Histrionic Personality Traits Research Articles

The Relationship Between Child Attitudes Towards Parents and Histrionic Personality Traits: The Mediating Role of Defense Mechanisms

The Relationship Between Child Attitudes Towards Parents and Histrionic Personality Traits: The Mediating Role of Defense Mechanisms

Relationship Between Social Media Use and Personality

In recent years, more and more individuals take a lot of time on social media. There is growing concern over the possible impacts of using social media on an individual's personality. This article examines how social media use and personality are related, as well as the variables that affect this relationship. The Big Five personality model is primarily used to investigate this relationship, with extroverted and open individuals found to use social media more frequently. Additionally, histrionic personality traits and female gender have been positively linked to social media addiction. The type of social media used can also impact personality, with Facebook potentially aiding individuals with low levels of satisfaction and self-esteem to build social capital. Other factors, such as sex, region, and social isolation, are also explored in relation to social media use and personality. Understanding the relationship between the two is crucial for assessing potential effects on individuals and informing interventions. Future research should examine how social media use and personality traits differ among different age groups and different culture. Also, how social media addiction develops over time and how it affects individuals' lives are essential to study.

(025) Inhibition and Excitation in the Sexual Brain: An Useful Tool for the Prediction of Therapeutic Outcomes in Women with Sexual Dysfunction

Abstract Introduction The “Dual control model” of sexual response postulates that sexual desire and associated behaviors depend on the balance between excitation and inhibition. These aspects have not been evaluated in women with sexual dysfunction (FSD). Objectives The aim of our study was to explore the psychosexual correlates of excitation and inhibition in women with FSD, according to their menopausal state. We also aimed at performing a pre-post analysis in a sub-sample of patients followed for 3-6 months, investigating the possible relationships between excitation and inhibition and the changes in questionnaires related to sexual function. Methods In an observational, retrospective study, we recruited a consecutive series of 66 women consulting for FSD. Patients underwent a clinical evaluation, a structured interview and completed several self-administered questionnaires, including Sexual Inhibition/Sexual Excitation Scale (SIS/SES), Female Sexual Function Index (FSFI), Female Sexual Distress Scale-Revised (FSDS-R), Body Uneasiness Test (BUT) and Middlesex Hospital Questionnaire (MHQ). A subgroup of patients (n=28) was evaluated at 3-6 months follow-up, using the FSFI and FSDS-R questionnaires. Results Considering the whole sample, the SES scale was positively correlated with several psychosexual and relational parameters, including masturbation (p=0.005), number of lifetime partners (p=0.004) and histrionic personality traits (p=0.013), and negatively with the presence of a stable relationship (p=0.038) and its length (p=0.026). Sexual inhibition due to the fear of performance failure (SIS1 scale) positively correlated with conflicts within the couple (p=0.012), lack of privacy (p<0.0001), symptoms of general psychopathology (p=0.001; in particular, anxiety) and body image concerns (p=0.015). Regarding sexual parameters, the SES scale was associated with the total FSFI score (p=0.016), and the desire (p=0.011), arousal (p=0.030), lubrication (p=0.046) and orgasm domains (p=0.025), whereas the SIS1 scale was associated with the FSDS-R score (p=0.028). In premenopausal women, the SIS1 scale was associated with the diagnosis of Hypoactive Sexual Desire Disorder (HSDD), even after adjusting for confounders (p=0.047), whereas in postmenopausal women, we found an association between HSDD and the SES scale (p=0.039). Given these correlations, we developed two cut-off values for the SES and SIS1 scales, according to which a score < 49 on the SES (in postmenopausal women) and a score > 34 on the SIS1 (in premenopausal women) accurately identified patients diagnosed with HSDD. In postmenopausal women, the ROC curve for the SES scale showed an accuracy (AUC) of 0.734 +− 0.107, p=0.037, in identifying HSDD; considering a cut-off value of 49, the sensitivity and specificity for HSDD detection were 85.7% and 66.7%, respectively. In premenopausal women, the ROC curve for the SIS1 scale showed an AUC of 0.853 +− 0.081, p=0.007, in identifying HSDD; considering a cut-off value of 34, the sensitivity and specificity for HSDD detection were 78.6% and 75.0%, respectively. The mean change in FSFI total score was not correlated with the SES or SIS2 scales (p=0.214 and p=0.402, respectively), but only with the SIS1 scale (p=0.026). When comparing patients with low excitation (SES scale <49) and high inhibition (SIS1 scale >34) with the rest of the sample, they showed a significantly lower change in FSFI total score (p=0.018). Conclusions In women consulting for FSD, sexual excitation and inhibition, which may be easily assessed by the SIS/SES questionnaire, emerge as key aspects in both the diagnostic evaluation and planning of therapeutic outcomes, in the perspective of a personalized sexual medicine approach. Disclosure No.

