{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T05:18:32Z","timestamp":1788239912652,"version":"build-2803163510"},"reference-count":0,"publisher":"Pakistan Journal of Medical Sciences","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pak J Med Sci"],"abstract":"<jats:p>Objectives: The study aimed to identify the healthcare attributes most valued by adolescents with lived experience of self-harm, and to explore their qualitative experiences and recommendations to inform professional training.\nMethods: It was a convergent mixed-methods study done at Child and Family Psychiatry Department, Mayo Hospital, Lahore; over six months from 1st January 2025 to 30th June 2025. Ten adolescents with previous history of self-harm, were recruited via convenient sampling. In the quantitative component, participants ranked five care attributes by personal importance, which was analyzed via mean rank and Borda count. Four participants additionally participated in detailed qualitative interviews which were analyzed using framework analysis.\nResults: The mean age of participants was 15.3 years (Range: 13-17). In quantitative sample (n=10),\u00a0feeling heard and understood\u00a0ranked highest (M = 2.60; Borda = 24), followed by\u00a0empathy and non-judgmental attitude,\u00a0clear communication, and\u00a0privacy and confidentiality.\u00a0Involvement in decision-making\u00a0ranked last. Through qualitative interviews (n=4), the findings reinforced and deepened these priorities across five themes: therapeutic relationship and emotional safety; communication style and interaction skills; understanding the young person\u2019s experience; support systems, agency, and recovery; and therapeutic techniques and practical interventions. Participants highlighted the harm caused by mocking or dismissive clinician behavior, and the value of calm, personalized, and play-inclusive care.\nConclusions:\u00a0The adolescents consistently prioritize relational and affective dimensions of care over procedural ones. These findings provide a coherent, patient-centered evidence base for designing healthcare professional training focused on adolescent self-harm.<\/jats:p>","DOI":"10.12669\/pjms.42.9.20335","type":"journal-article","created":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T04:53:27Z","timestamp":1788238407000},"page":"2503-2511","source":"Crossref","is-referenced-by-count":0,"title":["Heard, not judged: Adolescents\u2019 perspectives on quality of healthcare following self-harm"],"prefix":"10.12669","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6469-8976","authenticated-orcid":false,"given":"Maryam","family":"Ayub","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6857-5781","authenticated-orcid":false,"given":"Nazish","family":"Imran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amna","family":"Rashid","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taimia","family":"Ayub","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"4935","published-online":{"date-parts":[[2026,8,31]]},"container-title":["Pakistan Journal of Medical Sciences"],"original-title":[],"link":[{"URL":"https:\/\/pjms.org.pk\/index.php\/pjms\/article\/download\/20335\/11652","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/pjms.org.pk\/index.php\/pjms\/article\/download\/20335\/11652","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T04:53:27Z","timestamp":1788238407000},"score":1,"resource":{"primary":{"URL":"https:\/\/pjms.org.pk\/index.php\/pjms\/article\/view\/20335"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,31]]},"references-count":0,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2026,8,31]]}},"URL":"https:\/\/doi.org\/10.12669\/pjms.42.9.20335","relation":{},"ISSN":["1681-715X","1682-024X"],"issn-type":[{"value":"1681-715X","type":"electronic"},{"value":"1682-024X","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8,31]]}}}