Geller J L, Fisher W H, Moynihan K
Department of Psychiatry, University of Massachusetts Medical Center, Worcester 01655.
Psychiatr Q. 1992 Summer;63(2):129-42. doi: 10.1007/BF01065986.
Hospital records of all patients under age 65 years old on the census of Worcester State Hospital (WSH) on October 25, 1988 (n = 279) were reviewed for indications of firesetting behaviors during the individuals' adult lifetime. The prevalence of firesetting behaviors was found to be 27.2%. The prevalence of firesetting episodes, a subset of firesetting behaviors, was found to be 17.6%. A stepwise discriminant function analysis was used to determine whether any factors significantly differentiated the members of the firesetting behavior group from the remainder of the population. This analysis revealed that the number of WSH admissions, the number of admissions to other inpatient facilities, and a history of injurious behavior to self are significant positive predictors of membership in the firesetting behaviors group. The results of the WSH analysis are very similar to those found at Northampton State Hospital in 1983. These high prevalence rates have implication for treatment, education, record keeping, and liability.
对伍斯特州立医院(WSH)1988年10月25日普查时年龄在65岁以下的所有患者(n = 279)的医院记录进行了审查,以了解个体成年期纵火行为的迹象。发现纵火行为的患病率为27.2%。纵火事件(纵火行为的一个子集)的患病率为17.6%。采用逐步判别函数分析来确定是否有任何因素能显著区分纵火行为组的成员与其他人群。该分析表明,WSH的入院次数、其他住院设施的入院次数以及自我伤害行为史是纵火行为组成员的显著正预测因素。WSH分析的结果与1983年在北安普顿州立医院发现的结果非常相似。这些高患病率对治疗、教育、记录保存和责任认定都有影响。