People in Sweden who commit at least one crime and suffer from a severe mental disorder can be sentenced to forensic psychiatric care. The aim of this study was to describe and gain a greater understanding of the female patients' experiences of their life situation while being cared for in forensic psychiatric care. Interviews with 15 women were conducted and analyzed with a phenomenological hermeneutical method. The results showed the care and the care environment to be dualistic. The women had to be aware that a close neighbor could also be an enemy. They received care in an environment that was unknown, frightening but at the same time a place where they felt secure, and which was predictable.

Introduction: A core element of caring science, is for caregivers to understand and collaborate with patients. Previous research shows that women receiving forensic psychiatric care evoke strong emotions among caregivers, but there is little research on the subject, and increased knowledge about caregivers’ experiences of providing care for female patients in forensic psychiatry, and of balancing healthcare with public safety considerations, is needed for the continued development of evidence-based care. Method: This qualitative study aimed to describe and gain a greater understanding of caregivers’ experiences of providing care for female patients in forensic psychiatric care. The study is based on 14 interviews with caregivers working with female patients at four forensic psychiatric clinics. The data were analyzed using a phenomenological hermeneutical method, which is suitable for researching lived experiences. The analysis was conducted in accordance with the method described by Lindseth and Norberg and revealed that caregivers emphasized the importance of being present in relation to the women. Results: The following themes emerged: Providing care that is responsive to the conditions in forensic psychiatric care, Being an individual in a caring relationship, Providing support and strength, and Allowing the patient’s needs to determine the course of the care . The women were perceived as less physically strong than male patients but engaged in acts of violence against themselves and others. This could result in coercive measures that could also be experienced as uncomfortable for the caregivers, particularly when having to restrain the women.

Female patients constitute a minority in forensic psychiatric care (FPC) in Sweden, where only 197 of the total patients (N = 1,505) were women in 2023 (National Board of Health and Welfare (2025)....