Schizophrenia (SCZ) and Autism Spectrum Disorder (ASD) are complex neurodevelopmental disorders with overlapping cognitive, social, and behavioral symptoms. Although each has distinct diagnostic criteria, shared traits such as impaired social cognition, communication difficulties, and atypical behaviors, often blur the distinction between them. This overlap is particularly challenging in cases of very early onset psychosis (before age 13), where symptoms like social withdrawal, unusual behaviors, and communication difficulties closely mirror those of ASD, complicating accurate diagnosis.

This study aims to explore the diagnostic challenges of distinguishing between ASD and early psychosis through a comprehensive review of published literature and a case report.

A bibliographic review was conducted using articles from PubMed, focusing on the terms “Autism Spectrum Disorder”, “Early Psychosis”, and “Early Onset Schizophrenia”. Additionally, a case report was presented to illustrate the complexities in differentiating these overlapping conditions.

This study highlights the difficulty of distinguishing ASD from early psychosis due to overlapping symptoms, particularly in young patients. ASD is typically characterized by persistent social communication difficulties and repetitive behaviors, while early psychosis involves hallucinations, delusions, and disorganized thinking. However, some children with ASD may also exhibit psychotic-like symptoms, such as paranoia or unusual perceptual experiences, mimicking early-onset schizophrenia. These findings underscore the importance of comprehensive diagnostic assessments that include developmental history, symptom trajectory, and family background. Increasing evidence shows that ASD and early psychosis share genetic, neurobiological, and environmental risk factors, supporting the idea of a neurodevelopmental continuum where both conditions may be viewed as different points along a shared spectrum of neurodevelopmental disruption.

This work calls for a more integrated approach to diagnosing ASD and early psychosis, especially in cases of very early onset. A continuum model suggests these disorders may represent points along a spectrum of neurodevelopmental disorders rather than entirely separate entities. Future research should prioritize long-term studies to identify specific markers, such as genetic, brain imaging, and cognitive profiles, that can better differentiate between ASD and early psychosis and guide more targeted, personalized interventions.

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Flight crew members are subjected to various stressors that can disrupt their sleep-wake cycle, leading to a higher prevalence of sleep disorders.

to assess the prevalence of sleep disturbances among flight crew members of a private airline company in Tunisia.

A cross-sectional study was conducted involving flight crew members employed by a private airline in Tunisia who underwent periodic medical examinations at the Occupational Medicine and Pathology Department in a University Hospital in Sousse. Data collection included socio-demographic information, lifestyle habits, and professional details, gathered through a structured questionnaire. The Sleep Condition Indicator (SCI) was used to screen for insomnia disorder.

The study included 160 participants, predominantly female (60%). Sixty-five percent of the population was over 40 years old. A significant majority (58.8%) were smokers, while 41.3% consumed alcohol. Coffee consumption was high, with 84.4% of participants reporting regular consumption. Regarding professional data, 71.3% of participants were flight attendants, with a median length of service of 15 years. The majority of participants (65%) had flown medium-haul flights (less than 5 hours) in the preceding month. Insomnia was reported in 23.1% of participants.

Our findings highlight the importance of screening for sleep disorders through periodic medical examinations which can significantly contribute to improving sleep quality, enhancing alertness, and ultimately enhancing aviation safety.

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Antidepressants are a valuable treatment option for patients with PTSD and MDD. Sleep is an important dimension of both: PTSD and MDD. Insomnia is a common residual symptom in patients with PTSD and MDD comorbidity who are generally good responders to SSRI monotherapy.

To explore wheather trazodone evening augmentation could be beneficial for persistent insomnia in patients with comorbid PTSD and MDD that are generally good responders to one of followed SSRIs: escitalopram or sertraline.

Thirty outpatients (N=30) with comorbid war-related PTSD and MDD who are generally good responders to escitalopram (20 mg daily, N=15) or sertraline (100 mg daily, N=15) except persistent insomnia, were augmented with 100 mg trazodone. Trazodone was prescribed one-two hours before the sleep. Each patient met ICD-11 as well as DSM-V criteria for both: PTSD and MDD. No patient had psychiatric premorbidity, excluded by MINI. There was no significant somatic comorbidity that could influence the persistance of insomnia. Four sleep-related parameters were evaluated at two time points: at zero-point and 12-weeks after trazodone augmentation. This parameters/efficacy measures included: the improvement on the recurrent distressing dream item of the Clinician Administered PTSD Scale (CAPS-RDDI), reduction of the amount of time needed to fall asleep, prolongation of sleep duration, and reduction in the average number of arousals per night during the last seven days before assessment.

