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Gillick competence – adolescent consent — RACP Paediatrics MCQ

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ModerateEmergencyGillick competence – adolescent consentRACP Paediatrics

A 15-year-old presents alone to the ED requesting treatment for a sexual health concern. She does not want her parents to know. She demonstrates understanding of her condition, proposed treatment, and consequences. Can she consent to treatment without parental involvement?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — Gillick competence assessment

A minor who demonstrates sufficient maturity and understanding to comprehend the nature, consequences, and risks of proposed treatment can provide their own valid consent (Gillick competence, established in Gillick v West Norfolk 1985, applied in Australia). This applies to sexual health, contraception, and other treatments where the minor demonstrates competence. Confidentiality should be maintained unless there is a safety concern.

Reference: RACP Paediatric Curriculum – Ethics/Adolescent Medicine; RCH Melbourne – 2023 – Consent CPG