Psychiatric emergency care visits have been associated to several climate variables. However, the influence of precipitation has been understudied

To study the association between precipitation and number of emergency care psychiatric visits.

Daily urgency visits were extracted from electronic medical records of Hospital Universitario La Paz from 1st January 2019 to 31th December 2019. Precipitation data (measured as accumulated litres per square meter) was obtained from a local climate station. Spearman correlation was estimated.

The Spearman correlation coefficient was -0.02(p = 0.80).

Precipitation was not associated to number of emergency visits.

No significant relationships.

Suicidal phenomena help seeking depends on a broad array of factors, which include climatic variables. Our aim was to analyse the effect of precipitation with help seeking in patients suffering from suicidal behaviour

Our aim was to analyse the effect of precipitation with help seeking in patients suffering from suicidal behaviour

Daily urgency visits from suicidal phenomena (including suicide attempt and ideation) were extracted from electronic medical records of Hospital Universitario La Paz from 1st January 2019 to 31st December 2019. Precipitation data (measured as accumulated litres per square meter) was obtained from a local climate station. Spearman correlation was estimated

The Spearman correlation coefficient was 0.04(p = 0.48)

Precipitation did not influence help seeking for patients affected by suicidal phenomena

No significant relationships.

Psychiatric emergency visits have with associated with seasonal pattern that reflect psychosocial factors. Its knowledge could proving valuable insight about help seeking behaviour of patiens suffering with mental illness.

Our aim was to analyse weekly and monthly seasonality

Daily urgency visits were extracted from electronic medical records of Hospital Universitario La Paz from 1st January 2019 to 31st December 2019. A poisson multivariate model was performed with day of the week and month as covariates. Predictive margins were estimated

Psychiatric emergency visits were less frequent in Saturday and Sunday (5.5 visits per day) than weekdays (7.5 visits per day). Not differences were observed among months.

A weekly season pattern was observed with less psychiatric emergency visits during weekends.

No significant relationships.

Suicidal seeking help seeking behaviour has with associated with seasonal pattern that reflect an array of psychosocial factors. Its understanding is paramount for improving psychiatric emergency care.

Our aim was to analyse weekly and monthly seasonality on emergency department visits due to autolytic phenomena

Daily urgency visits from suicidal phenomena (including suicide attempt and ideation) were extracted from electronic medical records of Hospital Universitario La Paz from 1st January 2019 to 31st December 2019. A poisson multivariate model was performed with day of the week and month as covariates. Predictive margins were estimated

Psychiatric emergency visits due to suicidal phenomena were less frequent in Saturday and Sunday (1.8 visits per day) than weekdays (2.5 visits per day). Peaks were observed in February and September, being April and May the months with fewer visits

A weekly season pattern was observed with less psychiatric emergency visits due to suicidal phenomena during weekends. They picked during colder months and were less frequent during spring time

No significant relationships.

Psychiatric emergency visits have been associated to several climate variables. However, the influence of relative humidity has been not well stablished.

The analyse the influence of relative humidity on emergency care visits.

Daily urgency visits were extracted from electronic medical records of Hospital Universitario La Paz from 1st January 2019 to 31st December 2019. Relative humidity data (%) was obtained from a local climate station. A negative binomial multivariate regression model was performed with relative humidity, weekday and month as covariates.

Relative humidity was not associated with number of psychiatric emergency department visits (IRR 1.00; 95%CI 0.99-1.00)

Relative humidity did not influence emergency help seeking for patients suffering from suicidal phenomena

No significant relationships.

Social PSYCHIATRY is essential for solutions of RH-conflicts leading to immense psychic&medical problems-[2a-e,3]. Millions tenants in Europe: Germany-54.3%/Austria-30.2%/France-25.3%/GB-24.1%/Italy-12.9%/Slovenia-4.5%. German journals reflect catastrophic situation of tenant-lessor conflicts-[3].