Borderline shades: Morphometric features predict borderline personality traits but not histrionic traits

Borderline personality disorder (BPD) is one of the most diagnosed disorders in clinical settings. Besides the fully diagnosed disorder, borderline personality traits (BPT) are quite common in the general population. Prior studies have investigated the neural correlates of BPD but not of BPT. This paper investigates the neural correlates of BPT in a subclinical population using a supervised machine learning method known as Kernel Ridge Regression (KRR) to build predictive models. Additionally, we want to determine whether the same brain areas involved in BPD are also involved in subclinical BPT. Recent attempts to characterize the specific role of resting state-derived macro networks in BPD have highlighted the role of the default mode network. However, it is not known if this extends to the subclinical population. Finally, we wanted to test the hypothesis that the same circuitry that predicts BPT can also predict histrionic personality traits. Histrionic personality is sometimes considered a milder form of BPD, and making a differential diagnosis between the two may be difficult. For the first time KRR was applied to structural images of 135 individuals to predict BPT, based on the whole brain, on a circuit previously found to correctly classify BPD, and on the five macro-networks. At a whole brain level, results show that frontal and parietal regions, as well as the Heschl’s area, the thalamus, the cingulum, and the insula, are able to predict borderline traits. BPT predictions increase when considering only the regions limited to the brain circuit derived from a study on BPD, confirming a certain overlap in brain structure between subclinical and clinical samples. Of all the five macro networks, only the DMN successfully predicts BPD, confirming previous observations on its role in the BPD. Histrionic traits could not be predicted by the BPT circuit. The results have implications for the diagnosis of BPD and a dimensional model of personality.

Key factors selection on adolescents with non-suicidal self-injury: A support vector machine based approach.

Comparing a family structure to a company, one can often think of parents as leaders and adolescents as employees. Stressful family environments and anxiety levels, depression levels, personality disorders, emotional regulation difficulties, and childhood trauma may all contribute to non-suicidal self-injury (NSSI) behaviors. We presented a support vector machine (SVM) based method for discovering the key factors among mazy candidates that affected NSSI in adolescents. Using SVM as the base learner, and the binary dragonfly algorithm was used to find the feature combination that minimized the objective function, which took into account both the prediction error and the number of selected variables. Unlike univariate model analysis, we used a multivariate model to explore the risk factors, which better revealed the interactions between factors. Our research showed that adolescent education level, anxiety and depression level, borderline and avoidant personality traits, as well as emotional abuse and physical neglect in childhood, were associated with mood disorders in adolescents. Furthermore, gender, adolescent education level, physical abuse in childhood, non-acceptance of emotional responses, as well as paranoid, borderline, and histrionic personality traits, were associated with an increased risk of NSSI. These findings can help us make better use of artificial intelligence technology to extract potential factors leading to NSSI in adolescents from massive data, and provide theoretical support for the prevention and intervention of NSSI in adolescents.

