American Medical News
September 27, 2004

Death penal­ty for minors: Cruel and unusu­al

As the Supreme Court hears argu­ments on using the death penal­ty against minors, the AMA joins the voic­es of sci­ence and inter­na­tion­al lead­ers against it.

No one seri­ous­ly ques­tions the rules that pre­vent a 16- or 17-year-old from buy­ing alco­hol or tobac­co. Similar stric­tures pre­vent these young peo­ple from vol­un­teer­ing for active duty in the armed forces or even voting.

The rea­son for these lim­its is clear. It’s a recog­ni­tion that ado­les­cents, even old­er ado­les­cents, do not pos­sess a lev­el of matu­ri­ty and under­stand­ing of con­se­quences that come with adulthood.

That’s why it is star­tling that, in cer­tain states, these same young peo­ple still can be pun­ished with death if con­vict­ed of a capital crime.

In October’s Supreme Court term, jus­tices will con­sid­er this issue. In Roper v. Simmons, the court has the oppor­tu­ni­ty to uphold the Missouri Supreme Court’s deci­sion over­turn­ing Christopher Simmons’ death sen­tence for a mur­der he com­mit­ted 10 years ago when he was 17. Thus, the court will have anoth­er chance to out­law a prac­tice con­sid­ered a human rights breach by most of the industrial world.

The bright light of sci­ence backs up this posi­tion, offer­ing evi­dence that the ado­les­cent brain is not wired like that of an adult. The AMA, along with a num­ber of med­ical soci­eties, has right­ly filed a friend-of-the-court brief urg­ing the court to uphold the Missouri decision.

For starters, the House of Medicine argues that no data exist to sup­port the asser­tion that the death penal­ty has any deter­rent val­ue for this age group.

The U.S. Supreme Court has held that exe­cut­ing a men­tal­ly retard­ed offend­er is unlike­ly to affect the cold cal­cu­lus that pre­cedes the deci­sion of oth­er poten­tial mur­ders,’ ” reads the brief. The same is true of old­er ado­les­cents’ whose cal­cu­lus weighs inputs — par­tic­u­lar­ly, future con­se­quences — dif­fer­ent­ly from adults, and far dif­fer­ent­ly from the cold-blood­ed mur­der­er for whom the death penal­ty is reserved.”

Overall, accord­ing to the AMA, ado­les­cents, even at the age of 16 or 17, under­es­ti­mate risks, over­val­ue short-term ben­e­fits, and are more emo­tion­al­ly volatile, more impul­sive and less capa­ble of con­trol­ling their emo­tions than adults. In short, the aver­age ado­les­cent can­not be expect­ed to act with the same con­trol or fore­sight as a mature adult.”

Cutting-edge brain research and imag­ing offer sup­port for this posi­tion. Regions of the ado­les­cent brain asso­ci­at­ed with impulse con­trol, reg­u­la­tion of emo­tions, risk assess­ment and moral rea­son­ing do not reach a mature state until after age 18. Teens are sim­ply not as equipped as adults to engage in moral rea­son­ing and adjust their behavior accordingly.

When the Missouri high court con­sid­ered Roper v. Simmons, it con­clud­ed that the pun­ish­ment is now used so rarely — juve­niles cur­rent­ly con­sti­tute less than 2% of those who face the death penal­ty, and 28 states no longer allow its use against juve­niles — that it qual­i­fied as cru­el and unusu­al pun­ish­ment under the Eighth Amendment of the Constitution. The Missouri court’s deci­sion tracks with pri­or U.S. Supreme Court rulings.

The U.S. Supreme Court has held that ado­les­cents who com­mit cap­i­tal crimes before the age of 16 and offend­ers who are men­tal­ly retard­ed are cat­e­gor­i­cal­ly exempt from the death penal­ty because they exhib­it dis­abil­i­ties in areas of rea­son­ing judg­ment and con­trol of their impuls­es,’ ” notes the AMA’s brief.

Therefore, the next step — that of end­ing the prac­tice regard­ing all juve­niles — logically follows.

The AMA, along with the American Psychological Assn. and the American Society of Adolescent Psychiatry, just to name a few, are joined by oth­er voic­es in call­ing for such action. Though the American Bar Assn. does not have a pol­i­cy regard­ing the death penal­ty in gen­er­al, the orga­ni­za­tion oppos­es its use for juve­nile offend­ers or for peo­ple who are men­tal­ly retard­ed. And friend-of-the-court fil­ings were offered by oth­er nations and many world lead­ers decry­ing the prac­tice’s inhumane nature.

Our coun­try’s con­tin­ued nod to exe­cut­ing teenagers places us in the com­pa­ny of nations known for their civ­il rights abus­es. That’s com­pa­ny we, as Americans, don’t want to keep.

Unlike ado­les­cents, the adults engaged in this argu­ment have the pow­ers of fore­sight and an abil­i­ty to grasp the con­se­quences of their actions. Thus, the U.S. Supreme Court should do the right thing: Support the low­er court’s judg­ment that the death penal­ty and juve­niles con­sti­tute a cru­el and unusual combination.