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This article considers the current stance of forensic inpatient units in the UK on sex and relationships. In the absence of national guidance, units typically adopt policies that are universally restrictive rather than based on individual risk assessments. The grounds for this in terms of protecting the physical and mental health of inpatients are considered, alongside the potential unintended consequences. It is understood that relationships occur despite these policies. The paths to legality of universal restrictions to sex and relationships as human rights are also discussed. It is concluded that consideration should be given to bringing sex and relationships more in line with other aspects of risk and restriction. By adopting a more individually tailored approach, particularly in lower security settings and where individuals are moving towards community reintegration, safety, and wellbeing may potentially be improved rather than compromised. To implement any shift away from total prohibition, clinicians in these settings would require a clear guiding framework.

Is the prohibitive stance on sex and relationships in the UK forensic system justifiable?