A Cross-cultural exploration of problematic Internet use, pathological personality traits, defense mechanisms, coping strategies, and self-esteem in 14 countries

ObjectivesThe primary objective of this study was to compare the estimates of Problematic Internet Use (PIU) from 14 countries around the world, considering gender. The second objective was to explore the relationships between PIU and personality-related variables (pathological personality traits, defense mechanisms, coping strategies, and self-esteem). Materials and methodsOur total sample consisted of 7726 participants (30.8% male, n=2378), aged between 18 and 86 years old (M=25.55; SD=9.8). Recruited online, they completed several scales about their Internet use, defense mechanisms and coping strategies, self-esteem, and pathological personality traits. ResultsThe PIU accounted for between 20.5% and 75% of participants using the PIUQ-9, while “self-perception” of PIU with a single item revealed estimates from 2% to 60.1%, with gender differences. Systematically, PIU significantly correlated with two variables: borderline personality traits (from .09 at P<.05 to .42 at P<.01) and immature defense mechanisms (from .13 to .42 at P<.01). Dependent, avoidant, narcissistic, histrionic, and antisocial personality traits were positive predictors of PIU and self-esteem, paranoid and schizoid personalities were negative predictors. ConclusionsThis research highlights the many cross-cultural differences. Its design also allows for a better understanding of gender differences.

Sexual coercion perpetration and victimisation in females: The influence of borderline and histrionic personality traits, rejection sensitivity, and love styles

ABSTRACT This study investigated sexual coercion (perpetration and victimisation) in women. Women (N = 151) aged 18–63 years (M = 23.34, SD = 8.80) completed standardised questionnaires measuring sexual coercion (nonverbal sexual arousal, emotional manipulation and deception, and exploitation of the intoxicated), personality disorder traits (Borderline and Histrionic), love styles (Eros, Ludus, Storge, Pragma, Mania, and Agape), and rejection sensitivity. Data analyses revealed that together, personality disorder traits, love styles, and rejection sensitivity predicted coercion perpetration involving emotional manipulation and deception. These variables also predicted victimisation involving nonverbal sexual arousal and emotional manipulation and deception. Of these predictors, borderline traits predicted coercion involving emotional manipulation and deception (as both a perpetrator and victim) and victimisation from nonverbal sexual arousal-based coercion. Furthermore, Ludus predicted victimisation involving emotional manipulation and deception, while rejection sensitivity predicted the use of emotional manipulation and deception to coerce a partner.

PERSONALIDAD Y DISTORSIONES COGNITIVAS SOBRE LA MUJER Y EL USO DE LA VIOLENCIA EN PRIVADOS DE LIBERTAD

En Ecuador los delitos de violencia contra la mujer cada vez van en aumento considerando a la violencia como una prioridad a nivel salud pública, política, científica y social; teniendo como eje principal la erradicación de este fenómeno surge la necesidad de estudiar al agresor; su personalidad y las diferentes variables psicológicas (distorsiones cognitivas) a fin de generar tratamientos especializados encaminados a mitigar esta problemática. La presente investigación tiene como objeto analizar los rasgos de personalidad y distorsiones cognitivas en relación a la mujer y el uso de la violencia. Los instrumentos utilizados son el IPDE “Examen internacional de los trastornos de la personalidad” y el IPDMUV; Inventario de pensamientos distorsionados sobre la mujer y el uso de la violencia (IPDMUV –R; Echeburúa, Amor, Belén Sarasua, Irene Zubizarreta y Francisco Pablo Holgado-Tello 2016). La población de estudio estuvo conformada por 95 sujetos privados de la libertad del Centro de Rehabilitación Social de Cañar. El estudio refleja una población con una edad media de 39 años, nivel de instrucción básica en el 93,68% de los sujetos y pese a la variedad de delitos cometidos se destaca que en el 49,48% de ellos la victima ha sido una mujer entre estos; violación, femicidio, acoso sexual, incumplimiento de decisiones, violencia física. Entre los rasgos de personalidad que sobresalen el 20, 00% muestra rasgos evitativos y el 16,8% rasgos histriónicos de la personalidad, otro de los hallazgos es que a mayor edad del sujeto las distorsiones cognitivas disminuyen y finalmente y en correspondencia con la citada teoría el 75,79% consideran que lo que ocurre dentro de una familia es problema únicamente de la familia.

Personality Profiles and Psychological Adjustment in Breast Cancer Patients.

