title: Reducing or increasing violence in forensic care: a qualitative study of inpatient experiences.
abstract: Semi-structured interviews with 13 forensic psychiatric inpatients that had decreased their assessed risk of violence were analyzed using interpretive description. The main contribution from this study is a detailed description of patients' own strategies to avoid violence. Participants described having an ongoing inner dialog in which they encouraged themselves, thereby increasing their self-esteem and trying to accept their current situation. An unsafe and overcrowded ward with uninterested and nonchalant staff increased the risk of aggressive behavior. In the process of decreasing violence, the patients and the forensic psychiatric nursing staff interacted to create and maintain a safe environment.
authors.affiliation: Dalarna University. Electronic address: hol@du.se.
authors.forename: Helen
authors.initials: H
authors.lastname: Olsson
authors.affiliation: Mid Sweden University.
authors.forename: Åsa
authors.initials: Å
authors.lastname: Audulv
authors.affiliation: Mid Sweden University & Sundsvall Forensic Psychiatric Hospital.
authors.forename: Susanne
authors.initials: S
authors.lastname: Strand
authors.affiliation: Mid Sweden University.
authors.forename: Lisbeth
authors.initials: L
authors.lastname: Kristiansen
mesh_terms: D005555:Forensic Psychiatry; D006801:Humans; D007297:Inpatients / Q000523:psychology*; D007407:Interviews as Topic; D011568:Psychiatric Nursing; D036301:Qualitative Research; D018570:Risk Assessment; D012649:Self Concept; D064450:Workplace Violence / Q000517:prevention & control* / Q000523:psychology