Do young people have a right to refuse treatment when they are con- sidered competent? Do young people have a right to refuse treatment when they are con- sidered competent? Do young people have a right to refuse treatment when they are considered competent?

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The treating clinician is placed in a difficult situation if a young person refuses treatment, especially when the proposed treatment will prevent death or significant harm. Some examples include refusal of an organ transplant, chemotherapy for leukaemia or psychiatric medication. In such circumstances, despite the young person being competent, parents have the right to override their child’s decision. In discussions with the young person, every attempt should be made to encourage the young person to involve his/her parents in the decision. Legal intervention may be required if the decision cannot be reached through negotiation and mediation. However, this avenue should remain the last resort.