An intervision space between group leaders take place to supervising this new design..Each group leader made a presentation about the groupal dynamic and the broached subjets during their session with medical trainees.

These finding were wrintig, discussed beteween and compiled, in order to target a future enquiry’s questions.

The fisrt year, main topics concern psychiatry’s foundations: what to do when a relative or friend is hospitalized? How to manage relational distance? How far should one be empathetic towards suicidal patients or directive with the setting of care? It was noticed an emotionally context where the tendency of students to identify with the patient was prevalent.

In consequence’s, the groupal dynamic required a great attention on the part of the moderators, to enhancing and building the medical identity of the trainees.

During the second year, in contrast, the emotional climate was quieter, the cases presented in a more balanced way.Trainees were distanced from the patient’s position as victim and accept better identify to the therapists.

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Balint group for medical student during their immersion in the psychiatry field are useful to help students to improve empathy in the patient relationship and to better understanding the specificity of the doctor relationship in psychiatry. But the confrontation with the mental illness and their treatment, especially seclusion treatment, asked a lot of questions from the trainees. The students during the first year of Balint introduction showed a great identification with the patient, essentially catched by the manifest speech and complaints. We observed some changes between the both year, with some hypothesis: better prepared students with previous teaching but also the better frame for their attend by the medical staff in hospital or in ambulatory services.

Further studies must be conducted with qualitative items (satisfaction enquiry by the students, and quantitative findings.

None Declared

The UK Royal College of Psychiatrists and the General Medical Council both recognise the value of and commend the use of Cognitive Behavioural Therapy (CBT) in understanding and treating Psychiatric disorders. It is now mandatory to incorporate in CBT in psychiatry training. Previous research and the authors’ own experiences as a trainee have shown that despite being trained in CBT, there continues to be limited use of CBT in routine clinical practice by psychiatry trainees. This study was conducted at a UK NHS Trust as an educational service evaluation.

Despite trainees receiving extensive CBT training and completing a 12-session CBT case early in their training, many do not use this skill. The objective of the study was to explore any barriers psychiatry trainees encountered in utilising CBT in routine clinical practise.

A qualitative, ethnographic approach using focus group discussions was used. Three Focus groups were conducted. These were audio-recorded and transcribed verbatim, then analysed using a General Thematic Analysis. A coding framework was used to organise emergent themes into five broad categories and are shown in the results section.

Table 1:

Barriers to CBT use

Psychiatry trainees were eager to use their CBT skills more often yet find barriers hindering their aspirations. In a specialty where talking with patients can sometimes be as effective as offering them medications, having a deeper understanding of the hindrances trainees encounter with regularly deploying this skill is crucial.

None Declared

Mental health treatment gap is over 92% in Bangladesh. The situation is more disappointing for those living in the slums in this country where basic health care and other facilities are limited. Due to the lack of easy and affordable access to biomedical care, the slum populations predominantly seek mental health care from traditional and faith-based healers, community health workers (CHWs), and local medicine sellers for serious mental disorders. In the TRANSFORM research, we are working with these 4 important stakeholders and codeveloped two different training programs clustering them in two different groups. In one group, we provided training for traditional and faith based healers and in another group community health workers and medicine sellers and a total 153 people received our 3 days long codeveloped training in 4 batches.

We aimed to document the different types of challenges; we encounter to conduct 3 days long training program on serious mental disorders in two groups in the 4 batches.

A mixed-methods approach was employed to document challenges faced in three stages: pre-training assessment, during-training documentation, and post-training evaluation. During the pre and post feedback assessment we asked participants to provide feedback on specific challenges they faced. The process documentation and event notes throughout the program were collected. After training of each batch, we organized FGDs to gather qualitative insights about the challenges and separate FGD was organized with the facilitators, organizing team members and researchers to get their views also. Thematic analysis was performed on qualitative data, and descriptive statistics were used to assess quantitative findings.

The challenges were clustered in 5 key thematic areas 1) challenge related to manage the diversity of the training participants within the group in terms of age, educational level, religions, 2) challenge related to time and schedule management – due to the rain, traffic jam, ramadan and eid holidays, 3) sociocultural and stigma related challenges: such as old women were unwilling to take part in role 4) Challenge emerged due to disaster : A devastating fire ravaged the slum leaving thousands homeless during the training, in addition the heavy rain and storm, 5) political and policy related challenges - During the fourth training batch, political unrest led to roadblocks and safety concerns, making it difficult for participants and facilitators to attend the training.

