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Results for “Firesetting Behavior”

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At least 145 records · Page 8Linked to original sources

Self-incineration: a controlled comparison of in-patient suicide attempts. Clinical features and history of self-harm.

A systematic survey of in-patient accidents and injuries in an inner London hospital over 9 years established that, after incisions and overdoses, self-incineration was one of the commoner methods of violent self-harm. A case-controlled study of in-patient suicide attempts compared a series of 12 self-incinerators with 12 patients using other methods. Irrespective of method, the suicide attempt was predominantly a psychotic act of young single people with chronic, severe disorders and considerable past parasuicide, in a setting of escalating self-harm. Younger age, greater psychiatric morbidity, absence of alcoholism, a history of childhood arson, past and current self-burning were the features specific to self-incineration, which had a 25% mortality rate.

Adjustment Disorders↗

Collaborative treatment of juvenile firesetters: assessment and outreach.

Assessment, preventive intervention, and interdisciplinary collaboration between the fire department and mental health services are highlighted as key factors in the identification and treatment of juvenile firesetters and their families. An interagency pilot program in New York City is described and the importance of "aggressive" outreach is emphasized.

Acting Out↗

[Head teacher Wagner and Professor Gaupp--a 25-year relationship catamnesis].

The mass murderer and arsonist Ernst August Wagner, born in 1874 in Württemberg and Robert Eugen Gaupp, director of the Universitätsnervenklinik Tübingen from 1906 to 1936, had a close personal, forensic, and scientific relationship for 25 years. After Wagner had committed murder 14 times and arson several times in September 1913, Gaupp provided an extensive psychiatric report on Wagner and his offences. Wagner was sent to a psychiatric hospital (Heil- und Pflegeanstalt), where remained from 1914 until his death in 1938. During that period Gaupp published almost a dozen articles on what was to become his most significant patient. His theory of paranola was based decisively on the Wagner case. The effects of this long-standing relationship between the doctor and the patient are shown--as far as the influence on Gaupp's scientific statements and insight is concerned, as well as, vice versa, the influence of Gaupp's scientific viewpoints on the relationship.

Commitment of Persons with Psychiatric Disorders↗

Childhood cruelty to animals, firesetting, and enuresis as correlates of competence to stand trial.

The present study investigated the incidence of the childhood symptoms of cruelty to animals, firesetting , and enuresis in the case reports of 1935 offenders evaluated at a court psychiatric clinic. The presence of all or part of this triad of symptoms was more common in those found competent to stand trial than in those found incompetent. However, no association was found between the presence of the triad of symptoms in those charged with violent crimes and those charged with nonviolent crimes.

Adolescent↗

Illness in the therapist: the eye patch.

During the second year of my psychiatry residency I began to experience an illness (corneal dysplasia) which necessitated the wearing of an eye patch for unpredictable lengths of time. I will use this particular even in the life of a therapist to focus on the array of feelings, reactions and meanings such an event stimulates in therapists, patients and colleagues. In addition to describing transference, countertransference and personal reactions, I will link the concept of such an occurrence as "special event" with the therapist's belief in his own specialness, which magically immunizes him against illness and death.

Adolescent↗

Dual diagnosis patients in the urban psychiatric emergency room.

Substance abuse among the mentally ill has become increasingly prominent. This article describes the problems presented by dual diagnosis patients in the urban, publicly funded, psychiatric emergency room. When such patients become acutely ill, neither the public health system nor the mental health clinician is adequately prepared to provide care. The inability to effectively treat these patients has become strikingly clear in recent years. In 1986, the Psychiatric Emergency Service at San Francisco General Hospital began to overflow with patients who required overnight stays. The intoxicated substance abusers with acute psychiatric complaints were the most difficult to manage clinically and administratively. Suggestions are offered for innovative approaches to this group of public patients: dual training of clinicians, flexible treatment programs prepared to deal with the whole person, and public funding that reflects patients' needs rather than clinicians' preferences.

Adult↗

Correlates of firesetting in a community sample of young adolescents.

