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Published Online First: 1 March 2009. doi:10.1136/adc.2008.149781
Archives of Disease in Childhood 2009;94:487-491
Copyright © 2009 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.

LEADING ARTICLES

Overriding competent medical treatment refusal by adolescents: when "no" means "no"

Carolyn Johnston1,2

1 King’s College London School of Medicine at Guy’s, King’s and St Thomas’ Hospitals, London, UK
2 Kingston University, Kingston Upon Thames, UK

C Johnston, Room 413, Henriette Raphael House, Guy’s Campus, London SE1 1UL, UK; Carolyn.johnston@kcl.ac.uk

Accepted 17 February 2009

The first 150 words of the full text of this article appear below.

In 2007 the General Medical Council (GMC) published 0–18 years: guidance for all doctors1 which briefly sets out the relevant ethical and legal principles for medical treatment of young people under 18 years of age. It recognises that "Children and young people are individuals with rights that should be respected" (paragraph 7) and that they should be engaged in dialogue about their care. However, a dilemma for both the medical and legal communities is whether a young person’s refusal of medical treatment should be respected where this would put him/her at risk of death or serious harm. The GMC guidance states that "You should seek legal advice if you think treatment is in the best interests of a competent young person who refuses" (paragraph 31). The aim of this article is to explain the legal position and to demonstrate the views of professionals involved with young people, gained through interviews, . . . [Full text of this article]


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