The legal authority of mature minors to consent to general medical treatment

Coleman, Doriane Lambelet; Rosoff, Philip M.

doi:10.1542/peds.2012-2470

Cited by 148Ethics and Legal Issues in Pediatric HealthcareMedical and Health Sciences ResearchAdolescent and Pediatric Healthcare

The legal authority of mature minors to consent to general medical treatment

Coleman, Doriane Lambelet, Rosoff, Philip M.·2013·Pediatrics

DOI 10.1542/peds.2012-2470

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Abstract

The nature and scope of mature adolescents’ legal authority to consent to general medical treatment without parental involvement is often misrepresented by commentators. This state of affairs is further complicated by the law itself, which has developed a broad “mature minor exception” to the general requirement of parental consent in abortion cases and which has additionally carved out numerous specific status-based and condition-based exceptions to that requirement. In these circumstances, it is not always a simple matter for physicians and other medical professionals who treat adolescents to ascertain the applicable law. In this article, we discuss the underlying differences between medical ethics and law, which have caused some of the confusion in this area, and we set out the most current legal rules governing adolescent decision-making authority in general medical settings. A comprehensive analysis of both statutory and common law demonstrates that in such settings, parental consent continues to be required by most jurisdictions, even when the minor can be considered cognitively “mature.”

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Authors: Coleman, D. L., & Rosoff, P. M.
Affiliations: Duke University (US)
Duke Medical Center (US)
Corresponding author: Coleman, Doriane Lambelet
Venue: Pediatrics
Publisher: American Academy of Pediatrics (AAP)
Published: 2013-04-01
Volume: 131
Issue: 4
Pages: 786-793
ISSN: 0031-4005 (ISSN-L)
1098-4275
DOI: 10.1542/peds.2012-2470
OpenAlex: W1964810029
Cited by: 148
References: 25
Citations by year: 2026: 4 · 2025: 6 · 2024: 13 · 2023: 9 · 2022: 6 · 2021: 17 · 2020: 14 · 2019: 17 · 2018: 16 · 2017: 16 · 2016: 9 · 2015: 14 · 2014: 6 · 2013: 1
FWCI: 1.42
Type: journal article
Language: en
Open access: closed
Locations: PEDIATRICS (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Ethics and Legal Issues in Pediatric Healthcare
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Medical and Health Sciences Research
Health Sciences › Health Professions › Speech and Hearing › Adolescent and Pediatric Healthcare
Keywords: mature minors, adolescent consent, parental consent, medical ethics and law, statutory law, common law, adolescent autonomy
MeSH terms: Adolescent, Humans, Legislation, Medical, State Government, United States, Government Regulation, Parental Consent, Federal Government, Informed Consent By Minors

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The legal authority of mature minors to consent to general medical treatment

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