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Forensic Medicine · Sexual offences and forensic psychiatry: ECT in minors
Sample itemA psychiatrist plans modified ECT with anaesthesia for a 15-year-old with severe depression unresponsive to drugs. What does the Mental Healthcare Act 2017 provide?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. ECT is prohibited in minors
The Act prohibits ECT for minors. In adults, ECT may be given only with muscle relaxants and anaesthesia, which is called modified ECT, and with consent.
Option by option
A. It is allowed with the parents' consent
Parental consent does not override the prohibition.
B. It is allowed if the Mental Health Review Board approves
Board approval is required for psychosurgery, not for ECT in minors.
C. It is allowed only unmodified
Unmodified ECT is not permitted at any age under the Act.
D. ECT is prohibited in minors (correct)
Correct. The Act bars ECT in minors entirely.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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