REFERENCES: [1a]-Luetge,Ch et-al(ed): Experimental Ethics, Basingstoke:Palgrave-Macmillan,2014. [1b]-Pegoraro,R (Chancellor Academy/Vatican-City) «Arzt und Christ» 38:3-55,1992; EACME-2017-Barcelona AB:p.129-130. [2]-Michailov,M.Ch, Neu,E, Welscher,U et-al: [2a]-Psychology: EFPA-2019-Moscow AB:p.1529,1530,1549. IUPsyS-2008-Berlin Int.J.Psychol. 43/3-4 p.154,248,615,799. [2b]-Psychiatry: EPA-2020-virtual/Madrid, Eur.Psychiatry 63S:EPP0834/5+EPV0581/1470; EPA-2019-Warsaw 56S:S689; EPA-2018-Nice 48/S1:S623&567&662. WPA-2019-Lisbon, E-Poster WCP19-2137/-1822/-1839: 2018-Mexico-City, Abs.-Book WCP18-0584/-0625/-0643/-0654. 2011-Buenos-Aires, AB:PO1.200. [2c]-Philosophy&Law: IVR-2019-Lucerne Progr.Book:p.114-116. FISP-2018-Peking Abstr.Book(AB)1348-50,1373-4,1420; -2013-Athens AB464-5/503-4/766. EACME-2017-Barcelona/MedEthics) AB73-74/125-126. [2d]-Psychosomatics: ICPM-2017-Peking AB:ID: 648493/648895/647749/648878; -2005-Kobe, JPsychosomRes 58: 85-86. [2e]-Physiology: DPG-2019 (German-Austrian-Suisse Soc.) Acta-Physiol., 227/S719, A03-3,A03-4,A03-9,A04-4,A05-1. IUPS-2017-Rio-de-Janeiro, AB:ID977; IUPS-2009-Kyoto, J.Physiol.Sci. Proc-IUPS-Vol.XXII/Springer,p.249. [3]-German-journals-“tz”-München, 14.02.2019, 15.02.17, 06.12.16/p.10, 18.10.16/p.10. Süddt.Zeitung-no172/p.30, 2017. Bild-14.12.2018/p.12. Mü.-Merkur-14./15.12.2019/no289/p.33.

Psychological-medical-social observations-[2a,e].

Complex interaction of social-natural factors (micro-ecology/apartments) are demonstrated by conflicts tenants-lessors (RH-Munich). Conflicts conc. high-rents, luxurious repair, cause dangerous psychoneurological diseases: anxiety-neurosis-insomnia-depression,etc., esp. in patients/seniors with cardio-vascular pathology. Defect-doors&radiators&windows (air-currents) induce respiratory-diseases, defect-illumination causes accidents (neuro-orthopaedic diseases: commotio-cerebri,etc.). Examples for impossible situation in German-RH: After 47years annihilation of RH-contract (tenant-woman 74years); over 4.5years lessor tries to eliminate 2scientists from RH, living-working 40/50years (one invalid, other 86years, both with complex pathology) by justice-terror; RH-contracts of tenants 90years with dementia&blind-senior (90years) are annihilated. RH-conflict leads to lethal consequences of 73 year tenant-[3].

SOCIAL PSYCHIATRY could help millions of tenants injured by RH-conflicts-[2a-c,1a,b] by (a)-psychotherapy&education considering “total symptoms of mind-body, acc. to Emperor AKIHITO during ICPM-2005-Kobe-[2d], (b)-education of RH-administrators incl. philosophical/psychological/psychiatric-examination, (c)-foundation of „house-councils“ for „RH-industry“ counteracting psychopathological/-somatic diseases. This way will be supported UNO-Agenda21 for better health/education/ecology on global-level.

No significant relationships.

Tunisian revolution has been a major upheavel in the tunisian history and has brought many political, social and economic changes. Little were found about the revolution’s potential impact on the psychiatric demand.

Compare the clinical profile of all the new consultants in the out ward psychiatry department before and after the revolution.

The study had a retrospective descriptive design including all the new consultants in the outpatient psychiatry department in the general hospital Fattouma Bourguiba in Monastir, Tunisia before (during 2007) and after (during 2016) the revolution. We used a pre-established questionnaire including sociodemographic and clinical data.

After the revolution, an increase in the number of new patients (p<10-3) 438 to 451 were found. In 2016, there were more unemployed consultants(p=0.004), having criminal record (p=0.01) and having a problematic substance use (p<10-3). An increase also concerned patients consulting for anxiety(p=0.002) and suicidal ideation (p=0.022). Considering the clinical diagnosis, there were also a significant increase regarding anxiety disorders (p=0.001) and mood disorders (p=0.011) essentially major depressive disorder (p=0.002). Although a significant decrease concerned somatoform disorder (p<10-3).

Our study showed a change in the profile of consultants after the Tunisian revolution. A study in the general population could find specific etiological factors. Thus highlight the importance of implementing preventive measures in general population in crisis’ times.

No significant relationships.

HSE ‘Vision for Change, 2006’ placed emphasis on person-centred, recovery-oriented, community-integrated treatment. The high support residential hostel in Tuam ‘Toghermore House’ is not integrated into the community and was scheduled to be closed as a residence in the last quarter of 2019. The individuals whom accessed support from Toghermore House were offered residential places in community settings in the urban area of Tuam with support plans according to individual assessed needs.