OBJECTIVE: To investigate relationships between firesetting, antisocial behaviour, individual, family and parenting factors in a large community sample of adolescents. METHOD: A cross-sectional study of students (n = 2596) aged 13 years on average, from 27 schools in South Australia with a questionnaire on firesetting, antisocial behaviour (adapted 21-item Self Report Delinquency Scale), risk-taking, drug use, suicidality, physical and sexual abuse, depressive symptomatology, hopelessness, anxiety, locus of control, self-esteem, family functioning (McMaster Family Assessment Device) and parenting style (Influential Relationships Questionnaire). Data analysis included chi2, anova and logistic regression. RESULTS: Large significant differences are found between firesetters and non-firesetters on all measures. Among adolescents with serious levels of antisocial behaviour (7+ acts included in diagnostic guidelines for DSM-IV conduct disorder), firesetters differ from non-firesetters in reporting more extreme antisocial behaviour (10+ acts), extreme drug use, suicidal behaviour, and perceived failure at school. Gender differences are apparent. A study limitation is the single item assessment of firesetting. CONCLUSIONS: Self-report firesetting is strongly associated with extreme antisocial behaviour in young community adolescents, in support of existing evidence from incarcerated delinquent and psychiatric populations. Early detection of community firesetters demands further assessment and intervention. Clinicians should consider its coexistence with serious drug use and high risk-taking (especially in girls), and suicidality, sexual and physical abuse (in boys).

Adolescent↗

Fire interest, fire setting and psychopathology in Australian children: a normative study.

OBJECTIVE: Child and adolescent fire setting is associated with a broad pattern of antisocial behaviour and is associated with huge costs to the Australian community. Assessment and treatment options have principally been tested in clinically referred or incarcerated children and adolescents. Little information is available about fire setting in normal populations and thus opportunities for screening and early intervention are not well developed. METHOD: In this study, a large sample of 4- to 9-year-old children were assessed using a seven-item fire interest history screen with other measures of antisocial behaviour, children's mental health, parenting style and quality and parenting stress. These were followed-up with parent and teacher report measures and a diagnostic interview at 12 months. RESULTS: The fire history screening tool demonstrated utility in screening for early signs of fire setting. Prevalences of fire interest, and match- and fire-play were low overall but consistently higher for boys than for girls across ages. As expected, fire setting was associated with parental stress and a range of antisocial behaviours including conduct problems, hyperactivity, cruelty to animals and thrill-seeking temperament. In girls, it was also associated with anxiety/depression problems. CONCLUSIONS: Fire behaviours in children are related to broader psychopathology and family stress, and can be effectively identified in young children using a brief screening measure.

Antisocial Personality Disorder↗

A full evaporation headspace technique with capillary GC and ITD: a means for quantitating volatile organic compounds in biological samples.

The full evaporation technique (FET), which is a variant of headspace analysis used to overcome matrix effects, was combined with capillary gas chromatography (GC) and ion-trap detection (ITD). The aim was to enable quantitative tests of volatile organic compounds (VOCs) in blood and postmortem tissue samples. FET was applied to sample sized less than 35 mg whose VOCs were released from the matrix at an equilibration temperature of 130 degrees C. A capillary column with a nonpolar stationary phase was used for GC, and ITD was performed with the mass spectrometer run in full-scan mode. The potential of FET-GC-ITD was studied for the analysis of blood samples spiked with low concentrations of ethanol, acetone, 2-propanol, and 2-butanone and on brain tissue that contained methyl tert-butyl ether (MTBE), Benzene, toluene, ethylbenzene, o-, m-, and p-xylene, and propylbenzene. Samples were obtained from the bodies of victims who had inhaled smoke during an arson or accidental fire. There was a linear relationship between peak area and sample size, which indicates that the conditions of full evaporation were met and that the matrix effect was negated. The total analyte amount in the test sample at the limit of quantitation was in the range of 0.4-1 nmol for polar VOCs in blood and 0.03-0.1 nmol for nonpolar VOCs in brain tissue. Data on precision and accuracy of the method are reported.

Alcohols↗

Burned-and-battered adults.

The existence of a previously unrecognized group of patients, burned-and-battered adults, has been recognized. This retrospective review identifies some of the characteristics of the 41 burned-and-battered adults admitted to a burn center during a two-year period. The typical scenario was a domestic quarrel that included a male victim, a female assailant, and a scald injury involving the victims anterior trunk and upper extremity. The average burn size was 14% of the total body surface area. Four victims died as a result of their injuries. Although these victims represented only 10% of all patients admitted to the burn center, there may be many more undetected burned-and-battered adults. Only when the seriousness and magnitude of the problem are recognized can appropriate medical, legal, and social interventions be made to meet the needs of these burned patients.

Adult↗

The importance of psychiatric illness in newly arrested prisoners.

One hundred ninety-nine male prisoners without prior felony convictions were evaluated through a structured personal interview administered within 24 hours of this arrest. While 46 per cent met psychiatric diagnostic criteria, only 5 per cent demonstrated a need for acute treatment for their affective disorder or organic brain syndrome. It is felt that the alcoholics (15 per cent) and drug-abusing prisoners (12 per cent) might benefit from counseling but were not in need of emergency care. The characteristics of men in each diagnostic group are discussed.

Affective Symptoms↗