Hostname: page-component-54dcc4c588-b5cpw Total loading time: 0 Render date: 2025-10-02T02:03:19.879Z Has data issue: false hasContentIssue false
  • English
  • Français

Care pathway process proposal and rationale for the assessment and management of firesetting in the inpatient setting

Published online by Cambridge University Press:  26 January 2015

Bradley Hillier ,
Srinivasarao Cherukuru  and
Faisil Sethi
Bradley Hillier*
Affiliation:
SpR in Forensic Psychiatry, Springfield University Hospital, South West London and St George’s Mental Health Trust, UK
Srinivasarao Cherukuru
Affiliation:
Locum Consultant Psychiatrist, Cumbria Partnership NHS Foundation Trust, UK
Faisil Sethi
Affiliation:
Consultant Psychiatrist, Maudsley Hospital, South London and Maudsley NHS Foundation Trust, UK
*
Correspondence to: Dr B. Hillier, Springfield University Hospital, 61 Glenburnie Rd, Tooting, London SW17 7DJ. E-mail: bradley.hillier@gmail.com
Get access

Abstract

Firesetting is traditionally a forensic problem which is nevertheless a frequent co-morbidity within mental health settings. The associations between mental health and firesetting are diverse and poorly understood, and with forensic services under increasing pressure, non-forensic settings may be increasingly expected to manage such presentations. With this in mind, and in the absence of a specific risk assessment tool, we propose a care pathway and rationale for its use in the assessment and management of individuals with firesetting behaviours as part of their presentation.

Information

Type
Review Articles
Information
Journal of Psychiatric Intensive Care , Volume 11 , Issue 2 , August 2015 , pp. 119 - 127
Copyright
© NAPICU 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

Almond, L., Duggan, L., Shine, J. and Canter, D. (2005) Test of the arson action system model in an incarcerated population. Psychology, Crime & Law. 11(1): 1–15.Google Scholar
American Psychiatric Association (2013) Diagnostic and Statistical Manual of Mental Disorders. Fifth edition. DSM-5.Google Scholar
Anwar, S., Långström, N., Grann, M. and Fazel, S. (2011) Is arson the crime most strongly associated with psychosis? A national case-control study of arson risk in schizophrenia and other psychoses. Schizophrenia Bulletin. 37(3): 580–586.Google Scholar
Blanco, C., Alegría, A.A., Petry, N., Grant, J.E., Simpson, H.B., Liu, S.M., Grant, B.F. and Hasin, D.S. (2010) Prevalence and correlates of fire-setting in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). Journal of Clinical Psychiatry. 71(9): 1218–1225.Google Scholar
Bradley, (2009) The Bradley Report: Lord Bradley’s review of people with mental health problems or learning disabilities in the criminal justice system. London: Department of Health, 173 pp.Google Scholar
Centre for Mental Health (2011) Pathways to Unlocking Secure Mental Health Care. Report of the Centre for Mental Health. http://www.centreformentalhealth.org.uk/pdfs/Pathways_to_unlocking_secure_mental_health_care.pdf Google Scholar
Criminal Damage Act (1971 c. 48) London: The Stationery Office. http://www.legislation.gov.uk/ukpga/1971/48/contents Google Scholar
Dickens, G., Sugarman, P. and Gannon, T. (eds) (2011) Firesetting and Mental Health. London: RCPsych Publications 288 pp.Google Scholar
Doley, R.M. and Watt, B.D. (2011) Assessment of firesetters. In: Dickens, G., Sugarman, P., Gannon, T. (eds). Firesetting and Mental Health. London: RCPsych Publications, pp. 184–205.Google Scholar
Fritzon, K. (2011) Theories on arson: the action systems model. In: Dickens, G., Sugarman, P., Gannon, T. (eds). Firesetting and Mental Health. London: RCPsych Publications, pp. 28–47.Google Scholar
Gannon, T.A. and Pina, A. (2010) Firesetting: psychopathology, theory and treatment. Aggression & Violent Behavior. 15(3): 224–238.Google Scholar
Guy, L.S., Wilson, C.M., Douglas, K.S., Hart, S.D., Webster, C.D. and Belfrage, H. (2013) HCR-20 Version 3: Item-by-item summary of violence literature. HCR-20 Violence Risk Assessment White Paper Series, no. 3. Burnaby, Canada: Mental Health, Law, and Policy Institute, Simon Fraser University.Google Scholar
Health & Social Care Information Centre (2013) Inpatients formally detained in hospitals under the Mental Health Act 1983, and patients subject to supervised community treatment. Annual report, England, 2013. http://www.hscic.gov.uk/catalogue/PUB12503/inp-det-m-h-a-1983-sup-com-eng-12-13-rep.pdf [Accessed 24 July 2014].Google Scholar
Hillier, B., Lambourne, C. and Gram Larsen, T. (2012) Mapping offender-patient pathways in the different jurisdictions of the European Union. Criminal Behaviour & Mental Health. 22(4): 293–296.Google Scholar
Labree, W., Nijman, H., van Marle, H. and Rassin, E. (2010) Backgrounds and characteristics of arsonists. International Journal of Law & Psychiatry. 33: 149–153.Google Scholar
Lewis, N.O.C. and Yarnell, H. (1951) Pathological firesetting (pyromania). Nervous & Mental Disease Monographs, no. 82. Coolidge Foundation.Google Scholar
Linaker, O.M. (2000) Dangerous female psychiatric patients: prevalence and characteristics. Acta Psychiatrica Scandinavica. 101: 67–72.Google Scholar
Loranger, A.W., Sartorius, N., Andreoli, A., Berger, P., Bucheim, P., Channabasavanna, S. M., Coid, B., Dahl, A., Diekstra, R.F.W., Ferguson, B., Jacobsberg, L.B., Mombour, W., Pull, C., Ono, Y. and Regier, D.A. (1994) The International Personality Disorder Examination. The World Health Organization/Alcohol, Drug Abuse, and Mental Health Administration international pilot study of personality disorders. Archives General Psychiatry. 51(3): 215–224.CrossRefGoogle ScholarPubMed
Miller, S. and Fritzon, K. (2007) Functional consistency across two behavioural modalities: firesetting and self harm in female special hospital patients. Criminal Behaviour & Mental Health. 17: 31–44.CrossRefGoogle ScholarPubMed
Murphy, G. and Clare, I.C. (1996) Analysis of motivation in people with mild learning disabilities (mental handicap) who set fires. Psychology, Crime & Law. 2: 153–164.Google Scholar
Repo, E. (1998) Finnish fire-setting offenders evaluated pre-trial. Psychiatrica Fennica. 29: 175–189.Google Scholar
Rix, K.J.B. (1994) A psychiatric study of adult arsonists. Medicine, Science & the Law. 34: 21–34.CrossRefGoogle ScholarPubMed
Stewart, L.A. (1993) Profile of female firesetters. Implications for treatment. The British Journal of Psychiatry. 163: 248–256.Google Scholar
Spencer, S.-J., Gilluley, P. and Hillier, B. (2013) Foreign national mentally disordered offenders’ care pathways through UK secure services. The Psychiatrist. 31: 331–335.Google Scholar
World Health Organization (2014) International Statistical Classification of Diseases and Related Health Problems Tenth revision ICD-10 http://www.who.int/classifications/icd/en/ Google Scholar
Young, S. and Thome, J. (2011) ADHD and offenders. World Journal of Biological Psychiatry. 12(suppl. 1): 124–128.Google Scholar