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POSTERS / 27TH NORDIC PSYCHIATRIC CONGRESS I
P - Posters
P - 1 Thursday 14/8, 14:00-15:00
Suicide in lceland, 1911-2000. A demographic survey
Sigurður Páll Púlsson, Psychiatrist, Landspítalinn University Hospital, Reykjavík,
Iceland. Lilja Sigrún Jónsdóttir, Óttar Guömundsson, Sigurður Guðmundsson,
Högni Óskarsson.
sÍ8gipp@centrum.is; sigpp@landspitali.is
Aims: To study the incidence and demographic factors of suicides in
Iceland from 1911 to 2000.
Method: All death certificates of persons known to have committed
suicide in Iceland between 1911 and 2000 were reviewed. In addi-
tion to cause of and age at death, suicide method was documented
and demographic factors.
Kesults: Certain suicides were 1631, increasing over the period but
only for males. Young males aged 15-24 showed a marked increase
in suicide rates. From 1911-1950, calculated 5-year periods range
3.3- 14.1 /100000. From 1951-1980, calculated 5-year periods range
9.4- 19.8 /100000. From 1981-2000 calculated 5-year periods range
28.5-31.4 /100000). The mean age of suicides decreased for males
(47.7 vs. 39.3, P=0.000) in the compared periods 1911-1940 and
1971-2000 but increased for females (40.7 vs. 48.1, P=0.001).
Despite this the mean age of all suicides decreased (45.7 vs. 41.2, P<
0.001). Suicide rates in the elderly were low conrpared to other
European nations. The range of the male/female ratio was 3-4,
lowest in the beginning of the century.
Males used more violent methods than females. Psychiatric
disorders were described in almost 50% of the suicide cases, this
suffered from lack of documentation.
Conclusions: Suicides by young males increased steadily over the
last century.
P - 2 Thursday 14/8,14:00-15:00
Medical quality audit in Sweden - the case for psychiatry
Jerker Hanson, Docent, The Board for Medical Quality Audit, The Swedish Medical
Assoc. and The Swedish Society of Medicine, Ljusstöparbacken 1, 3 1/2 tr, Se-11765
Stockholm, Sweden. Anna Áberg-Wistedt, Mats Bauer, Anders Bengtsson.
jerker. hanson @telia. com
Background: In 1996 a programme for senior Swedish psychiatrists
'n Medical Quality Audits (MQA) started. This is a method for
development of medical quality in health care organisations. MQA
is also useful for follow up of agreements between purchasers and
providers.
Aims: The educational programme and the results of the first 15
MQAs will be described.
Method: The educational programme contains two days lecturing
and a MQA under supervision. The process of MQA have some
crucial steps, e.g. stating in writing who orders/pays the audit and is
to be reported to and foci of the audit. Before the audit the clinic to
be inspected has to fill in a standardised protocol, produce care
Programmes, analyse and revise processes. Minor faulty procedures
will be attended to immediately. Improvement is the ultimate goal
of MQA. For feedback to the clinic the auditors usually explain
their findings in a nrajor staff meeting. A specified written report is
mandatory. All 15 reports were examined in this study.
Results: Most frequent audit-foci were: Cooperation with other
units, priorities, management and staff competence. Other findings
reported often concerned: Care programs, IT-support, user coope-
ration and support, documentation.
Conclusions: MQA is a useful tool for improvement of and repor-
ting about psychiatric services quality.
P - 3 Thursday 14/8,14:00-15:00
Hand-held computers in monitoring bipolar patients
Lena Backlund. Senior Psychiatrist, Karolinska Institutet, Neurotec Department,
Division of Psychiatry, Huddinge University Hospital, Stockholm, Swede Göran
Isacsson.
lena.backlund@slpo.sll.se
Background and aims: Hand-held computers (PDA) have been
used with good results in investigations of some chronic diseases.
We investigated PDA’s usefulness for daily monitoring of symp-
toms in patients with bipolar disorder and their acceptance in a 12-
week pilot study.
Mefhod: Twenty-four bipolar patients with varying severity of ill-
ness were equipped with a PDA programmed to ask questions
about symptoms, sleep and life events twice a day. They were asked
weekly about psychosocial function (SDS) and quality of life
(PGWB). The data were transmitted wireless to a server. This is an
evaluation after six weeks.
Results: All 24 participants completed with a high compliance.
Twenty-three found the PDA easy to use. Twenty-one were positive
but they experienced some shortcomings with the program configu-
ration. Several reported that the PDA helped them to be nrore
aware of their sleep and signs of illness. Some reported being
helped to remember taking their lithium. Only one reported a sense
of being controlled and two expressed some worry about the
secrecy.
Conclusions: These patients with bipolar disorder were positive,
motivated and capable to use PDAs. PDAs appear to be effective
in monitoring symptoms, detecting early signs and reminding of
medication.
P - 4 Thursday 14/8,14:00-15:00
The Red Cross House for runaway, throwaway and
homeless adolescents in lceland
Eiríkur Örn Arnarson. Head of Psychological Health Services, Landspítali
University Hospital, 101 Reykjavík, Iceland. Haukur Hauksson.
eirikur@landspitalLis
Objective: To explore the relationship between running away from
home with doing poorly at school, the use of alcohol and drugs,
family structure etc.
Material and methods: Analysis of data collected among adoles-
cents (runaways, throwaways, and homeless adolescents) who
sought help at the RCH during 1996-2000. Admission records were
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