All sleep-related parameters improved significantly at the end of a 12-weeks follow-up: sleep duration prolongation (p<0.001), sleep latency decrease (p<0.001), median number of arousals per night decrease (p<0.001), and CAPS-RDDI median decrease (p<0.001).

Trazodone augmentation could be a beneficial treatment strategy for persistent sleep problems in patients with comorbid PTSD and MDD who are generally good responders to escitalopram or sertraline monotherapy.

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The number of people exposed to trauma has increased due to disasters, epidemics, wars, and various man-made causes occurring worldwide- including Turkey. Therefore, the principles of trauma-informed care should be applied in all healthcare settings and incorporated into policies and institutional frameworks (Saunders et al., 2023; Greer, 2023; Huo et al., 2023). Although mental health professionals are experienced in the effects of trauma, a more systematic approach is required to enhance awareness of and achieve widespread trauma-informed care. In Turkey, there is no standardized guide or algorithm for providing care and treatment to trauma victims, and no guide has been developed to ensure a common understanding of care in approaching trauma among mental health professionals.

This study examined the knowledge, skills, and stance of professionals providing mental health services in Turkey regarding trauma-informed care, as well as their intervention skills related to trauma. This constitutes the first phase of the studies to establish a fundamentally trauma-informed care model in existing mental health settings.

The study was conducted with a cross-sectional design, and the convenience sampling method was used. The study population was mental health services professionals in Turkey. The participants were recruited by researchers through social media platforms, and only those accepting participation were included in the study. The study was completed with 197 participants who filled out the survey forms.The data were collected using the Trauma-Informed Care Scale and the Trauma Intervention Skills Scale through an online survey. The data were analyzed using Spearman correlation analysis, Mann Whitney U, and Kruskal Wallis tests.

More than half of the participants were unaware of the concept of trauma-informed care (55.3%), and only 14.2% felt competent in presenting this care model. In trauma-informed care scores, gender, age, and education level did not create a significant difference (p>0.05), while those who have received information about trauma-informed care during their years of education scored higher (p<0.05). Compared to other professionals, nurses had higher trauma-informed care scores, and psychologists had an augmented ability to intervene in trauma patients.

The results of the research indicated that while mental health professionals possess knowledge about trauma, they did not reach the desired level in developing attitudes towards trauma-informed care and feeling competent in this area. Trauma-informed care seemed more about providing information related to procedures performed in the clinic or ensuring that the patient was not traumatized during the procedure. Therefore, more studies are needed to evaluate TIC practices in the much-needed mental health field.

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Spinal cord injury (SCI) is a severe trauma that leads to disability and decreased social activity. Recently, the number of patients among children has been growing. In Russia, the share of spinal cord injury in the structure of all injuries is 18.3%.

Post-traumatic consequences include neurological, motor and somatic disorders, as well as psychological ones. Psychological support for children with severe SCI is an important link in comprehensive rehabilitation at all its stages. There are data in the literature on the psychological state after spinal cord injuries, but this is in adults.

to study psychological problems in adolescents after severe spinal cord injury in the early stages of rehabilitation.

50 patients (12-18 years old) admitted for treatment and rehabilitation on the 1st-3rd day after spinal cord injury. Psychological diagnostics included: clinical interview; Anxiety and Personality Disorders Inventory (Spielberger 1983, adapted by Khanin); Beck Depression Inventory (Beck 1961, version for adolescents); Recovery Locus of Control (Partridge, Johnston 1989).

All patients (100%) had psychological problems of varying severity: 80% of adolescents - high level of reactive anxiety; 28.3% - low motivation for rehabilitation; 33.3% - depression (of which 30% - reactive depression; 3.3% - masked depression). Symptoms could be combined and observed in the same patient.

Children with high levels of personal anxiety in combination with reduced levels of motivation had difficulties in adaptation to rehabilitation.

All patients (100%) require psychological support in order to correct emotional background and motivation. Differentiated specialized assistance, including psychological, will increase the effectiveness of rehabilitation. This will help to adapt adolescents with post-traumatic deficiency to the changed conditions of life, improve its quality and return them to their previous social environment.

