Skeletal age determination in adolescents involved in judicial procedures: from evidence-based principles to medical practice
David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Journal of Medical Ethics 36 (2):71-74 (2010)
Background The ideal basis of age estimation is considered to be a combination of clinical, skeletal and dental examinations. It is not easy to determine how forensic physicians take account of evidence-based data obtained from medical journals in their medical decision-making. The question of what is an ethically acceptable probability that adolescents are incorrectly considered to be over 18 has not been answered. Methods In a retrospective study over 1 year (2007), 498 files (for 141 female subjects and 357 male subjects) regarding age assessment requested by the public prosecutor's office for purposes of criminal or asylum proceedings were reviewed. Chronological age was estimated from a combination of physical examination, radiographic examination of the left hand and determination of dental status. Results Estimates of chronological age in 498 subjects claiming to be 9–14 years old were incompatible with the alleged age in 356 (71%) when made by the forensic physician but in only 17 (3%) when based on data from published studies on age estimation in adolescents. Conclusions The present study suggests that in most cases the forensic physician ignores the adolescent's word. Medical mission and ethics imply a need to listen to the claims of persons in custody, whatever the risk of false claims. This situation should prompt forensic physicians to keep up with published data on estimating the age of adolescents
|Keywords||No keywords specified (fix it)|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
No references found.
Citations of this work BETA
No citations found.
Similar books and articles
Rosalind Ekman Ladd & Edwin N. Forman (1995). Adolescent Decision-Making: Giving Weight to Age-Specific Values. Theoretical Medicine and Bioethics 16 (4).
Joachim Widder (2004). The Origins of Medical Evidence: Communication and Experimentation. Medicine, Health Care and Philosophy 7 (1):99-104.
Øyvind F. Standal (2008). Celebrating the Insecure Practitioner. A Critique of Evidence-Based Practice in Adapted Physical Activity. Sport, Ethics and Philosophy 2 (2):200-215.
Maya J. Goldenberg (2006). On Evidence and Evidence-Based Medicine: Lessons From the Philosophy of Science. Social Science and Medicine 62 (11):2621-2632.
Maya J. Goldenberg (2010). Clinical Evidence and the Absent Body in Medical Phenomenology. International Journal of Feminist Approaches to Bioethiics 3 (1):43-71.
Alan Strudler (1988). Self-Determination, Incompetence, and Medical Jurisprudence. Journal of Medicine and Philosophy 13 (4):349-365.
Mark Bratton (2010). Anorexia, Welfare, and the Varieties of Autonomy: Judicial Rhetoric and the Law in Practice. Philosophy, Psychiatry, and Psychology 17 (2):159-162.
Maya J. Goldenberg (2010). Perspectives on Evidence-Based Healthcare for Women. Journal of Women's Health 19 (7):1235-1238.
Brian Hazelton Walsh (2010). The Spatialisation of Disease: Foucualt and Evidence-Based Medicine (Ebm). [REVIEW] Journal of Bioethical Inquiry 7 (1):31-42.
Maya J. Goldenberg (2012). Innovating Medical Knowledge: Undestanding Evidence-Based Medicine as a Socio-Medical Phenomenon. In Nikolaos Sitaras (ed.), Evidence-Based Medicine: Closer to Patients or Scientists? InTech Open Science
Anne Pirrie (2001). Evidence-Based Practice in Education: The Best Medicine? British Journal of Educational Studies 49 (2):124 - 136.
Alan G. Johnson (2006). Making Sense of Medical Ethics: A Hands-on Guide. Distributed in the U.S.A. By Oxford University Press.
Rustem Ertug Altinay (2009). "This Child, Whose Bone Age Is Fourteen . . .": Ethical Dimensions of Skeletal Age Assessment. International Journal of Feminist Approaches to Bioethics 2 (1):165 - 173.
Claudia Wiesemann (2010). Ethical Principles and Recommendations for the Medical Management of Differences of Sex Development (DSD) / Intersex In. European Journal of Pediatrics 169:671-679.
Added to index2010-09-13
Total downloads3 ( #462,351 of 1,725,627 )
Recent downloads (6 months)1 ( #349,437 of 1,725,627 )
How can I increase my downloads?