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Understanding gambling in forensic psychiatric settings

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View Open Access Article View Snapshot Back to Search Results

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Author(s): Hansen, Rasmus M. ; Sørensen, Lisbeth U. ; Kristiansen, Søren ; Frostholm, Lisbeth ; Eriksen, Jakob W. ; Marcussen, Thomas ; Terkildsen, Morten D.

Journal: Frontiers in Psychiatry

Year Published: 2026

Date Added: August 07, 2026

In this study, the researchers looked at how patients and staff in forensic psychiatric settings view gambling practices and money management. They interviewed eight patients and seven staff members in Denmark.

Patients described gambling as a common part of their daily life. They often gambled to cope with boredom, restlessness, and long periods of unstructured time. Many reported repeated cycles of trying to control or stop gambling and experiencing relapse, as well as debts and secrecy around financial problems. Gambling was sometimes connected to other addictions and might involve family members or romantic partners outside the ward. Staff generally had mixed views about whether gambling should be seen as a harmless recreational activity or a clinical concern. This led to inconsistent responses to patient gambling between staff and wards.

The findings suggest that gambling can affect forensic psychiatric patients’ recovery, mental health, financial wellbeing, and therapeutic relationships. They can inform how gambling practices are addressed in these settings.


Citation: Hansen, R. M., Sørensen, L. U., Kristiansen, S., Frostholm, L., Eriksen, J. W., Marcussen, T., & Terkildsen, M. D. (2026). Gambling and hidden practices in forensic psychiatry: A qualitative study of ambivalence, autonomy, and negotiated care. Frontiers in Psychiatry, 17, 1758354. https://doi.org/10.3389/fpsyt.2026.1758354

Article DOI: https://doi.org/10.3389/fpsyt.2026.1758354

Keywords: forensic psychology ; gambling ; recovery

Conceptual Framework Factors:   Social - Deviance ; Social Factors

Study Design: Qualitative: Content Analysis

Geographic Coverage: Denmark

Study Population: Patients (N = 8) and staff members (N = 7) receiving care or working in medium-security forensic psychiatric wards at two hospitals in Denmark.

Sampling Procedure: Participants were recruited from six Danish medium-security forensic psychiatric wards at two hospitals using purposive sampling. Data collection took place between October 2024 and February 2025 via semi-structured interviews.

Study Funding:

This study received funding from the Fund for Research on Gambling Addiction from the Danish Ministry of the Interior and Health in 2023.

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