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Parenting Journal · Volume 3 · Issue 1 · Licensed source edition

AI-assisted consent in paediatric medicine: ethical implications of using large language models to support decision-making

Originally published 2025-08-06 · Journal of Medical Ethics
BMJ · DOI 10.1136/jme-2024-110624 ↗

RespectNormative ethical analysisCC BY 4.0
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AI / system type

Generative AI / pediatric-consent ethics

Family implications

Design, ethics, stakeholder or technical evidence with child/family implications; household benefits are not assumed.

The AI connection

Examines how generative LLMs might support pediatric consent and the ethical risks of such use.

Why this reading matters

Addresses a consequential family decision process in which understandable information, respect and freedom from manipulation all matter.

Editorial reading guide · Respect

Could AI help a child understand a care decision without steering the family unfairly?

The analysis places children’s developing voice and parents’ responsibilities at the center of AI-supported communication, distinguishing assistance from undue influence.

Study context

Pediatric consent and assent scenarios

Age / stage: Children with evolving decisional capacity; no participant sample

Read with three questions

  1. How are consent, assent and developing autonomy distinguished?
  2. What influence or family-conflict risks could arise?
  3. Which safeguards are proposed, and which have not been empirically tested?

Keep the limits in view

This is ethical argument and scenario analysis, not evidence that an implemented LLM improves consent or resolves conflict. Proposed safeguards require practical evaluation.

The text below is the original article’s licensed repository edition. Its wording is not rewritten. Use the Paper Agent beside the text to locate evidence; open the source for figures, tables and complete context.

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Attribution & reuse

Follow the original.

Original authorship, publication date, journal and DOI are preserved. This issue’s TRICK placement and reading questions are editorial additions, not claims made by the original authors.

Jemima Winifred Allen; Brian David Earp; Dominic Wilkinson (2025). AI-assisted consent in paediatric medicine: ethical implications of using large language models to support decision-making Journal of Medical Ethics. https://doi.org/10.1136/jme-2024-110624

Permissions checked against the saved article notice; repository publication notices screened 2026-11-04. This is not a new peer-review decision. The source authors and publishers are not represented as endorsing this issue.