Central nervous system damage resulting from prenatal exposure to alcohol, often referred to as fetal alcohol spectrum disorders (FASD), commonly manifests as lacking cognitive functioning, problem solving, impulsivity, memory, executive functioning, and social skill deficits. For individuals with FASD, these brain-based deficits translate into impulsive behaviors and poorly thought-out decision-making, coupled with an inability to anticipate and recognize the sometimes very severe consequences of their behaviors. Not unexpectedly, individuals with FASD frequently find themselves disproportionately involved in the criminal justice system and mental health services. For some individuals with FASD, these behaviors can also include firesetting. First responders, like other health and legal professionals, are often unable to recognize the behavioral indicators of FASD, primarily due to a lack of training. As a result, firesetting behaviors are often attributed to deliberate, willful acts of delinquency, a desire to damage property, thrill seeking, or as attempts for personal gain, rather than being viewed as maladaptive attempts to solve problems by individuals who lack the tools to do this in more appropriate ways. These same skill deficits also present when individuals with FASD are interviewed about their involvement in such behaviors, sometimes resulting in confabulation, suggestibility, and false confessions. Further education and training in FASD are vital for first responders if they are to better support individuals with FASD and minimize their chances of becoming involved in firesetting behaviors. Furthermore, this training and education will help ensure that first responders can intervene in more appropriately when crisis situations do occur. This article will outline key behavioral symptoms of FASD as well as provide first responders with suggestions as to how to best support individuals when FASD is suspected. The brief quote that follows highlights some of the key challenges facing individuals with FASD and how poor decision-making and impulsiveness can result in severe consequences for the individual and those around them.

中文翻译：

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胎儿酒精谱系障碍 (FASD) 和青少年着火：呼吁刑事司法、应急响应人员和防火专家了解情况

产前接触酒精导致的中枢神经系统损伤，通常被称为胎儿酒精谱系障碍 (FASD)，通常表现为缺乏认知功能、解决问题、冲动、记忆、执行功能和社交技能缺陷。对于患有 FASD 的人来说，这些基于大脑的缺陷会转化为冲动行为和深思熟虑的决策，以及无法预测和识别其行为有时非常严重的后果。不出所料，患有 FASD 的人经常发现自己不成比例地参与了刑事司法系统和心理健康服务。对于一些患有 FASD 的人来说，这些行为也可能包括放火。与其他卫生和法律专业人士一样，急救人员 往往无法识别 FASD 的行为指标，主要是由于缺乏培训。因此，纵火行为通常被归因于蓄意、故意的犯罪行为、损坏财产的愿望、寻求刺激或谋取个人利益的企图，而不是被缺乏工具的个人视为解决问题的适应不良的尝试。以更合适的方式做到这一点。当 FASD 患者接受有关其参与此类行为的采访时，也会出现这些相同的技能缺陷，有时会导致虚构、暗示和虚假供词。FASD 的进一步教育和培训对于急救人员来说至关重要，如果他们要更好地支持患有 FASD 的人并尽量减少他们卷入纵火行为的机会。此外，这种培训和教育将有助于确保在发生危机情况时，急救人员能够更适当地进行干预。本文将概述 FASD 的关键行为症状，并为急救人员提供有关在怀疑 FASD 时如何最好地支持个人的建议。下面的简短引述强调了患有 FASD 的人面临的一些关键挑战，以及糟糕的决策和冲动如何对个人及其周围的人造成严重后果。