To assess the quality of life of individuals accessing the Rehabilitation & Recovery Service and who are residing in supported and independent accommodation in Tuam.

Cross sectional study. Scales used were Manchester Short Assessment of Quality of Life Scale (MANSA) including both objective and subjective components and the INSPIRE scale which gathered information about the support and relationship each individual has with their assigned keyworker. SPSS 24 was used for data analysis.

27/32 responses. Mean age: 52 years, males: 78% and schizophrenia: most common primary diagnosis (52%), mean duration of illness: 28 years 3 months. 74% of individuals were satisfied with their life, 78% with their health and 56% with mental health. Only three individuals were employed and were happy with work and finances. 81.5% service users reported to have a good quality of life but only 59% felt in control of their lives.

Majority of individuals reported having a good quality of life and being satisfied with their overall health and current living arrangements. Meaningful occupation and subjective supportive therapeutic relationships are predictors of enhanced quality of life.

No significant relationships.

In 2019 national survey - personal examination of persons, living in residential facilities for mentally disabled people - was executed under the instruction of the Government by specialists of V.Serbsky National Medical Research Centre. For 2559 legally incapacitated residents the procedure of rehabilitation of full or diminished capacity was recommended. For 16132 legally capable residents the procedure for recognising their incapacity was recommended (Kekelidze ZI et al., 2020).

To compare the recommendations on legal capacity in two regions with different systems of inpatient social services.

Full-sized noncontrol observational descriptive screening study.

In table 1 the recommendations on legal capacity in two regions are presented.

Differences in quantity of residents, for whom rehabilitation of full or diminished capacity was recommended, depend on characteristics of the systems of institutional care in the regions. In the first region a complex system of rehabilitation and deinstitutionalization has been organised. In the second region such system is just organising. Among legally capable and those, for whom rehabilitation of capacity was recommended, there were residents, able to live independently or under community-based services.

No significant relationships.

For the first time in N. Macedonia we had the experience to include peer workers as an equal members in the newly formed community mental health teams. For the purpose of the RECOVER-e project we engaged 2 patients to be the new peer workers.

To evaluate the initial period of peer worker involvement in the community mental health teams and to identify the next steps for them.

Conducting interviews with the peer workers.

One important aspect that is worth mentioning is their motivation to continue their work in the community mental health teams and continue to improve. Another finding is their will to establish a user led organisation. A user led organisation in the field of mental health in our country is rare to be find, with only a couple of them functioning in N. Macedonia. So if our peer workers can make it, it would be a great step in the right direction.

Overall, taking into consideration all that the peer workers have achieved in the last period, including the ups and downs of being the first official peer workers in N. Macedonia, they are looking forward to improve their knowledge and continue building their practical experience. A great plus of it all is that they have a financial stability for this troubled pandemic period.

No significant relationships.

Road rage is a term used to describe driving usually extreme in nature. There seems to be a multifactorial relationship between the situational characteristics of an anger provoking road situation and the feelings of anger and road behaviour.

To examine driver anger with regards to various sociodemographic parameter.

282 participants completed an internet-based survey including sociodemographic profile, anger assessment while driving using the Deffenbacher Driver Anger Scale, details of the driving. Participants were recruited through networks of authors, institution. The survey was disseminated through social media applications and email by snowball sampling method.

Mean age of the sample was 26.1 years with age group 24-29 years making half of the population. Majority sample were males (62.1%), graduates (53.2%), professionals (45.7%), urban locality based, nuclear family type. People experienced greater anger on Defenbacher likert scale for the following situations, when Someone is driving very close to your rear bumper (mean= 3.09), Someone cuts in right in front of you on the motorway(mean= 3.44), Someone cuts in and takes the parking spot(mean= 3.19), Someone coming towards you does not dim headlights at night(mean= 3.26), driving behind a vehicle smoking badly or giving off fumes(mean= 3.38).

The results revealed a prevalence of high anger scores amongst Indian drivers. The rage didn’t vary significantly within gender, locality, type of vehicle, however the anger scores were significantly higher in younger population. Strategies targeting at driving safety and reducing road rage should be implemented by authorities with sensitization of the drivers.

No significant relationships.

The alcohol policy environment was shown to exert a preventive effect on alcohol consumption. However, little is known about the heterogeneity of this effect.

To capture the extent of heterogeneity in the relationship between the strictness of alcohol policy environments and heavy drinking and to identify potential effect modifiers.

