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Psych CASC / OSCEForensic psychiatry — arson and fire-setting

Psych CASC / OSCE · Forensic psychiatry — arson and fire-setting

Explain adolescent firesetting risk to worried parents — CASC communication station

MRCPsych/FRANZCP-style CASC: communicate firesetting concepts, youth pathway, safety planning, and myths about pyromania to parents.

communication2 min readVerification in progress

Target exams

FRANZCPMRCPsychABPNMD-DNB
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Study tools

Target exams

FRANZCPMRCPsychABPNMD-DNB
Prompt
Parents of a 15-year-old who has set three small outdoor fires in six months ask whether he is a 'pyromaniac', whether he will definitely burn the house down, whether this means schizophrenia, and what should happen now. You must communicate the behaviour vs crime vs diagnosis triad, risk humility with concrete safety steps, pathways for help, and avoid inventing statute section numbers or terrorising the family.

Station brief

Format. Communication station, approximately 7–10 minutes active time. You are the child and adolescent / community psychiatry registrar after a clinic review. [2]

Candidate instructions. Acknowledge fear without amplifying stigma. Explain firesetting as behaviour, arson as a legal label if charged, and pyromania as a rare adult-oriented diagnosis that usually does not fit youth fireplay patterns. Note that youth firesetting can associate with broader later offending pathways and needs structured help, not panic labels. Cover safety (means restriction, supervision, school/fire-service liaison as appropriate). Screen briefly for mental illness, substances, bullying, and home conflict. Do not invent statute numbers. Check understanding. [1][2][3][4]

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References5ShowHide
  1. [1]Burton PR, McNiel DE, Binder RL Firesetting, arson, pyromania, and the forensic mental health expert J Am Acad Psychiatry Law, 2012.PMID 22960918
  2. [2]Lambie I, Ioane J, Randell I, et al. Offending behaviours of child and adolescent firesetters over a 10-year follow-up J Child Psychol Psychiatry, 2013.PMID 23927002
  3. [3]Tyler N, Gannon TA, Ciardha CÓ, et al. Deliberate firesetting: an international public health issue Lancet Public Health, 2019.PMID 31376854
  4. [4]Lindberg N, Holi MM, Tani P, et al. Looking for pyromania: characteristics of a consecutive sample of Finnish male criminals with histories of recidivist fire-setting BMC Psychiatry, 2005.PMID 16351734
  5. [5]Anwar S, Långström N, Grann M, et al. Is arson the crime most strongly associated with psychosis? A national case-control study of arson risk in schizophrenia and other psychoses Schizophr Bull, 2011.PMID 19850668
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