The understanding and early identification of challenges might be helpful in successful implementation of psychiatry training in different settings.

None Declared

Burnout is a pervasive issue among psychiatry residents, with long-term consequences for both individual well-being and the quality of care provided to patients. The role of emotional competencies, including emotional regulation, self-awareness, and mentalization, is increasingly recognized as critical in mediating burnout outcomes, according to the job demands-resources model of burnout.

The study objective was to investigate predictors of burnout and burnout correlates in a sample of psychiatry trainees.

This study examines longitudinal data from the QASP project (Questionnaire and Assessment of Stress and Performance in psychiatry residents), which also aims to assess the relationship between emotional exhaustion, depersonalization, and personal accomplishment in medical residents across multiple centers in Italy. Using a mixed longitudinal model, we explored predictors of burnout and its correlates, in particular mentalization deficits, emotional dysregulation, and attachment insecurity.

The study involved 827 psychiatry residents enrolled across different psychiatry training programs in Italy, enrolled in two waves: 2022 and 2023. To date, 351 follow-up assessments were retrieved. Emotional exhaustion showed a rapid increase during the early years of residency, then stabilizing in later years (Figure 1).

The results also indicated a strong relationship between increased exposure to violence and elevated burnout dimensions. However, coping strategies were observed to evolve and refine during residency training, with psychiatry trainees displaying a shift from avoidance to problem-focused approaches over time. Residents were also more likely to report less attachment insecurity after one year of training (Longitudinal Mixed Models - Figure 2).

Interpersonal competencies, sustained by mentalization skills, were observed as following a coupled longitudinal trajectory with burnout, so that an increase in interpersonal competencies was associated with a lower elevation in burnout dimensions (Figure 3).

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Our findings suggest that enhancing emotional personal and interpersonal competencies could mitigate burnout, improve training outcomes, and potentially increase later workforce retention among psychiatry trainees. These results underscore the need for interventions targeting emotional competencies and mentalization during psychiatric training, such as focused clinical supervisions by senior staff members. Such interventions could enhance residents’ resilience, promote effective coping mechanisms, and ultimately improve the quality of psychiatric care.

None Declared

In the 2019 Choose Psychiatry guidance for medical schools in the UK, medical students voiced a need for more extracurricular activities focused on mental health. They specifically requested the inclusion of psychiatric clinicians in their education to deepen their understanding of psychiatry and its different roles. Applications for core psychiatry training have risen dramatically, leading to oversubscription in recent years. In response to this demand, PsychED UK, a national teaching programme was created to further foster students’ knowledge and interest in psychiatry.

• - Increase medical students’ engagement in psychiatry as a career.

• - Enhance students’ knowledge and confidence in psychiatric practice.

• - Boost interest in psychiatry through practical insights and exposure.

Between December 2023 and February 2024, six one-hour teaching sessions were offered to medical students and Foundation Programme trainees through Medall, a virtual healthcare platform, delivered by consultants, registrars, and core trainees, ensuring a broad range of experiences.

In order to increase engagement we selected different types of presentation content: session 1 and session 4 focused on practical and personal tips on life as a psychiatry trainee, session 2 and session 3 delivered high-yield content tailored to support exam revision and lastly session 5 and session 6 gave an insight into subspecialties, providing a glimpse into exciting career pathways beyond the general practice.

Pre- and post-session questionnaires were used to measure the satisfaction scores, including likert scale ratings focusing on the student’s knowledge, confidence, and interest in a career in psychiatry and free text box for qualatative data.

We had a strong turnout, with 126 attendees participating across six sessions. The audience included a diverse range of individuals, from first-year medical students to Foundation Year 2 trainees, with participants joining from across the UK and even internationally. The results showed strong overall satisfaction, with all sessions scoring 77% or higher. Sessions 1, 3, and 4 received the highest satisfaction ratings, and Sessions 1 and 4 had the highest percentage of attendees providing feedback, indicating strong engagement with the content. Free-text feedback analysis highlighted that attendees were seeking more personal experiences and insights from current core trainees.

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The PsychED UK programme effectively enhanced medical students’ knowledge and confidence in psychiatry, addressing key areas identified in previous student feedback. Based on these positive results, a second series of teaching sessions is planned, with further refinements to the programme. Due to the high level of engagement and satisfaction with sessions 1 and 4, the second cycle will be presented by two speakers in a conversational format, focusing on the experiences of psychiatry trainees.

