Qualitative data analysis of semi-structured interviews with adolescents with sexually harmful behavior shows complex developmental pathways impacted on family dysfunction, peer influence, cognitive distortions, and cultural context. Using Braun and Clarke’s 6-phase thematic analysis approach (using MAXQDA software), 4 basic themes emerged: family dysfunction with intergenerational trauma transmission, peer influence and social contagion, sexual socialization through pornography and entitlement beliefs, and moral disengagement with cognitive distortions. Triangulation of demographic information, indicators of development, and psychological evaluation confirms thematic results. Follow-up data shows 34% reoffended sexually with desistance linked to employment stability, reintegration with family, and/or sustained community support. Structural barriers such as social stigma, employment discrimination, rejection by community, and lack of rehabilitation infrastructure hinder the process of reintegration especially for economically deprived people in Indian situations. Systemic policy recommendations include prevention through comprehensive sexuality education, early identification of trauma, multi-disciplinary coordination, community-based rehabilitation alternatives, and structural reforms that deal with poverty and gender inequality. Evidence-based implementation requires sustained commitment of governments, partnership with NGOs, academic research collaboration, and mechanisms to ensure translation of policies into action.