Method: Cross-sectional data from 5986 young Swiss men participating in the cohort study on substance use risk factors (C-SURF) in Switzerland was analysed. Self-reported risky single-occasion drinking (RSOD, drinking 6 standard drinks or more on a single occasion at least monthly) in the past 12 months was the outcome of interest. A previously-used index of alcohol policy environment strictness across Swiss cantons was analysed in conjunction with 21 potential effect modifiers. Random forest machine learning and individual conditional expectations captured high-dimensional interaction effects and the heterogeneity induced by the interaction effects and identified potential effect modifiers.

Subject-specific absolute risk reductions ranged from 16.8% to -4.2%, with the latter implying a risk increase. Four prototypical subgroups were evident: “preventive” (alcohol policy environment decreased RSOD risk), “causative” (alcohol policy environment increased RSOD risk), “immune” (no effect due to low RSOD baseline risk), and “doomed” (no effect due to high RSOD baseline risk). Antisocial personality disorder and sensation seeking were major effect modifiers that reduced the preventive effect of stricter alcohol policy environments.

Conclusion: Whereas stricter alcohol policy environments were associated with a reduced RSOD risk, adding selective prevention measures that target high-risk subpopulations is necessary.

No significant relationships.

Child abuse has deleterious consequences on its victims. Its occurrence is poorly documented in Nigeria.

To determine prevalence and pattern of physical abuse at home among children in Ilorin Nigeria.

Cross sectional survey of secondary school students aged 11-18 years in Ilorin Nigeria using multistage random sampling technique with proportional allocation was done. Respondents completed the ICAST-CH questionnaire which covers child abuse in its several forms. Prevalence of child abuse was computed.

Table1: Pattern of physical abuse at home in the last 12 months

Conclusion Physical abuse of children is extremely common in Ilorin Nigeria. There are no specific demographic determinants of occurrence; hence every growing child is at risk. The prevailing cultural norms and state laws appear to be chief drivers of this phenomenon. The current findings expand the available pool of knowledge about CPA in Nigeria and calls for more research. It also supports existing calls for the abolition of corporal punishment of children.

No significant relationships.

Research has shown that ethnic/racial minorities have a higher risk of homelessness, involvement with the criminal system, psychiatric misdiagnosis, treatment delay, and being prescribed first (versus second) generation antipsychotics.

To investigate if the disparities found in the community are replicated in incarcerated patients.

Systematic review on PubMed for articles that fulfilled criteria for 4 domains: prison, psychosis, race/ethnic, and treatment.

Forty-one articles matched the search criteria. Of those, 24 were irrelevant; 2 were inaccessible. Fifteen articles were considered; most highlighted the interplay between the criminal system, homelessness, mental disorders, and ethnic/racial minorities. Five articles highlighted differences in treatment. One stated that African-Americans and Asians were less likely than Whites to have access to mental health services. Concerning treatment for substance use disorders, one study found Hispanic inmates were more often engaged in treatment, followed by Caucasians and lastly, African-Americans; a different study reported the percentage of Whites and Blacks receiving treatment was similar, while Latinos were under-represented. Whites were most likely to have mental health counseling/substance use treatment as part of their sentence. A study from New-Zealand stated that treatment for mental disorders was less common for Maoris, in whom suicidal thoughts were often unrecognized. The last study reported a higher risk of self-harm for foreign patients, coupled with non-recognition/misinterpretation of symptoms.

Racial/ethnic inequalities show that disparities in healthcare are pervasive in all settings. More studies are needed to better understand the complex nature of this problem.

No significant relationships.

Physical abuse of children in schools is common in Nigeria, but its prevalence and forms are yet to be clearly studied.

To determine the prevalence and pattern of physical abuse of children in Secondary Schools in Ilorin Nigeria

Cross sectional survey of secondary school students aged 11-18 years in Ilorin Nigeria using multistage random sampling technique with proportional allocation was done. Respondents completed the ICAST-CI questionnaire which covers child abuse in educational institutions. Prevalence and pattern of child abuse was computed.

Table 1: Pattern of physical abuse in School in the last 12 months

Physical abuse of children is extremly commonplace in public secondary schools in Nigeria. it is neccessary to explore other ways of dealing with children in educational institutions.

No significant relationships.

There is a paucity of information on the exposure of children to violence in Nigeria. The current study aims, as part of a larger study, to explore the experiece of children to violence in their homes in Nigeria.

To determine the prevalence and pattern of violence exposure of children in Ilorin Nigeria.

Cross sectional survey of 1,554 secondary school students aged 11-18 years in Ilorin Nigeria using multistage random sampling technique with proportional allocation was done. Respondents completed the ICAST-CH questionnaire which covers childrens’ exposue to violence. Prevalence of violence exposure was computed.

