Læknablaðið : fylgirit - 01.08.2003, Page 17

ABSTRACTS / 27TH NORDIC PSYCHIATRIC CONGRESS I
Method: Participants were recruited in two stages: 1) A population
screening for anxiety and depressive disorders and by aggregation
into extended families with the help of deCODE's Genealogy
Database; 2) Those fulfilling diagnostic and family aggregation
criteria received a further diagnostic work-up based on the Com-
posite International Diagnostic Interview (CIDI-AUTO). Scree-
ning for anxiety and depression in close relatives also identified
additional cases. DSM III-R criteria for lifetime diagnosis of PD
and BPD were used.
Results: The lifetime prevalence of anxiety disorders and BPD in
an Icelandic population sample and in the present sample, so called
genetic sample of 1923 persons, were compared. Diagnostics in
both groups were based on the CIDI. 252 (13.1%) in the genetic
sample were diagnosed with PD, and of those 11.1% had BPD. In
the population group the prevalence of BPD was 3.9%. As is to be
expected the prevalence of anxiety disorders is considerably higher
in the pre-selected genetic cohort than the population sample.
Condusions: The group studied is selected to include an increased
number of persons with anxiety and depression. In general, the
prevalence of these disorders is increased in this group compared to
a general population group, most for panic disorder (13.1% v.
1-8%). The prevalence of BPD is increased in all the anxiety
disorders but most in panic disorder and in OCD.
f~3/4 Thursday 14/8,15:00-16:00
Prevention of posttraumatic stress disorder after acute
traumatisation
Broocks A. prof pr Med., Arzt fiir Neurologie, Psychiatrie und Psychotherapie
eitender Oberarzt, Klinik fur Psychiatrie und Psychotherapie der Medizinischen
Universitat zu Lubeck, Ratzeburger Allee 150, 23538 Lubeck. Nitsche M, Rumpf HJ,
Backhaus J, Hohagen F.
broocks.a@psychiatry.mu-luebeck.de
Posttraumatic Stress Disorder (PTSD) can develop as a conse-
quence of different traumata. Acute adjustment disorder after the
ttauma and prior depressive or anxiety disorder are associated with
a high risk of developing PTSD. During the last decade, different
approaches have been tried in order to prevent the development of
PTSD. Debriefing techniques, cognitive-behavioral programs and
pharmacological approaches will be presented and discussed with
respect to early recognition and prevention of PTSD.
F~4/1 Thursday 14/8,15:00-16:00
Psychiatric diagnosis and sense of coherence in suicide
attempters
^jöström N, SRN, PhD Student, Section of Psychiatry, Institution of Clinical
curoscience, Sahlgrenska Academy, Blá Stráket 15,413 45 Göteborg, Sweden. Hetta J,
. ndin M, Ágren L-L, Waern M.
nik.sjostrom@neuro.gu.se
Background: A total of 1380 persons died following suicide in
Sweden in 2000. This is the lowest figure reported since 1969. How-
ever, the trend is not as favourable for patients who have received
psychiatric treatment. Poor ability to cope with stressful life events
may be one explanation for this.
Aini: The aim of this descriptive study was to examine sense of
coherence (SOC) in diagnostic subgroups of suicide attempters.
Methods: Ninety-five patients aged 18-61 who were admitted to
medical units/psychiatric wards at Sahlgrenska University Hospital
after a suicide altempt during the period 011001-020930 partici-
pated in the study. Specially trained nurses performed structured
clinical interviews according to SCID-I within 72 hours of the
suicide attempt. The patients completed the Sense of Coherence
self-report instrument.
Results: Most of the patients (n=85) fulfilled the criteria for any
axis-I syndrome. Major depression (n=32), alcohol misuse (n=19),
adjustment disorder (n=16), generalized anxiety disorder (n=14),
and depression NOS (n=13) were the most common diagnoses.
SOC scores will be compared in the different diagnostic subgroups.
Conclusions: Suicide attempters represent a heterogeneous patient
group. Psychosocial treatments aimed at improving the patient’s
sense of coherence may provide an important complement in the
nursing plan for the suicidal patient.
F-4/2 Thursday 14/8,15:00-16:00
Psychosocial follow-up after parasuicide in Norwegian
general hospitals
Mchlum L, MD, PhD, Professor of Psychiatry and Suicidology, Director Suicide
Research and Prevention Unit, University of Oslo, Sognsvannsvn 21, Bygg 20,0320 Oslo,
Norway. Mork E, Ekeid G, Ystgaard M, Holte A.
lars. mehlum@psykiatri. uio. no
Background: Routines and standards of care for parasuicide
patients in general hospitals in Norway were reviewed in relation to
international and national recommendations.
Matcriul and methods: Telephone interviews were conducted with
personnel at all Norwegian general hospitals with emergency units.
Fifty-five of a total of 58 hospitals participated (95%).
Results: Two thirds of the hospitals reported that most parasuicide
patients were routinely psychiatrically evaluated and then referred
to psychiatric or community aftercare. At almost half of the hospi-
tals (46%) the staff had, however, not received any specific training
in clinical management of parasuicide patients during the last three
years. Structured collaboration, regarding parasuicide patients,
with external aftercare providers was non-existent in 43% of the
hospitals. Hospitals with specific projects aimed at psychosocial
follow-up of parasuicide patients or hospitals with a specific team or
a person responsible for the follow-up, scored, however, signifi-
cantly higher on a wide range of supplementary measures for the
quality of care for parasuicide palients than hospitals without pro-
jects or teams.
Interpretation: The study shows great variations between Nor-
wegian general hospitals in their routines and standards of care for
psychosocial follow-up of parasuicide patients. Increasing the staff's
competence, developing written routines and establishing mutually
binding co-operation between the hospital and external caregivers
are important areas for further developmenl. To establish a specific
local team or key person dedicated to this type of work seems
clearly to increase the quality of care for parasuicide patients.
LÆKNABLAÐIÐ / FYLGIRIT 48 2003/89 17