Dispositional personality characteristics may play a role in psychosocial adjustment to any disease, including cancer. Purpose: The purpose of this study is to identify personality profiles in breast cancer patients and to determine whether these profiles are associated with psychological adjustment or psychopathology. Methods: Participants were 109 women (mean age, 52.01) diagnosed with breast cancer. They completed the Millon Clinical Multiaxial Inventory-III (MCMI-III), the Life Orientation Test-Revised (LOT-R), the Satisfaction with Life Scale, and the Positive and Negative Affect Scales. Results: The analysis revealed two different personality profiles: (a) one group, comprising 38.23% of the sample, was characterized by paranoid, negativistic, and dependent personality traits and was considered as a “vulnerable group”; and (b) another group (61.77%) was characterized by compulsive, histrionic, and narcissistic personality traits and was considered as a “psychologically adjusted group”. The vulnerable group scored higher than the psychologically adjusted group on all clinical syndromes, with scores above 60 on the anxiety, somatoform, dysthymic, and bipolar scales (score on anxiety being above 75); in contrast, the psychologically adjusted group did not reach a base rate score of 60 on any of the clinical syndromes, showing no manifestations of psychopathology. Additionally, the vulnerable group scored lower than the psychologically adjusted group on optimism, life satisfaction, and positive affect, but higher on negative affect. Conclusions: The results suggest that personality traits could affect the psychological adjustment of breast cancer survivors. We discuss the implications of belonging to each group and highlight the importance of early identification of vulnerable women in order to facilitate clinical and psychological support.

422 - Behavioral Variant Frontotemporal Dementia : an atypical case

Objective: To present an atypical clinical case and to review the literature on frontotemporal dementia (FTD) focusing on the most frequent psychopathological findings.Methods: Case report and a non systematic review using databases Pubmed, UpToDate, Medscape, between 2007 to 2020. Keywords: frontotemporal dementia, psychiatry, psychopathology.Results: FTD is a neurodegenerative syndrome that appears most frequently in the fifth and sixth decades, mostly before the age of 65. Six to seven years before the diagnosis of FTD, psychiatric disorders such as major depression can appear. The behavioral variant DFT is characterized by symptoms such as disinhibition, apathy or inertia, loss of empathy, hyperorality, persevering behaviors, executive dysfunction, and it is also associated with changes in imaging exams, namely frontal and temporal cortical atrophy, which may affect one or both hemispheres. We present the case of a 66-year-old female patient, accompanied for a long time in psychiatry by conversion and dissociative symptoms, associated with histrionic personality traits. She was hospitalized for deteriorating functioning, pauted by great agitation and maladjusted behavior, alteration of thought and speech, and marked perseverance, as well as periods of space-time disorientation. Analytically, there were no changes, as well as in imaging exams such as CT and MRI. It was performed an electroencephalogram (EEG) that demonstrated diffuse cortical dysfunction.Discussion/Conclusion: This case is atypical in the DFT pattern, regarding the age of onset and the absence of imaging findings. However, there was alterations in the EEG, which together with the symptomatic presentation point to DFT. This case exemplifies the difficulty in the management of symptoms, whose therapy is purely symptomatic and psychoeducational strategies for the family and caregivers are fundamental.

Sickle Cell Patient and Addiction to Tramadol: Case Management in Senegal

Introduction: Tramadol* is a synthetic opioid agonist used as an analgesic. Despite its minor potential of addiction, it created recently a lot of concern. Its misuse may be motivated by a need to control the pain or by looking for her euphoric character. The aim of our study was to proceed a psychopathological reading of a case of addiction to Tramadol in a sickle cell patient with histrionic personality traits. Methods: We report the case’s management of a patient with addiction to Tramadol in a sickle cell patient with histrionic personality traits. The diagnosis was based on the DSM IV criteria. The review was done in the model of semi-structured interviews. Observation: Miss DP is 23 years old, sickle cell patient (AS profile). It is addressed to us for the management of an excessive consumption of Tramadol* started 4 years ago. Because of the difficulties of care in outpatient, we conducted hospitalization. The interviews highlight the histrionic personality traits and disruption of family dynamics. Discussion: Painful chronic diseases require a long analgesic treatment. It is a factor of dependence specially when the patient has a personality disorder. Multidisciplinary treatment between psychiatrist and addiction specialist and medical doctor is a guarantee of success.

