The aim of this research was to describe inpatients’ ideas on how they would develop current violence risk assessment and management practices. The data collection took place in one PICU unit specialized in the treatment of patients with psychosis and violent behavior. A qualitative descriptive design was adopted with individual interviews (n=13). Patients’ views centered on concrete ideas for developing patient engagement in care and violence risk management methods. Developing patient engagement involved noticing patients’ individuality and collaboration between a patient and staff. Developing violence risk management methods included themes about providing alternative risk management methods and developing nursing staff’s work. Patients had clear ideas on how violence risk assessment and management methods could be developed further. They also want to be involved in both practices. These findings indicate, that patients need to be given a more active role in their care related to violence risk assessment and management.