Body Modifications in Adolescents: Risks, Responsibilities, and the Role of Paediatricians.

Abstract

Aim: This European Academy of Paediatrics (EAP) position paper provides a comprehensive overview of body modifications (BMs) among adolescents, addressing prevalence, health implications and regulatory gaps. Based on these findings, it offers evidence-based recommendations for healthcare providers and policymakers to improve adolescent healthcare through informed counselling, preventive strategies and strengthening regulations.

Methods: This position paper was developed by the EAP, the official paediatric section of the European Union of Medical Specialists (UEMS), through targeted literature review and consensus discussions by the Strategic Advisory Group for Adolescent Health, with final approval by the EAP Executive Committee.

Results: A literature review revealed high body modification prevalence among European adolescents, significant health risks and correlations with risk-taking behaviours. Key gaps included inconsistent regulatory frameworks and a lack of healthcare provider guidance. The EAP developed recommendations for integrating body modification discussions into routine care, strengthening regulations and improving healthcare provider education.

Conclusion: Paediatricians should integrate discussions on body modifications into routine consultations, ensuring adolescents make informed decisions while promoting body positivity. Strengthening regulations, standardising safety measures and improving healthcare provider education are essential steps towards safeguarding adolescent health.