Delivering Sensitive Test Results to Adolescents (Especially Pregnancy Test Results)

By Dr Peter Onoja

 

Introduction:

When delivering sensitive health results to adolescents, we must balance professionalism, empathy, confidentiality, and counseling skills. The goal is not just to provide the result, but also to ensure the young person is emotionally supported and guided toward healthy choices.



Steps/Methods:


1. Ensure Privacy and Confidentiality


Never announce results in public.


Invite the adolescent to a private space. Example:

“Miss Blessing, we have your test result. Can we step aside to discuss it privately?”


If she agrees to discuss it where she is, proceed; otherwise, move to a private room.




2. Deliver Results Gently and Calmly


Use a sensitive approach. For example:

“Your result is positive, which means you are pregnant.”


Alternatively, first explore feelings:

“How would you feel if your test came back positive?”


This helps gauge emotional readiness.




3. Observe and Respond to Reactions


If she reacts with distress or suicidal thoughts (e.g., “I will kill myself”), do not disclose the result that day. Instead:


Reassure her.


Tell her the result is not ready yet.


Ask her to return in 2–3 days, preferably with a trusted guardian.



If her reaction is calm, you can disclose the result fully.




4. Provide Emotional Support


After giving the result, allow her to express feelings.


Reassure: “You are not alone. We will support you to stay safe and healthy.”


Avoid judgment, blame, or pushing decisions.




5. Health Education and Counseling


Explain that no medication or harmful action should be taken without medical advice.


Encourage follow-up after 3 days for further discussion.


At the follow-up, provide education on:


Importance of antenatal care.


Risks of unsafe abortion.


Healthy lifestyle during pregnancy.





6. Encourage Ongoing Care


Schedule regular visits.


Continue health education.


Support her in starting antenatal care as early as possible.




✅ Key Principles:


Confidentiality is critical.


Approach with empathy, not judgment.


Prioritize the adolescent’s safety and mental health.


Guide, don’t impose decisions.




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