None Declared

Stigmatization has been associated with unfavorable outcomes for individuals with mental illnesses, as it acts as a barrier to seeking help and achieving age-appropriate functional goals. Among mental disorders, people with schizophrenia are most frequently stigmatized, followed by those with alcohol-related disorders, substance use disorders, and depressive disorders.

Substance use disorders have often been viewed as stigmatizing conditions

To assess perceived stigmatization and its consequences among patients followed and hospitalized for the management of opioid use disorder in the addiction service at Arrazi Psychiatric Hospital in Salé.

This is a descriptive cross-sectional study using a questionnaire that includes sociodemographic and clinical criteria, as well as an assessment of perceived stigmatization among patients followed and hospitalized for the management of opioid use disorders in the addiction service at Arrazi Psychiatric Hospital in Salé.

Perceived stigmatization was measured using the Perceived Stigma of Addiction Scale (PSAS). This scale consists of 8 items measuring perceived stigma among substance users.

patients of both sexes, aged 18 to 65, diagnosed with opioid use disorder.

A total of 72 responses were retained. Approximately 60% were male, the majority lived with their families, and about 85% were unemployed. Codeine and tramadol were the most commonly used substances, while heroin was less prevalent. Psychiatric comorbidity was present in about the majority of participants (anxiety disorder, depressive disorder, personality disorder, and 2% with psychosis).

The mean (standard deviation) score of the perceived stigma scale for the study population was 21.23. The mean perceived stigma score was significantly associated with the place of residence, with significantly higher perceived stigma found in participants living alone. Stigmatization was also higher depending on the route of opioid administration and was correlated with the participants‘ socio-economic status.

The study suggests that stigma is a major concern among patients with opioid use disorders. Further research is needed to assess the relationship between stigma and the extent of substance use, personality factors, treatment-seeking behaviors, and its impact on quality of life. Studies could evaluate the evolution and trajectory of stigma throughout treatment in order to develop interventions that could help address the issue of stigma in mental health.

None Declared

Major Depressive Disorder (MDD) is one of the most common psychiatric conditions, while cannabis is the most widely used illicit drug globally. Both MDD and Cannabis Use Disorder (CUD) hold significant epidemiological and health implications. Emerging evidence suggests a co-occurrence between cannabis abuse, dependence and depression, though studies remain limited.

To estimate the percentage of individuals with CUD who have comorbid MDD and those with MDD who have comorbid CUD.

PubMed, SciELO, and Google Scholar were searched using keywords: ((abuse, cannabis[MeSH Terms]) OR (cannabis dependence[MeSH Terms])) AND ((depressive disorder, major[MeSH Terms]) OR (depressive disorder[MeSH Terms])). Original articles in English or Portuguese were included. Data collection followed PRISMA, MOOSE guidelines, and JBI critical appraisal. The final sample included 53 articles: 36 for the first meta-analysis and 17 for the second. A heterogeneity test (Q test) and "leave-one-out meta-analysis" were used. Prevalence rates were aggregated using random-effects models. Meta-regression and sensitivity analyses were conducted.

MDD showed a high prevalence among individuals with CUD, at 31.12% (95% CI: 25.71% to 36.80%). Prevalence was not significantly influenced by year, age, gender, population type, assessment period, region, or diagnostic criteria. CUD prevalence among those with MDD was 10.95% (95% CI: 7.08% to 15.53%), with higher rates in men and younger individuals. CUD prevalence appears to be increasing over time, though population type and assessment period did not significantly affect overall prevalence.

This meta-analysis reveals a high prevalence of MDD among individuals with CUD and a significant prevalence of CUD among those with MDD, confirming a strong comorbidity. Cannabis use may exacerbate depressive symptoms, while those with MDD are at higher risk of developing CUD. Age, gender, and geographical factors influence this relationship. With increasing cannabis use, particularly among younger populations, the CUD-MDD comorbidity presents a growing public health issue. Further research is needed to explore the longitudinal link between these disorders.

None Declared

Medical students face high demands in college, which may cause significant psychological stress and mental health problems, such as depression and anxiety. Several studies worldwide have shown that such individuals are more likely to experience anxiety. However, few studies have examined how generational status and being a first-generation medical student lead to mental health issues.

