Abstract：
Overall rates of opioid use are low in adolescents; however, recent increases in mortality from overdose in adolescents have outpaced increases in the general population. This article highlights the importance of expanding evidence-based treatment for adolescent opioid use, especially medication, while also addressing key ethical considerations of harm reduction practices and how application of such practices with adolescents may differ from adults. Concepts related to adolescent populations are discussed, including autonomy, confidentiality, and brain development. Application of harm reduction practices should be age appropriate, express respect for patients\' autonomy, include social support, and be accompanied by broader aims to minimize adolescent initiation, escalation, and overall harm caused by opioid use.
摘要：
青少年阿片类药物的总体使用率较低；然而，近期青少年用药过量死亡率的增加超过了普通人群的增加.这篇文章强调了扩大青少年阿片类药物使用循证治疗的重要性，尤其是药物,同时还解决了减少伤害实践的关键道德考虑因素，以及在青少年中应用此类实践可能与成年人有何不同。讨论了与青少年人口有关的概念，包括自主性,保密性,和大脑发育。减少伤害的做法的应用应该是适当的年龄，表达对患者自主权的尊重，包括社会支持,并伴随着更广泛的目标，以尽量减少青春期的开始，升级,以及使用阿片类药物造成的整体伤害。
