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Adolescent with older partner — DFSRH MCQ

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HardSpecial CircumstancesAdolescent with older partnerDFSRH

A 14-year-old requests contraception and discloses that her sexual partner is 24. She wants secrecy and gives little further information. What is the best immediate approach?

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Correct answer: B — Provide urgent care while starting a safeguarding assessment

The best answer is “Provide urgent care while starting a safeguarding assessment”. The marked age and power imbalance raises concern about coercion, exploitation and sexual offences, requiring a careful safeguarding assessment and senior or safeguarding input. Confidentiality should be explained with its limits, and competence and voluntariness assessed. Necessary emergency contraception, STI care or other time-sensitive treatment should not be withheld merely while safeguarding work proceeds.

Reference: BASHH, STI and Related Conditions in Children and Young People 2021: https://www.bashh.org/resources/42/guidelines_sti_and_related_conditions_in_children_and_young_people_2021