Arson and Schizophrenia: A Case Report and Review of Literature

Introduction Firesetting is a behavior, arson is a crime, and pyromania is a psychiatric diagnosis. Arson is a criminal act in which a person or group of persons willing fully and maliciously sets fire or aid in firesetting to cause harm to property, people, and infrastructure. The likelihood of an...

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Main Authors: G. Gill, S. Rothman, G. Yadav, P. Riess
Format: Article
Language:English
Published: Cambridge University Press 2022-06-01
Series:European Psychiatry
Online Access:https://www.cambridge.org/core/product/identifier/S0924933822008914/type/journal_article
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author G. Gill
S. Rothman
G. Yadav
P. Riess
author_facet G. Gill
S. Rothman
G. Yadav
P. Riess
author_sort G. Gill
collection DOAJ
description Introduction Firesetting is a behavior, arson is a crime, and pyromania is a psychiatric diagnosis. Arson is a criminal act in which a person or group of persons willing fully and maliciously sets fire or aid in firesetting to cause harm to property, people, and infrastructure. The likelihood of an arson offender having schizophrenia is 20 times greater than that in the general population. Here, we describe the case of a male in his 50’s, a first-time arsonist, who suffered from schizophrenia since his late teens prior to the onset of random firesetting behavior. Objectives To understand the association between Arson and Schizophrenia. Methods A case report, as well as a review of the literature, was conducted. Results The patient is a male in his 50’s carrying a diagnosis of Schizophrenia with over 50 inpatient hospitalizations. He was observed standing on the threshold of a neighbor’s apartments where he allegedly set fire to a pile of clothing. These charges are based upon allegations that he attempted to set fire to a 14-storey apartment building. At the time of his assessment, he was floridly psychotic. He was found not fit to stand trial. He was restarted on Clozapine and Depakote which is the medication he had the most success with. Conclusions Literature shows that Arson and firesetting behaviors are quite commonly seen in patients with mental disorders. Arson often has sequelae that negatively impact the community. The strong correlation between firesetting behavior and mental disorders needs extensive, detailed collaboration between psychiatry, legal expertise, and fire services. Disclosure No significant relationships.
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spelling doaj.art-5ba129c58b864edaa9ed957bb4a0fd8a2023-11-17T05:07:25ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S351S35110.1192/j.eurpsy.2022.891Arson and Schizophrenia: A Case Report and Review of LiteratureG. Gill0S. Rothman1G. Yadav2P. Riess3Bronx Care health System, Psychiatry, Bronx, United States of AmericaBronxCare Health System, Psychiatry, New York, United States of AmericaBronx Care health System, Psychiatry, Bronx, United States of America BronxCare Health System, Psychiatry, New York, United States of AmericaBronx Care health System, Psychiatry, Bronx, United States of America Introduction Firesetting is a behavior, arson is a crime, and pyromania is a psychiatric diagnosis. Arson is a criminal act in which a person or group of persons willing fully and maliciously sets fire or aid in firesetting to cause harm to property, people, and infrastructure. The likelihood of an arson offender having schizophrenia is 20 times greater than that in the general population. Here, we describe the case of a male in his 50’s, a first-time arsonist, who suffered from schizophrenia since his late teens prior to the onset of random firesetting behavior. Objectives To understand the association between Arson and Schizophrenia. Methods A case report, as well as a review of the literature, was conducted. Results The patient is a male in his 50’s carrying a diagnosis of Schizophrenia with over 50 inpatient hospitalizations. He was observed standing on the threshold of a neighbor’s apartments where he allegedly set fire to a pile of clothing. These charges are based upon allegations that he attempted to set fire to a 14-storey apartment building. At the time of his assessment, he was floridly psychotic. He was found not fit to stand trial. He was restarted on Clozapine and Depakote which is the medication he had the most success with. Conclusions Literature shows that Arson and firesetting behaviors are quite commonly seen in patients with mental disorders. Arson often has sequelae that negatively impact the community. The strong correlation between firesetting behavior and mental disorders needs extensive, detailed collaboration between psychiatry, legal expertise, and fire services. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933822008914/type/journal_article
spellingShingle G. Gill
S. Rothman
G. Yadav
P. Riess
Arson and Schizophrenia: A Case Report and Review of Literature
European Psychiatry
title Arson and Schizophrenia: A Case Report and Review of Literature
title_full Arson and Schizophrenia: A Case Report and Review of Literature
title_fullStr Arson and Schizophrenia: A Case Report and Review of Literature
title_full_unstemmed Arson and Schizophrenia: A Case Report and Review of Literature
title_short Arson and Schizophrenia: A Case Report and Review of Literature
title_sort arson and schizophrenia a case report and review of literature
url https://www.cambridge.org/core/product/identifier/S0924933822008914/type/journal_article
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