Backround:
The role of art within the therapeutic arsenal for treating anxiety has been highlighted in the scientific literature and especially in a 2019 WHO report stating, through more than 900 articles, of the contribution of art in this field. Nevertheless, this artistic recourse remains sparsely studied in general medicine and notably outside structural art therapy programs.

Questions:
Characterize the methods of use of art in the management of anxiety by general practitioners and report the benefits of this use from GPs’ perspective.

Methods:
We conducted a qualitative study, based on semi-directed interviews with GPs in Midi-Pyrénées. Data analysis was performed using the grounded theory method with data triangulation.

Outcomes:
14 interviews were conducted from July 2021 to July 2022, finding a protean use of art in care, as a consultation tool or in the form of oral prescription of a complementary therapy, not restricted to the sole framework of structural art therapy. This recourse was part of a holistic approach to the patient. At last, GPs of the study reported many benefits at different levels of care.

Discussion:
This use of art in care, based on the GP-patient relationship, reveals a place of exchange of constraints resulting from the socio-economic characteristics of the patient as well as the artistic and professional limits of the doctor.

Conclusion:
This study highlights a multiple use of art in the management of anxiety by general practitioners, not restricted to the sole framework of structural art therapy. Future research could measure the effectiveness of art on patient anxiety in general practice. In addition, the establishment of a contracted local art therapy system could facilitate access to art in care.

1. Art can be used in multiple forms, for management of anxiety, in general Practice
2. The use of art can be based on care relationship, adapted to the characteristics of the patient and limits of the GP
3. The establishment of a contracted local art therapy system could facilitate access to art in care, therefore fighting social inequalities

Introduction:
People with severe mental illness (SMI) have an increased risk of premature death, predominantly due to somatic health conditions. Research suggests that general practice may play a key role in reducing this mortality gap.
The SOFIA study examines a coordinated co-produced care program in the general practice setting aiming to reduce mortality and improve quality of life in patients with SMI. To assess feasibility, acceptability and implementation barriers, SOFIA was tested in a pilot study.

Methods:
The SOFIA pilot study was designed as a cluster randomized controlled trial targeting general practices in two regions in Denmark. 12 clinics were included in the study, and each clinic recruited 6-15 adult patients with SMI (severe depression, bipolar disorder, schizophrenia). Clinics were randomized in a ratio of 2:1 to deliver either a coordinated care program or usual care during a 6-months period. The coordinated care program included educational training of general practitioners and their clinical staff, a prolonged consultation focusing on individual needs and preferences of the patient with SMI and a follow-up plan if indicated. Both qualitative and quantitative methods were used to evaluate the intervention.

Results:
Our preliminary findings from the pilot study point at: difficulties with the recruitment of both patients and doctors, a prolonged consultation targeting somatic health problems in patients with SMI might be beneficial for these patients, general practitioners reported discovering undetected somatic symptoms among the patients and changes in medication prescriptions, and building a trustful relationship with the patients was essential as well as time-consuming.

Conclusion:
The SOFIA intervention was developed by combining state of the art clinical and social knowledge, with the perspectives of all involved parties (e.g. patients, general practice, municipalities, psychiatrists) in a participatory co-design process.
Preliminary findings suggest that changes in diagnosis or medication prescription might be initiated through this intervention.

- People with severe mental illness have an increased risk of premature death, predominantly due to somatic health conditions.
- A trustful relationship between the general practitioner and the patient with severe mental illness is essential for the treatment but also often require extra time in the consultation
- A prolonged consultation in general practice targeting somatic health problems in patients with severe mental illness might be beneficial for these patients

Background
Malnutrition and depression are highly prevalent in the elderly and can lead to disability and poor outcomes. The aim of this study was to investigate the relationship between nutritional status and depression in middle-aged and elderly adults in Taiwan.

Method
In our study, 396 participants were enrolled during a 2019 Taiwanese community health exam. The participants were divided into two groups: depression group and non-depression group, by using the Center for Epidemiological Studies Depression Scale (CES-D). The nutritional status was classified by the Mini Nutritional Assessment (MNA). The relationship between CES-D scores, MNA scores, and other risk factors was examined using Pearson's correlation and adjusted for age. The histogram demonstrated the relationship between nutritional status and depression prevalence. By using multivariate logistic regression analysis, the odds ratio between nutritional status and depression were assessed, with adjustment for age, gender, chronic pain, use of hypnotics, smoking, drinking, hypertension, diabetes mellitus, dyslipidemia, living condition, economic status, marital status, and self-reported health status.