In this study, we aimed to estimate the prevalence of depression and anxiety in first-generation medical students (FGMS) compared with non-FGMS and to determine the correlation between socioeconomic factors and other variables with depression and anxiety in FGMS.

This cross-sectional study was conducted among medical students at the College of Medicine. A self-administered questionnaire was distributed to the students using convenience sampling. The questionnaire comprised socio-demographic information (e.g. age, gender, marital status), a General Anxiety Disorder (GAD-7) scale to assess anxiety, and a Patient Health Questionnaire (PHQ-9) to assess depression among medical students.

Among the 309 medical students who completed the questionnaire, 65.4% were female and 75.7% were FGMS. The prevalence of anxiety and depression among medical students was 36.2% and 39.5%, respectively, and was higher among FGMS, but not significantly different (p<0.05). Independent risk factors for anxiety and depression among FGMS included a previous history of mental disorders and lack of social and emotional support, while fair sleep quality was identified as a significant independent preventive factor for anxiety and depression. The prevalence rates of anxiety and depression among patients with FGMS were 39.3% and 41.9%, respectively. A previous diagnosis of mental disorder was a significant risk factor for anxiety and depression, whereas fair sleep quality was a significant protective factor. Further research is needed to identify the factors that influence anxiety and depression among FGMS in our region.

Anxiety and depression are common among first-generation medical students. FGMS with a history of mental disorders tended to exhibit symptoms of both anxiety and depression compared to the rest of the FGMS. However, satisfactory sleep quality could result in better mental condition in FGMS. Institutional measures should be adopted to help students improve their living conditions. Furthermore, institutional leaders should spearhead the destigmatisation of psychological disorders and advocate help-seeking behaviours when students need mental help, particularly when they are anxious or depressed.

None Declared

Alcohol dependence is a chronic condition associated with multiple relapses, leading to recurrent admissions to inpatient units. The success of treatment is closely tied to the psychosocial rehabilitation of these patients, as a means to ensure long-term abstinence.

We aim to characterize the psychosocial profile of frequent users of an Inpatient Alcohol Detoxification Unit in Lisbon and to reflect on the need for psychosocial interventions to prevent relapse risk.

A retrospective analysis of data collected from the clinical records of patients admitted two or more times within one year to an Alcohol Detoxification Unit in Lisbon, during the period between January 2022 and December 2023.

During the study period, 37 patients with two or more admissions in a year were identified. The average age was 51.9 years, and 67.6% were male. It was found that 48.6% of the patients were divorced or separated; more than half of the patients were unemployed at the time of admission (62.2%), and nearly half were experiencing financial hardship (48.6%). In terms of integration into rehabilitative and abstinence maintenance structures, 40.5% had attended the Day Care Center of the Hospital Center, and only 5.4% had been part of a Therapeutic Community (TC). Before their last admission, 8.1% of the patients had been referred to a TC, 10.8% to the Day Care Center, and 51.4% to outpatient care, while 24.3% left against medical advice. In contrast, during the last admission in the study period, 13.5% were referred to the Day Care Center, and 35.1% to a TC.

The results highlight the need for psychosocial intervention and rehabilitation in patients with alcohol use disorder. Treatment should include a multidisciplinary approach that takes into account socioeconomic support and integration into rehabilitative structures, as these promote long-term abstinence and therapeutic success.

None Declared

Psilocybin, a psychedelic compound, has shown potential in treating depression, especially in cases resistant to conventional treatments. This study systematically reviews the scientific literature to assess its efficacy and safety.

The main objective of this study is to evaluate the therapeutic effects of psilocybin for the treatment of depressive disorder through a systematic review of the current scientific literature

An exhaustive search was conducted in databases such as PubMed and Web of Science, using specific MeSH term and selecting studies published between 2019-2024 that investigated the effects of psilocybin in treating depression.

The included studies demonstrated significant improvements in depressive symptoms with psylocibin compared to standard treatments. Studies reports a rapid and sustained symptom reduction, with few adverse effects.

Psilocybin could be an effective and safe alternative for treating depression, providing symptomatic relief with fewer treatment sessions and a favorable safety profile. However, further research is needed to overcome current limitations and fully understand its therapeutic potential and underlying mechanisms.