63.4% (994/1554) of respondesnts had witnessed violence at home. Table 1: Pattern of violence exposure at home in the last 12 months Form Frequency Percentage*

A good number of children in Nigeria might be exposed to violence. There is thus a need for initiative to strengthen family life and control the exposure of children to violence given its potential to cause long standing mental health problems in victims.

No significant relationships.

The prevalence and pattern of emotional abuse of children in Nigeria is poorly understood. Data from other parts of the world indicate it is commoplace and has enduring negative mental health impact. The current study aims to understand the phenomenon the more.

To determine the prevalence and pattern of emotional abuse of children in their homes in Nigeria

Cross sectional survey of 1, 5444 secondary school students aged 11-18 years in Ilorin Nigeria using multistage random sampling technique with proportional allocation was done. Respondents completed the ICAST-CH questionnaire which covers child abuse in its several forms including emotional abuse. Prevalence of emotional abuse was computed.

All respondents (100%) had experienced emotional abuse at home in the last one year Table 1: Prevalnce annd pattern of emotional abuse at home among children in Ilorin Nigeria

Emotional abuse of children at home is common place in Ilorin Nigeria. It would seem important to educate parents on what emotional abuse is and its potential impact in children.

No significant relationships.

The sexual abuse of children is well documented in literature. Data on it from Nigeria is rather sparse. The current study examines the prevalence and pattern of sexual abuse with a view to increasing our understanding of it.

To determine the prevalence and pattern of sexual abuse of children at home in Ilorin Nigeria.

A cross sectional survey of secondary school students aged 11-18 years in Ilorin Nigeria using multistage random sampling technique with proportional allocation was done. Respondents completed the ICAST-CH questionnaire which covers child abuse in its several forms including sexual abuse. Prevalence of sexual abuse was computed.

Over a third (586) of participants experienced some form of sexual abuse in the last year. Table 1: prevalence and pattern of sexual abuse at home

Sexual abuse of children occurs commonly in Ilorin Nigeria. There is a need for further research towards understnding it determinants towards strengthening systems of safeguarding children against it.

No significant relationships.

Given the effectiveness and overall safety in several psychiatry conditions, electroconvulsive therapy remains a widely used procedure in current medical practice. Informed consent is still a requirement for the use of ECT both in voluntary and compulsory treatment; however, since severe mental illness can affect decision-making capacity and insight of the need for treatment, this requirement often constitutes an obstacle to its use. In addition, stigma around ECT still contributes to treatment refusal.

To summarize the most recent evidence published about ECT and discuss the ethical and legal implications of its use, enlightened by the empirical description of a clinical vignette.

Review of literature on the ethical and legal issues involving the ECT use in patients on compulsory treatment, considering the efficacy, risks, the mental health legislation in Portugal, and several international directives.

Informed consent is the basic tenet in the contemporary physician-patient relationship. In principle, ECT can only be administered to patients who prior consent to the treatment. In contemporary practice, providing the best medical assistance and respecting the patient’s autonomy are two fundamental principles. However, we often face an ethical dilemma, when severely ill patients, whose insight, the ability for self-determination and decision-making capacity may be impaired, refuse a potential beneficial treatment as ECT.

The use of ECT in severe mental illness is still hampered by legal and ethical constraints. A future revision of the law could protect patients from being excluded from a treatment that may change the course of the disease.

No significant relationships.

Integrated clinical and biological approaches in the study of disorders caused by alcohol consumption in people of different ethnic groups, are important for determining effective treatment strategies.

To study the clinical and dynamic features and the role of neuroendocrine factors of the formation and course of alcohol dependence in individuals of Tuvan ethnicity.

68 Russian alcoholics and 67 Tuvans alcoholics only men and 20 healthy male were monitored. Clinical assessment of the condition of patients was carried out with the traditional clinical description. Enzyme-linked immunosorbent assay kits were used to determine serum hormone levels in patients and volunteers.

The systematic consumption of alcoholic beverages develops among Tuvans in adulthood, in contrast to Russian men who begin to drink systematically young. Alcohol dependence in people of Tuvan nationality are formed several years later than in Russians: a symptom of loss of quantitative control over use was detected in Tuvans at 36.9±9.9 years, in Russian patients at 29,8±7.5 years; the formation of withdrawal syndrome in Tuvans occurs at the age of 37.7±8.4 years, unlike Russians, in whom the withdrawal syndrome develops on average at the age of 29.6±6.0 years. The index of the ratio cortisol/progesterone in the blood of examined Russian alcoholics is almost twice as high as the index of examined healthy donors; in patients of Tuvan ethnicity, index is almost five times higher.

Alcohol dependence among representatives of the Tuvan ethnic group indicates a greater vulnerability to the effects of alcohol.

No significant relationships.