Result
396 participants were induced for analysis. 41.4% male and the average age was 64.91 ±8.80. This study showed that depression group were more likely to have lower MNA scores. MNA score was negatively correlated with CES-D score (r=-0.221, P<0.001). In multivariate logistic regression analysis, malnutrition was an independent risk factor of depression, even after adjutment for age, gender, chronic pain, use of hypnotics, smoking, drinking, hypertension, diabetes mellitus, dyslipidemia, living condition, economic status, marital status, and self-reported health status.

Conclusion
Malnutrition was associated with the risk of depression in middle-aged and elderly population in Taiwan.

At the conclusion of my presentation attendees will take away:
1. Malnutrition was associated with the risk of depression in middle-aged and elderly population in Taiwan.
2. Malnutrition was an independent risk factor of depression.
3. Mini Nutritional Assessment (MNA) could be a tool to predict depression.

Introduction
Suicide is an important, largely preventable public health problem. Unfortunately, the occurrence of suicide and suicidal behavior has been increasing dramatically. Recent research efforts have yielded that there is a growing recognition of conflict within the family (interpersonal conflict) as one of the important risk factors for suicidal ideation. The aim of the study was to analyze the association between suicidal ideation due to family conflict and to assess the mode of suicide and suicidal ideation in different ages, gender, ethnicity, social status, and occupations.

Methods:
An observational study was conducted among suicide-attempted patients presenting to the tertiary hospital emergency department TUTH. Patients who met the inclusion criteria and gave consent were 128 and were included in the study. Patients were interviewed after primary treatment and sociodemographic information was collected using the self-designed proforma.

Results
Among 128 participants, those who were affected by conflict within the family member were n=66, 51.56% with a mean age group 35.2(±11.24) and those with other than family conflict were n=62, 48.44% with a mean age of 25.6(±10.22). Independent t-test p value=<0.001. This study shows that 59.38% of participants were married and 35.94% were housemaker. Among the participants, most of them were female n=80, 62.5%, and a total number of 116, 90.63% of participants used poison as a mode of suicide.

Conclusion
There is an association between suicidal ideation with relation to family conflict (interpersonal conflict). In this study, 51.56% of participants had a conflict with one or another member of the family. Young females are mostly affected and used poison as a mode of suicide.
Keywords: suicide, interpersonal conflict, poison

Take away message of my presentation
1. Family conflict is a significant risk factor for suicidal ideation.
2. Research can be conducted in schools and colleges to identify predictors of suicidal ideation and prevent suicide through early intervention.
3, Effective prevention and intervention strategies, such as counseling, family therapy, and psychotherapy, can help to support individuals and reduce the risk of suicide.

The Vallirana Primary Care Team is responsible for the health care of 2 small towns, Vallirana and Cervelló, with a total population between the two of 24671 inhabitants, a total of 12 family doctors, 2 pediatricians, 15 nurses, 3 nursing assistants and 11 administrative staff are responsible for the integral health of these 2 populations.
Since a year ago the Clinical Sexology consultation was created by a Sexologist that addresses specific themes of Sexology for the adult population.
The objective of this communication is to present the data of sexual dysfunctions reported to date in these 2 populations.
By mining the database we find that 220 cases of sexual dysfunction have been reported to date in the adult population. Being the most frequent: Erectile dysfunction (57.72%), Other Sexual Dysfunctions (16.81%), Hypoactive Sexual Desire Disorder (13.18%), Premature Ejaculation (10.45%), Dyspareunia (0.90%) and Female Orgasmic Dysfunctions (0.45%).
The present data do not correspond to the statistics of our country, so we consider that there is a large underdiagnosis of sexual dysfunctions, we think that Family Physicians do not have time during the medical consultation to ask about health or alterations at a sexual level, but we also believe that they do not have the skills to ask about it, without neglecting the taboo subject of talking about sexual pathology.
Sexuality is not a much-explored topic in the Family Physicians’ daily consultation anywhere in the world; comprehensive sexual health is often overlooked in primary care clinics. Family physicians should use a proactive, integrated and patient-centered approach to deliver the best sexual health, including but not limited to the identification and treatment of STIs. Family physicians are in an excellent position to provide a safe environment in which patients can consensually discuss issues related to sex and sexuality throughout their lives.

At the conclusion of my presentation attendees wil take away
1. Family Physicians must think that our patients are sexual beings, who must enjoy their sexuality.
2. Family Doctors must have the curiosity and courage to ask about the sexual health of our patients.
3. Sexual health is a fundamental part of the integral health of our patients.