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Adolescent confidentiality and contraception — RACP Paediatrics MCQ

Instant feedback + full explanation. One question, done properly.

ModerateAdolescent health, Aboriginal and Torres Strait Islander child health, ethicsAdolescent confidentiality and contraceptionRACP Paediatrics

A 15-year-old asks for contraception and requests that her parents not be told. She understands benefits, risks and alternatives, denies coercion or exploitation and has no safeguarding concerns. What would you advise the parents?

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

Reveal the answer and explanation

Correct answer: E — Confidential care can be provided while encouraging supportive family involvement

A mature minor who demonstrates understanding can receive confidential contraceptive care, while clinicians should encourage safe support and assess coercion, exploitation and legal issues. Mandatory disclosure is not required in the absence of safeguarding concerns. The pearl is that confidentiality is often essential to adolescent access, but it sits alongside careful risk assessment.

Reference: RACP adolescent health resources; Australian medico-legal mature minor principles