None Declared

The worldwide prevalence of Wernicke-Korsakoff syndrome is thought to range from 0-2%. Those at greatest risk include the homeless, the elderly, and psychiatric patients (1). In treatment, typical regimens include high doses of intravenous thiamine, three times daily for at least three days. Electrolyte abnormalities should be corrected and fluids replaced.

We are interested in studying the evolution of a patient with alcohol withdrawal syndrome progressing to wernicke’s encephalopathy.

We conducted a literature review by searching for articles in Pubmed.

A 40-year-old male, with no medical or surgical history of interest, alcohol consumer, was admitted to the hospital ICU for an episode of ataxia and agitation in the context of four days of alcohol abstinence. He was sedated and orotracheal intubation was performed and treatment was started with thiamine, tiapride and diazepam. After hemodynamic and respiratory stability, the patient was transferred to the Internal Medicine ward where he presented clinical symptoms compatible with Wernicke’s Encephalopathy (cerebellar ataxia and nystagmus). Psychiatry was consulted to adjust treatment and to carry out a psychosocial approach for discharge (alcohol withdrawal center).

The patient’s evolution has been favorable with the adjustment of psychopharmacological treatment. In the neurological examination we observed nystagmus and cerebellar ataxia. In the psychopathological examination the suspicious contact, psychomotor restlessness, mild generalized tremor in both MMSS are remarkable. Speech difficult to understand due to language barrier. Traits of impulsivity in the foreground. Unstructured biological rhythms. Partial insight. Intellectual functions and volitional abilities preserved.

In the complementary tests without significant remarkable alterations. In the treatment adjustment, a de-escalation of diazepam has been carried out for discharge. Treatment with pregabalin, tiaprizal, thiamine and vitamins B1-B6-B9 was also prescribed. Recommendation of absolute cessation of alcohol consumption and follow-up by internal medicine, psychiatry and social work.

Wernicke-Korsakoff syndrome is a clinical diagnosis and Wernicke’s encephalopathy should be suspected in any person at risk of thiamine deficiency presenting oculomotor findings, ataxia or confusion (1). Thus, in our patient presenting ataxia and nystagmus in the context of alcohol abstinence and some malnutrition, an early approach with thiamine can be performed to prevent progression to Korsakoff’s syndrome.

Once amnesia and executive deficit are present, Korsakoff’s syndrome should be suspected. The key to good outcomes is therefore to detect Wernicke’s encephalopathy early and treat it with thiamine (1). Severe concomitant infections, including sepsis of unknown origin, are frequent during Wernicke’s phase (2). In our patient there were no complications.

None Declared

Cyberaddiction, characterized by excessive and uncontrollable internet use, has been linked to various psychological and behavioral issues. Adolescents are particularly vulnerable to these risks, as they are heavy users of digital platforms, often spending long hours online for social interaction, entertainment, and gaming. While research on this issue is expanding, our study seeks to contribute further insights into the factors associated with problematic internet use and its implications for adolescent well-being.

The objective of our study was to determine the prevalence of cyberaddiction among adolescents in Sousse, Tunisia and to investigate its relationship to self-esteem.

We conducted a descriptive cross-sectional study with analytical objectives among adolescents aged 12 to 18 from schools in Sousse Medina, Tunisia during February, March, and April 2024. We used a demographic information form, the Young Internet Addiction Test and the Rosenberg Self-Esteem Scale for data collection.

Our population consisted of 416 adolescents. The most represented age group was 14 years old (22.1%), with a mean age of 15.05 ± 1.7 years. The sample comprised 236 females (56.7%) and 180 males (43.3%). Our findings indicate that 83.2% of participants exhibited problematic internet use with potential life consequences, 11.3% showed occasional excessive use but maintained control, and 5.5% experienced severe repercussions from their internet use. Additionally, 43% of participants spent more than 2 hours per day online. A statistically significant relationship was observed between the amount of time spent online and cyberaddiction (p = 0.009, with higher levels of cyberaddiction associated with increased internet usage. According to the Rosenberg Scale, 51.9% of adolescents had low self-esteem, however, no statistically significant relationship was observed between self-esteem and cyberaddiction.

Our findings highlight a concerning prevalence of problematic internet use among adolescents, with no significant correlation identified between self-esteem and cyberaddiction. This suggests that other underlying factors may contribute to the challenges faced by this population. It is crucial for healthcare professionals and policymakers to prioritize preventive measures and awareness campaigns, promoting healthier online habits and ultimately fostering the well-being of young people in an increasingly digital world.

None Declared