TA Treatment of Depression: A Hermeneutic Single-Case Efficacy Design Study - 'Beatrice'

This study is the sixth of a series of seven and belongs to the second Italian systematic replication of findings from previous series that investigatedthe effectiveness of a manualized transactional analysistreatment for depressionthrough Hermeneutic Single-Case Efficacy Design.The therapist was a white Italian woman with 10 years of clinical experience and the patient, Beatrice, was a 45-year old white Italian woman who attended sixteen sessions of transactional analysis psychotherapy. Beatrice satisfied DSM 5 criteria for Major Depressive Disorder, Anxious Distress, with Dependent and Histrionic Personality Traits. The judges evaluated the case as a good outcome: the depressive and anxious symptomatology clinically and reliably improved over the course of the therapy and these improvements weremaintained throughoutthe duration of thefollowup intervals. Furthermore, the patient reported significant change in her post-treatment interview and these changes were directly attributed to the therapy.&#x0D; Citation - APA format:&#x0D; Benelli, E., Vulpiani, F., Cavallero, G., Calvo, V., Mannarini, S., Palmieri, A. and Zanchetta, M. (2018). TA Treatment of Depression: A Hermeneutic Single-Case Efficacy Design Study - Beatrice. International Journal of Transactional Analysis Research &amp; Practice, 9(2), 42-63 https://doi.org/10.29044/v9i2p42

Personality Disorders among Individuals Seeking Cosmetic Botulinum Toxin Type A (BoNTA) Injection, a Cross-Sectional Study

Body dysmorphic disorder, narcissistic personality disorder, and histrionic personality disorders are the most frequent personality disorders in patients seeking cosmetic interventions. Botulinum toxin type A (BoNTA) injection for cosmetic purpose is the most popular among non-surgical cosmetic procedures and is also the second common aesthetic treatment in Iran. The current study aimed to assess personality disorders in people who were referred for BoNTA injection in Ardabil, Iran. To the best of our knowledge, this is the first study on personality disorders in applicants for cosmetic BoNTA injection in Iran. In a descriptive cross-sectional study, 200 eligible applicants for cosmetic BoNTA injection were selected by non-probability sampling. Firstly, the participants' demographic data were recorded in data gathering forms. Then their personality characteristics were evaluated via the Milton Clinical Multiaxial Inventory 3rd edition, which is a standardized self-report questionnaire for the assessment of personality disorders and clinical syndromes. Narcissistic personality trait was the most common (34.5%) followed by histrionic personality trait (27%), and obsessive personality trait was the least common personality trait (4%) in patients seeking BoNTA injection. Anxiety disorder had the highest frequency of clinical syndromes (46%) among the participants in this study, somatization had 25.5%, and dysthymia had the lowest frequency (11%). The current study concluded that narcissistic and histrionic personality traits and anxiety and somatization symptoms are higher in applicants for cosmetic BoNTA injection.

Childhood Emotional Trauma and Cyberbullying Perpetration Among Emerging Adults: A Multiple Mediation Model of the Role of Problematic Social Media Use and Psychopathology

Research suggests that a small minority of social media users experience problems as a result of their online use. The purpose of the present study was to examine the association of cyberbullying perpetration and problematic social media use with childhood emotional trauma, Cluster B (narcissistic, histrionic, antisocial, and borderline) personality traits, dissociative experiences (DEs), depression, and self-esteem in a nonclinical undergraduate sample. A total of 344 university students volunteered to complete a questionnaire that included measures on the aforementioned dimensions. Thirty-eight percent of the participants had emotional neglect and 27% had emotional abuse, while 44% of them demonstrated at least one cyberbullying perpetration behavior. Results indicated that cyberbullying perpetrators had higher scores on problematic social media use, dissociative experiences, Cluster B traits, depression and childhood emotional trauma, and lower on self-esteem. Path analysis demonstrated that, while adjusting for gender and age, childhood emotional trauma was directly and indirectly associated with cyberbullying perpetration via Cluster B traits. Moreover, depression and dissociation were directly associated with problematic social media use. The findings of this study emphasize the important direct role of childhood emotional trauma and pathological personality traits on cyberbullying perpetration.