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Insomnia symptoms are commonly reported by people with depression, and their effective treatment is associated with reduced affective symptoms and improved patient outcomes. However, to date, estimates of the rates of co-morbid insomnia in individuals with depression are mainly based on sub-analyses of epidemiological studies of general populations, often relying on self-reported or historical depression diagnoses. To our knowledge there has been no systematic review of studies evaluating the prevalence of insomnia symptoms in people with an established diagnosis of depression.

To summarise and synthesize the available evidence of studies reporting on the prevalence of insomnia symptoms in adults with depression using a systematic review.

Comprehensive searches of MEDLINE, EMBASE, Pubmed, PsycINFO, and TRIP using search terms related to depression and insomnia with no language restrictions, were performed. The titles and abstracts were screened independently by two reviewers and the full texts of studies identified were assessed against predefined criteria, namely: 1) primary studies of 2) adults (18 years and over) with depression, 3) reporting prevalence of insomnia symptoms. The review protocol was registered with Prospero.

4,477 unique references were identified, of which 80 full texts were reviewed after title and abstract screening. Thirteen studies, with a combined total of 10,394 participants and published between 2001 and 2023, met the inclusion criteria and were included in the analysis. Seven studies were from the US, and one each from China, Turkey, S. Korea, Belgium, and the Netherlands, while one included participants from both Malaysia and Australia. The mean prevalence rate of clinically significant insomnia symptoms in adults with a diagnosis of depression was 79%. The systematic review has a number of limitations including a small number of eligible studies covering a wide range of geographic populations with varying thresholds for reporting insomnia, and that establishing the prevalence of insomnia symptoms was not the primary aim of most of the studies. Further meta-analysis in this research was not carried out due to high heterogeneity between studies.

To our knowledge, this is the first systematic review of studies reporting on the prevalence of insomnia symptoms in adults with depression. The main finding is that at least three in four adults with depression have clinically meaningful insomnia symptoms; such high prevalence rates are consistent with previously reported figures. Therefore, given the positive clinical outcomes from treatment, services for adults with depression should routinely offer targeted interventions in identifying and managing co-incident insomnia symptoms. Future research should aim to refine the estimates of co-occurrence of insomnia and depression in different clinical populations.

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The 2020 Aegean Sea earthquake occurred on October 30, 2020, 23 km from the Seferihisar district of Izmir, with a magnitude of 6.9. It caused the death of a total of 119 people and the injury of 1053 people in Turkey and Greece. After this earthquake, many people were observed to have symptoms of post-traumatic stress disorder and received treatment. The two major earthquakes centered in Kahramanmaraş on February 6, 2023 also caused great destruction in Turkey. After this earthquake, an increase in the mental complaints of people who had previously experienced the earthquake in Izmir Seferihisar was observed and these people applied to the psychiatry outpatient clinic.

Revealing how much former earthquake victims are affected by similar events through the media.

Determining the situations that cause people to be re-traumatized.

Observing the effects of the media on mental health.

This study investigated the effects of former earthquake victims who applied to Izmir Seferihisar State Hospital after these new earthquakes, and who were not in the earthquake region at the time of the earthquake and who did not have any losses or injuries to relatives or acquaintances, through the media. For this purpose, after the earthquake centered in Kahramanmaraş, the Adult Resilience Scale and the Post-Traumatic Stress Disorder Checklist for DSM-5 were applied to these individuals at their first application, and it was questioned whether the individuals had received pharmacotherapy and psychotherapy after the previous Aegean Sea earthquake. It was also investigated how the individuals followed the news about the new earthquake. Afterwards, whether the individuals received treatment and the duration of this treatment were recorded, and the Post-Traumatic Stress Disorder Checklist for DSM-5 was applied to the individuals at the 1st, 3rd, 6th, 9th and 12th months.

People who have received psychotherapy are 1.9 times less likely to need treatment afterwards.

Women are 4.1 times more likely to be affected by the media and use SSRIs.

People who have lost their homes need treatment as often as those whose close relatives have died.

The risk of people who do not receive treatment after a disaster being affected by the media and receiving treatment is 3.4 times higher than those who received treatment during the first disaster.

After disasters, when another disaster occurs, PTSD symptoms can be observed again in former disaster victims. Post-traumatic psychotherapy can also be protective in terms of future situations. Watching traumatic events in the media can cause PTSD symptoms to be seen even if no relatives have been harmed.

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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.

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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.

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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.

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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).

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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

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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.

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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.

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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