Personality traits and personality disorders in gender dysphoria

Investigations in the field of gender dysphoria (GD) have been mostly related to psychiatric comorbidity and severe psychiatric disorders, but have focused less on personality traits and personality disorders (PDs).We aimed to assess personality and the presence of PDs in a sample of 25 persons with GD attending the Psychiatric Clinic or the Department of Endocrinology of the University of Cagliari requesting sex reassignment therapy. They were assessed through the Minnesota Multiphasic Personality Inventory-2 (MMPI-2) and the Structured Clinical Interview for DSM-IV Axis II (SCID-II).The sample consisted of 14 MtF and 11 FtM, with a mean age of 29.6 ± 9.5. Overall, 39.1% of the sample met the criteria for at least one PD, more frequently cluster-B PD (21.7%). MtF met a higher number of SCID-II criteria than FtM, especially regarding histrionic personality traits (P = 0.001). A total of 20 persons (9 MtF and 11 FtM) completed the MMPI-2. Mean T scores did not differ from the general population, except for the Psychopathic Deviate (Pd) scale (mean T = 66.2 ± 11.2). The Masculinity-Femininity (Mf) scale was slightly increased, and its score reduced after correction for perceived sex (P = 0.037). MtF scored significantly higher at the Family Problems (FAM) scale (P = 0.052) and lower at the Social Discomfort (SOD) scale (P = 0.005) compared to FtM.The high prevalence of PDs confirms that this kind of assessment in GD is of great importance, as a key part of personalized treatment plan tailoring. The high scores on the Pd scale suggest misidentification with societal standards.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Teaching Psychopathology in a Galaxy Far, Far Away: The Light Side of the Force.

Star Wars films are among the top box office hits of all time. The films have been popular internationally for almost 40 years. As such, both trainees and attending psychiatrists are likely to be aware of them. This article highlights a vast array of psychopathology in Star Wars films which can be useful in teaching, even when the characters are considered the "good guys". Included are as follows: histrionic, obsessive-compulsive, and dependent personality traits, perinatal psychiatric disorders, prodromal schizophrenia, pseudo-dementia, frontal lobe lesions, pathological gambling, and even malingering. As such, Star Wars has tremendous potential to teach psychiatric trainees about mental health issues.

Non-Homicidal and Homicidal Sexual Offenders: Prevalence of Maladaptive Personality Traits and Paraphilic Behaviors.

This study aims to examine the psychopathological profile of non-homicidal sexual offenders (NHSOs) and homicidal sexual offenders (HSOs). Using an incarcerated sample of 96 NHSOs and 74 HSOs in a federal penitentiary in Canada, these offenders are compared in terms of their offending process, maladaptive personality traits, and paraphilic behaviors. A number of cross-tabular and sequential logistic regression analyses are performed. Relative to their counterpart, findings indicate that a higher percentage of HSOs select a victim of choice, report deviant sexual fantasies, mutilate their victim, and admit to their offense upon apprehension, whereas a higher percentage of NHSOs select victims with distinctive characteristics. In addition, a higher percentage of HSOs manifest paranoid, schizotypal, borderline, histrionic, narcissistic, obsessive-compulsive, and impulsive personality traits, and overall odd and eccentric personality traits compared with NHSOs. Similarly, a higher percentage of HSOs engage in exhibitionism, fetishism, frotteurism, homosexual pedophilia, sexual masochism, and partialism compared with NHSO. These findings are discussed with their implications for offender profiling.

Are Histrionic Personality Traits Associated with Irritability during Conscious Sedation Endoscopy?

Aim. We aimed to evaluate whether histrionic personality traits are associated with irritability during conscious sedation endoscopy (CSE). Materials and Methods. A prospective cross-sectional study was planned. Irritability during CSE was classified into five grades: 0, no response; I, minimal movement; II, moderate movement; III, severe movement; IV, fighting against procedure. Patients in grades III and IV were defined as the irritable group. Participants were required to complete questionnaire sheet assessing the extent of histrionic personality traits, extraversion-introversion, and current psychological status. The present authors also collected basic sociodemographic data including alcohol use history. Results. A total of 32 irritable patients and 32 stable patients were analyzed. The histrionic personality trait score of the irritable group was higher than that of the stable group (9.5 ± 3.1 versus 6.9 ± 2.9; P = 0.001), as was the anxiety score (52.8 ± 8.6 versus 46.1 ± 9.6; P = 0.004). Heavy alcohol use was more frequently observed in the irritable group (65.6% versus 28.1%; P = 0.003). In multivariate analysis, all these three factors were independently correlated with irritability during CSE. Conclusion. This study revealed that histrionic personality traits, anxiety, and heavy alcohol use can affect irritability during CSE.

Systems Training for Emotional Predictability and Problem Solving (STEPPS): Program efficacy and personality features as predictors of drop-out — An Italian study

In this study we present a clinical application of the STEPPS model in an Italian sample of severely affected patients with borderline personality disorder (BPD) or personality disorder (PD) with prominent borderline features in comorbidity with a mood disorder. The aims of this work are: 1) to confirm our preliminary results in a larger sample and at a 12-month follow-up, and 2) to identify predictors of drop-out vs completion of STEPPS in order to understand which characteristics of patients make them suitable or not for this treatment. The sample is composed of 32 subjects recruited from a population of inpatients of the Mood Disorders Center, Department of Clinical Neurosciences, Hospital San Raffaele-Turro, Milan. To confirm STEPPS efficacy at 12-month follow-up, we selected the following outcome criteria: reduction in the number of hospitalizations related to self-harm acts; reduction in the number of suicidal attempts; reduction of perceived emotional intensity levels; changes in cognitive filter scores; changes in the scores on self-report questionnaires. To identify predictors of drop-out vs completion, we analysed the following variables: demographic features (sex, marital status, school level achieved, and job status); Axis-I diagnosis; Axis-II categorical and dimensional diagnosis; and personality features. Seventeen (53%) subjects completed the treatment successfully. The drop-out rate was 47%. Patients who completed the program show a significant decrease in the number of hospitalizations, both at the end of the treatment and at 12-month follow-up. Friedman ANOVA test shows a significant decrease in suicidal attempts during and after STEPPS, and at 12-month follow-up. Analysis of drop-outs showed no significant differences with regard to sex, marital status, school level and job status between the two groups. Axis-I and Axis-II categorical diagnoses did not discriminate between the two groups. Those patients who dropped differ significantly from completers in histrionic personality traits and magical thinking index, given by the interaction between low scores in Self-Directedness and high scores in Self-Transcendence.

EPA-0394 – Mental health service for children and adolescents with self-destructive behavior in psychiatric hospital in metropolis

The problem of adolescent suicide is becoming essential both in urban areas and in the countryside. Outpatient and inpatient service of treatment and preventive measures supported by healthcare system and relevant authority instructions need to be created. All cases of self-destructive behavior in the biggest state mental hospital of Moscow in 2012 have been analyzed and classified. Gender, age, variants of suicidal behavior, social and family status of patients, clinical peculiarities of comorbid conditions, methods of treatment and rehabilitation have been studied. 36% of urgently hospitalized patients have revealed suicidal behavior. Self-destructive behavior was associated with affective instability, histrionic personality traits, egocentric and asocial behavior. Most part of the patients had also different psychosocial problems. Depressive disorders have been revealed in 28% people with suicidal behavior. Due to the multiplicity of predisposing factors of self-destructive behavior the diagnostic system of suicidal risk has to be modernized based on specific features of adolescents. Medical and legal standards of mental health care for these patients including civil commitment should be more precise. The terms, ways and methods of medical assistance and rehabilitation of patients in post-suicide period have to be improved.